>> any comments, questions, or corrections? hearing none, call the question. all in favor? any opposed? >> i abstain since i was not here. >> yes, the motion carries. and now, item 4, the director's report. >> good morning, commissioners, and welcome, commissioner spears. it is great to have you here and it's also great to have a full commission. i think it's been several years, so very excited to work

with all of you. i think i want to start with kind of the national level stuff. i just came back from the national association of area agencies conference on ageing and board meeting, i'm a california representative for n4a. it was in new orleans, and you know that meeting in new orleans in the summer was a little harsh. i was talking about our approach to ageing in san francisco. in addition, we had katrina williams who works in the human resources division who came and did a training on implicit bias

and equity and inclusion, and it was really well received by participants in that workshop. the other news, and i may have mentioned this early because we knew about it earlier is we were the recipients of an award because of the partnership that we have with community center and with senior centers with the older adult choir program. so community music center was with us to receive the award. it was really exciting for them, and there's been some press in san francisco about this. but it's really -- it's such a great intervention, and the people who are involved in the choirs report regularly that they feel more healthy and more engaged and all the things that we hope for when they are involved in a choir. at the state level, i think we talked a little bit about this earlier on when we met in june about what the budget was shaping up to be, but we did --

ageing and disability services did well in the budget, and there were -- in addition to, you know, some of the medi-cal enhancements, some of the things we focus on are our community services. we did very well on nutrition at the state level. a.d.l. got funding for the first time ever. this is really a way for ageing services providers and the independent living providers to work together to really think about how we serve people with disabilities and older adults together, so we have an adrc in san francisco, and there are seven others across california. and hopefully what this means is we'll actually get some state funding for the first time instead of funding this

solely with local funds. ombudsman also got some much needed funding, which was really excited. when you think about what the ombudsman does is go out and look at the quality and the care in skilled nursing and assisted living facilities and they're much understaffed and underresourced, and so this was really exciting. and then, we also got, for the first time, some money for falls prevention, we all know that falls are so hazardous and quite often put people in the hospital and they often don't come out. so falls are bad. this is the first time that the state has put money into this.

locally, we had, on monday, something really exciting happen, and that was we had an older adult and disability work fair. and the office of economic and workforce development along with the community living campaign and the anything any time fund coalition put this together. we also had some funding partners who were really helpful in making it happen. but we had -- i don't know what the final count was, but it was really successful, and i think it showed to some people what the need and the appetite is

for work for older people and adults with disabilities. it was, i hope the beginning of a much stronger relationship with us along with our community partners and funders to think about, you know, what does this look like moving forward? how do we ensure that we're continuing to advocate for people with disabilities and people in the workforce? and also including diverse age and ability when what that does to the workforce and how that enhances it, and i think we just need to keep hammering that home. we are, through the community living campaign, our community

partner, are continuing to work with a creative agency, and they've come up with some ideas for us. and our work group has looked at all of them and we've kind of gotten down to one idea, and so now, the agency is talking about how to get the reframing ageing campaign out into the community. so hopefully in the next few months, we'll be seeing the fruit of that labor out and about town. i'm hoping when people see those things, they can photograph things that they see in town. for those of you that use social media, i think it's going to be really exciting, and i think there's going to be

community engagement, and i think that's going to be really crucial. and then, i'm going on and on. i'll take any questions if you have any. >> thank you, shireen. any comments or questions? >> not a question, but a comment. i was able to attend the workshop on monday. it was great to see so many different departments working together on this effort. it was crowded. it was the -- folks there were enthusiastic, both on the job seekers side, but also the employers who were there, they were doing on-site interviews, and you could just feel the excitement in the room, so l congratulations for the effort. >> thank you.

and i do have one thing on my list, and i just skipped over it. i talked a little bit about the name change for the department early on, and i just wanted to give you an update as to where that is right now. so president yee introduced the name change to the full board. it -- then, the proposed name change went to rules committee and passed out of rules committee and then was signed on by the full board. so the board is in the process of putting the proponent's argument on to the ballot? and so then, there's some activity that needs to happen after that, but then, we'll see what happens. one of the things is it does is it changes the name to department of disability and ageing services? so the fact that the department serves people with disabilities clearly, clearly in the name. and the second thing it does is

it specifies the makeup of the commission to ensure that there's a person with a disability on the commission and that there's a veteran on the commission, and older adult, which having an older adult on the commission has never been an issue, and we've always had that, but it specifies the other two, as well. so -- >> thank you. any other questions or comments for shireen? thank you. the next item is the employee recognition. the daas department and shireen will honor people from the department of adult protective and ageing services. [applause]

>> so i don't think we've honored anyone from adult protective services, so could everyone from adult protective services stand? [applause] >> so we all know adult protective services is such a critical service in counties and san francisco is no exception. our adult protective services program is particularly wonderful. i hear this all the time when i'm going around the state how well established our adult protective services program is, how we've really started using our data as to what the best practices are. i always tell the adult protective services people are when i see them, what you do is really hard works. it takes putting your education

into practice and figuring out ways to take care of yourselves, so we are so pleased to have you as are the people that you're working for all the time. so sayer, .. -- sarah, this is so well written, i'm going to read what they wrote about it. sarah has served as a protective services worker for the past 12 years. she is a licensed marriage and family therapist and has extensive experience with and knowledge of developmental stages and how the ageing process can affect one's ability to maintain one's independence, safety and protect oneself from abuse and neglect while living in the community. she utilizes her skills to set boundaries while working with

complex family dynamics, and she recognizes a person's ability to engage while accepting services. she's a strong advocate for her clients and applies -- during her years at adult protective services, sarah has mentored two interns from u.c. berkeley. this allowed her to further devel develop her leadership skills when helping many adults and elders resolve abuse and neglect issues. under her tutoring, the individuals gained skills to become important social workers in the community. she has participated in two aps retreat committees. sarah worked tirelessly on scheduling the monthly officer of the day schedule for the

last three to four years. these are just a few of sarah's attributes for making her an asset to the aps team. we commend her for protecting our ageing and adults in san francisco. [applause] s >> so sarah, on behalf of the department of ageing and adult services, you are the employee for the month of august. thank you. >> thank you. >> here. i think you should take this.

>> thank you. next is diane lauren with the advisory council report. good morning, diane. >> good morning. welcome. thank you. commissioners, the advisory council met in june and again in july. we did not take a summer break. we'll take that in december, and that was a decision of the council because we discussed whether we wanted to take july off, and they felt that the momentum was moving well, so why take a break. so my report is a june and july report. so basically, what -- one of the changes is the dignity fund and advisory oversight committee meets six times a year, so we have them on the

agenda after the meeting rather than put them on the agenda and say there's nothing to report. there's nothing to report in june, but in july, they reported that the additional $3 million that's allocated in the dignity fund legislation has been allocated. and at their september meeting, the dignity fund coalition will have a special discussion on the master plan on ageing. we had senior plan on action speaking to us at the june meeting regarding the pedestrian safety committee, and i'm not going to go into a lot of detail, but basically, he gave us a bit of history on vision zero, the goal of achieving a no death by 2024. doesn't look like we're on target to do that. things started out well, but over time, there's much more of a collaborative effort amongst the various groups in san francisco.

while there was a decrease initially in these, this has not been substantive over time. the coalition was a result of some of his collaborative work in the early 2000s, and it meets quarterly, and it's led by the sfmta, the department of safe streets for seniors, and people with disabilities program. and there were problem that still exists, a top-down approach, a high risk ability plan. he did say that in the community where presentations are made, changes are being made, and he specifically mentioned the excelsior,

although he didn't mention anything specific. he did say there needs to be the removal of bus shelters, but then, that's an impact to seniors and adults with disabilities, designated bike lanes, some of the slow improvements that have been agreed upon. there's been a current increase in pedestrians fatalities, and our nonaccessible streets and sidewalks at construction sites, and we see a lot of that as we go to 1650 mission. >> and president is serene, if could clarify that, seniors with disabilities for action. >> yes. i will make -- so we -- the lgbt updates, again, there's no

report in june, so we're going to continue to work on our pedestrian discussions. we had meeting with executive shireen about that. and then next, our lgbt updates, there was no report in june, but dr. adelman advised us that the facility will be opening in september, and open house and unlock will be working together in a hybrid approach. because dr. adelman also serves on the state commission on ageing, we had her give us a report on the latest commission meeting. she told us the group meets sixes times a year in various parts of the state and they do that so that they can go to

different senior facilities in the area where the meetings are held. the number one issue coming out of the meetings this year is housing. the commission itself had put together a master plan on ageing as did justice and ageing, and both groups found the same thing. justice and housing and economic security, housing information, and workforce. our membership committee gave a report. we have a number of openings. we've reached out to the five supervisors for their district. we have a call with one, from supervisor yee's district, district 11, on friday -- and we are -- or not district 11, district 7, and she will be attending our august meeting to get a feel, and the responses are cycling back in. there were no site visit reports given in june, and that

was deliberate because we're trying to do more -- give them time to do site visits every other month. so july was our site visit report month. we had two site visits. we had about two more that we needed to do, but we ran out of time because we had quite a bit of discussion on one of them. so that was the stanford hotel, which is the meal program, and then, also the west portal clubhouse, which is a fairly new nutrition site in the west portal area. and then, we had a guest presentation by building together on their build the block program. and then, our meeting this month will be a presentation on the area plan for 2021 to 2025. six members of the council attended the workforce job fair on monday. it was excellent.

the energy and the -- it was nice to see the public sector and the community-based organization and collaborative effort, and then, two supervisors were there, supervisor brown and supervisor fewer, as well as the mayor, and i think that gave it a lot of extra energy. >> okay. thank you, diane. diane, just a question on the pedestrian safety issue. i understand the logical focus on automobile accidents and streets and with the bike lanes, but the city keeps approving additional motorized vehicles. often, they are on you can sidewalks, and often, there seems to be very poor enforcement of bicycles on sidewalks. the sidewalks as you pointed out are treacherous enough

without these motor vised vehicles, and when you add the motor vised vehicles coming up behind you, it's as much a danger as crossing the street. >> i was thinking of that when i was walking here and a scooter almost knocked me down, and there were horns honking as an on call ride sharing service was blocking a lane. yeah, that has come up. we're not quite sure what to do about it. we've spent a lot of time talking about safe streets. i actually am on the safe -- my sidewalks in front of my house have now been targeted for work under the safe street program, so i'm a case study for the pedestrian safety group, but we have talked a lot about that. and that is an issue that keeps coming up in all these groups, so yeah, that is a concern. >> commissioner knutzen. >> i attended all of these meetings myself because i kind

of nominated myself as pedestrian safety. what we've described it as a movement that is really taking shape here. a lot of movement of sf walk and a lot of other groups that have been in existence for a while, they're all part of the coalition -- >> commissioner, can you please speak into the mic? >> yeah. i'm sorry. and we do have good staff members that participate in these meetings as well as advisory committee, so all of these things we are participating in and giving a voice to. what i am releasing is pedestrians, it is a movement in evolution. you might have always known what the bicycle coalition was doing, and in many ways, they're a model for us. but what's happening around pedestrian safety is as things are designed, it's all about getting into the design of the work plans, and the design of

bike lanes, and the design of construction plans. so, like, everything you get into, it's always drilling down into the details and knowing how you can effect change. and i'm really heartened by the fact that some of these pedestrian safety groups are really getting involved in making those changes. and it's like when you build a park in san francisco, and everybody gets involved, and give people get involved in the park so it meets many things. so the pedestrians people are engaged in that and that's a good example of how they're trying to make sure that how

pedestrians can stay safe, we're -- i feel like there's a role that we're sort of all playing, and that there's a role in the advocacy around this, but a lot of it is just drilling down to these details and how you get a voice to m.t.a. when they're designing something. that helps a little bit, but all of those things when people start to talk about it, they're all being brought up. but it's being integrated into public policy is what i think is happening. >> and i think the thing that we've found is the work that was done on the vanness corridor, which i know commissioner surena and

commissioner knutzen live on, that was moving on out to the gary street process. that's going to be a long, multi, probably decade process, but i see that as a good sign. >> a lot of people are getting involved. >> and just making us aware of the myriad of groups and sometimes, you know, showing up at the meetings where appropriate so that we point out the needs for older adults and adults with -- and persons with disabilities. you see some changes in the crossing. it's still red while pedestrians are allowed to cross. or i've noticed right around here, the cars are supposed to

stop back further, and then, the crosswalk, so there's a buffer. i think there needs to be some outreach to tell drivers that those are -- >> that's the next step. >> commissioner pappas? >> yes. is there a particular part under which all of this falls? >> it's the planning part of it. it's like getting involved in the environmental impact report phase of things, so it's a lot of collective -- it's not a department per se, but it's getting involved in the planning part where they're actually designing -- doing the design of it, and that's where you have to have a voice so that things get designed in a way that is safer for people.

>> what i'm trying to describe are those committees that meet regularly, and they hear from staff from daas, and they hear from staff -- you know, it's an m.t.a. person who then takes it back. so i'm saying all this stuff gets integrated, but it takes a while to figure out where does that voice matter. but all of these source of design ideas, and i think really, we're becoming knowledgeable about them, and red lights, what an idea. and stopping a little bit and

giving the pedestrian time to get across before the car starts coming into the intersection, what a concept. well, now, something that's pretty much accepted, and we're starting to do that in san francisco more. so i'm saying that -- yeah, yeah. >> thank you. >> any other comments or questions for diane? >> so we're continuing to monitor about 43 bills. again, i didn't even include the june update. i just went right to july. the legislature's been on recess, and they're on recess until next monday, and then, next monday, there's a whole slew of hearings for the majority of these bills. 20 had no action taken between june and july.

so basically the bills are signed and chapters so they're part of california law. one is the elders and abuse

abandonment that was sponsored by state senator cdodd, and tht basically enables a case for a senior that's abandoned. and then, the second one is by assembly man chow, and it's on emergency medical services training. and this requires e.m.t. and standards to be established that would include a training component on how to interact on persons with dementia and their caregivers, and it would be consulting with community organizations on behalf of california residents with dementia or alzheimer's, so this is a big win. >> thank you. >> thank you. >> any comments or questions?

>> thank you very much, diane. next, the long-term care coordinating council report. [inaudible] >> -- it was exciting to see in the governor's first budget, a lot of items in long-term services and supports, which have gone unfunded or unimproved over the past

administration are getting attention. we think there's a lot of room to grow, but we think it's important that the governor is paying attention to funding some of these items which have been short budgeted for so long. for the past several months, the steering committee have been hard at work on organizing the council's effort, moving us from sort of stagnant long-term work groups so more topical, positive-driven work groups. we're going to be starting three off right away, and as they finish their policies, they're going to be wrapping up. so we look forward to sharing you some of our policy and recommendations that come out of this new work group structure. lastly, i'm very excited to share with you that the council in collaboration with the dignity fund coalition will be

orring what is to be the largest statewide public policy forum on the statewide master program for ageing on september 20, from 1:30 to 3:30 in the afternoon. we are targeting having more than 1,000 people in person and over 1,000 on a life stream, which is going to be produced by sfgov tv. we are going to have opening remarks by commissioner spears. thank you, and congratulations on your appointment. our panel is going to be moderated by the c.e.o. of the scan foundation. the scan foundation has been a major sponsor of the concept in the past few years. on our panel, we'll have senator wiener, assembly member chiu, board president yee,

board supervisor fewer, leading age california president, and our executive director. we have a request out to assembly member ting's office but have not heard back, and registration will go out in about two weeks. >> thank you. any comments or questions? thank you. the case report was submitted in writing, and i think everyone should have received a copy this morning, but we have a spokesman, nonetheless. >> good morning. good morning, commissioner spears. it's great to have you on board, and may i address my remarks to say it's truly wonderful to see a full commission. we have had a busy summer through july both in finishing

up our budget advocacy work for the 2019-'20 budget. we have added a new board member, and we have been continuing our planning and fund raising efforts for september's getting there together event. regarding our budget advocacy work, we're very pleased with the efforts with daas, both that daas and city hall have had resulted in new additional funding for the senior choir program that you heard about earlier. technology infrastructure and support, dementia daycare programs, some of the most frail of our senior and disabled population. group transportation for our services clients, a long troubling need that i'll speak about here in a minute, and then, case management services. and also just a note that as

i've talked about a number of times in the past, around the kne need for transportation for seniors and disabled, i'm taking part in the a.d.s. committee, which does a lot of advocacy work in transportation. we are pleased to welcome a new board member, dan gallagher, with stepping stone. he joined stepping stone in the last year. he's already been incredibly active in advocacy work, and we look forward to having his expertise in that along with stepping stone working with us. we continued presenting

outstanding programs to our case membership. july's presentation was a panel on creative ageing which features laura mason of engage, and jessica mccracken. they gave a wonderful presentation on programs that their agencies are currently offering as well as led us in a discussion about perspectives on ageing which will continue as we try to truly reframe ageing and move to the forefront of those efforts. our august meeting will be focused on advocacy efforts for the upcoming year. we do an annual brainstorming session where members give their input on areas where funding is needed, so that's

always an important kick off, if you will. and then finally, very excited to present you with the flier for our getting there together event. we are furiously planning and still fund raising, i'll admit, for the september 8 event, which is a -- both a celebration of ageing and people with disabilities, but please know that it is for all ages and all abilities. it is not just a celebration, it is a resource fair. we have somewhere around 30 130 sponsors and vendors that will be exhibiting. it is an open-air gym, where we hope to have a powerball soccer demonstration, soccer played by

people in motorized whi wheelchairs. we'll do taichi, xi gong, and a group of 350 to 400 singers will lead a sing along. we're hoping for a guinness book of world records for senior sing along. so great social media campaign, and what questions may i answer for you? >> thank you. commissioner pappas. >> as the representative of this body to the in-home supportive services groups, i just wanted to say thank you for the presentation, greg, on july 16. it was informative, and it was

inspiring. thank you. >> thank you. any other comments or questions? [gavel]. >> thank you very much. next on the agenda is old business, and there is none on the agenda. new business, item number 6. presentation on the expansion of cal fresh benefits to s.s.i.-s.s.d. recipients. staff to present. >> good morning, commissioners, and executive director. my name is ana marie lara. i'm a director with cal services net, which is cal fresh and medi-cal. i'm here to do a presentation, and this is going to be a powerpoint presentation, so

let's see...okay. terrific. okay. okay. so i want to start off with a -- with a statistic here. it's estimated that one in four san franciscans are food insecure. >> consume. can you speak into the mic? >> oh, sure, sorry about that. can you hear me now? >> yes. >> you want the microphone? >> yeah, could i? it's kind of dropping. okay. so it's estimated that one in four san franciscans are food insecure, which means that they don't make enough money to pay for three meals a day for themselves or for their families. cal fresh, which is formerly known as food stamps is a federally funded nutritional

benefit known as snap, s-n-a-p. it accesses better nutrition for low-income households. it issues an e.b.t. card is a lot like a debit card in that it can be used at farmers markets, grocery stores, and restaurants. starting this summer, more than 1 million new californians are eligible for cal fresh. and any new recipients who apply and receive for cal fresh will receive no reduction to their s.s.i. or s.s.p. grants.

so who will benefit? again, s.s.i. and s.s.p. recipients, and this slide just gives sort of a definition of what s.s.i. and s.s.p. are. okay. so california was the only state that did not allow s.s.i. recipients to receive cal fresh, but assembly bill 1811 reversed this policy, so really awesome, positive news there. we want to thank all the hard work for food and nutrition advocates for making this happen. yes, round of applause. okay. so this slide just gives a brief overview of who is eligible -- or what the eligibility criteria is for cal fresh. eventually, it's any household or individual in san francisco with low to no income who's within the income eligibilities, and that limit sort of changes from time to

time, so what we do is we include that in a chart on the san francisco h.s.a. website. and if you just do a keyword search for cal fresh eligibility, it should pop up there. who else is eligible? s.s.i./s.s.p. recitizenshpient starting june 1, 2019. the benefits, they range from $80 to $250, and it's based on household size and your expenses. if you don't spend your cal fresh benefits in one month, it actually rolls over to the next month, which is amazing. some other pretty amazing perks for cal fresh and e.b.t., we have something called the restaurant meals program where, you know, folks can use their

e.b.t. cards at certain parting restaurants in san francisco. they can also get up to $10 in free produce at farmers markets, free and discounted admission at various events, and discounted muni passes. [inaudible] >> sorry. a technical glitch here. we're back. okay. okay. so -- so this slide just gives a bit of demographic information. according to the california cdss, california department of social services, there's about

130,000 s.s.i.-s.s.d. recipients in san francisco, and there's a breakdown of recipients. more demographic information. you know, so based on those who receive s.s.i. in san francisco, 50% were eligible due to a disability, 46% are due to their age. and again, some more data there about ethnic breakdowns. so this is a really cool slide. it showes sort of the zip code in san francisco and where

these people live. if you look at the key there, sort of the darker color concentrations show the higher number of s.s.d. recipients. 92124, that's the hunters point bayview area, a lot of recipients there. as well as the bayview, and the tenderloin neighborhood. so what we've done is to help sort of handle the influx of work that will come with, you know, meeting the demand of all these new clients, h.s.a. has hired some new staff. we've hired a total of 33 new f.t.e.s, and this slide provides a breakdown of those classifications. so for instance, 10923, manager two, three clerks, five senior clerks, and so on.

so in a nutshell, this slide explains if there's an existing cal fresh household with an s.s.i. number who was previously -- who was previously ineligible for cal fresh, the s.s.i. member does not need to submit an application for cal fresh. they just need to wait until their annual recertification comes around, and then, the county will automatically add them to the caseload, so, you know, just want to make that point. and also, that once we do add the member to the caseload, there's a very small chance that benefits may decrease. so i guess -- there was another slide prior to this. i guess it didn't make it on, but there are other slides

called the s.n.b. and t.n.b. which may offset any decrease that may happen to the caseload figure. so if their allotment goes down for whatever reason, then f.n.b. and t.n.b. will kick in and bring them back up to their original benefit amount. i hope that makes sense. so this slide here just shows a little bit of the media coverage around the expansion of the s.s.i.-s.s.d. recipients. kc-26 as well as kcbs radio. a lot of good press out there about this positive change. community outreach. okay. so -- so this gives you a calendar sort of of event that we've taken on -- sorry.

let's get to the right page here. bear with me. okay. this is a calendar of activities through the fall. the state of california is conducting paid outreach that will benefit san francisco. if you look on the far left, the may column, you'll see that h.s.a. copartnered with daas on holding two community forums where over 200 food security organizations and daas providers attended, so it is really -- really a -- it was really -- really a great turnout, and thanks to daas for partnering with us on those two events. and then, if we skip to august,

you'll see that we launched the two-in-one san diego campaign. so two-in-one san diego, the vendor that we work with, and what they do is an outbound phone campaign to those, you know, 41,000 s.s.i. recipients in san francisco to help them apply for cal fresh via telephone. so the first priority group that they're calling is actually the ihss clients, so that's amazing. and they started calling august 1. and then, third, actually also this week, we found five new outpatients sprinkled around san francisco. if you guys remember that slide on the zip codes, daas, they were really instrumental in helping us with our research to

finding ageing and disability resources around san francisco that we could partner with and have an out station. what we do is we bring or

eligibility workers out for a -- our eligibility workers out for a one-day event and they just help all the workers in the building apply for cal fresh. okay. so big thanks to our outreach partners, again, cdss, the food bank, daas, 211 san diego, getcalfresh.org. we just want to ask our awesome partners in the community to help us spread the word about this policy shift. help educate your clients about this, and we at h.s.a. developed a toolkit. it's a partner toolkit, and i can share a copy with you all. i can give out to bridget to

handout, and please get the word out to apply. it takes ten minutes on calfresh.org. this is just a picture of what the partner toolkit with me. i have a few copies with me i can pass out today, and ways to apply. we -- this is our mantra -- click, call, come in. so please, you know, to help sort of keep the lines workable in our county offices, we encourage people to go on to getcalfresh.org, or call our 800 number or come in to our offices. so that's all. >> thank you. any comments or questions from the commission? hearing none, any comments or

questions from the public? hearing none, thank you. >> thank you. >> item 8, review and approval of the california department of ageing cal fresh expansion project cf 192006 associated budget and all amendments. [please stand by]

>> that is pretty incredible, but i remember this. my question is, it sounded as if she was saying there was approximately 40,000 new individuals for cal fresh, and so is this effort supposed to help with that? is that part of this contract? >> correct, this