the recommendations from the california task force on family care giving and workshops on aging in the media. we are coming out with that and there will be more information on the california task force on family care giving. we also had a presentation on the home safe program, which we have been talking about. so, that was very good. they will be looking to get their rsps out fairly quickly and to start putting money in place for that program. to make sure that we can help people stay in place. and then the director of the commission on aging, sandra fitzpatrick, give a report on the older americans act overview. >> vice president loo: any questions from the commission for diane? from the public? thank you, diane. >> you're welcome.

>> vice president loo: no long term care case report. >> good morning commissioners and director mcspadden. jim dave on the board of case. just a brief update on what we did in september and what we are doing in october. we had melissa mcgee and sandy moore from the dignity fund come from our membership meeting and we got to pepper them with many questions. it was a very lively discussion. just trying to understand all the details of how the dignity fund works. we had our monthly meeting with director mcspadden and similarly engaged her with some of the priorities that are coming up ahead. shireen also agreed to come to our membership meeting to again inform our members of a lot of

details. we look forward to putting you on the spot. and finally, case membership meetings so you know they are always going to be at catholic charities at 990 eddie street. they are on the second monday of every month. any questions? >> vice president loo: any questions from the commission? from the public? thank you. >> all right. thank you. >> vice president loo: at this point, i would like to ask if anybody have some general public comment? please identify yourself. >> marie, executive director of the living campaign. i want to say how much i appreciate shireen's comments about the importance of economic security and work and wanted to add some thoughts. earlier this year we spoke to you as a commission to the long term care council, to the board of supervisors hearings and as a

result of all that, we are pleased to say that a final budget included $600,000 a year for two years for senior and we hoped also disability employment. and while we are still waiting to learn how daas will prioritize these funds, we would like to focus again on the larger policy issues with you and with the other policy bodies. tonight the office of economic and work force development is holding a hearing to update their work force innovation and opportunity act plan. and so, we took a look since the bulk of the monies are funneled through that city agency. in this 143-page plan, seniors or older adults are not mentioned once. youth, 91 times. older adults or seniors, zero. nothing. in case you are questioning whether ageism is still alive in the city, this is one specific example. now, the daas commission has a role beyond approving programs

and funding and contracts. it also is here to improve the policies impacting seniors and people with disabilities. so, as a city, i know we can do better and i hope you can help on the policy front and the handout that i provided will give you some specific examples. thank you. >> vice president loo: thank you. >> good morning. i have a couple of comments. jessica layman with senior and disability action. first i wanted to comment on the conversation about conservatorship with the passing and signing of sb-1045 and the statement put out by mayor breed about being interested in implementing it as soon as possible. i think i mentioned there's a lot of us in the community who are concerned about this. part of it is where we're opposed to the idea of expanding

involuntary conservatorship and treatment when we know there's good evidence that voluntary services are not available. they are not getting the mental health services they need and want and we need to look at that first. we are also very concerned about the criminalization of homelessness in general because while homelessness was taken out, that's what folks are really talking about in this bill. and that by requiring people to be detained eight times generally by the police, that increases incentives on a lot of levels for people to go through the system, for police to detain people more often. i think the biggest concern is the disability rights community and the mental health community were not consulted at the beginning of this. and so, we have reached out to leadership in the city to say we need to all have a conversation together. we share a lot of the concerns. but i think we all agree that when decisions are made about a community, that community needs to be present and it's very prop

-- problematic that hasn't happened. on a lighter note, i want to make sure everyone knows about the -- i'm sorry. i missed the end point about conservatorship. there's a community coalition that has come together. we just put out a statement and i will make sure to pass that on to director mcspadden to forward to all of you. i will send it to everyone to make sure you get it so you can hear some of our concerns. we would love to make sure you are aware of them. on a lighter note, this friday is annual celebration, our big fundraiser. we have a lot of fun. it is a short program and it is a time to mingle and relax and celebrate what we have done because we are often talking about a lot of the big challenges and we need time to step back and really enjoy and relax. we are delighted to have director mcspadden coming, jeremy wallenberg i believe is

coming, nicole bond from the mayor's office on disabilities. it is the place to be. you don't want to miss it. [laughter] >> i will leave some invitations on the table and i hope all can join us. thanks. >> vice president loo: thank you. we have no old business. we go on to new business. emergency preparedness in san francisco disability and financial need. the presenter is from the mayor's office, nicole bohn.

>> good morning everyone. i'm wondering if my slides can go up on the screen today? good morning commissioners and everyone. i'm nicole bohn. i'm the director of the mayor's office on disability and i'm very pleased to be here this morning. daas is a critical partner with the mayor's office on disability and all the work that we do. so, i'm very happy to have an opportunity to talk about emergency preparedness in san francisco and some of the efforts that are underway and also towards the end of my talk today, i'm going to highlight a few other initiatives that you

might want to keep an eye on as we move forward that are impacting folks with disabilities. so, several weeks ago, i gave this -- a similar presentation to this one to the mayor's disaster council and commissioner pappas suggested that i come here and present this material to you as a matter of interest. so, thank you for the invitation and i'm glad again to be talking about this very important work. so, i'm going to be talking about two things today. one is the disability act and functional needs work which is mayor's office on disability partners with the department of emergency management on and also the emergency preparedness domain that is part of the aging and disability friendly work which i co-chair with kelly

deerman and all of our partners at daas. i'm going to start with the disability act and functional needs work group which started in 2017 and really wanting to come together to more specifically talk about access and functional needs which i will explain what that in is a second in emergency situations. specifically to emergency communication, transportation, evacuation and sheltering. and our group meets about everybody other month and we consist of representatives from city departments, from daas, from hsa, public health, emergency management and we have a number of community based organizations and non-profits that are contributing in part of this work as well.

so, the california legislation very specifically defines access and functional needs and it covers a lot of individuals. we are talking about individuals who have developmental, physical or sensory disabilities. disabilities, limited english proficiency, those pregnant, living in institutions, homeless or transportation disadvantaged. we are talking about a large part of our community. so, last year i want to highlight a few things the group worked on. we talked about implementing the final cms rule which is a

national legislation that makes sure that medicare and medicaid have emergency procedures as part of their operations. we looked at san francisco's paratransit operations and that's something we are continuing to look at this year as we're thinking about safe evacuation and how to best use paratransit services in those scenarios. we also are looking and continue to explore lessons learned from our local events, emergency events including the extreme heat days we have had and the north bay fires and what we can learn from those experiences to better apply to what we're doing in the emergency efforts here in the city. and then we have been very concretely mapping the disability access resources and functional facilities through out the city and county and working on some demographic

information. we are also trying to very actively reach out to those agencies that the department of emergency management has had less opportunity to work with. so, very specifically with lighthouse for the blind. and then -- how do i go backwards? i wonder if i can do this. okay. and then i'm also very happy to say we have been working with making sure that disability organizations and people with disabilities are actually members and part of our emergency preparedness and response exercises so that when we are doing our training, we have people with disabilities who are there and able to give feedback. so, we most recently have done

that with a ball park evacuation exercise that we did in the beginning of the year and recently two weeks ago we had another exercise through the department of emergency management that also involved folks with disabilities. so, i'm very happy about that. okay. moving forward, we are continuing a lot of the work that i mentioned previously and now specifically over the next two years, we're working hard to update our processes and procedures for durable medical equipment. things like walkers, wheelchairs, oxygen tanks and what happens to those devices because we know in a true emergency situation there is possibility that the individual could be separated from their equipment. so, we want to make sure that there's processes in place to reunite the equipment and the individual.

we are also very specifically working with the san francisco fire department and department of building inspection and policies and procedures around safe evacuation. especially in multi-story buildings. we are continuing mapping and sharing our facilities and resources as i previously mentioned and also doing targeted outreach again to those groups that we haven't had as much success reaching. specifically deaf and hard of hearing individuals and blind and low vision individuals who are very impacted in an emergency situation. we want to make sure we're hearing from those communities as well. and then the group is working on the recommendations that are

within the implementation phase of the aging and disability friendly task force which is what i'm going to talk about now. so, i'm sure you're familiar with the age and disability friendly effort. our collaborative planning process to make sure we have an accessible and inclusive san francisco. i want to highlight too that i'm very proud that san francisco is one of the first municipalities if not the first to incorporate disability if their age friendly city frame work which is exciting and important to us. this effort is looking at our aging population who are living in urban environments with a focus on community based living and all of the impacts on our environment. and it is based on the world health organization and right now we are in the middle of a five-year planning process and we are in the implementation

phase of implementing the recommendations that came out of the task force work that came out from the previous year and a half. specifically targeting older adults, folks with disabilities, those with age related cognitive impairment and care givers so we can identify strategies collaboratively to address the barriers that we know exist. so, the eight domains as a reminder are community and health services, engagement, technology, employment, housing, transportation and outdoor spaces. and we are making progress across all the domains. but right now i'm going to focus for a minute resiliency and emergency preparedness and the work there. the specific goals that the task force recommended for immediate

focus an implementation. so, over the next two years what we are looking at making process on are specifically three things to start. and this process -- we will address these goals and see where we are and future efforts we will continue to identify priorities in this particular domain. right now we are focusing on providing support for seniors for people with disabilities and care givers on emergency preparedness. so, very specifically do they have the information that they need to have in order to know how to respond and be prepared for themselves in an emergency situation. one of those ways that we are trying to help the disability community in particular and seniors be connected with this information is through encouraging registration with our alert sf system. so, we have made some progress

across the city in those registration statistics that really helps people to stay up to date and current with what's happening right now. and then as i mentioned earlier, we are focusing on a strategy for evacuating people with mobility challenges, especially in multi-story buildings so we know what happens in terms of an evacuation and also what happens with any kind of assistive equipment that might be needed and used in those times, including transportation to and from things like shelters and things of that nature. so, in this particular domain, we're working specifically with the department of public health and emergency management, my office, department of aging and neighborhood empowerment network in terms of our city partners and then again, we have feedback

from across other organizations as well. that's a brief recap or summary where we are with emergency efforts. i will pause for a second and see if anyone has questions and then i'm going to move on briefly to some other efforts you might know about. wallenberg -- >> commissioner wallenberg: i want to say thank you to nicole. i put my commission hat on at that meeting and i was not there as a commissioner. but i felt that this report would be beneficial not only to our colleagues but to our staff and the members of the public thatter here and i want to say a special thank you to drek -- that are here and i wanted to say a special thank you to director mcspadden. i didn't realize this was going

to happen so quickly. but thank you for taking time out of your schedule. >> thank you. >> i have a question. how does from all this great work you're doing i'm very impressed, how does that start -- how will that start to get communicated out to the the multi-story buildings and basic citizens in san francisco both disabilitied and older that some of these great ideas exist and are going to help them in an emergency or -- >> we haven't gotten to the communication strategy on this particular issue. so, it is early for me to be able to comment right now. we are focused on what is the process evacuating folks because we are finding there's not

consistent understanding across the city about what we need to be doing. so, that's the focus right now and then i would emergency that as we continue that conversation and start to make additional progress, we will have an outreach strategy as part of that. but it is not developed yet. >> commissioner knutzen: okay. thank you. >> you are welcome. >> vice president loo: any questions from the public? >> okay. i will move on to a few other efforts that i just want to make sure that folks know about. so, in terms of initiatives that specifically impact people with disabilities, there are others than the ones i have highlighted here. these are the ones that are the furthest along and really do need and desired extra

attention. our voting accessibility advisory committee is working on helping san franciscans know about accessible votes by mail option. and was implemented as of the previous election. we have another election coming up and we know that folks with disabilities are not voting in the same numbers as the general public. so, accessible vote by mail is -- was put in place to help people have an accessible option to vote electronically. they can't submit their ballot electronically but you can vote and then there's a process to submit that in a way that is private, which especially impacts those with physical disabilities or those who are blind or low-vision who have difficulty with paper ballots. we will help get the word out about that. the committee is also looking at

voting platform recommendations for what we are using locally and keeping an eye on open source voting as that evolves and the accessibility needs in those platforms. it was mentioned earlier this morning that sb-1376, which is the transportation network companies accessibility for all act was signed by governor brown in september, which is very good news for statewide implementation by 2024. the implementation efforts are just beginning locally and we are very excited and the mayor's office on disability were very involved in that legislation language. locally also the accessible business entrance ordinance is underway, which is legislation that makes sure that places of public accommodation have their primary entrance accessible to people with disabilities. so, the city is right now in the first of four phases of ensuring

compliance with this ordinance across all businesses in the city that are places of public accommodation and this will be continuing for the next three years. you will want to keep an eye on this as well. [please stand by].

>> to look at where we are with emerging technology. specifically around things like those devices that are in the public right-of-way like mobility, scooters, the robots, those kind of things, all the way to what are we doing in terms of thinking through how technology can be used in a more proactive way we ? these efforts will be presented by the city administrator to the board of supervisors in december we are on a very aggressive timeline but we are making good progress, i think. the emerging technology

recommendations at the request of the public kept track recommendations related to accessibility and safety and also equitable benefits for people who are from disadvantaged communities. so we will keep working on those and i thought you might want to have this is something you would keep an eye on as well. any questions on those particular efforts? i mentioned a lot in one slide. i'm sure there's much more i can talk about. >> president serina: any questions? thank you, very much. >> thank you, very much.

>> president serina: next item , community living funds report for january through june 2018. >> good morning, commissioners. deputy director. i am pleased to respect -- pleased to report and present the community living fund six-month report for this period of january to june 2018. the goal is to support aging in place and community-based alternatives for individuals who may otherwise require institutionalization. we report every six months detailing the level of services provided, costs incurred in connection with the fund. i would like to highlight a few areas. i know it is a bit more of a dense report than normal. the program received a 172 new referrals during the time.

most were eligible and have been served. 309 were served by intensive case management program through the institute on aging. during this period, we also transitioned 28 residents from skilled nursing facilities. fifteen of those were from laguna honda specifically. five of those 15 were transitioned into scattered site housing units. eligible individuals living in institutional -- living in institutions who have no appropriate housing alternatives and meet criteria are considered for those units. as of the end of june 2018, we have a capacity to serve an additional seven clients and that rotates throughout the year we also continue to support our support program for animal bonding services for isolated lgbtq older adults and adults with disabilities he meets the

criteria. pets are considered family and individuals often forgo their own health care needs so pet needs are met. during the last fiscal year, wheat served a total of 199 unduplicated clients by funding pet related tangible goods and services and thereby allowing individuals to afford other necessities including healthcare needs. the support help also improved the support capacity and move people off the waitlist. lastly, ioa has a new card -- contract partner for a bilingual registered nurse to provide nursing consultation services as well as to carry a caseload of clients requiring medically intensive care management services. as 90% of the self-help population are of asian and pollute pacific island dissent, this partnership is anticipated to improve clf capacity to outreach and serve individuals

representing the diverse population of san francisco. this concludes my report. >> president serina: any questions from the commission? any questions from the public? >> i do have one question. >> president serina: too late. [laughter] >> i actually have a few questions. so talking about residential care facilities, it states that due to the fact that the subsidies are high for low and compliance, they are at capacity subsidies available for individuals requiring the rc fe level of care. is that based on the overall budget capacity of the community living fund? is it based on -- i know there's issues on availability and capacity of the citywide network in general. and that the city is looking towards -- via the task force in

the board of supervisors and the mayor on budgeting back to improve the network. i just wanted to add a little more colour on that. >> sure. there is a specific number of slots that they allow. those are quite expensive and they are ongoing indefinitely until the person doesn't need it anymore, which is probably years so those slots that are full, if we were increasing the slot calculate take away from someone else who could use home modifications or other purchases of services that would enable someone to stay at home. it is kind of like a juggling, if you will of what the priorities are and how do we manage these precious resources? if we can keep someone in their home, they may not need to go there and it is cheaper to provide a home accommodation than to provide an ongoing subsidy. that is sort of the judgement call that are made for those

situations. >> just to clarify, it is a factor of the budget and of the limitations of that specific budget. and not the other issue which is also an issue but that is a separate thing. >> ok. thank you. and i did have one other question. we talked about a bilingual skilled nurse to handle a more intensive case, but overall, it seems like the community in the c.l.f. program is underrepresented compared to the overpopulation of the overall population in the overall needs that are out there. will that be -- will the new position also help, in general, the referral outreach? how are we working on that? >> it has been something we have been working on on an ongoing basis. and the usual outreach methods does not seem to be enough.

we have bilingual staff and the referrals shift based on when the staff for their -- are there and different things that happened. we have struggled with batch. the thought was that by having an active partner, that has expertise and works with -- primarily that the natural partnership will increase referrals, increase outreach because you are integrated with the organization. so there is that piece of it. in addition to it, the nurse will be able to have the bilingual capacity and take on case elements and in addition to the medically needed, we are doing other things such as people who are of a.p.i. dissent get priority on the waitlist. they are getting off the waitlist after we are streamlining the folks -- the bilingual staff that have capacity and we are maximizing

the caseload so they can. new hires that come on board, we will prioritize those spaces for folks that have the background and expertise to serve the population. it is a multifold thing. this is the latest thing that we thought might be most effective. we will see how it goes in the next six months and see how fast that turns it around. it is an ongoing effort to make a difference in this measure. >> president serina: his disposition temporary or is it a trial? >> it is a permanent position. it is a contract position with self-help. in that respect. >> president serina: sometime it is really important when people see something they are familiar with and that there will be -- they will be more open to ask questions and other things.

that is a good move to have someone who would speak the language. >> we have been doing more investigation with why the referrals might be from laguna honda. a lot of those discharged -- discharges, people go back home to family. we are looking at, are their utilization patterns that are different for the population and maybe we need to serve people in the community more and focus more on the utilization patterns for someone of a.p.i. dissent or someone who has more family support in helping with older adults in the community. we are looking that -- looking at that as well. is a piece of her looking at so we can look at it holistically and not just during the traditional ways of outreach. >> president serina: thank you >> thank you.

>> president serina: all right we come to item a. requesting authorization to modify the existing grant agreement with open arms to the provision of community service for seniors and adults with disabilities during the period of july first, 2018 through june 30th, 2019. for an additional amount of $105,000 plus contingency for a total amount not to exceed $697,220. >> thank you. good morning. thanks. i am glad to be here to talk about this modification to community services program. there is two parts to this.

the first add back fund, the one-time ad back fund will go towards housing assistance and add open houses with housing coordinators to help with preparations for the new lgbtq residence that is completing now and there is expectation there will be an application process starting this fall. the housing coordinator will be intimately involved in that process doing community outreach they are increasing the number of housing workshops that open house is sponsoring. there will be a large outreach of staff. they would expect about 3,000 applications for the 79 units. that is a lot of work. certainly a need for another staff person to help out. this person will also answer questions to the public, to be

directly involved with people's request around the application. it is fairly complicated. we are happy to be able to support them in having this person to get ready for that exciting opening of the new residence. the second modification is funding from the district eight participatory budgeting process. that is a process in which district residents can benefit directly from board of supervisors funds. they suggest projects for their residents and those are approved and move forward on a one-time basis. in this case, there is an intergenerational project that will be coming out of ucsf and done collaboratively with open house. university students will be paired with older adults and people with disabilities to do creative arts projects.

and the ultimate goal of that is focusing on the social isolation of older adults and people with disabilities in the lgbtq community and recognizing that bringing folks together of different ages, supports, less social isolation, creative arts is an important aspect of that and it's an exciting opportunity to see that kind of program go forward. so those are the two add backs. thank you for your consideration i can answer any questions. >> president serina: any questions from the commission? >> i felt like i said this and may be getting remarks that we started this idea back when i was at the human rights commission, a number of years ago. so i feel like this is very full circle for me. because of that i have some specific questions. i was very interested in it. first of all, to clarify, this is a new position for the housing coordinators.

they already -- do they already exist? it is almost a technical question. >> it is technically a new position and they currently have someone doing that work physically. they have been preparing for this for a while now. they do have some folks working on that. this is technically a new position. >> ok. this housing, even though there will be 3,000 applicants for it is there an income standard for the housing? >> i don't know the specific income criteria but it typically is for a housing unit like this. it is not taken into consideration during the application process. i shouldn't say that. but specifically, there is more taking into consideration when people come up on the waitlist after the lottery and they are considered for an apartment.

>> i just mean this is a very general question. there is a huge issue of people, lgbtq people staying in the city so as the housing coordinator goes out and communicates to people, will they be communicating on those general issues as well? or just specifically to the community that would be particularly qualified for the housing? will also improve information in general to the lgbtq population about housing? that is where i am headed with that question. >> thank you. and executive director of open house. thank you, commissioners. open house runs a fairly robust resource and referral navigation program where we help connect people to services and to housing all year round, all the time. this is essentially an expansion of that program to have additional support and outreach housing coordination while we go

through this lease. his of the is affordable housing it falls under the average median income requirements and that is who we are serving. people are qualifying for affordable housing or below-market rate housing. although we do help people navigate to adjust middle income and who are also getting pushed out of the city. >> that is what i was wondering. >> we run they robust housing assistance program. it just gets, particularly robust when we are trying to get as many lgbtq people as we can to apply for the new housing that will open. >> great. i had another question but if other commissioners have questions about this? on the other item, it is so interesting. the whole idea of the program. is a specifically for the lgbtq community or what other people be?

>> it was a program developed by a researcher at ucsf. she did a small pilot with little brothers that was with heterosexual folks. now this is kind of the next step expansion of the project. so she has done a little bit of pilot testing and i think they did six matches with little brothers and now this will be starting to match with lgbtq seniors. >> will there be outcomes? is she doing a study? >> it is pretty robust. it is part of why i am an outcome oriented person. i think it is great where we can demonstrate how these things impact and make a difference in people's lives. she is using measures related to social isolation and loneliness, community connectedness, depression, anxiety, she has a whole robust set of measurements that they are taking a look at as part of the outcomes of the project. >> and then the outreach could

be -- that is through your organization? people getting your newsletter and things like that could find out about it and potentially be matched. >> yeah. the hard part is we run a robust friendly visitor program and this is a time-limited intervention. we have a hard time saying goodbye to the match at the end of this but the nice thing is they will be able to roll off of this project and into the friendly visitor program where they continue to have volunteer contacts. >> thank you very much. that was it. >> president serina: commissioners? any questions from the public? hearing none, do i have a motion to approve this? >> so moved. >> president serina: any second? >> second. >> president serina: now we call for the vote. all approved -- on may, or whatever.

>> aye. >> president serina: approved. be requesting authorization to modify the existing grant agreement with the open house for the provision of community service for seniors -- sorry. let me start again. we have now come to be. requesting authorization to modify the existing grant agreement with open house for the provision of a lesbian, gay, bisexual, transgender and queer lgbtq sensitivity training during the period of july first, 2018 through june 30th 2019 for an additional amount of $85,000 plus a contingency.

a total amount not to exceed 256 $518 -- $256,508. >> thanks again. we have taught -- talked multiple times before about open houses and cultural humility training and the work they have been doing with the office on aging to reach their provider network. this really expands that process in response to st the san francisco ordinance 4715. it passed in 2015. it recognizes that lgbtq folks and long-term care residential facilities may experience a variety of discrimination, harassment, other kinds of illegal activities and that ordinance calls out the lgbtq community and those facilities and establishes illegal

activities, discriminatory activities and also a residence bill of rights. so that folks in those facilities understand what can't -- what they can expect and hope for. we will be working with open house since they already have a training curriculum, to add this piece to it. the ordinance requires that staff of the long-term care facilities, ones -- one staff be identified as a liaison and various staff will probably need training around the specific ordinance and the issues facing their lgbtq residents. and the ordinance calls for client -- a client -- a resident rights handbook. given that we already have an ongoing relationship with open house and they have done well for us, it has made sense for us to turn to them and ask them to

participate in the project. they will be working on the development of a training curriculum on this topic and also prepping a handbook that explains to consumers and to residents what their rights are and what the grievance and complaint process is. any questions? >> is the human rights commission at all engaged in this? it would seem to me that in areas of discrimination, the complaints would end up there, but proactively speaking, perhaps they might be able to offer some input in terms of the handbook itself. >> exactly. i think there was research -- outreach to that department as we started looking at how this would go. so they have been involved and will be involved and you are right. they will be -- they will be one of the resources available to residents of the facilities. >> i have a quick question

related to that. is there any way there can be prioritized -- prioritization if we do do complaints? i don't know any in particular but a particular facility or something that may have had complaints. is there any way to prioritize trainings? do people think about if there are any particular agencies that may have had complaints about -- from its residents are people who weren't in those and felt like there wasn't sensitivity to their issues that would be the first priority for some of these trainings? is there any -- >> the ombudsman's office has responsibility to receive complaints from long-term facilities. they have already responded to any who might be lgbtq and had issues around that. they will be the primary agency going forward as well when this handbook comes out. they will be the primary resource for people to have and

look at complaints. hopefully they will prioritize people who have outstanding complaints. over time, we should be able to see if there are particular facilities where that may happen >> i am envisioning this. as you go to a facility and you might be an lgbtq person, will that handbook be at all of those facilities when you visit them? things like that. if there was an issue, you would know as an lgbtq person in san francisco looking at facilities, that you had a way of accessing the ombudsman. that kind of thing. >> the bill of rights is to be posted in those facilities. that is not always foolproof. this other bills of rights that people don't know about. the handbook will be distributed to residents of the facilities directly. the goal would be to have that

is part of every application and intake packet that anyone going in would need to. in general, through training and outreach at large, we hope that more people would know about this and what to do if they have issues. >> that sounds great. thank you. >> a question on the handbook his. where there -- would there be multilingual? >> that would be the goal. we need to get the final version and then we will be working on translation into a variety of languages. >> do you know what kind of language there would be? >> i think the usual, targeted. >> english, chinese, spanish? >> i am looking at my colleagues who are on that committee. i think that is the goal. >> ok. any more questions from the commission? questions from the public? thank you.

now we can vote on this. do i have a motion to approve this? >> so move. >> ok. all in favor say aye. >> aye. >> motion approved. ok. rick, he will be standing here all day. [laughter] >> item c., requesting authorization to modify the existing grant agreement which is on the project a provision of expanding social isolation eight -- social isolation and prevention services to lesbian, gay, bisexual, transgender and queer lgbtq plus seniors and adults with disability during the period of july first, 2018 through june 30th, 2019 in the additional amount of 115,000

plus a contingency for a revised total amount not to exceed $866,140. >> thank you again. this is an exciting opportunity to expand some of the programming. when the money was being discussed, i met with the staff and what was great to hear is they said, our consumers,, the members of our programs have expressed an interest in having more opportunity to go to groups together and that would specifically address socialization in a way that is different from peer support would. shanti was very interested in looking at ways that they could develop group activities and address their primary mission.

so their first thought was to do groups. and they wanted to target on wellness and health education groups so that not only would there be socialization but education about the various health concerns that people face such as cooking, nutrition, disease management, education. that is a new piece of the shanti program. as well, they recognize that oak -- open house already had some of these wellness programs. they wanted to collaborate with open house as part of this ad back funding so that consumers could access those existing programs. a couple that i will mention is yoga and meditation at open house. they will be subcontracting with open house to have programs that

shanti clients can access. the other valuable piece to this is that more clients of open house will know about that shanti project and be able to access the other isolation programs such as peer navigation -- care navigation and peer support. that is really what we are looking to do with this. thanks. >> any questions from the commission? i have a question. i am just looking at the outcome -- at the service unit. in 2019, july 1st 2019 to june d provide 2100 hours of peer navigation to consumers. that is on page 6. and on page -- let's see.

on page 5, it said that it would provide the same -- the same. it would provide a one year. , 26 hours of care -- peer navigation to consumers. why is there a drop in the unit by 27%? >> the 26th 20 on page 5 is for the ad back. so there is additional monies and they are expecting an increase in care navigation hours. and then over the course of the rest of the contract, they are expecting 2100 hours without the ad back monies. >> because of the ad back, they are able to provide more units of service. >> yes. >> should there be another ad back next year where they will

add more units to the service? am i correct? >> i would imagine that is what they're hoping for to some level >> let's hope that we will have some ad back. any questions from the public? hearing none,. >> i just need to ask the commission to recuse from this vote due to a conflict of interest. >> you are excused. >> ok. >> we will have to take a vote for the commissioner to recuse. >> what? >> we will take a vote. i will ask the commission to vote on the commissioner recusing herself. >> ok. >> are we ready for the vote? do i have a motion? >> so moved. >> second. >> although say aye in favor. >> aye. >> past.

-- past -- passed. >> let's vote for a second time to approve this. >> so moved. >> all in favor say aye. >> aye. >> approved. >> thank you. >> thank you, rick. >> i will just clarify what happened. the commissioner is recusing herself from the agenda item, the shanti agenda item because of a conflict of interest. we took a vote and we asked the

commission, i asked the commission to take a vote and they approved. and then they voted to approve the agenda item altogether. moving on. [laughter] >> moving along. ok. item d. review and approval of california department of aging mip p.a. -- mippa. associated budget and all subsequent amendments and modification to the self-help for the elderly grant agreement to include funds for fiscal year 18