>> good morning. the meeting will come to order. this is may 22, 2019. i'm chair of the budget and finance. our clerk is miss linda wong.

i would like to thank ker win cooley for broadcasting this meeting. madam clerk, do we have any announcements? >> please silence all cell phones, complete the speaker cards to be included as part of the file and should be submitted to the clerk. items will appear on june 4th, supervisor's agenda unless otherwise stated. >> thank you very much. call item number one. >> a resolution authorizing the agencyings to execute an agreement between the service's public authority for for the provision of medical providers for july 1, 2019 and in the amount not to exceed 255 million. >> we have jill neilson here from the department of aging and services. >> good morning.

i'm with the department of aging adult service and today i'm here to present two agenda items that you have before you for consideration. they both relate to the city's in-home supportive service's programme or ihss as we often refer to it. i will address each item separately. first off, we're requesting, you approve the proposed resolution to allow the human service's agency to enter a new grant agreement with the public authority. >> excuse me. are you addressing items number one and two together? >> no, separately. >> thank you. please continue. >> the majority of the funding for the public authority contract is allocated to the wage's health and dental benefits for approximately 20,000 independent ihss providers in san francisco. ihss is a critically important entitlement programme providing homecare for low-income people and individuals with

disabilities. in san francisco our ihss programme serves 22,500 consumers and this important programme helps to keep individuals living safely in the community. the department of aging an adult services operates this programme on behalf of the state and our department is responsible for carrying out a standard assessment to authorize programme eligibility and allocate homecare hours for mon medical personal care and other household assistance such as laundry and meal preparation. the specific allotment is based on their individual needs and define bid state regulations. our department works closely with san francisco's public authority. it was established in 1995 and serve as the employer of record for consumers. it should be noted that the ihss

public authorities providing independent providers as well as consumers. in addition to providing the health and dental benefits to eligible independent providers, the public authority carries out specific state-mandated enrollment activities such as criminal background checks, which are required by law. in support of consumers, the public authority maintains a home care worker registry which ihss consumers can access if they're seeking to hire a new independent provider. although our prior contract was approved to be in effect until june 2020. we're requesting it begin in july of 2019 to align with the recently signed collectivity bargaining agreement. it included waive increases for providers which is commensurate with the minimum compensation ordinance and this resulted in a $3.75 an hour wage increase

rolled out over the next three years. this will positively impact all independent providers. we agree with the bla report that was prepared and i'm happy to answer any questions you might have. joining me are key staff from the human service's agency, budget and contract's team, as well as ilene norman, deputy director with the san francisco ihss public authority. >> thank you very much. could we have a bla report, please? this contract replaces the existing contract with the authority not to exceed $255.9 million over the three-year term. that includes a contingency as well as the base contract amount.

we detailed the expenditure in table one on page 5 of our report. funding sources have a balance of 20% from the city's general fund and we recommend approval. >> thank you very much. we'll take public comment. any members like to comment some seeing none, public comment is closed. make a recommendation to move this to the full board with a positive recommendation. we can take that without objection. thank you very much. madam clerk, can you call item number two? >> a resolution approving a resolution between the grant agreement between the city and home bridge for the provision of contract in-home supportive services and providers skilled development and support to increase the amount for 29 million for a total amount not to exceed 26 million and for a total agreement term of april 1, 2017 to june 30, 2020. >> thank you very much. we have jill neilson back. >> thank you very much. so the second item rettin relato

the programme is for human services to grant a one-year amendment to our contract with homhomebridge for the provisionf contract mode ihss services as well as training and supports. specifically we're requesting the contract amount be augmented by $29 million, $136,749. the contract mode ihss is an essential service and makes up a key part of san francisco's continuum of choice and support we're you proud to offer to ihss consumers and helps some of the cities most vulnerable residents to live safely in the community. it provides nonmedical home care to consumers who cannot direct their own care due to mental illness, cognitive impairment or substance abuse disorder. it provides home care to approximately 5% to san

francisco's ihss population and the homecare providers deliver critical care to consumers who are very high needs and who often do not have any other support system in their lives. homebridge provides robust training and skill development that's aimed at enhancing the skills of ihss providers. both providers as well as independent providers are able take advantage of the training that homebridge offers. we agree with the recommendation that the proposed resolution should be reduced by $5,386,824. however, we have noted a discrepancy in the bla report regarding the ihss caseload numbers. that's on table one, page 9. our records indicate the ihss caseload increased consistently, although slightly since 2011 and we apologize to the bla that we did not make that correction before today. now over the next year, we intend to develop a

comprehensive request for proposals with the goal of entering into a if you contract cycle starting in july of 2020. in addition to budget staff from the human service's agency, i have an attendance mark burns, director from homebridge and we're all happy to have any questions you might have. >> thank you very much. any questions from my colleagues? seeingnone, could we have the pla report? >> the board is asked to approve a one-year extension of the existing contract with homebridge for contract providers services to go through june of 2020. and as miss neilson said, the end of the contract and will go out to solicitor and a replacement contract over the course of the next fiscal year. we show our recommendation in table 2, page 10 of our report. in terms of the existing contracting authority and expenditures, we recommend an increase of the contract amount to $90.7 million which would be

a reduction not to exceed almost $5.4 million. and we recommend approval based on that amendment. >> thank you very much. are there any members of the public that would like to comment on item number two? seeingnone, public comment is closed. supervisor mandelman? >> i'm curious, this homebridge is for folks ihss who need a higher care from a more specialty trained workforce. i was curious to hear more about what that more specialized workforce is able to do and the kinds of services they provide that another kind of ihss worker would not be providing. >> so the homebridge homecare providers essentially provide the same services that independent providers are able

to provide. they're carrying out really state regulated activities. however, ihss is a consumer directed programme and those individuals that we refer to homebridge are not able to direct their own care because they have cognitive impairment, because they may have serious mental illness. they're able to staff hours for them and acceptably it's a nonprofit agency operating a robust homecare agency for approximately 900 very high-needs individuals. homebridge does provide the homecare providers with enhanced training. when working with them and we're pleased we've been able to roll out a programme called the steps for success program providing enhanced training. >> dealing with a case when the

client is trying to kick you out in these cases. >> exactly. you're well versed in these issues and they're providing enhanced training and enhanced salaries for those homecare providers who are working with higher need's individuals. >> how does someone get referred for that more advanced level of don't leave tell you when they tell you to leave? >> our in-home supportive service's programme at the department of aging has the discretion to make those nrests. referrals. we work with adult services and other city agencies to determine who the high-needs clients are. from and some are conserved or not. >> we have a small number who are receiving homebridge services and certainly as we think about community-based, homebridge is a critical partner in trying to expand

community-based conservership and somehow it establishes the relationship with that homecare provider to be able to get them in there on a regular basis. >> homebridge does a lot of work around engagement working with consumers to meet them where they're at and that -- they've been angle to roll out a very successful model which is called biscuit, the building-specific care-team model. what they're doing is bringing a team of providers with a supervisor on site to specific support of housing buildings, working in collaboration with the homelessness and support of housing and the supervisor is able to trouble-shoot with the homecare providers. >> so they go as a group into the same building. >> yes, they're in the same building serving a group of homebridge ihss consumers and they're able to be flexible with their hours. if a consumer says, i don't want care, come back later, we come

back we're adapteddable which is critically important working with this population. >> thank you. >> thank you. >> i have a question about the training that they receive. is this ongoing training or is it a conference? i mean, how is this training sort of presented to the employees? >> you know, if it's ok, i'll invitemark burns to speak about the training program because i'm not well-versed. >> thank you. i'm the executive director of homebridge. our training programme evolved over decades. we've been training workers since we first began the organization in '84 and since first took this contract in 1995. the current training program is done in three tiers. the first part are all of the basic elements of ihss homecare allowable under the legislation, as well as a lot of sort of

cognitive engagement programming and safety in the community work. then there's a second tier where people are specifically trained to deal with a for cognitively complex population and they focus on that tier on safety and engagement, nonviolent communications, a tow-in-the-door program and which happens after you begin employment is a critical care level. at that level, you learn more paramedical services because they're allowed under ihss. so our team is taught to engage with healthcare team, on site clinic workers, et cetera, to make sure that medication, management and other allowable paramedical techniques are done throughout that period, they can refer staff to a number of small three-to eight-hour training that we offer that are very specific to client need.

some might be nutritional, some hiv related. depending on the specific client load, they can get referred to small training and we'll schedule around them and put them in the trainin training co. we augment that with priority carcaregivers who have experiene in in-fiel in-training. we will provide additional support either at the caregivers to provide them with on-site training. >> thank you. colleagues any more questions or comments? seeing none, thank you very much. we already had public comment. thank you for reminding me about that. so i would like to make a motion to approve the amendments by the bla. take that without objection, thank you and move this to the board with a positive recommendation as amended. thank you very much. madam clerk, can you call item

number 3. >> a resolution approving a master lease of a building at 1601quasada avenue for board approval at a space rent of 18,000 per month and two additional terms of ten years each for the department of home there'homelessness for pregnantn experiencing this in sanfrancisco. san francisco. i believe we have the director of department of real estate today. >> good morning. i have with me the director of ihss to answer my questions you may have. on behalf of homelessness, in support of housing, seeking your positive recommendation on a resolution authorizing a master

lease for a building located at 1601 casada avenue. it's a two-story residential structure consisting of approximately 10,225 square feet. the proposed use is transitional housing for up to 17 homeless pregnant women and mothers with young babies. the term is ten years with two ten-year option for a total of 30 years of occupancy. the base rent is $217,200 a year or $18,100 a month or $21.24 a square foot with a 100% escalator. in addition to the base representative, the city will be responsible for custodial service and property tax. there are improvements that are necessary prior to occupancy, however. of those improvements, the city will be responsible for

approximately $412,000. the landlord is responsible for $325,000. however, this amount will be paid by the city upfront but reimbursed in the form of a rent credit a ammoretized. there is a budget of 1.1 million the per square foot cost is below the thresh hole. based on comp, i believe this is at our below fair mark and indeed, it's an excellent rent. it would like to thank the mayor with the cosponsor, supervisor walton for their support in this legislation.

this concludes my presentation. >> could we have a vallet report, please. >> the board is asking to approve this through 2029 and does provide two additional tenure optionten-year options i. this is for homeless women and women with babies. the initial rent is $217,000 per year and is less than the $45 per square foot threshold and we showed the estimated cost of $3.3 million in table one, page 15. there's annual operating costs which the department of homeless estimated at $221,000.

there's improvement costs on page 16, table two, about a third of the costs will be paid by the property owner and two-third paid by the city and we recommend approval. >> thank you very much. >> i have a question in terms of services that will be provided. are you partnering at all with nonprofits such as the hopeless prenatal program on this? i'm looking through the report and i don't see a lot of information about what's going to happen there. >> good morning, i'm with hsh. through the chair, supervisor, you're absolutely correct. this, like all of our service provisions, are provided through our wonderful nonprofit providers. we've been working with hpp to get into a contract to operate

this site and the services you see in the bla report are just some of the services they'll be providing for women and then their infants, up to about a year, including employment services, wellness classes, prenatal care, parent-child skill building and then we'll be working with hpp to refer them into our recalled rehousing portfolio so that there's a linkage to permanent housing. >> thank you. >> sure. >> is there any public comment on this item? seeing none, public comment is now closed. i would like to make a positive recommendation to move this to the board and we can take that without objections. thank you very much. madam clerk, can you please call item number 4. clerk. >> it's a participation

agreement with mental health services act innovation program for mental health solutions for mental health support to underserved communities for the amount not to exceed 1.1 million for the tem of june 1, 2019 through june 30, 2020. >> thank you very much. wwe have the instrument director for mental health services. >> good morning. i'm the acting director of the mental health services act with the san francisco department of public health and behavioral health services. i'm here to request permission through this resolution for dph and behaviour health services to enter to the mental health service's authority non-as cal-mesa to implement a technology suite info vacation's project in san francisco. behavioral health services is a current member of cal-mesa,

which is a state-wide authority created to perform administrative and fiscal services. this serves california counties and services in the deliver of mental health and supportive services. put this participation agreement with cal-mesa is for a term of three years with an option to extend to five years. the participation agreement allows us to participate with the project. this is between the department of public health and cal-mesa, it would allow us to indirectly collaborate with 14 other cities and counties who are entering into a similar agreement. the technology suite is an innovation's project that will utilize a new approach to overall public health, mental health service's delivery in order to use technology to

support all individuals in sanfrancisco with a special focus on transitional age youth between the ages of 16 and 24 and socially isolated transgender adults. the primary goals of the project will be to intervene earlier to prevent mental illness and provide alternate modes of engagement, support and intervention and increase access to interventions with peers who have personal-lived experience with mental health services. dph intends to participate in the peer-to-peer chat interventions and virtual evidence-based support utilizing an avatar components of this project. cal-mesa will provide overall administrative contract procurement for the innovations' program.

the technology suite's project will be funded by local and available mhsa innovation's dollars. h this source is uniquthis mustl purpose of implementing a pilot project to implement mental health practices. the funding obligation for the three-year term is $1,197,821, which will be transferred to cal-mesa in annual increments. it is important to note that this project was developed with mental health consumer and stakeholder feedback. it was approved by the sanfrancisco mental health board on august of 2018 and approve it's about the mental health service's oversight and accountability commission on october of last year. we also consulted with the city attorneys regarding the development of this participation agreement and this

project. we ask that you please support our collaborative efforts with cal-me serious as and approve or agreement. thank you for your time. i'm here with myself and my colleague teresa with innovations mhsa programs. >> there is no daily report. seeing no comments from my colleagues, let's open up this for public comment. seeing none. .i would move this to the board. madam clerk, please call item number five. >> a resolution authorizing the public utilities commission for an extex o extension of a propea ten-year extension term commencing on november 1, 2019 for the continued use by the public utility's commission at 48,000 for a total annual base

rent of 577,000. >> thank you very much. we have tony bardo here, director of real estate. >> good morning. i'm the assistant real estate director of puc. the resolution before you is authorizing an extension of an existing lease for office warehouse and yard space at 651 bryant street for the sfp's power enterprise. the original lease was approved but the board of supervisors in 2009 and the initial term expires at the end of october of this year. 651 bryant is adjacent to city-owned property at 639 bryant and together, these two parcels constitute the power enterprise yard. to maintain the operational integrity and synergy of this yard, staff believes it's in the city's best interests to exercise the extension option at 651 bryant street.

the option stipulates that rent during the extended term shall be equal to or below 95%, the fair market rent. the rent that sf puc negotiated is below 95% of fmr as determined by an mia appraisal by caullers in 2019. the new representative is 48,160 a month, adjusted 3% per year. with the extension comes a new base year of 2019 for property extension reimbursement. any questions. >> seeing none, let's pivot to the bla, please. >> the board is asked to approve a ten-year extension of a lease by puc with 65 651 bryant street and this would extend the lease

until november of 2029. the rent is set at under the terms of the original lease, no more than 95% of fair market value. the square foot is $49 per square foot which is below the threshold fo for appraisal. total payments would be $6.6 million and we recommend approval. >> thank you. let's open this up for public comment. anyone like to comment on item number 5? seeing none, public comment is closed. i would like to move this to the board with a positive recommendation and i can take that without objection. thank you very much. >> madam clerk, item number 6. >> a resolution approving the first amendment to the grant agreement between the city and children's services with a provision of early care and education integrated services to support the city's implementation city-wide plan for early care and education to

increase the amount by 9 9.9 million for total term of july 1, 2017 to july 30 of 2020. >> i'm the senior analyst for care and education. we're asking the board of supervisor's approval to modify the existing grant grant with the children services for july 1, 2019 through june 30, 2020. we're requesting an additional 8,000,292 and for a new grant of 34,000,965. this is to ensure the continuation of early care and education services city-wide. they're a vital partner in our early care system. they mainly provide subsidy administration to ensure the

young children are access to high-quality, early care and education services. the original budget was developed as the 2016 city-wide resign of the san francisco's early care and financing system. various system and funding refinements including subsidized rate increases, discretionary funding awards, reallocation and costs of doing business have all contributed to the need of funding modification. this funding will ensure it will provide uninterrupted services to the existing families and children currently case managed. they were selected through a competitive process, rfp744. thank you for your time and happy to answer any questions. i'i have my colleagues here to answer any questions. >> the b l.athe bla report, ple. >> this was for 2017 through

2020. the board is being asked if there was an increase in the contract but doesn't change the term of the contract but will end in 2020. the increased amount is 9.$9 million from 32 million to 42 million. i believe there's increased spending on the original term. it was $10 billion a year and we do actually, based on a calculation of the contingency recommend a reduction in the request of contract not to exceed 2.5 million from 42 million to 39.5 million and also to delete the ter terminoly in the resolution saying this is retroactive and otherwise recommending approval. >> thank you. lead open this up for public comment and any members that would like to comment on item number 6?

seeing none, public comment is closed. i make a motion to approve the amendments proposed by the budget legislative analyst. you can take that without objection and make a motion to move this to the full board as amended and we can take that without objection. thank you very much. madam clerk, any other items before us today? >> no other items. >> thank you very much. this meeting is adjourned.

[♪] >> coming to san francisco on june 11th, the earthquake safety his fair from 10:00 a.m. until 4:00 p.m. as the auditorium at 99 grove street. meet with contractors, design professionals professionals, engineers and architects, along with city agencies and hundreds of booths on the main floor. attend one of the workshops at 11:00 a.m. the seismic safety strategies study. what you need to know is the city strengthens buildings 240 feet high and higher, and to get ready to the next -- for the next big one. 12:00 p.m., changes in the updated citywide vacant commercial storefront ordinance. 1:00 p.m., comply with the accessible business entrance program to enable everyone to enter your business. 2:00 p.m., home modelling process made stress-free, meet

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teacher. right now i'm practice by transscribing [inaudible] that is what i have been doing the past couple years, teaching myself. california college of the arts, illustration there has really great teachers. robert hunt, vance story taught me a lot. what i'm working on is a portfolio [inaudible] riding a donkey unicorn in the process. >> my name is dawn richardson and musician, drummer and drum teacher. i guess i would say i started my professional path quh i started playing in bands and teaching drum lesson when i was in college. they were definitely not that many women that would do what

is doing. in 198 8 i graduated from cal state los ang and studied mostly classical percussion and music education but at the same time i was in hollywood so played at night in rock bands so was doing two different things. >> the reason i'm [inaudible] the people. there is a extremely vibrant art community especially arounds the red poppy art house [inaudible] as a artist in the past 2 or 3 years there is a event called the [inaudible] every 3 months a free art music festival that i usually play at and just met so many people. >> i was teaching a little bit and doing odd jobs like waitressing and going at night and playing in bands

and meeting a lot of people. i chss in ban that had cool break jz get parts on tv shows or things like that. a friend of mine, we had mutual friends that got signed to a record deal in san francisco called 4 nonblaunds and i addition frd the bands and moved to the bay area. i think things are different now than 30 years ago, the world evolved a lot. it could be a challenge but have to know how to negotiate everything and sometimeatize is [inaudible] it was great to get to a point where i was just treated like another one of the people, a musician not a female musician and that is always what [inaudible] >> you don't hear stuff on the radio [inaudible] i need to write

music [inaudible] be more conscious in their decisions and somehow make that poetic so they will be convinced. i think i will do that. [singing in backgrounds] drawing and writing music since i was a really little kid and fortunate enough to have a good education in art and parentss who supported me. i hope my life will continue to allow me to do both. >> for me now having all male, female girls, boys students it shows the world has changed a lot and people areope toon open to a lot more than they were in the past. you can get a deep satisfaction from responding a lot of year practicing in one thing and becoming really good at something. sometimes i think that it is better to get lost. you have to practice

and become good at what you do, so if you have everything together then go out in the world and do what you do and then i think people weal accept that.