we have one at a case management program. i think one of the great things about this program is it is really recruiting older adults, and giving them an opportunity to contribute back to the community, and as a result, it is one of these everyone wins, as senior companions really find value and some modest financial compensation in participating, and it expands the capacity of our providers for limited or no cost. that being said, i'm happy to answer any questions the commission might have about this program. >> just a quick question: do you have many people who volunteer for this? do you -- do you need more people? >> we're contracted for 16 people, and we historically have kind of been around that number. there is a little bit of an ebb and flow. i think they're always looking for new recruits, so we can certainly pass

along information to the commission, if you would like to share it further out -- >> just in general, that would be helpful to do -- it never hurts to do that for us. but how do people find out about it if they were interested in it? >> it's extended outreach, but i know they have a web presence, and they have a robust outreach themselves, getting the word out. >> great. that probably answers the question. >> chairwoman: thank you. do you have the breakdown of the volunteers? >> i do. what aspect would you like to know about? >> chairwoman: the different kind of languages that they have. >> i have got that. currently, amongst the group, we have spanish, cantonese, mandarin, vietnamese, and english speakers. >> chairwoman: anymore questions from the commission? >> just one.

i noticed that the stipend is $2.64 an hour. >> yes. >> is that because it would affect other benefits that the volunteer receives? >> it is $2.55 because that's what the federal government sets it at, unfortunately. that is perhaps the limitation of this progra program. >> that's an answer. i think the additional benefits are good. >> yeah. >> anyway, thank you. >> chairwoman: that's okay. they have things for free. so they don't have to pay. >> transportation and supplemental accident, personal liability, and excess automobile insurance coverage, and annual physical examination. those are all good. thanks. >> chairwoman: any

comments from the public? okay. we're ready for the vote. >> so moved. >> second. >> chairwoman: all in favor say yea. >> >> chairwoman: all opposed? the motion carries. we come to item "f." review and approval of fiscal year, a 122 area plan budget, associated, contract 18, 19, 20-6, and all subsequent amounts. alex? >> thank you. good morning, commissioners. my name is alex swisson. what's before you this morning for review and 57

approval is for the fiscal year 1920 and any subsequent amounts. these documents detail information that are a provider of older americans acts program. the over all change for fiscal year 1819 is $576,715, with a total allocation for fiscal 1920 of $6,017,593. the accompany table in the commission memo details the fluctuation in area planned dollars between the current year and next year's allocations. programs fundere funded include the supportive services, home delivery nutrition, disease prevention, family care deliver support programs, om ombudsman, and

administration for these programs. the supportive services budget includes legal services, transportation, information and referral, and emergency short-term care. as mentioned in the commission memo, increased funding of $319,214 for home delivered meals represented the largest boost for 1920, with supportive services and ombudsman services seeing modest gains. the accompanying contract details the various requirements tied to the area planned funding. with approval of this item, staff will make appropriate contract modifications as needed. please let me know if you have any questions. >> chairwoman: any questions? >> just one: how often do you have to do this? how often does the plan have to be done? >> it is an annual allocation. >> so this plan has to be

developed each year? >> actually, the area plan is a four-year cycle, with the allocations done each individual year. >> just to add to that, we do the plan every four years, but we have to update it every year. the commission approved our update last month, last commission meeting. usually we do the budget approval separate from the area plan update approval. >> thank you. >> chairwoman: any questions from the commission? any questions from the public? okay. so we're ready for the vote. >> so moved. >> second. >> chairwoman: all in favor say yea. >> yea. >> yea. >> chairwoman: opposed? the motion carries. thank you. >> thank you.

yea>> chairwoman: item "g," requesting authorization to modify the existing grant agreement with the ark san francisco for the position of janitorial and recycling services during the period of july 1, 2019, through june 30th, 2020, for an additional amount of $105,163, plus a 10% contingency for a total amount not to exceed $454,312. rick again. >> hello again. i'm speaking to the ark janitorial and recycling employment services program. the ark s.f. offers work at currently three human service agency sites to

their participants. and, of course, their target population is adults with developmental disabilities. the program also offers supportive employment, and that is job coaching and staff who go in and assist as needed, monitor, retrain, and train for jobs, so that support is there for anyone who might need help. the program allows the participants to experience stable, meaningful work, inclusion at the work site, and, of course, they earn a wage. there is currently three sites, 1235 mission, 2 goth, and 1240 harrison -- there is a mistake in my motes, but on harrison street. i think that said, are there any questions? >> chairwoman: my

question is: who supervises them? do they have people from the agency to oversee them? it is a program which is really kind of good to make them useful and do something, but i'm questioning how people are supervising them? >> the ark provides staff to be available and to provide coaching at the sites, with the employees. there is also usually a site supervisor from human service agency at each site. so there is a lot of communication and job defining between those agencies, the ark and human service agency. so it is couple a double layer of supervision. >> chairwoman: the other question i have, since i have you here, is: they don't have detailed budgets, so are these people paid by stipends or what? >> the actual employees at

the human service agency sites earn minimum wage, and then we pay a rate to the ark that is based on client hours. so it's a standard rate of 19.61, i believe, for every client hour. and that covers staff, and that covers staff benefits, and any other costs related to the program. it is not a budget that we typically see here, but it is not uncommon throughout the city, from what i understand. >> chairwoman: any questions from the commission? >> just so i understand the scope of this -- because i'm familiar with the ark program -- is this the entirety of the ark program? is this how it is organized through the city? and do they ultimately go out to some sites privately? >> the ark has a variety of programs. this is just one small portion. >> that's what i wondered. >> but, no, they have other employment services.

a lot of other training programs, both in-house and out in the community. this is just one small piece. >> thank you. >> chairwoman: anymore questions from the commission? any comments from the public? okay. now we call for the vote. >> so moved. >> second. >> chairwoman: all in favor say yea. >> yea. >> yea. >> chairwoman: all opposed? motion carries. >> thank you. >> chairwoman: item "h," requesting authorization to enter into a new grant agreement with self-help for the provision on emergency short-term home care for seniors, personal care, and home-maker services during the period of july 1, 2019, to

june 30, 2021, in the amount of $214,522, plus a 10% contingency for a total grant amount not to exceed $235,974. rick? >> hello, again, commissioners. i wanted to bring your attention to a small typo on the cover of the memo sheet. the overall dollar amount is correct. we have the allocation with a typo between county and federal dollars. it is actually about 4 3% funded through county dollars, $92,990, with about 57% of the dollars in this contract coming from the federal government, $121,532. >> can you retail the percentages? >> county, 43%. federal, 57%. >> thank you.

>> so the personal care home-maker chore programs i think are pretty well described in the memo and in appendix "a." but they are essentially a program which sends out a care-giver for clients on a short-term basis in a limited number of circumstances. the services provided must fit under three categories: personal care, home-maker, or chore. the goal of the service is to help participants maintain maximum independence and functioning while living in the community. typically we're seeing people participating in this program while they're -- they might be waiting for an ihss application before services can begin, or when short-term need is needed, typically after discharge from a hospital when a little bit of help might be needed for a short time. we see a couple of referrals, from time to time, for a one-time

deep-clean-type situation. the proposed contract, self-help for the eldering, they have held this contract since at least 2011. we have always been very pleased with their services and they have done very well in the program. >> chairwoman: any questions from the commission? any questions from the public. hearing none, we call for the vote. >> i'd like to make a motion to approve with the corrections that mike made on the cover memo. >> second. >> chairwoman: all who are in favor, say yea. >> yea. >> yea. >> chairwoman: opposed. motion carries. >> chairwoman: item "i," requesting authorization to modify the existing grant agreement with

castro charity with the addition of a dollar day program services for older adults and adults with disabilities during the period july 1, 2019, through june 30, 20 20, for an additional amount, $168 ,180, plus a 10% contingency for a total amount not to exceed $639,959. ricker they are working you hard. >> it is good to be back. >> are these two related? >> yes. i will mention that. as the agenda comments, i'll do a short summary about the adult aid program and the alzheimer's day care resource centers, and then we'll go into each contract and program separately from there, so you have a general idea of

what these programs provide. certainly each program that we'll discuss has unique designs and needs, precise locations, consumer base, etc. but there are common information, of course. adult day programs are community-based centers that provide supportive services, personal assistance, congregate meals, transportation to and from the center, and other non-medical services. the goal of the adult aid program is to keep folks in the community and encourage independence and engagement. staff and the programs provide supervision and assistance with activities of daily living and all of the activities that happen there, including socialization, exercise, recreation, and then, importantly, the adult aid program also acts as a

respite for care-givers and family members. adult aid programs are licensed by california and generally services are provided monday through friday, 9:00 to 3:00, with some variation. the alzheimer's day care resource centers are similar, but obviously they target the population of folks who have alzheimer's disease or other dementia disorders, or related disorders. these programs have a higher staff-to-client ratio. the staff is trained. activities are customized for people who might have dementia. many of the activities are similar. they're just highly personalized. i mentioned in my notes that staffing is one participant to five members of the care team. the other important difference is that there is a strong effort to

provide families and care-givers support through counselling and training and resources, and obviously the day programs act as a respite. and the alzheimer's day care resource centers develop a strong volunteer base, and that's important for them. again, those programs are generally 9:00 to 3:00, monday through friday. they do have transportation to and from the centers, and they provide close communications with families and care-givers about resources for dementia and alzheimer's. any questions in general? >> where are these centers, and how many are there? >> we're covering, i think, four alzheimer's -- they're on here. i think there are four alzheimer's day care, resource centers, and five adult day programs.

we'll talk about the location as we go the through each contract, but they're throughout the city. and then specifically to the agenda item that you read, vice president lu, catholic charities adult day program, that one is located at 50 broad street. the program aims to serve 50 consumers, for a total of 18,500 hours on an annual basis. i was talking with the director, patty clement, earlier, and she reminded me that one. focus of one of ts of this particular program is maintaining a stable program over years. so they really try to provide more specialized training, more support, so people can stay in that program a long time. one of their members will be celebrating 21 years there soon. and another, 15. just to mention, patty has been there 29 years. so they're really trying

to provide a long-term resource for their folks. >> she started at a young age, though. >> apparently. [laughter] >> i also wanted to mention this adult aid program provides extended hours so folks can start there as early as 8:00, and then the program starts at 9:30, and then they can stay until 5:00, if need be. and that's their day program. >> chairwoman: any questions from the commission? >> i'll move to approve. >> second. >> chairwoman: i presume there is nothing from the public before being approved? all in favor say yea. >> yea. >> yea. >> chairwoman: opposed? passed.

okay. requesting authorization to modify the existing grant with catholic charity for the provision of alzheimer's day care resource center for older adults and adults with disabilities, during the period of july 1, 2019, through june 30, 2020, for an additional amount of $93,909, for a total amount not to exceed $417,706. rick? >> thanks. just a point of order. i think there was a cover memo, and we were supposed to be looking at "i," "k," and "l" together? >> crekd. correct.

i got confused, too, so let's clarify that. >> i'm not sure i can clarify that. the agenda items were listed in this order, and the memos were separate for adult aid program and the acrcs -- >> what you just described would include items "i," "k," and "l," and should we be considering them in that order? or it doesn't matter? >> well, i think the way that they actually did lay this out on the agenda, it goes by organization. so he was going through the two catholic charities organizations first. the informational overview was about both types of programs. >> okay. got it. that's fine. sorry. >> so this is the catholic charities, alzheimer's day care resource center, located at 50 broad street. they'll be serving 20 consumers for 6,000 annual

day care hours. i already covered some of the milestones for that program, but i wanted to mention that the catholic charities program have english, spanish, and some cantonese. and there are tagalog-speaking attendees, so they have some various languages available to them. i can take any questions then. >> chairwoman: any questions from the public? hearing none, we call for the vote. >> so moved. >> second. >> chairwoman: okay. we now say yea. >> yea. >> yea. >> chairwoman: opposed? motion carries. >> thank you. >> chairwoman: item "k,"

requesting authorization to modify the existing grant agreement with the institute on aging for the provision of adult day care services for older adults and adults with disabilities, for an additional amount of $103, 454, plus 10% con contingencontingency,not to exc. >> good morning, vice president lu, and inspector, today i'm presenting the institute on aging adult aid program. the program is currently located at cpmc on california street, lu but will be moving to a new location in july. the language is english,

spanish, ta tagolog and chinese. i'm happy to answer any questions you may have. >> chairwoman: any comment from the public? hearing none, call for the vote. >> so moved. >> i'll second. >> chairwoman: okay. all those in favor say yea. >> yea. >> chairwoman: opposed? it carries. "l," requesting authority ization to modify the existing grant for the provision of adult aid program for older adults and adults with disabilities, during the period july 1, 2019, through june 30, 2020, for an additional amount of $61,101, plus 10%

contingency, for a total amount not to exceed $278 $278,321. monte? >> hello, again. we're here to present the a.d.p. program. the program is located at 1531 fedder street in japan town. the program provides services in english and japanese, and it is looking to serve 40 consumers over the course of a fiscal year. thank you. >> chairwoman: any questions from the public? all right. let's call for the vote. >> so moved. >> second. >> chairwoman: all in favor say yea. >> yea. >> yea. >> chairwoman: opposed? carries. "l," requesting -- we just finished that one.

>> "m." >> chairwoman: i'm confused. maybe early on-set of alzheimer's. requesting authorization to modify the existing grant agreement for the institution on aging for the provision of alzheimer's day careresource for older adults and adults with disabilities during the period of july 1, 2018, through june 30, 2020, for an additional amount of $293,978, plus a 10% contingency, for a total amount not to exceed $637,001. monte? >> good morning again, commissioners. today we seek your approval for the institute on aging alz day care. resource centre. we seek your approval to aid the program and move into a new facility in the

presidio in july. the current location is soon getting ready to go through seismic retrofitting, that is making it unusable for at least the next three years. this modification will temporarily help with the rental of the new property, moving expenses, marketing and licensing fees, building upgrades, and moving-related costs. the program is scheduled to move out of its current location on july 18th, and open that monday on july 28th at the new facility. >> chairwoman: any memos done on this site? >> i did the monitoring in march, and they were found to be compliant. i also have a picture of the new facility, madam secretary, if you can -- >> if i could jump into that, i was curious about the new facility, and does it improve things overall? are there any features that you would like to explain about that?

and also in doing that, the problem most people would have is transportation, although i understand most people are transported to these facilities -- is there anything you would want to add? >> a wonderful question. there is transportation, yes. there is a partial amount of funding that goes towards transportation. the pred sitte sid yo presidio t location for assess ability. it is flat. they did research to find out the best possible site. they are doing retrofitting to make sure the building is up to code and on the provisions to serve older adults and adults with disability, and particularly adults with alzheimer's and alzheimer's-related issues. i don't have the detailed line by line of what the upgrades are, but they're going to be done in time for the move-in on july 22nd.

so they're not gutting the whole building necessaril necessarily.

>> moving along, requesting authorization to modify the existing grant agreement for the provision of a program service for older adults and adults with disabilities during the period of july first, 2019 through june 30th 2024 and additional amount of $102,000 plus a 10% contingency for a total amount not to exceed 596 dollars.

>> thank you. they always say that you only have to worry if they don't call you back. [laughter]. >> thank you. the self-help for the old -- elderly program is at 40,822nd e richmond district. they serve about 23 people a year for $14,000 -- 14,000 hours their languages include cantonese, mandarin, vietnamese and english, and just as an interesting note, that facility will be celebrating 23 years in june. they have been there quite a while. any questions about this program >> this is in the same location as -- is that true. >> that jackie chan activity -- activity centre.

>> there is a gary street address associated with it sometimes but it is the same building. >> the same building? any question from the commission any question from the public. hearing then, we call for a vote >> so moved. >> i will second. >> move seconded and call for the vote. all in favor say aye. [crying] >> opposed? >> it carries. requesting authorization to modify the existing grant agreement with self-help for the elderly for the provision of alzheimer's daycare resources centre for older adults and adults with disability during the period of july first 2019 through june 30th 2020 for an additional amount of 93,978 plus a 10% contingency for a total amount not to exceed $406 --

406,001-dollar. >> leslie, for me, this is the self-help for elderly alzheimer's daycare resource centre. they will be serving around 20 folks for 6,000 annual hours, another language capability is the same as the other day program. >> i just have a question, how will they adjust with the other three programs? i mean, is not a very big -- i'm just asking a question. >> yes, it is a fairly large common room, and there some additional rooms. when i visited many of the people who are associated with the alzheimer's daycare resource centre, they had a separate room or they have higher number of staff people, more

custom-designed programs, but i think all those folks access some of the activities there, and the numbers are reasonable for that space. not everybody is there every day or all day, so i think it works for them. >> any questions? >> i thank you mean on 22nd avenue. >> i'm sorry, what did i say? street? >> street. >> i'm sorry. avenue. [laughter] >> any comments from the public? hearing none, call for a vote. >> so moved. >> second. >> okay. , all in favor say aye. [crying] >> opposed? it carries. >> thank you. >> okay. requesting authorization to

modify the existing grant agreement with alzheimer disease and related disorder association inc. for the provision of the dementia care project for lesbian, gay, bisexual, and transgender. lgbtq plus older adults with disabilities during the period of july first, 2019 through june 30th, 2020 for an additional amount of $210,000 plus a 10% contingency for a new total amount not to exceed 462 to 75. >> good morning. today we are here to seek your approval for the alzheimer's association dementia care project and service to lgbtq older adults and adults with disabilities. this program, through education and training of community

providers, hospitals, professional organizations, professional staff, and volunteers, the lgbtq dementia care project looks to educate and build awareness around historical barriers that have kept lgbtq older adults and adults with disabilities from seeking services or disclosing their sexual orientation or actively inquiring or signing up for services. and a continuing effort to evolve the program, to best meet the needs of the community, the alzheimer's association recently facilitated and lgbtq dementia care network conversation gathering at 1650 mission street on april 23rd. the gathering included members from the community, individuals who have lived experience, nonprofit providers, homecare health professionals, and department staff to discuss the needs of the lgbtq older adult and adults with disabilities population as it relates to dementia care and education in san francisco. i attended this event and it was

a wonderful dialogue across many different providers around the perception and need for these specific populations in dementia care. nothing was solved on day one, but there was an agreement to continue these forums and bring in more individuals from hospitals potentially to gain input and awareness around the needs of lgbtq adults and adults with older disabilities as relates to dementia care. we are looking forward to seeing what else the association can bring to the table with this. >> was the mayor's office presented at this meeting? >> not at that specific meeting, what we have been working very closely with america the mayor's office of transgender services. >> thank you. >> will it be anticipated that with an increased outreach and understanding, will they then -- well there then be more lgbtq people incorporated into current safety programs? is that where we are headed here

>> yeah, you know, it is an interesting process, because the community-based providers have a good understanding and they are looking to learn more, become more welcoming to the population we never stop growing. agencies never stop growing and incorporating more. we do have the hospital component that is kind of involved with the community providers, but also kind of not. their perception is a little bit different, and then having individuals with lived experience come in and discuss their story and their process in this particular area, you know, i think it is about individuals becoming familiar with what's going on, and through that discussion, items come up that are salient that can then be communicated to the community through the training at that the all summers association does. they're committed to make sure this program involves and meets the needs of san franciscans because once you train an agency

, they don't want to be done, they want to find out what else they can do to bring folks together to continue to learn and provide education. >> this is undoubtedly groundbreaking in terms of what is going on here. are there other cities that we -- that we are looking to four model approaches to this, or san francisco a first one -- >> this is the first one in the nation and it's pretty exciting. i presented in savannah, georgia two years ago e.d. from the alzheimer's association. we got a lot of positive response and a lot of questions afterwards. it is really, really exciting to be able to model this program for the rest of the country, and also to have individuals who are so committed to making sure that the education that they are giving is up-to-date and accurate and relevant, and they're making sure folks are getting what they need. >> and also a different model, different definitions of family, which is so critical to address

the situation. >> yes. and making sure individuals feel safe walking into any agency in san francisco. one agency has a rainbow flag out front and the individual that was at the meeting on the 21st discussed how for that organization, that was different to have that and it took them to the next level with welcoming all who come through. >> thank you. >> is there connective tissue between this initiative and some of the findings and recommendations from the report on the lgbtq senior task force? >> yes. it's a lot of the same players. it's 13 of the recommendations i believe have been rolled out to date, approximately. there are loose connections between them and this is no exception. >> i think it is -- >> yeah. >> it is, it is a direct result of the recommendations, and pretty much everything that we have, that we have done around this community or these communities have been aligned

with those recommendations. >> any more questions from the commission? any comments from the public? hearing none, we call for the vote. >> i will move. >> second. >> it is moved and seconded. motion carries. requesting authorization to modify the existent grant agreement with family caregiver aligned for the family caregiver support programming during the period of july first, 2019, through june 30th, 2024 and additional amount of $753,000 plus a 10% contingency for a new total amount not to exceed

$1.7 million. >> family caregiver alliance, family caregiver support services seeks to provide effective caregiver support for window services. i wanted to know too new for the fiscal year coming up, the family caregiver alliance will partner with steppingstone health and provide public information on caregiving, caregiver assessment, and caregiver counciling as a subcontractor, and this is in addition to the long-standing partners and self-help for the elderly that we also work with. i'm happy to answer any questions. >> questions from the commission comments from the public? hearing none, call for the vote. >> so moved. >> i will second. >> moved and seconded. all in favor say aye.

>> aye. >> opposed? motion carries. item are. requesting authorization to enter into a new grant agreement for a provision for the centre for elderly with suicide prevention during the period of july first, 2019, through june 30th, 2021 in an amount of $810,000.548 plus 10% contingency for a total grant amount not to exceed $891,000. >> the centre for elderly suicide prevention offers a wide range of services to older adults and adults with disabilities who maybe dealing with grief, loss issues and/or suicidal ideation.

the services include grief education, training, informal emotional support, formal emotional support, which includes a formal assessment and scheduled phone call check ins with the individual. therapy, individual therapy, and group therapy sessions. the program seeks to serve 975 unduplicated consumers over the course of the fiscal year. >> questions from the commission i have a question. what is the -- they're answering the phones, is it different languages with capabilities? >> that is a great question. the volunteer program is pretty involved, and in conversations with the director, the language capacity absent flows based on volunteer accessibility. right now there's leg which capacity in spanish and english. there has been language capacity for chinese as well.

they recruit to find a diverse pool of volunteers who can provide language, and that's not always the case. folks drop out through the training process to be a volunteer, volunteers get trained and never show up, so the program works hard to actively seek a diverse pool of volunteers to provide language capacity, but it is not always guaranteed. >> but they also have some staff beside the volunteers minding the phones, isn't that right? >> the phone calls are primarily volunteers, there are staff that supervise the volunteers in-house. there are staff that provide the community trainings and the therapy, but the phone line, the friendship line itself is primarily volunteers with staff supervision. someone gets a very difficult call, someone who is actively suicidal, and the volunteer has used up their resources, there

is someone clinical who can step in and help. >> any other questions from the commission? comments from the public? call for the vote. >> so moved. >> second. >> okay. say aye if you are in favor. >> aye. >> opposed? motion carries. >> s., requesting authorization to enter into a new grant agreement with the institute on aging for the provision of the community living fund during the period of july first, 2019, through june 30th, 2021 in an amount of $8 million plus a 10% contingency for a total amount

not to exceed $9 million. >> good morning, commissioners. welcome. i am the prompt -- program analyst with long-term care operations and i'm here today to present -- or to request your authorization to enter into a new contract with the institute on aging or i.o.a. for the provision of the community living fund program for the next two fiscal years. i did present the report last month, so hopefully most of you guys still remember what we are, but i will give a really brief background again. the community living fund was created in 2006 to support aging in place and community placement alternatives for individuals who

may otherwise require care within an institution. we provide home and community-based services using a two-pronged approach of coordinated case management and purchase of goods and services. the program serves san francisco residents 18 years and older, with incomes of up to 300% of the federal poverty level, participants must be willing and able to live in the community with appropriate support and have a demonstrated need for a service or resource that will serve to enable community living or prevent institutionalization. the target population includes individuals ready for discharge from laguna honda hospital hospital, zuckerberg san francisco general hospital and other san francisco skilled nursing facilities. the target also includes individuals who are at imminent risk of institutional placement, but are willing and able to remain in the community with appropriate support. institute on aging and its

subcontractors will provide coordinated case management with a culturally diverse staff of social workers or managers who will conduct the assessment, care planning, care plan implementation, monitoring, reassessment, and discharge. case management is an integral part and a component of long-term care service delivery, and essential to accessing additional services through the community living fund. the program's purchase of services component can fill the gaps for goods and services that are deemed necessary by care managers but are not available through other means. the purchase of service funds are used as a last resort when all other payment options have been exhausted. these purchases can include homecare, home modification, assistive devices, and housing for similar other things. the program's goal is to support

community living and reduce necessary institutionalization by providing older adults and younger adults with disabilities with the options for where and how they receive assistance, care, and support. the institute on aging has been the incumbent contract service provider sends 2007. program monitoring review was done in april, and it shows that i.o.a. is not compliant with program requirements. at this time, i be happy to answer any questions from the commissioners. >> i'm just kind of looking at the salary and benefit details. just tell me, a couple of positions i don't understand. the regional director of community living, and also the v.p. of community living. what do they do? >> i actually have the v.p. of

community living here with us today and he can explain for you what his responsibilities are for this contract. i would like to call austin over >> good morning, commissioners. i am the new vice president of community living for the institute on aging. i joined i.o.a. on march 4th, this is my second month with the organization. my role, a starting with our work in san francisco, we have since taken the community living model and found other areas in california who find value in this service, this population is in desperate need of these services across the nation, but my role is to help provide leadership and framework for expansion of this model to ensure that we are still meeting

the core goals and outcomes that we do want to achieve for this population against -- across our community living programs in the state. is that helpful? >> it is very confusing. is the office on aging that has a program called community living. so what is this, that's why it was confusing. one other question i have, i'm looking at the operating expenses. it seems like awfully high for $140,000 just for the rent per year, so it comes to just over $11,000. that is one.

the other one is the staff travel is like $18,000 a year, you're talking about $1,500. they are flying out all over the country, or what? >> sure. no problem. these are very good questions, thank you for asking. i think it would be better for the c.f.o. of i.o.a. to explain these exact details because i might not do it justice. let me introduce -- >> thank you, commissioners. and the c.f.o. at institute on aging. to your question regarding rent, we are only charging san francisco according to the program guidelines that your accounting department charges. we have two sides for this program. one is at the institute on aging , and the other is a site closer to who they support in

the community, which is on market street. so we are utilizing all of our capacity to serve the community, and out of gary. the other part is, most of our case managers do not drive, what they are actually doing is through buses. we are talking about folks who are transporting and looking at individuals from one end of the city to the other end of the city, and it is our most robust program, so that is part of the cost you see there. >> okay. one other question. what is the global purchase of services which costs just over a million dollars per year? >> can you repeat the question, commissioner? >> page 4, the purchase of service category --

>> the global purchase of service, yes. that is a dollar amount set aside specifically for that component of purchasing goods and services that i just mentioned that could include home modification, homecare, assistive devices, housing subsidy, and then there's other things that the c.l.f. participants are not able to get through other means, so we provide and purchase the service and goods for them. that is a big pool of money that we use for that component. >> any questions from the commission? comments from the public? hearing none. >> so moved. >> second. >> it has been moved and seconded, and i call for all in favor say aye. >> aye. >> opposed? motion carries. >> thank you. >> okay.

item s. is taken out, so item tee, i'm sorry. item tee is taken out. we go to you. okay, we have come to item you. requesting authorization to enter into a new grant with the san francisco in-home supportive service public authority for the provision of the independent providers, mode in home support services during the period of july first, 2019 through june 30 th, 2022, in the amount of $222 million plus the 10% contingency for a total grant amount not to exceed $245 million.

brenda mcgregor? >> yes, good morning, vice president, welcome commissioners and executive director. my name is brenda mcgregor and i'm a manager for the in-home supportive services program. today i am pleased to present to you three service contracts for in-home supportive services. two of the contracts are for san francisco in-home supportive services public authority, and the other for home bridge. each contract represents a customized part of our san francisco ihss continuum of choice and support which is a service framework designed to support the unique needs of older adults and people with disabilities. the first item before you is the contract for san francisco in-home supportive services,

public authority for independent provider mode in-home supportive services. this sole-source contract is to prove ihss services for ihss consumers under the independent provider mode. the public authority's primary role and responsibilities are to act as the employer for record -- of record for independent providers for the purposes of bargaining with the union, in addition to administering health and dental benefits to all eligible independent providers. additionally, the collective bargaining agreement executed just this year, did take the wages and benefits responsibility for the independent provider. public authority provides a variety of services to support ihss consumers and independent providers. this includes the operation of

an independent provider registry that assists consumers who can manage and supervise an independent provider but do not have a family or a friend to provide the service. on the average, public authority receives over 100 consumer referrals a month front in-home supportive service staff to assist our consumers with finding an independent provider. additionally, the public authority provides background checks investigations and fingerprinting services to aid in the enrolment process for providers. the public authority also offers a mentorship service that is designed to provide hands-on assistance to all consumers when hiring an independent provider. lastly, the public