just kind of help me understand what the role do? >> family part snr ner? >> yes >> family partner navigated systems such as mental health, special ed, juvenile justice on behalf of their own child and enter the workforce as a member of the mental health team to spoert the family, help them feel understood and seen and also to help insure that our discussion and narratives around how to help families has voice and choice of families and family experience at heart so to just help our entire system sort of attune better to true needs of families and keep cultural humility and attunement at the forefront. >> very very specific i ust am say in terms of the job and the role. job description and role. i appreciate all the work that

you have been doing. the only reason [indiscernible] because it is telling me that the staffing shortage was before pandemic and that makes sense that you have someone that stay with you, earn their degree and now moving on somewhere that has higher pay. knowing that this has been going on before pandemic and actually been continuing and say exacerbated during pandemic, what will you be your sustain it like strategy? not that you're the only organization suffering that. in fact, pretty much all non profits partners that i am talking with are suffering that, so i'm only picking your brain to try to figure out your specific strategy for this critical mission and very specific. >> i appreciate that and it is pervasive right now and with the 0-5 population for the early childhood mental health

part has a higher threshold for expert training post graduate which narrow the hiring field further and also has better opportunities after license then so it is a very specific group that we are trying to hire for and children families involved with child welfare are pronounced and challenges of engaging them are also higher then a lot of other populations, so to answer your question, we have double design efforts how to bring people aboard to give them the support and training that they need but also to really build independent professionals who understand how to come in talk about things like productivity with more of a bottom line business and talk about the shared responsibilities we all have one another and clients and public health and to also just keep our eyes on the long-term health of not just the organization but of the

community. those things have been a slowly building-we have been involved with san francisco since around 2009 and this last 5 years has been one focused on that the attracting and retaining people and also building a team that is not thinking in a old school private practice model but part of public health ecosystem and we have to act as if we are in a trauma er ready to bring the best skills to help people who are in need and that means a lot of coordination and teaming. the cal aim not sure if the body is aware of the over haul with medi-cal, they reframe the focus in ways we have been trying to reframe so very optimistic not bethe challenges going away, i wish that were my prediction but think we are on

top more then my 18 years with the agency. >> thank you. i appreciate the detail answer and i look forward to learning about more about cal aim and just how it rolling out, how it is working for us and just what does that mean at the reimbursement rate and all that good stuff. thank you. i appreciate it. let's go to public comment. thank you. go to public comment on this item. >> we invite members of the public who wish to speak on this resolution item 14 to please step up now. madam chair, no speakers. >> public comment is now closed. we will move this item to full board with recommendation. with that, a roll call, please. >> on the motion to forward to full board with positive recommendation, mandelman, aye. safai, aye. chan, aye. we have three ayes.

>> thank you. motion passes and let's go to item 16. >> item 16, resolution approving amendment no. 1 to the agreement between richmond area multi services, inc. and the department of public health (dph), to provide vocational rehabilitation employment and training programs; to increase the agreement amount by $31,268,440 for a total not to exceed amount of $40,837,235; to extend the term by four years and six months from december 31, 2023, for a total agreement term of may 1, 2022, through june 30, 2028; and to authorize dph to enter into modifications of the agreement that do not materially increase the city's obligations or liabilities and are necessary to effectuate the purposes of the agreement or this resolution. >> thank you. we have department of public health here. >> good afternoon. the program manager for vocational services at

behavioral health service. i will say bhs and happy to share we have leadership from rams here present in case there are specific questions for them. just to talk about the richmond or rams vocational programs, there is 5 different programs that are part of this contract. the first one is focusing on janitorial services. it provides paid supported employment and interturnship opportunities within the janitorial field and provides coverage to dph, bhs clinics and programs. then we have the clerical and mail room services and it provides paid supportive employment and internship opportunities and support of bhs administrative operations included the areas of business

operations support such as clerical mail room front desk reception, messenger and driving positions to deliver mail all within bhs system of care and primarily in our central administration facility. then, third we have the it program and that provides 5 specific training cohorts operated by bhs and dph and supported employment in it support positions within the bhs systemf ocare. next the vocational services that provides vocational occupational assessment paid internships and or entry level work positions to tay youth age 15-25 par titspating in program s in this program and then have the finally employee development program and that provides vocational assessment job skills training paid

on-site work experience unpaid classroom and group training sessions vocational counseling and job coaches and classes and workshops to improve employment readyness in this program. i just want to share that with the rams vocational contract we have been in partnership with them for over 20 years and as a agency we have been contracting with them for over i believe 40 years. so this contract is within dph behavioral health service office of justice equity diversity inclusion/mental health service act and eligibility basically is san francisco residents receiving behavioral health treatment and then the vocational services on function as a pathway to competitive community integrated employment and they are critical to the clients

wellbeing independent and recovery. the referrals can come in directly to the rams or us vocational services. and then hireability closely follow trainings while they complete their program and facilitate onward referrals to additional internships educational opportunities or to the department of rehabilitation. permanent employees continue to receive behavioral health support during employment. in terms of outcomes for fiscal year 22-23, each programs successfully met all their year end performance objective which measures program completion or transfer to other employment or education improvement and work place coping skills, increased vocational readiness and motivation and employment referrals. these are just some select

performance objectives from fy22-23, so i just like to show for the it program this objective says by june 30, 2023 75 percent of survey graduate report increase in readiness for additional meaningful activity related to vocational service. meaning educational program advance internship advance training program employment volunteer work et cetera evidenced by item on it feedback tool and the result is objective met 15 out of 15 survey graduates indicated increase in readiness for additional meaningful activities related to vocational service. i want to read that out loud as a example. pictures of folks that were part of the rams hireability and currently are part of the

rams hireability program as interns. so, dph agrees with the bla recommendation which is request approval of the proposed resolutions as amened. one year extension not $13.1 million not to exceed and happy to provide update on performance of the contract of rams hireability seeking extension of the contract. thank you very much and i can take any questions. >> item 16, this is a resolution that approves amendment to dph agreement with rams. extend the agreement by 4 years and 6 months through june 2028. we detailed the cost of the agreement on page 40 of our report. total cost is $7 million.

little less then half is funded by the general fund. we also discussed on page 39 that two of the vocational programs here did not meet the units of service, and far below delivering 50 percent units of service that are required in the contract due to staff vacancies and just people not beic in the program and participating in them. for that reason we had a recommendation to either stop funding those programs or just do one year extension which the department agrees with and that allow some time to--they reported us the programs are now on track. they are now staffed and hoping to sustain that for the next year, so i think amending the resolution to just provide one year extension through december 2024 and there is one i think it should be $16 million for the new not to exceed amount.

i think dph circulated a resolution about that. >> what was the last thing? >> the resolution before you approves not to exceed of $40.8 million. i think reducing to $16 million would provide them sufficient funding for the next 12 months. >> we have to amend the total not to exceed dollar amount minus 3 million is that crckt because you are increasing by 13 million instead of 16? >> now it is the resolution says 40.8. my recommendation would be to change that to $16 million. >> for total not to exceed 16.8 instead of 40.8? >> correct. >> because we are only extending for one year?

>> one year. >> yeah. okay. we are good? looks like everybody nodded and looks like it makes sense. look, i think that i appreciate it. i think that it is pretty direct recommendation that either you stop funding under utilized programs and i say that is really consistently been and moving forward for the fiscal year that we'll be the ask at least from this budget committee that we will stop funding under utilize program, and overall across, not just this one, but all across for all city departments and the fact that i thank you for willing to work with us to say let's only enter one year extension for total of 13.1

$13.1 million that allow us to as a city to reevaluate what we can do with contract and services move forward. ultimately the goal is meet the target for people like that we need to serve and should be rbing that service and it is sometimes all most doesn't matter why, but just the fact it does not meet the targeting goal, it requires tweaking. i appreciate it. it is my intent to make the motion to amend and enter one year extension for $13.1 million as not to exceed amount as recommended by the budget legislative analyst and that with that, let's go to public comment. my apologies, looks like deputy city attorney has something to say. >> i want to clarify there is

amended version that list a specific number value not to exceed. i think it is 16 million 43 thousand, 775. >> here is the-got it, i see it now and trying to understand. this is the version that i have right now and if i may i will read out loud and it is the page 1 line 6 for the 16 million 43 thousand, 775 dollars and then to extend the term by one year, but then it is actually through december 31, 2024 and not june 30, 2024. okay. is that-you want me to read that part so we know and so i think that it is throughout the legislation itself indicating the dollar amount and the term ending december 31, 2024.

>> that sounds good. i wanted to make sure you were looking at the same edits i had. >> thank you. thank you for the reminder and so lets go to public comment for this amendment. >> invite members who joined today who wish to comment on this resolution to step up now and all speakers are allowed two minutes to speak. if you begin i'll start your time. >> hi. my name is john thorn. i was born and raise in the excelsior and work for rams. i say without the hirable job training program and hireability employment is likely i would be homeless right now. the hireability program helped regain self-esteem through work and the experience and skills enabled to be employed full time all most 4 years now. something that i thought not possible due to struggle with bipoller disorder. after one year of paid work experience i got full time job

as it inventory technician with facebook. after a year working in the private sector [indiscernible] with hireability and proud to say our trainings closed over 1200 it service ticket for san francisco department of health and equates to 10 percent of all tickets assigned to the field service team. we are playing a crucial role up grading. work is critical to partners as on job training opportunities are valuable to program participants. i have seen the program transform lives and help folks like me often hopeless and forgotten and now reaching maximum vocation potential despite strugglewise mental health. i have seen people transform through dignity of work and healing that comes. with your continued support rams hireability can continue in this work. thank you for your time. >> thank you for addressing the

committee. next speaker, please. >> hello. good afternoon. my name is carmen. also a san francisco resident. the director of our vocational service division rams hireability and i have a statement to read from one of our recent grads. board members, i was referred to hireability from family doctor in 2019. i was suffering from clinical depression at the time and unemployed. i applied to hireability help desk program and trained 18 months learning it help desk skills. qul had an zisty around picking up the phone at the help desk but after encouragement from joy and caleb the help desk trainers after 3 weeks of shadowing i was able to take calls. the staff made me feel very supported in my job training. this enabled me confident as a

help desk worker. i learn it was not bad to make mistakes as long as i continue to ask questions and kept trying. this way i gained more skills and confidence without fear of failure. i completed both front line anded a vance help desk 9 month training tracts. happy to help medical professionals with their it issues i found it was easy for me to do so with the training and support. i applied for the desk top program and started that 9 month training. there i gained hands on experience and learned how to trouble hp shoot and maintain it infrastructure dph clinics san francisco general and laguna honda h. and completed the final project where i designed a functional website. now i was recently hired as a it operation level admin 2 working with epic readiness team. i believe all the it training

that i received through highability as well as supportive environment is why i have this position today. i also learned through the hireability how the boundaries- >> speaker time elapsed; and thank you. >> we are timing each speaker to two minutes. next speaker, please. >> my name is dr. bay, the advocate for renaissance parnt success. we are located 1075 fillmore and another location at 1801 folsom. to hear service baffles me. we have over representation especially in the black community that doesn't have the services or the funding for the services to hear decrease from $40 million to $16 million yet nobody can tell us that there is discretionary funding in eachdistricate. there is a big gap in funding

sources between the services that the community provides, which have been there over 50 years. the [indiscernible] for over 50 years providing services in this community. why is there are certain organizations that have funding availability to them yet you are saying they are not utilized as much? we are in the streets all day every do. we need our surprisers to please connect with the agency that provide the services and provide the fundsing. job placement. reentry. these are things that are not funded in certain areas so we asking that the same motion you have for ram is the same you have for renaissance parent

center so this is what we want to leave the information to and like to have transparency in what is happening. i don't know what the gentleman name is but you aresary soft spoken even with the microphone. can you speak up so we can hear you? thank you for your time. >> thank you much for addressing committee. if there are no further speakers, madam chair, that completes the queue. >> thank you. seeing no more public comment, public comment is closed. i wanted to department of public health--department of public health, do you want to -actually, describe the delivery less then 40 percent of the contract? >> can you repeat?

>> do you want to describe that how the program are delivering less then 40 percent of the contract units? >> the director of the business of our business office identified that the unit of service is more reflection of a cost per day, so we will work with rams to revise that and the current 23-24 contract, so it can better reflect the service that is provided by rams. we will definitely work on that and report back. >> do you want to describe ahowhy they are being considered as under utilized even though they are the needs? basically characterizing-the fact i think what it is here is--i do understand the budget legislative analyst report and it is actually a very specific

terminology and very specific way to conduct performance evaluation, but it seems like even the grantees you have here is questioning what does it mean to be identified as under utilized program, but i thought that we should articulate and be specific what kind of program would then be identified as under utilize in the standard set by the budget legislative analyst here so that it is actually clear to even to our contractors that what is the performance evaluation that we are actually seeking. or that the performance delivery we are actually seeking here. >> i think when we go back and revisit the unit of service, the utilization, what is shown might change and so when we better reflect the unit of

service by the program, we are hopeful that we will demonstrate the program is in fact being utilized at a high rate. the program is back on its feet. they are fully staffed. they are back stronger then before. there is more participation in the programs now, so and we will closely monitor them and work with them so that they can be successful in what they are doing. >> i just want to make sure that we are all on the same page when we talk about under utilize programs that it is clear terms to everyone and what it means if you have grantsees it is not clearly there is disconnect like not knowing the what specifically units of service that needs to be documented in order to reflect the utilization of the

program. i just want to put it out there and that we probably need to do a better job communicating with the grantees about what that actually means. with that though, let's make-i are make a motion to amend as recommended by the budget legislative analyst and agree by department of public health and [indiscernible] thanks to deputy city attorney for pointing to those specific language and with that, the motion to amend and then move the amended item to full board with recommendation. roll call, please. >> on that motion to amend the resolution to lower the agreed total not to exceed amount and also term to thend of this year and forward that resolution to full board with positive recommendation as a-minded,

mandelman, absent. safai aye. chan, aye. we have 2 ayes with vice chair mandelman absent. >> thank you and motion passes. i'm curious if the department of homelessness and supportive housing is here? sorry. if i may i like to call this item first and item 18. i will call out of order and please call item 18. >> item 18, ordinance amending the administrative code to extend by five years, from may 5, 2024, through may 5, 2029, the sunset date of the provisions authorizing the department of homelessness and supportive housing (“hsh”) to enter into and amend contracts without requiring competitive bidding for services relating to sites and programs for people experiencing homelessness (“projects addressing homelessness”), and the department of public works to enter into and amend contracts without adhering to the environment code or to provisions relating to competitive bidding, equal

benefits, local business enterprise utilization, and other requirements, for construction work and services relating to projects addressing homelessness; and affirming the planning department's determination under the california environmental quality act. madam chair. >> thank you. we have the department of homelessness and supportive housing. >> good afternoon committee members. emily co hen joined by colleague gee gee whitley chief deputy admin. here with a ordinance that extend streamlined contracting for homeless services in our community. in april of 29 the board unanimously adopted ordinance

6119 authorizing the department of homelessness and supportive housing and san francisco public works to use streamline contracting procedure for grants related to homeless service projects. this ordinance is set to expire in the coming spring and we are propozing to extend this ordinance for additional 5 years or until we reduce unsheltered homelessness by 50 percent which aligns with our strategic plan goals. this ordinance allow to continue to build on the momentum we have made and progress made since 2019. the proposed ordinance has been introduced to expend sunset date and allow us to continue to more rapidly expand the homeless response system to meet the need and continue to drive down homelessness in our community. while this