>> we can't hear you, is your microphone on? >> again, welcome to the commission on ageing and adult services. we have a new commissioner, and i would like her to introduce herself and just give us a few comments about her background. >> good morning, and i'm very happy to be here.

i've always introduced my name is i am felicia elizondo. i am a historyian, a 32 year survivor of aids and a viet nam war veteran, and i'm very happy to be here. [applause] >> okay. will the secretary please take the roll call. [roll call] >> clerk: please note that deputy director cindy kaufman is present. at this time, the committee asks that you silence all mobile phones and sound-producing devices.

>> president serina: thank you. may i have a motion to approve the agenda and a second? thank you. any discussion? all in favor? any opposed? motion carries. may i have a motion to approve the januafebruary 19, 2019 min? thank you. any discussion? all in favor? any opposed? motion carries. next item, reports. >> i just have a few updates since last commission meeting. as many of you know, commissioner mcspadden is in washington d.c. for a briefing with the n4a.

this is for legislator to hear and provide feedback on areas of policy focus as well as provides members with thoughts and ideas. the older americans act expires at the end of 2019. they will work with policy makers and stakeholders to update the policy authorization. i'm not sure everyone is familiar with it. it was first signed into law in 1965 as president johnson as part of an initiative aimed at eliminating poverty and injustice among the country's population. it remains critical, given our growing demographic. in a nutshell, it allows ageing in place through a variety of support. it provides for local flexibility which is vital for

providing needed services, and it helps older caregivers. for the reauthorization an4a i structured around the following principle principles. one, to meet the public where they're at. one, by growing investments to bring it to a baseline of $2.5 billion. they're also looking to foster innovations in service delivery with expand of title six, enhancing the act's ability to address various populations and innovations to expand access to consumers. and finally, they're looking to ease the administrative barriers in order to increase

access to services. they want congress to allow additional flexibilities to address administrative burdens and enable them to better address the needs of their local service areas. i am sure director mcspadden will provide updates when she returns. -- for that day, he had many bills, but they focused on three of his bills. one is ab-36 which establishes the department of community

living. this bill creates a new department that will be more stream lined with a coordinated delivery care system. it will also be able to work across state agencies on behalf of older people with disabilities. the second bill is ab 1137 which is legislation to modernize the older californiians act. this act focuses on age demographics as opposed to solely on need, and there's some archaic language that they want to cleanup there in, as well, ab 1237 establishes the master plan of an ageing california that implements a no wrong door system to assist ageing persons and older persons with disabilities. the chief deputy director of

budget was also there, along with the fiscal and policy analyst for the legislative analyst's office, and the office of the president pro tem, and deputy cabinet secretary in the governor's office. almost all of the speakers emphasized the governor's commitment to a master plan on ageing, which was really good to hear. they acknowledged there was no funding right now, but the focus was on getting the right people in the room so they can have a robust stakeholder input. they recognize the need for it to be person centered with better consolidated services. they stated multiple times that it is the beginning of the process, then, they can look at recommendations that come forward and then, they can develop a budget based on the needs of the recommendations.

there was also mention. alzheimer's preparation task force, which maria shriver will lead. there's more to come in all of these areas, and you will get updates from diane lawrence who's in charge of our joint legislative committee, so more to come as the dates go forward. next, a draft of the service and allocation plan, which is part of the dignity plan four-year planning cycle was posted last friday. it is posted on our website. if any of you care to see it, we can also send you copies, if you'd like a copy. i have to give thanks to staff for pulling this together. last, but not least, we are at the five year mark for the publication of the report and recommendations from the lgbt task force. march is literally the

five-year mark. saturday, march 9, i think 10:00 to 12:00, we will have celebration highlighting the accomplishments. the mayor will be there, as well as supervisor mandelman, and senator wiener, who championed the cause at the beginning. i think that does it. >> president serina: thank you, cindy. regarding the older americans act, how do you think the -- likely to you think the current administration is to reup it and add the money? >> i think -- the money is its own question. i think there is a will to do it. it is -- of many things that are, it is bipartisan. many people are seeing the social indicators of health,

and that's the type of services that the older americans act funds. i think they see that, and there's a lot of advocacy around it. >> will this department be involved in the advocacy for it? >> well, that's part of -- we get highlights around it's time to write your senators, and i will send this out to everybody. that is one of the things that director mcspadden is doing right now, is meeting with the le legislators. as we get the call to action, we will share it with

everybody. >> thank you very much. >> president serina: thank you very much. any comments or questions from the commission? any comments or questions from the public? thank you very much, cindy. [gavel]. >> president serina: next is the advisory council report. eleanor lury is here. thank you, eleanor. >> diane lawrence is in sacramento today, so she asked me to present. so we spent quite a lot of time discussing some of the issues that the joint legislative committee discussed but took no action on them. these include -- let's see -- i'm sorry. medi-cal assisted living waivers, accessory dwelling units, speeding up the process for approval of those, masking

of identification of service providers for i.h.s. conservator legislation, transportation legislation, federal act getting people out of institutions. concerns that if you sign up incorrectly for medicare, you are penalized for a month. that would be federal legislation. so no action was taken. you've probably heard this but in the governor's state of the state, he called on the graying of california and the need for

that. he mentioned right sizing in-home support services because local costs have increased dramatically over the last few years, and apparently, there's a bill to trail that, but apparently, it hasn't been introduced. let's see. today, the association of area agencies on ageing in california are meeting in sacramento, which is where diane is, and they'll be visiting their representatives. on march 9, there's a celebration of the fifth year of the lgbt task force, which 11 of 13 recommendations have been implemented. and april 14 through 19 is national health care decisions week, which includes workshops on advanced planning.

director mcspadden and rose johnck presented the 2019-2020 update to the area plan. the council raced questions about it, which were answered, and approved the plan. these included area of transportation nutrition, daas, and food security which will be made better through the calfresh s.s.i. program. this year, the department will have a presentation to get ready for the next four year. the pedestrians safety committee, which i chaired, is working to contact various agencies and interest groups connected with pedestrian safety and to see what they're doing and if they actually work

together, and what are the requirements for independent contractors who work on major street and sidewalk projects. for example, vanness avenue which specifically has been quite a mess for a long time. and work is starting on geary boulevard up where i live. diane was going to ask bridget to have a calfresh flier available for commissioners. were you able to do that or did she not ask? >> she did not ask. >> okay. okay. very good. so that's my presentation. i'll be glad to answer questions if i can. >> president serina: thank you, eleanor. any comments or questions from the commission? >> yes. which are the two nutrition sites you people visited?

>> i don't know because i never -- we ran out of time. they were not presented. >> president serina: any other comments or questions? any comments or questions from the public? all right. thank you very much, eleanor. >> you're welcome. >> president serina: and earlier, going cam to cindy kaufman's presentation, i want to echo her warm praise for the allocation plan on the dignity fund. i've been on the board since its inception. i know the work that's gone into it, what an exceptional attempt is being made to rectify equity issues and to get as much data for underserved populations as available. it's a commendable result, and i think those of us who have read it and those of us who will read it will be surprised at the work that's been done.

okay. no tack report, ltcc -- long-term coordinating council. kelly dearman. welcome back. it's a long time since you've graced us with your presence. >> i'm happy to come back any time you want me. >> president serina: well, that's always. >> good morning, deputy serina and commissioners. i am kelly dearman, and i am a very proud member of the long-term care coordinating council, and i'm here today to give you just a little bit of an update as to what we did last month. so the long-term care coordinating council met on february 14, and we talked about the dignity fund, which department director kaufman has already mentioned. we talked about that. then, we spent sometime talking

about san francisco ageing and disability friendly. you all know that san francisco has been designated an ageing and availability friendly se we talked about community supports and services. we have done ablism and ageism training for health care professionals. we are now working on getting more funding for that. it has proven to be really

successful, and we talked about the resilience and disaster preparedness domain. and in particular, we talked about an alert sf targeted outreach campaign. and i'm hopeful that all of you are clear on alert sf, which notifies you if there are any disasters or issues that we should be aware of. so in the coming months, the ltccc has talked about a really big youch reach push to encourage the people within our networks to sign up. so there'll be trainings, there'll be people signing up. we believe that's going to happen in april, but don't hold me to that.

then, we broke up in small groups to find out where we can have impact and i just want to say that our cochairs are working hard with us and make sure we think at the policy level and what's the impact that our body can have.

>> since director dearman is here, i just wanted to publicly thank president serino for proffering my name as the representative of this body to sit on the ihss public authority governing body seat number seven, the vacant seat that's representative of this body. i look forward to representing this body and serving on your board. >> president serina: i'm delighted that commissioner pappas accepted the appointment.

>> thank you, commissioner. i just have one question or comment. a lot has been happening at the public authority, so i would really welcome you all to see how -- to come and speak to you about how we're doing and where we're going. >> president serina: we will work on scheduling a presentation. thank you very much. case report. new business? old business. [agenda item read]. >> president serina: thank you. welcome, rose.

okay. good morning, commissioners. let me know if you can't hear me. my name is rose johns. i'm with the policy and planning unit at the human services agency. i'm here with deputy director kaufman today to present on the area plan update for fiscal year 19-20. okay. so just a quick agenda for what we're going to cover today. we're going to start with a quick overview of the area plan and area plan update. i know for some of you, it's old material, but for some of you, it's new, so stop me if you have any questions. we're going to spend some time highlighting the key sections in the update report and then

talk about next steps with you. okay. this is a requirement under the older americans act that daas prepare a four-year plan every four years that outlines how the department will address the needs of older adults in the local service area. the purpose of the plan is to look at demographic trends and outline needs and then look at how the department will use its older americans funding to address these needs. it's important to note that the area plan focuses only on those confidences that are funded by older americans act money and that's just a portion of what the department does. to put it in context, the department gets about $6 million from the state for

community-based services. overall, the department spends about $60 million a year on community-based services, so this is just a portion of the services that are provided. and then in the interim years between the four-year plan, we submit an update to the state that provides an update of what we're doing that sets new goals and targets for the upcoming year. we're required to submit full sections from the area plan. those are listed here, and you have them in the report that you received last week. and so i just wanted to provide a little more context for where we are in the current four-year cycle. this is the area period covering 2017 through 2020 and what we're working on is our final update in the cycle. so we are in fiscal year 18-19, as you know, and we are preparing the update for next year. this update is due to the state

by may 1. and so we've been working on this since around december, which is when the state released the instructions for this report. as eleanor noted, we presented to the advisory council last month, and they did a plan to review the update and bring it to you this month. as you see here and as i just said, the report is due by may 1. and then, we will be working with the new four-year plan, 2021 through 2024, and that is our next opportunity to get creative and mix-up what we're doing. so typically, the reports are more of an annual update to

update the frameworks that we've established already. okay. so moving onto some of the main sections in the area plan update. something at that we look at every year is the population demographics. the reason we do this is helps us identify the ageing population with the greatest need. when we look at the pie chart on the right, which is seniors living in poverty below the federal poverty threshold, we see a different story. we see that communities of color are overrepresented. for example, though asian pacific islanders are 43% of all seniors, there are almost half of those in poverty.

again it's really important that we keep track of these trends so when the department is developing its procurements and entering into contracts for services, we make sure that we are partnering with agencies that can really help us reach the populations most in need. >> president serina: rose, excuse me. it might be helpful if you told us what the definition of poverty was. >> sure. so this is based on the federal poverty flesh hold, which is annual income of about $12,000 a year for a single individual. so this is really those who are at the lowest lowest income level. >> president serina: thank you. destitute. >> yes. that is often the word that we actually use. thank you. the other -- one of the other major sections in the area plan update report is the service unit plan objectives, which is basically where we say the service levels we expect for next year. what we've put on the slide is

how the units for next year compare to what we put forward last year. and what you see is that in the main nutrition programs, we're anticipating an increase in service, and that's largely toto enhanced local funding. there are four areas where we're projecting a decrease in units and that's really because we've been looking at service trends over the last few years and we've trying to bring our anticipated levels closer to what's actually being provided. the one exception is nutrition education, and those are classes typically provided at senior centers. we're seeing a decrease here because city college has been provided education classes at community centers, and they are scaling back that program, so the department was not funding that before, but we were able to count the units. the department will still be

providing about 50,000 units of this service next year. and then the metrics. what i would highlight i guess for you there is the family caregiver support program. we are anticipating a decrease in respite care hours through this program for next year, and that's because outside of older americans act funding, daas has established a new respite care service using dignity fund money. so within the family caregiver support program funded by the state, the department is shifting those dollars to support different services in this program such as counseling and support groups. overall, daas has -- can you -- it's just a different funding source, so those units aren't

included in this report. [please stand by] . >> -- the four that have been completed, kelly mentioned a couple of them.

one was ab-1376 which was the legislation to enable raid share. the other is ageing and ablism for health care professionals as well as increasing crosswalk timing, allowing people more time to get across the street, and then the lasted is the assisted facility recommendations that was sent to the mayor, and that was part of the long-term care coordinating council's effort to support affordable living in san francisco. the next goal is to establish better coordination of services. as you know, the long-term care coordinating council is an adviso advisory council to the mayor's office. again, kelly highlighted some of these efforts. this past year, the council did a retreat to focus truly on a strategic plan going forward. they looked at mission, vision, values, core principles, and

functions, and then, from that, they identified priority areas in long-term care system. there are many things that are needed in san francisco, but the focus of this group truly is on long-term care. from there, they identified key policy areas, strategies, and they're looking at two to three action items for the coming here. the current high level policy areas include social engagement, transportation, and workforce, among others. next is to increase access to services, and we're looking at the do say benefits and re -- daas benefits and resources. in 2018-19, daas will slightly restructure operations at the hub to account for past and upcoming growth. the goal is to enhance service integration and support smooth operations.

we are moving the eligibility unit which currently is part of the ihss program. we're moving them as part of the hub both within the reporting structure, as well. the primary change will be to institute a program manager with all the programs operating at that site which includes integrated incident tack and referral unit, the eligibility unit, and the county veteran's services office. so we're hoping -- we're going

forward with -- [inaudible] >> -- in working with lgbtq community members and recording sexual orientation and gender identity data. we've seen good progress. prior to the local ordinance, 40% of clients and community base services were missing a response to the sexual orientation question. last year, that decreased to 10%. and equity analysis of service utilization by lgbtq older adults found that this population tends to access services at lower rates than the overall population. part of the department's work will be to address this disparity and to convene community leaders and service providers to ensure the lgbtq community members feel comfortable accessing services across the city, not just those

offered by the lgbtq focused agencies, and that clients feel comfortable disclosing their identity. so that -- i think now we move onto any questions. >> president serina: thank you very much, cindy. i have a few questions, rose. one, when you prepare the next four-year plan, will you be able to incorporate some of the information that's come out of the dignity fund analysis because a great deal of work that's been done there? >> yes, absolutely. we will be drawing on particularly the needs assessment that was done last year as part of our area plan submission to the state in that we will be including that content and also using -- the department is using it kind of across the board to structure its strategic planning. >> president serina: great. and then a couple of other observations. i was surprised to see the decrease in nutrition education and then also in transportation

because i know that transportation is a really big issue, and i understand that it was based on actual o utilization. do you think that's driven by not having as much need or simply lack of awareness of what's being offered? >> that's a great question. i think if you'd like me to speak further about the nutrition education classes, i can do that, but what i was just referencing regarding city college decreasing the program, it was colocating at daas services, and so that's the reason for the decrease there? with regard to transportation, i'd actually like to invite mike zaag to come up and speak on that. >> good afternoon, commissioners. mike zaag, with the transportation on ageing. our transportation services is a -- is a -- so it's a service

that ties to that. it's rides to and from the center, so that's part -- step one of it. we do think that it is -- we are working towards trying to figure out why it isn't being utilized more. we talked with the providers. we're going to start quarterly meetings with them, starting this fiscal year, to look at service levels and to try to look at that further. >> president serina: thank you. any other comments? commissioner loo? >> who are the provider of transportation and how much it decreases it for next year? >> how much -- well, we have four providers of transportation. they are kimochi, self-help for the elderly, central latino, and then trans dev, which is also the paratransit broker, so they are a for-profit provider. and then, you spoke to

decrease? >> yes. how much is the decrease? >> so we actually have not seen a decrease over the past three, four years. in fact, the numbers have just stayed really flat in that low-to-mid 30,000 rides per year range. we're decreasing it on our area plan because historically, we've tried to reach that 40,000 rides per year goal, but we haven't, so we're bringing that cap down. >> yeah. because transportation is such important for the seniors when they can go out and go to the doctor's office. it's a little bit about really the decreasing transportation fund. >> president serina: yes, thank you. and regarding transportation, the city in terms of the muni is very focused on speeding up

transit times. and with that goal, which is admirable in mind, they've eliminated many stops, which presents more problems for seniors, who have further to walk, or further to walk to their destination. i don't know how to solve that because it's something that needs to be addressed. no one wants to see the muni get slower, but at the same time, everybody needs access to it. any other questions? commissioner? >> yes. thank you for the presentation. it's really great for someone who's new to the commission to have that foundation i need? so thank you for that. and i know that a lot of people contributed to this, so i just wanted to acknowledge that. just a really minor question on the nutrition education, just returning to that, is it going to be filled from another source or are we anticipating

that? is this all because of the ccsf problems that they're having? we just want to recognize as a body that we know that that education is really important. so i didn't quite hear that, if there needs to be a plan to makeup for a deficit or sort of what's the strategy around that? >> yeah. so my sense is -- my understanding is that daas is maintaining its funding levels for this service and will be looking at how it is utilized and if this seems to be a negative effect, that people are missing this service, i don't know that daas is planning to fill -- to increase its own funding for its service? but i think keeping an eye on service utilization, more people showing up to use the service, or food security status, that's something we'll

be keeping an eye on and considering it, particularly as we prepare the next four-year plan. >> okay. great. thank you. >> president serina: thank you. and one other comment. i've been on the commission a long time, although contrary to public comment, not since san francisco and california were part of mexico. and in that period of time, i have seen the commitment to getting information about the ageing lgbtq community and delivering services to that community grow dramatically. when i joined, i was the first openly gay commissioner serving here, and i advocated, and the response has been extraordinary. and i'm really grateful and want to acknowledge that because it's a huge, huge improvement. thank you. any comments or questions from the public? thank you, cindy and rose. thank you. >> of course. so if i could, just next steps would be if you feel comfortable voting to approve today. if you would like, we can

return next month also if you need more time to sit with this. >> president serina: i don't know how the commissioners feel. are you comfortable voting and to approve the report? okay. all right. then call the question. may i have a motion to approve the report? >> i so move. >> second. >> thank you. any further comments or questions? hearing none, call the question. all in favor? any opposed? thank you again. >> thank you. >> president serina: item b, requesting authorization to modify the existing grant with senior and disability action for an additional amount of $38,855 plus a 10% contingency for a total amount not to exceed $281,233. welcome, rick appleby. >> good morning, president and

commissioners and deputy director kaufman and bridget. the modification before us right now is a wonderful opportunity to assist senior and disability action to enhance their current computer lab and make it more accessible. as you've read, one of the main focuses is buying innovative equipment to allow people with a broader range of disabilities to come in and use the computer lab, to access information on the internet and social meet i can't in a way that they may not have been able to in other places. the goal here is to have people

learn more about it. we mentioned a couple of examples of the kinds of equipment, so a closed circuit t.v. is one example that can have a large caption on it for people who may not be able to see regular caption. head pointers, voice recognition and voice activated systems all can help people with those related disabilities. i wanted to mention another aspect that didn't get full explanation. the senior and disability action will also utilize peer support trainers and volunteers. there's a recognition of course that you bring in people from the older adult and disability community to learn about the commuter lab, to learn about using this new equipment, questing equipment, and be able to train folks that come in how

to use it, troubleshoot problems, assist them to find what they're looking for on-line, along with the advocacy aspect, learning about advocacy. people just need some help novemb navigating through that complex system of finding housing, jobs, and services. so folks from the community will be there with a familiarity and to support people there. the support trainers and volunteers will in turn go out to their communities and talk about the computer lab and the accessibility there, what you can accomplish, and hopefully bring more folks in to the computer lab at senior disability action.

they want to great a community around their -- create a community around their office, the computer lab, the accessible network so that folks can support each other, be part of a way that they might not be able to in the past and go out and advocate for themselves and others. i think that's it. thank you for now and for your support on this. >> president serina: thank you. any questions? commissioner loo? >> yeah, i have a question on the budget, okay? modification and i'm just wondering -- first of all, i like you highlighting the modification. thank you. but i don't understand why the modification indirect service

is 23.55% while the others are 15%. >> is that on the -- >> on the budget. >> page one, appendix one. >> if you look at the total for the modification, it includes the equipment costs for 10,000, and the page four, as part of the indirect. that was a new recent change that we're able to provide indirect as part of the capital expenditure sequence, as well. >> okay. i know there is a reason you won't make that kind of mistake and i want to know why. thank you. >> thank you. >> president serina: thank you. any other comments or questions from the commission? >> just one question. with the rapidly changing technology, i have twins, and

they're my technology consultants. with technology changing so rapidly, how do they stay current? >> well, hopefully senior and disability actions through their consultations and understanding of computer lab innovative technology, they'll be updating their systems and the folks coming in will be continually exposed to newer and better equipment for them. also, bringing folks in from the community, they're going to let you know if there are new material out there, new innovations here. >> that's fine. this is san francisco. we moffat a rapid pace here. >> president serina: thank you. any other comments or questions? any comments from the public?

jessica. >> jessica lehman from senior and disability action. i just want to respond to that last question. thank you for the question. we do recognize that these things change so fast. we do realize it's time for that again. part of our effort here is to look at equipment that has been around for a while and we think will continue. and things like height adjustable tables are nice where those won't go out of vogue. and then part of as rick mentioned, bringing in peer trainers and making sure they have support from staff and i.t. consultants to be able to learn about changes as they come up to pass them onto our computer lab participants. and then i mentioned that we wanted to get this started

right away since it's already march. i have some job announcements for computer trainers and lab workers. i'll leave them on the side if commissioners or other folks want to take some with you, that would be great. thank you. >> president serina: thank you. any other comments or questions from the public? hearing none, may i have a motion to approve? >> so moved. >> president serina: second? >> second. >> president serina: any further discussion? motion carries. [agenda item read].

>> thank you. good morning, commissioners, president, and director kaufman. in december 2017, the department presented the supportive services and service connection program for older adults and adults with disabilities who are military veterans living in the city. i am pleased to report that the program has been very successful and swords to plow shares has been a fantastic partner in helping the department serve this population. last year, swords to plow share met the program objectives and competed the projected service for this grant. they are well on their way to doing the same this year. i'm going to provide a brief overview of the program. it is offered at swords to plow

shares five supportive housing sites. it includes one-to-one assistance to veterans aimed at supporting their independence, and it provides scheduled activities that help foster friendships, reduce isolation, and build a sense of community. veteran's academy is one of the five sites and home to 108 former hoe homeless veterans with disabilities -- formerly homeless veterans with disabilities. the veterans at the academy are very active in the services provide to this grant. about 30% of the total number of veterans last year, which equates to about 50 of them, participated in the program. all lived at the academy. the one-time-only funding add today that grant this lep swords to plow shares with maintenance and repair casts at the site. it includes new resilient

flooring and acoustic ceiling replacement in the common areas where programming takes place. it includes the installation of automatic doors and new stoves to allow swords to plow shares to offer cooking classes as a community activity. thank you, and i'm very happy to try to answer any questions that you have at this time. >> president serina: thank you, tiffany. any comments or questions from the commission? hearing none, any comments or questions from the public? lee? >> i work at swords to plow

shares, so i'm the associate director. i have no questions about what we're proposing. i just wanted to say thank you for considering the request. we are so thankful for daas working with this on this practices to make sure that it stays out on the presidio in very lush property, overlooking the golden gate, so it's more of a thank you all to considering the request and just thank you to daas for working with us as part of this pilot program. >> president serina: thank you. >> i'd just like to say, mr. president, i live and work in the presidio, so i see firsthand the services that are being provided. and this former military base is now really serving from swords to plow shares those who

served our country. and if you would allow me to move this, i would be honored. >> president serina: thank you. any other comments or questions? any from the public? okay. may i have a motion to approve? >> so moved. >> president serina: second? >> second he were certain any further discussion? hearing none, call the question. all in favor? any opposed? item d, requesting authorization to enter into a new grant agreement with self-help for the elderly for the provision of a workforce support program during the period of february 1, 2019 through june 30, 2021, in the amount of $548,935 plus a 10% contingency for a total grant amount not to exceed $603,829. thank you again. tiffany? >> thank you again, commissioners, and deputy director kaufman.

before we start, i just want to note that there is a -- [inaudible] >> -- an important component of living and ageing successfully in the communities for our clients is for them to have the supportive services available when they need them. there is a growing demand for home care, and along with that, there is a need to develop a pipeline of skilled individuals to provide quality care giving. a recommendation in the dignity fund needs assessment report is to increase the availability of training for home care workers at various levels to ensure competent care giving and a

sustainable workforce. in addition our community partners emphasize there is a high demand in the asian and limited english speaking communities. having home care services available in culturally and linguistically appropriate ways is vital to the security of our clients and support their well-being. the workforce support grant will enable self-help to provide a training program targeting the asian and pacific island community. in addition to delivering a comprehensive range of services for older adults and adults with disability, self-help has extensive experience in providing training. since the early 70's, self-help has focused on employment training and through the years has developed an array of offerings, including personal

care and home care training. for this grant, self-help will offer three types of training program. the first will be a personal caregiver training programs that included a vocational english component. the second will be a more indepth caregiver training program that will enable the caregivers to work in home care in other community based is settings, and the third will include a vocational training program including english and other skills such as customer service, cultural sensitive and training sec neeks. this fiscal year, there will be fewer individuals trained because of the midyear start. thank you, and i would be happy to answer any questions the commission may have at this time about the training program.

certain certain tha . >> president serina: thank you. commissioner? >> yeah. the training program will encompass multiple training levels for caregivers and unpaid staff, so are some of these members not paid, like family members? >> no, it's not training for respite care workers. these are people that would be hired in the community. >> okay. so it's all aimed towards people that are paid? i was curious about that phrase. and then, how do people learn about this program? >> well, self-help, we'll be doing outreach within their community in particular because it is the asian and pacific island community, they have a pretty brought reach, and they also have programs that c