chair, melgar, we have susie smith of the deputy director of policy and planning at hsa available to provide background on the loss of facilities and answer any questions. aaron starr of the planning department is here for item 2, required report on the controls. with that thank you so much. i am available for any questions. thank you. >> thank you so much. we do have susie smith here from the human services agency who i believe is prepared to make a brief presentation. ms. smith, welcome. >> good afternoon, supervisors. thank you for having me today. jacob asked me to provide context to the 2019 report and update the data to share with you. are you going to share the pdf? thank you so much. i am deputy director for policy and planning at the human services agency. we developed a report in 2019 that provided context. in the next slide is the name of the report supporting affordable assisted living in san francisco. next slide we talk about the background for the initiation of this report which was the long-term care coordinating council which many of you know is advisory to the mayor

. >> chair, i am waiting for the hsa colleagues to join. >> good morning, chair haney. i'm emily gibbs, the budget director for hsa and we have been working with hsh on that musco needs shelter operation. they have had a capacity of up to 20 # o clients in the congregate setting at musconi. and there are about 140 client there is right now. and the $10 million is supporting the staffing and meals and hygiene trailers and cleaning and rent for the facility. when we began this operation, we were hoping to receive fema eare imburrsment and fema is not for the congregate shelter site and this is not something they are reimbursing for and so this is with the emergency shelter grant is a way to rebalance the budget because we initially thought that fema was coming in. >> president: all the people there do not qualified? >> i am not enough to know that 140 definitely don't, but the intention of the site was to provide a place for people who are not sip eligible to shelter. >> president: considering how much we have gone back and forth on sip eligibility, my understanding is th

. >> chair, i am waiting for the hsa colleagues to join. >> good morning, chair haney. i'm emily gibbs, the budget director for hsa and we have been working with hsh on that musco needs shelter operation. they have had a capacity of up to 20 # o clients in the congregate setting at musconi. and there are about 140 client there is right now. and the $10 million is supporting the staffing and meals and hygiene trailers and cleaning and rent for the facility. when we began this operation, we were hoping to receive fema eare imburrsment and fema is not for the congregate shelter site and this is not something they are reimbursing for and so this is with the emergency shelter grant is a way to rebalance the budget because we initially thought that fema was coming in. >> president: all the people there do not qualified? >> i am not enough to know that 140 definitely don't, but the intention of the site was to provide a place for people who are not sip eligible to shelter. >> president: considering how much we have gone back and forth on sip eligibility, my understanding is th

. >> chair, i am waiting for the hsa colleagues to join. >> good morning, chair haney. i'm emily gibbs, the budget director for hsa and we have been working with hsh on that musco needs shelter operation. they have had a capacity of up to 20 # o clients in the congregate setting at musconi. and there are about 140 client there is right now. and the $10 million is supporting the staffing and meals and hygiene trailers and cleaning and rent for the facility. when we began this operation, we were hoping to receive fema eare imburrsment and fema is not for the congregate shelter site and this is not something they are reimbursing for and so this is with the emergency shelter grant is a way to rebalance the budget because we initially thought that fema was coming in. >> president: all the people there do not qualified? >> i am not enough to know that 140 definitely don't, but the intention of the site was to provide a place for people who are not sip eligible to shelter. >> president: considering how much we have gone back and forth on sip eligibility, my understanding is th

in particular, the department of public health, the all children all families coalition, dclyf, hsa and numerous others. and, i'll ask that the elected officials and others listening take a deep breath. i had a mentor who said to me we have the most complicated descriptions for the things we understand the least and there's probably no more winding road and difficult public sector administrative challenge than medi-cade. california devolves the vast majority for understanding and accessing these funds to the local level and it's really complex and difficult. and i will without doing too much on my background, i have directly worked in and built. i've been an emergency social worker, worked in schools, directed and designed mental health services for children. and for seven years, i was the health director in alemeda county. i worked having to work payroll. so i have the deepest respect for drew, dr. cofax and their team. this is tough stuff but a great opportunity. with that, i'm going to jump in. i'm going to move quickly because i have about 10 minutes. i'm going to give you some of t

the rediction for chronic homelessness and the reduction has been very, very well modelled through hsa and tipping point so we have pretty clear idea of how far our city, our home is going to get us. and reduce homelessness by 50% by 2022 and the veterans groups and this includes sfcs and the entire sort of veterans groups and with the stakeholders that end better homelessness and give us a clear idea to go by 25% with specific kinds of asks. the other thing that is important for us to take a stab at and get something down is to refine it after today or after the 20th and are really very, very centered on improving equity and to respond to race, sexual orientation and gender. we heard this throughout the sessions with community members and departments and we want to support progress towards the outcomes in our recommendations. what we don't have is all of the data that we need to really make very specific recommendations and assistance model and process with the race equity lens is going to help us to get there. and i wanted to provide some examples with targeted reduction goals and th

in particular, the department of public health, the all children all families coalition, dclyf, hsa and'll ask that the elected officials and others listening take a deep breath. i had a mentor who said to me we have the most complicated descriptions for the things we understand the least and there's probably no more winding road and difficult public sector administrative challenge than medi-cade. california devolves the vast majority for understanding and accessing these funds to the local level and it's really complex and difficult. and i will without doing too much on my background, i have directly worked in and built. i've been an emergency social worker, worked in schools, directed and designed mental health services for children. and for seven years, i was the health director in alemeda county. i worked having to work payroll. so i have the deepest respect for drew, dr. cofax and their team. this is tough stuff but a great opportunity. with that, i'm going to jump in. i'm going to move quickly because i have about 10 minutes. i'm going to give you some of the detail. i'll skip it

the rediction for chronic homelessness and the reduction has been very, very well modelled through hsa and tipping point so we have pretty clear idea of how far our city, our home is going to get us. and reduce homelessness by 50% by 2022 and the veterans groups and this includes sfcs and the entire sort of veterans groups and with the stakeholders that end better homelessness and give us a clear idea to go by 25% with specific kinds of asks. the other thing that is important for us to take a stab at and get something down is to refine it after today or after the 20th and are really very, very centered on improving equity and to respond to race, sexual orientation and gender. we heard this throughout the sessions with community members and departments and we want to support progress towards the outcomes in our recommendations. what we don't have is all of the data that we need to really make very specific recommendations and assistance model and process with the race equity lens is going to help us to get there. and i wanted to provide some examples with targeted reduction goals and th

in particular, the department of public health, the all children all families coalition, dclyf, hsa and numerous others. and, i'll ask that the elected officials and others listening take a deep breath. i had a mentor who said to me we have the most complicated descriptions for the things we understand the least and there's probably no more winding road and difficult public sector administrative challenge than medi-cade. california devolves the vast majority for understanding and accessing these funds to the local level and it's really complex and difficult. and i will without doing too much on my background, i have directly worked in and built. i've been an emergency social worker, worked in schools, directed and designed mental health services for children. and for seven years, i was the health director in alemeda county. i worked having to work payroll. so i have the deepest respect for drew, dr. cofax and their team. this is tough stuff but a great opportunity. with that, i'm going to jump in. i'm going to move quickly because i have about 10 minutes. i'm going to give you some of t

chair, melgar, we have susie smith of the deputy director of policy and planning at hsa available to provide background on the loss of facilities and answer any questions. aaron starr of the planning department is here for item 2, required report on the controls. with that thank you so much. i am available for any questions. thank you. >> thank you so much. we do have susie smith here from the human services agency who i believe is prepared to make a brief presentation. ms. smith, welcome. >> good afternoon, supervisors. thank you for having me today. jacob asked me to provide context to the 2019 report and update the data to share with you. are you going to share the pdf? thank you so much. i am deputy director for policy and planning at the human services agency. we developed a report in 2019 that provided context. in the next slide is the name of the report supporting affordable assisted living in san francisco. next slide we talk about the background for the initiation of this report which was the long-term care coordinating council which many of you know is advisory to the mayor

being able to do this with pretax dollars like a 529 plan or an hsa is a viable option.ut we don't want to do and calls for a national solution i had my calling from virginia mentioned that just a few minutes ago, we certainly need to have a national conversation about that. my think there are a lot of different ways going about this. one of the challenges that i see with eight federally mandated run program is probably best illustrated in a chart mr. chairman and like to have submitted for the record. it is a chart that shows over the past 20 years the cost of goods and services in america. and it shows, this chart i'm not able to have a big enough copy but it will be in the record. shows things like hospital services college tuition and fees, textbook, childcare, medical services. all of those things are infinitely more expensive. in some cases 150 to two 100% more increased over the last 20 years. there are a lot of things, telecom services, software, computers, technology, that the price has actually fallen and become more affordable. the point of this, with this gra

in particular, the department of public health, the all children all families coalition, dclyf, hsa ands others. and, i'll ask that the elected officials and others listening take a deep breath. i had a mentor who said to me we have the most complicated descriptions for the things we understand the least and there's probably no more winding road and difficult public sector administrative challenge than medi-cade. california devolves the vast majority for understanding and accessing these funds to the local level and it's really complex and difficult. and i will without doing too much on my background, i have directly worked in and built. i've been an emergency social worker, worked in schools, directed and designed mental health services for children. and for seven years, i was the health director in alemeda county. i worked having to work payroll. so i have the deepest respect for drew, dr. cofax and their team. this is tough stuff but a great opportunity. with that, i'm going to jump in. i'm going to move quickly because i have about 10 minutes. i'm going to give you some of the detai