THE SENATE
BUDGET SUB COMMITTEE NUMBER
THREE ON HEALTH AND HUMAN
SERVICES WILL COME TO AN ORDER
GOOD MORNING EVERYONE- THE
SENATE CONTINUES TO WELCOME IN
THE WELCOME THE PUBLIC IN PERSON
AND VIA TELECONFERENCE ARVEST
FOR PUBLIC COMMENTS FOR
INDIVIDUALS WISHING TO PROVIDE
PUBLIC COMMENT TODAY'S
PARTICIPANT NUMBER IS EIGHT
SEVEN SEVEN. TWO TWO SIX EIGHTY
ONE SIXTY THREE AND THE ACCESS
CODE IS. FOUR THREE NINE EIGHT
THREE ONE EIGHT WE'RE HOLDING
COMMITTEE HEARINGS HERE IN THE
TEN TWENTY ONE OH THREE BUILDING
I ASK ALL REST OF THE MEMBERS OF
THE SUBCOMMITTEE TO BE PRESENT
HERE IN ROOM TWELVE HUNDRED SO
WE CAN ESTABLISH OUR QUORUM AND
MOVE FORWARD. TODAY WE WILL BE
HERE IN BUDGET PROPOSAL FROM TWO
DEPARTMENT DURING- THAT INCLUDE
THE CALIFORNIA DEPARTMENT OF
SOCIAL SERVICES AND THE
CALIFORNIA DEPARTMENT OF AGING.
IN BETWEEN THOSE A PROPOSALS
WILL BE HEARING- PRESENTATIONS
AND HAVE OVERSIGHT COMMITTEE
ITEMS- THE FIRST ISSUE ON THE
ENGINE ON THE AGENDA IS OUR
FIRST OVERSIGHT ITEM IN THE
PANEL DISCUSSION COVERING OLDER
DAHLE HOMELESSNESS AND THE HOME
SAFE HOUSING AND DISABILITY
ADVOCACY PROGRAM AND COMMUNITY
CARE EXPANSION PROGRAM. ALL
RIGHT GREAT SO BEFORE WE GET
STARTED WITH THE PANEL BEFORE I-
BRING THE PANEL UP I WOULD TURN
TO CDSS DIRECTOR KIM JOHNSON
PRINCE SOME OPENING REMARKS
WELCOME.
THANK YOU MADAM CHAIR AND
COMMITTEE MEMBERS CAN JOHNSON
CALIFORNIA CALIFORNIA DEPARTMENT
OF SOCIAL SERVICES. I YOU'LL
HEAR FROM ALL OF US THIS MORNING
ABOUT THE TREMENDOUS WORK OF THE
AT DEPARTMENTS SOCIAL SERVICES
AND ITS COMMUNITY PARTNERS
COUNTY HUMAN SERVICE AGENCIES
AND MANY OTHER PARTNERS THAT
HAVE HELPED. I REALLY RAPIDLY
EXPAND THE HOUSING COMPONENT
THAT'S INTEGRATED WITHIN THE
SOCIAL SERVICES HEALTH AND HUMAN
SERVICES ARRAY. AT EACH PROGRAM
IS EMBEDDED ANYTHING INTO WORK
FOR EXAMPLE CAO WORKS PROGRAM
SUPPORTING FAMILIES CHILD
WELFARE SYSTEM SERVICES ADULT
PROTECTIVE SERVICES AND
DISABILITY BENEFITS SERVICES AND
WE REALLY BELIEVE THIS
INTEGRATION IN THIS EXPANSION OF
THIS COMPONENT IS ALLOWING FOR
LONG LASTING OUTCOMES. EACH OF
OUR PROGRAMS MUST UTILIZE A
HOUSING FIRST APPROACH WE ARE
PART OF THE LARGER DEPARTMENTS
AND FOCUS ON UTILIZING THAT
APPROACH FIRST AND WE DO BELIEVE
THAT YIELDS TO IT TO GREATER
OUTCOMES. I'M I WANT TO NOTE
THAT AS YOUR AGENDA OUTLINES
WILL TALK A LOT ABOUT BOTH- AND
SHELTER POPULATIONS IN THE OLDER
OLDER POPULATION THE FASTEST
GROWING POPULATION OF THOSE
FIFTY AND OLDER AND THE FOUR
PROGRAMS AT THE DEPARTMENT HAS.
EXPANDED IN THAT IN THAT EFFORT
TO SUPPORT THEM BUT I ALSO WANT
TO SPECIFICALLY HIGHLIGHT
PROJECT ROOM KEY THIS WAS A
PROGRAM THAT WAS STOOD UP IN A
NUMBER OF WEEKS I DURING THE
COPA PANDEMIC- AND REALLY
DESIGNED TO BOTH CREATE AN
OPPORTUNITY TO SUPPORT THOSE WHO
HAD IMMEDIATE SHELTERING AT
NEEDS RELATED TO BEING CALLED A
POSITIVE BUT ALSO TO PREVENT
CODED. AND AGAIN THE
PARTNERSHIPS THAT WERE CREATED
WITH MANY MANY DIFFERENT
ENTITIES INCLUDING HOTEL
OPERATORS TO EXCITED RIGHT TO
ENSURE THAT WE HAD OVER SIXTY
ONE THOUSAND INDIVIDUAL
SUPPORTED AND THAT WAS
TREMENDOUS BUT I ALSO WANT TO
NOTE. THAT IT'S AN EXAMPLE OF
THAT WE TOOK THAT OPPORTUNITY TO
THE IMPAIR CASE MANAGEMENT
NAVIGATORS. TO CONNECT THOSE
INDIVIDUALS TO LONGER TERM
HOUSING AND SUPPORTS AND AGAIN.
OUR DEPUTY DIRECTOR WILL SHOW
MORE ABOUT THE OUTCOMES IN THAT
SPACE AND I THINK IT'S A LESSON
WE CAN LEARN ABOUT THE
TRANSITION FROM THE SHORTER TERM
SHELTERING OPERATIONS TO THE
LONGER TERM. AS SUPPORT. ALSO
THAT MANY OF THESE. ARE
CONSISTENT WITH THE ACTIVITIES
OUTLINED IN THE MASTER PLAN ON
AGING WHICH ALSO HEAR ABOUT
LATER TODAY AND ALSO PART OF THE
LONG TERM CARE CONTINUUM. THAT'S
AVAILABLE FOR AGAIN OUR OLDER
ADULTS AND THOSE WITH
DISABILITIES ACT IN CALIFORNIA
SO WE VERY MUCH LOOK FORWARD TO
SHARING THESE OUTCOMES WITH YOU.
I IN THE PANELS TODAY THANK YOU
SO MUCH. THANK YOU SO MUCH
RECTOR- SO NOW I'M GOING TO
WELCOME THE PANELISTS BOTH WERE
IN PERSON AND ON JUNE JOINING US
FOR OUR FIRST SERVICE ITEM-
WELCOME PATTY. AND I APOLOGIZE
I'M REALLY BAD AT NAMES OF PADDY
PRUNE HOOPER DIRECTOR HOUSING
ADVOCACY JUSTIN JUST AS AN
AGING. HOW DID I DO. OKAY GREAT
IT'S GOING TO GET WORSE- CLEAR
RAMSEY AND HANNAH. ARE THE MAHDI
CALIFORNIA DEPARTMENT OF SOCIAL
SERVICES. TRENCH ROHRER
EXECUTIVE DIRECTOR SAN FRANCISCO
HUMAN SERVICES INTERVENE WALK-
WELCOME ON JUNE. A LITTLE MORE
YOU'LL DIRECTOR KERN COUNTY
HUMAN SERVICES DEPARTMENT ALSO
CONSUME. A REBEKAH WATSON A
MANAGING DIRECTOR OF CHANGE WELL
PROJECT- JONATHAN RUSSELL CHIEF
STRATEGY AND IMPACT OFFICER FROM
THE BAY AREA COMMUNITY SERVICES
ON SOON. AND MICHAEL WEINSTEIN I
SEE A PHONE FOUNDING PARTNER AND
LINDA KAUFMAN DIRECTOR OF
GOVERNMENT AND PUBLIC AFFAIRS-
SYNERGY PROGRAMS. THANK YOU FOR
THE PALETTE PENALIZE FOR JOINING
US BOTH ON FILM. AND IN PERSON
FOR BACK TO IN PERSON-
PRESENTATION VERY EXCITING- SO
LET'S BEGIN WITH THE
PRESENTATION FROM MISS APPROVED
HOOPER WELCOME PLEASE PROCEED.
THANK YOU SO MUCH GOOD MORNING
CHAIRMAN I INVOLVED TRYING TO
CATCH WHAT REALLY QUICK YES-
COULD WE DO A ROLL CALL QUICKLY
AND ESTABLISH QUORUM. SENATORS
MENJIVAR HERE MANY OF OUR HERE.
EGGMAN EGGMAN HERE GROWTH. ROTH
HERE BROUGHT HERE WE HAVE A
QUORUM. GO AHEAD AGAIN THANK YOU
AND GOOD MORNING. THANK YOU FOR
INVITING ME TO SPEAK ABOUT THIS
PRESSING ISSUE OF OLDER ADULTS
HOMELESSNESS MY NAME IS PATTY
PRONE HUBER I AM THE DIRECTOR OF
HOUSING ADVOCACY AT JUSTICE IN
AGING. A WE ARE A LEGAL ADVOCACY
ORGANIZATION THAT USES THE POWER
OF LAW TO FIGHT SENIOR POVERTY
AND TO ADVANCE EQUITY FOR ALL AS
WE AGE. A WELL WE'RE A NATIONAL
ORGANIZATION WE FOCUS A LOT OF
OUR WORK HERE IN CALIFORNIA. SO
WHAT DO WE KNOW ABOUT OLDER
ADULTS EXPERIENCING HOMELESSNESS
IN CALIFORNIA WE KNOW THAT IT'S
RISING DRAMATICALLY I'M SURE
YOU'VE ALL BEEN READING IN THE
PAPERS AND THAT THIS TREND WILL
CONTINUE UNLESS WE SWIFTLY TAKES
STEPS TO REVERSE IT. AN OLDER
ADULTS WHICH ARE DEFINED IN
DIFFERENT WAYS BUT I'M GOING TO
USE AGE FIFTY FIVE PLUS- ARE THE
FASTEST GROWING AGE GROUP OF
PEOPLE EXPERIENCING HOMELESSNESS
IN CALIFORNIA. AND WE SEE THE
STEEPEST INCREASE FOR THOSE OVER
AGE SIXTY FIVE. IN YOUR
MATERIALS ON PAGE FOUR YOU WILL
SEE A CHART- AND IT SHOWS THAT
FROM. TWO THOUSAND SEVENTEEN TO
TWENTY TWENTY ONE HOMELESSNESS
AMONG THOSE SIXTY FIVE AND OVER
MORE THAN DOUBLED GROWING BY A
HUNDRED AND THIRTY ONE PERCENT.
AND THAT SAME DATA SHOW THAT THE
TOTAL NUMBER OF INDIVIDUALS AGE
FIFTY FIVE AND OLDER WHO NEEDED
TO ACCESS HOMELESS SERVICES WAS
FIFTY. FIFTY SEVEN THOUSAND
SEVEN HUNDRED AND FIFTEEN.
ROUGHLY 45% OF ALL INDIVIDUALS
WHO COME IN CONTACT WITH THE
HOMELESS RESPONSE SYSTEM IN
TWENTY TWENTY ONE WERE AGED
FIFTY AND OLDER. AND ALMOST HALF
OF THOSE BECAME HOMELESS FOR THE
FIRST TIME AFTER AGE FIFTY. AND
THE PRECIPITATING REASONS BEHIND
THEIR HOMELESSNESS ALSO VERY
SOME FROM THEIR YOUNGER
COUNTERPARTS. OF THE RENT
AFFORDABILITY CRISIS IS HITTING
ALL CALIFORNIANS- LOW INCOME
RENTERS- BUT OLDER ADULTS ARE
MOST LIKELY TO STRUGGLE WITH
RENT UNAFFORDABILITY. THEY ARE
MORE RENTAL COST BURDENED THAN
THE POPULATION AS A WHOLE AND
ADDITIONALLY AS OLDER RENTERS
AGE. THEY FACE AN INCREASED
LIKELIHOOD THAT THEIR FIXED
INCOMES- HAVEN'T KEPT UP WITH
ESCALATING RENTS THEY HAVE
DEPLETED THEIR SAVINGS OR THEY
HAVE LOST A SPOUSE OR PARTNER.
RESULTING IN OLDER RENTER
HOUSEHOLDS AGE SEVENTY FIVE AND
OVER FACING THE HIGHEST COST
BURDENS. AND THEY ALSO FACE
INCREASING DISABILITY AND HEALTH
CONDITIONS- THAT MAKE A
RETAINING HOUSING MORE DIFFICULT
SO HOW PRECARIOUS OUR
CALIFORNIA'S OLDER RENTERS. A
SNAPSHOT FROM LAST MONTH'S U. S.
CENSUS- HOUSEHOLD PULSE SURVEY.
FOUND THAT 28% OF RENTER
HOUSEHOLDS IN CALIFORNIA AT AGE
FIFTY FIVE AND OLDER REPORTED
THAT THEY WERE VERY LIKELY TO BE
AFFECTED WITHIN THE NEXT TWO
MONTHS. AND I KNOW THAT YOU'VE
ALSO HEARD ABOUT THE RACIAL
DISPARITIES IN HOMELESSNESS WE
KNOW THAT BLACK INDIGENOUS LATIN
ACTS AND L. G. B. T. Q. FACE A
SUBSTANTIALLY INCREASED RISK OF
HOMELESSNESS. AND THE EVIDENCE
SUGGESTS THAT THE RACIAL AND
ETHNIC DISPARITIES IN
HOMELESSNESS INTENSIFIED WITH
AGE. SO I'D LIKE TO TURN NEXT TO
THE KINDS OF ADDITIONAL BARRIERS
THAT MAKE KEEPING OR GETTING
INTO HOUSING MORE CHALLENGING
FOR OLDER ADULTS JUST TO NAME A
FEW. 36% OF PEOPLE EXPERIENCING
HOMELESSNESS OF ALL AGES REPORT
DISABLING CONDITIONS AND WE KNOW
THAT PERCENTAGE IS MUCH HIGHER
FOR OLDER ADULTS EXPERIENCING
HOMELESSNESS. AND MANY HOUSING
PROGRAMS EXCLUDE OR CAN'T SERVE
OLDER ADULTS WHO HAVE DISABILITY
RELATED NEEDS. AND LIVING ON THE
STREETS AT ANY AGE IS INCREDIBLY
DIFFICULT- BUT OLDER ADULTS WHO
ARE LIVING ON THE STREETS ARE
MORE LIKELY TO EXPERIENCE HEALTH
DECLINES AND DEVELOP CHRONIC
CONDITIONS THAT ARE TYPICAL OF A
HOUSE PERSON. TWENTY YEARS OLDER
THAN THEIR CHRONOLOGICAL AGE.
THEY WILL CONSEQUENTLY REQUIRE
MORE ASSISTIVE SERVICES TO
OBTAIN AND MAINTAIN HOUSING.
MANY OF OUR SENIORS CANNOT
NAVIGATE THE COORDINATED ENTRY
SYSTEM USED TO PROVIDE HOMELESS
SERVICES THEY FACE TECHNOLOGICAL
LANGUAGE MOBILITY AND
TRANSPORTATION BARRIERS. WE NEED
TO UPDATE THE ASSESSMENT TOOL
THAT IS USED TO PRIORITIZE WHO
SHOULD GET HOUSING SERVICES
FONDLY CALLED THE V. ICE BUT
THAT. AND WE NEED TO INCORPORATE
AND PRIORITIZE THE NEEDS OF
OLDER ADULTS IN OUR HOUSING
DECISION A TOOL THAT WE USE. AND
SHELTERS ARE NOT KIND TO OLDER
ADULTS OF OLDER ADULTS DO NOT
FEEL SAFE IN THEIR DISABILITIES
CANNOT BE ACCOMMODATED. AS A
RESULT TWO THIRDS OF
CALIFORNIANS OVERALL
EXPERIENCING HOMELESSNESS ARE
UNSHELTERED AN OLDER ADULTS ARE
DISPROPORTIONATELY REPRESENTED
IN THAT UNSHELTERED GROUP LIVING
IN A TENT A VEHICLE OR ON THE
STREET. AND OLDER PEOPLE ARE
PARTICULARLY VULNERABLE TO THE
RECENT SEVERE WEATHER THAT WE'VE
HAD AND ARE ABOUT TO GET AGAIN
TODAY. SO CALIFORNIA HAS
DIRECTED SUBSTANTIAL RESOURCES
TO PREVENT AND END HOMELESSNESS
BUT WE NEED AGE TARGETED
SOLUTIONS FOR OLDER ADULTS AND
WHERE THE STATE HAS FOCUSED ITS
HOMELESSNESS EFFORTS ON A
SPECIFIC POPULATION FOR EXAMPLE
VETERANS OR TRANSITIONAL AGED
YOUTH. WE HAVE SEEN SIGNIFICANT
PROGRESS IN REDUCING
HOMELESSNESS AND THAT TAILORING
SOLUTIONS TO A SPECIFIC
POPULATION WORKS. YET THESE
RESOURCES HAVE NOT BEEN TARGETED
TO OLDER ADULTS AS A GROUP WITH
A PROGRAM TAILORED TO THEIR
SPECIFIC CONCERNS AND NEEDS AND
I. ACKNOWLEDGE AND RECOGNIZE THE
VERY GOOD WORK OF- THAT'S AS WE
CALL IT EACH STEP AND HOME SAFE
BUT THEY ARE FOR VERY SPECIFIC
SUBPOPULATIONS CONNECTED TO A
BENEFIT PROGRAM ADMINISTERED BY
THE DEPARTMENT- SO WE NEED TO
FOCUS- ON OLDER ADULTS AS A
SPECIAL POPULATION WITHIN THE
OVERALL INTER AGENCY STRATEGY TO
PREVENT AND END HOMELESSNESS.
AND WE NEED TO FOCUS ON
PREVENTION- WE'VE BEEN ABLE TO
INCREASE OUR CAPACITY TO GET
PEOPLE HOUSED- AND WE- STILL ARE
LOSING GROUND WE CAN'T RE HOUSE
PEOPLE FAST ENOUGH TO STEM THE
TIDE OF NEW OLDER ADULTS
ENTERING HOMELESSNESS. IF WE
CAN'T BUILD IS LEAKING BOAT FAST
ENOUGH WE HAVE A SERIOUS INFLOW
PROBLEM. SEVERAL LOCAL RENTAL
ASSISTANCE PROGRAMS TARGETED TO
SENIORS ARE DEMONSTRATING THAT
THIS APPROACH IS HIGHLY
EFFECTIVE AS A HOMELESS
PREVENTION STRATEGY AND ALL JUST
LIFT UP A SANTA MONICA THE CITY
OF SANTA MONICA HAS A PROGRAM
CALLED PRESERVING OUR DIVERSITY.
STANISLAUS COUNTY HAS A PROGRAM
TO KEEP OLDER ADULTS HOUSED IN
SAN DIEGO COUNTY IS ABOUT TO
LAUNCH ITS- SHALLOW SENIOR
SUBSIDY PROGRAM AND IT'S TIME TO
TAKE IT STATEWIDE. I'M A- THE
CDSS ADMINISTERED H. DAPENG HOME
SAFE PROGRAMS ARE ESSENTIAL AND
VITAL THEY CAN OVER HOMELESSNESS
UP FOR A SPECIFIC OF GROUP OF
PEOPLE AS I'VE MENTIONED BUT IT
DOESN'T REACH THE VAST MAJORITY
OF OLDER ADULTS AT GRAVE RISK OF
HOMELESSNESS- WE ARE ALREADY
FACING A CRISIS OF HOMELESSNESS
AMONG OLDER CALIFORNIANS AND WE
ARE AT A PIVOTAL MOMENT. UNLESS
WE QUICKLY INVEST IN PRACTICAL
LONG TERM SOLUTIONS THAT ADDRESS
THE SPECIFIC NEEDS OF OLDER
ADULTS THIS ALARMING SURGE IN
OLDER ADULTS HOMELESSNESS WILL
WORSEN. BUT HERE'S THE GOOD NEWS
. CALIFORNIA'S MASTER PLAN FOR
AGING HAS COMMITTED TO A GOAL OF
HOUSING FOR ALL AGES AND STAGES
WHICH- IDENTIFIES AS A KEY
STRATEGY PREVENTING AND ENDING
OLDER ADULT HOMELESSNESS. AN AGE
FRIENDLY SET OF SOLUTIONS
INCLUDE A TARGETED RENTAL
SUBSIDY PROGRAM FOR OLDER ADULTS
AT RISK OF HOMELESSNESS AND THIS
IS ONE OF THE INITIATIVES
IDENTIFIED IN THE MASTER PLAN.
REMOVING BARRIERS TO OBTAINING
INTEGRATED HOUSING AND HEALTH
RELATED SUPPORT IN COMMUNITY
SETTINGS AND CONTINUING TO
INVEST IN MORE DEEPLY AFFORDABLE
ACCESSIBLE AND AGE FRIENDLY
HOUSING. THANK YOU THAT
CONCLUDES MY REMARKS BUT I'M
HAPPY TO ADDRESS ANY QUESTIONS.
WELL HOLD UP QUESTIONS UNTIL THE
END OF THE PANEL THANK YOU SO
MUCH. I'M MOVING ON TO- CLEAR
AROUND SEEN HANNAH AS THE MONEY
. YEAH HI THANK YOU CHAIRMAN OF
OUR AND MEMBERS I'M CLEAR RAMSEY
I'M THE CHIEF DEPUTY DIRECTOR
FOR DISABILITY AGING AND HOUSING
INTEGRATION AT THE DEPARTMENT OF
SOCIAL SERVICES. ON A LET MY
COLLEAGUE HANNAH'S AHMADI-
INTRODUCED HERSELF AND THEN I'LL
PROCEED WITH MY REMARKS. HELLO
MY NAME IS HANNAH MATTY DEPUTY
DIRECTOR FOR THE HOUSING AND
HOMELESSNESS DIVISION SUPPOSED
TO BE HERE THANK YOU FOR THE
OPPORTUNITY TO PRESENT. SO
THANKS I'M GOING TO START- OVER
ARCHING WE TALKING ABOUT THE
QUESTIONS THAT YOU'VE ADDRESSED
DIRECTLY TO THE DEPARTMENT AND
HIGHLIGHTING THREE PROGRAMS THAT
WE ADMINISTER THROUGH THE
DEPARTMENT OF SOCIAL SERVICES.
THE AGE GAP WHICH IS THE HOUSING
DISABILITY ADVOCACY PROGRAM HOME
SAFE AND OUR NEWS PROGRAM
COMMUNITY CARE EXPANSION- AND-
MISPRINT HERE GAVE YOU COULD
CONTACT WITH THE DEPARTMENT- IS
REALLY LEADING FROM A PLACE OF
UNDERSTANDING THAT OLDER ADULT
HOMELESSNESS IS GROWING THAT IS
A SIGNIFICANT PROBLEM IN OUR
STATE. AND THAT OLDER ADULTS
OFTEN WITH DISABLING CONDITIONS
AND PEOPLE WITH DISABILITIES
STRUGGLE MORE TO FIND HOUSING
AND RETAIN HOUSING. AND SO WE'VE
CREATED OUR PROGRAMS AS DIRECTED
JOHNSON SAID TO REALLY ENSURE
THAT OUR SOCIAL SERVICES AND
HOUSING PROGRAMS ARE INTEGRATED.
AND ARE WORKING TOGETHER TO
SERVE SOME OF CALIFORNIA'S MOST
VULNERABLE RESIDENTS. WILL START
WITH A SHORT OVERVIEW OF AGE GAP
BUT I DO JUST WANT TO SAY THAT
THE AGENDA DID A GOOD JOB LAYING
OUT THE PIECES- THE MAJOR PIECES
OF THAT PROGRAM. BUT INSTEAD WAS
ESTABLISHED IN TWENTY SIXTEEN
WITH THE GOAL OF ASSISTING
PEOPLE EITHER EXPERIENCING
HOMELESSNESS OR AT RISK OF
HOMELESSNESS. LIKELY ELIGIBLE
FOR DISABILITY BENEFITS AND IT
PROVIDES BOTH HOUSING SUPPORTS
AND DISABILITY BENEFITS
ADVOCACY. AND IT HAS FOUR CORE
COMPONENTS INCLUDE OUTREACH CASE
MANAGEMENT BENEFITS ADVOCACY AND
HOUSING SUPPORT TO ELIGIBLE
INDIVIDUALS. BOTH THE BUDGET ACT
OF TWENTY TWENTY ONE AND THE
BUDGET ACT OF TWENTY TWENTY TWO
PROVIDED A HUNDRED AND SEVENTY
FIVE MILLION DOLLARS FOR EACH
JOB. TWENTY FIVE MILLION IN EACH
YEAR ON GOING AND A HUNDRED AND
FIFTY ONE TIME IN EACH YEAR ALL
RIGHT TO EXPAND THE PROGRAMS.
CDSS HAS ALREADY ISSUED AWARDS
FOR THE ONE TIME FUNDING IN BOTH
YEARS- RECENTLY AWARDED A
HUNDRED AND THIRTY THREE POINT
SEVENTY FIVE MILLION IN THE
MATCH EXEMPTS FUNDING TO FIFTY
SEVEN COUNTIES. AND TWO TRIBES
AND THAT REPRESENTS AN
ADDITIONAL FOURTEEN CAN'T
PROCESS OF HEATING UP COUNTIES-
AND THEN WE'RE IN THE PROCESS
OF. AWARDING THE TWENTY FIVE
MILLION IN MATCH- REQUIRED
FUNDS- THIS COMING SPRING FOR
THOSE COMMUNITIES. HOME SAFE- IS
A PROGRAM DIRECTED TO SERVE
PEOPLE WHO ARE CONNECTED TO OUR
ADULT PROTECTIVE SERVICES OR
APIS PROGRAM I'M THAT CAN AND
SHOULD INCLUDE PEOPLE WHO ARE
ALREADY CLIENTS OF APS OR ARE IN
THE PROCESS OF BEING INVOLVED IN
A PS OR FOR OUR TRIBAL MEMBERS.
WHO DO NOT ACTUALLY HAVE THE APS
SYSTEM THE SAME WAY THE COUNTIES
TO INSTEAD WHO APPEAR ELIGIBLE
AND OUR- IDENTIFIED BY THE
TRIBAL SOCIAL SERVICES AGENCY
SERVING- TO ALLEVIATE ELDER
ABUSE. I'M AGAIN THOSE ARE FOR
PEOPLE IN A PS WHO ARE
EXPERIENCING OR AT RISK OF
HOMELESSNESS FOR REASONS OF
ABUSE NEGLECT SELF NEGLECT OR
FINANCIAL EXPLOITATION. GRANTEES
OFF OPERATING OUR HOMESTAY
PROGRAMS UTILIZE A RANGE OF
STRATEGIES I WON'T NAME THEM ALL
BUT IT DOES INCLUDE HOMELESSNESS
PREVENTION AND HOUSING STABILITY
CASE MANAGEMENT FINANCIAL
ASSISTANCE LEGAL SERVICES AND
OTHER SERVICES THAT WILL HELP
ENSURE THAT SOMEONE. RECEIVES
THE WRAPAROUND THEY NEED TO STAY
SUCCESSFULLY HOUSE OR TO BE
RAPIDLY RE HOUSE. WE HAVE
AWARDED EXCUSE ME THE FIRST LET
ME JUST SAY THAT THE BUDGET OF
TWENTY TWENTY ONE AND TWENTY
TWENTY TWO BOTH YEARS
APPROPRIATED NINETY TWO POINT
FIVE MILLION DOLLARS IN MATCH
EXEMPT FUNDING. THAT'S AVAILABLE
OVER MULTIPLE YEARS CDSS HAS
AWARDED THOSE FUNDS- MOST
RECENTLY AWARDED EIGHTY TWO
POINT NINE MILLION DOLLARS TO
ALL FIFTY EIGHT COUNTIES. AND
FOR HOMES EVEN PARTICULAR THIS
REPRESENTS A VERY LARGE
EXPANSION PREVIOUSLY- WE HAD UP
LESS THAN THIRTY COUNTIES
PARTICIPATING AND NOW WE HAVE
ALL FIFTY EIGHT WHICH REPRESENTS
AN EXPANSION OF THIRTY THREE NEW
COUNTIES. I'M TO I WANT TO ALSO
TALK TO YOU ABOUT SORT OF HOW WE
IMPLEMENT THESE PROGRAMS- SO
COUNTIES- AND OTHER LOCAL
COMMUNITIES INCLUDING TRIBES ARE
CONTINUING TO RAMP UP AND
IMPLEMENT THESE PROGRAMS- TO
SCALE THEM TO MEET THE NEED-
INTERSERVE THE COMMUNITIES THAT
THEY'RE WORKING IN. WE'RE SEEING
THAT- COMMUNITIES ARE DOING A
GOOD JOB MOVING FORWARD- TO
IMPLEMENT THESE PROGRAMS BUT FOR
SOME COUNTIES THIS IS NEW AND IT
DOES TAKE TIME TO RAMP UP TO
STAFF UP. AND BE READY TO
PROVIDE THE FULL ARRAY OF
SERVICES SO WE GENERALLY SEE
THAT SIX TO EIGHTEEN MONTHS IS
NEEDED TO. IMPLEMENT AND EXPAND
PROGRAMS. TO SUPPORT THIS
EXPANSION AND GROWTH- CDSS IS
HOUSING AND HOMELESSNESS
DIVISION ALONG SIDE- CHANGE
WHILE THE PROJECT WE WILL HEAR
FROM IN A FEW MINUTES. IS
OFFERING ROBUST TA TO GRANTEES
ON A WIDE RANGE OF ISSUES- AND
ALL LET A CHANGE WILL SPEAK FOR
THEMSELVES IN TERMS OF THE
SERVICES THEY'RE PROVIDING. BUT
THEY BRING A LOT OF EXPERTISE
BOTH IN DISABILITY BENEFITS
ADVOCACY A TRIBAL OUT REACH OF
FAMILY SUPPORT RESOURCES AND
HOUSING AND HOMELESSNESS
PROGRAMS ALONG WITH LOCAL.
WORKING WITH LOCAL GOVERNMENTS.
I'M A COUPLE I WON ALSO. ON OUR
DATA OUTCOMES FOR- PEOPLE WHO
HAVE USED OUR PROGRAM SO FAR. H.
W. LAUNCHED IN TWENTY SEVEN.
EXCUSE ME TWENTY SEVENTEEN
EIGHTEEN- AND HAS ENROLLED MORE
THAN FIFTY FIVE HUNDRED
CALIFORNIANS AND HELPED
PERMANENTLY HOUSE MORE THAN
TWENTY EIGHT HUNDRED PEOPLE- WE
SEE THAT WE HAVE AN 80%
RETENTION RATE FOR THOSE SIX
MONTHS. AFTER EXITING THE
PROGRAM. IN OUR HOME SAFE
PROGRAM SINCE ITS INCEPTION IN
TWENTY EIGHTEEN WE HAVE ENROLLED
MORE THAN FIFTY SIX HUNDRED
CLIENTS AND PROVIDED MORE THAN
TWO THOUSAND INSTANCES OF
HOUSING RELATED FINANCIAL
ASSISTANCE- AND WE SEE AN 85%
RETENTION RATE. SIX MONTHS AFTER
EXITING THE PROGRAM. AN INNER
EDGED OUT PROGRAM WE ALSO SEE
SUCCESSFUL OUTCOMES IN OUR
DISABILITY ADVOCACY- CURRENTLY
WE SEE A 78% APPROVAL RATE FOR
ARE DISPOSED DISABILITY BENEFITS
APPLICATIONS. AND I KNOW WAS-
BUT AN INTEREST THAT WE HAVE. A
NUMBER OF YEARS THAT IT TAKES
FOR SOME BENEFIT APPLICATIONS TO
GO THROUGH BECAUSE SOMETIMES
PEOPLE ARE PROVED AT INITIAL
APPLICATION BUT SOMETIMES THEY
NEED TO GO THROUGH A
REDETERMINATION PROCESS OR AN
APPEAL IT'S GOT CONSERVE PEOPLE
THROUGH THE LIFE OF THEIR
DISABILITY CASE BUT THAT DOES
MEAN WE DON'T ALWAYS HEAR
DISPOSED OUTCOMES VERY QUICKLY
BECAUSE IT DOES TAKE TIME. TO GO
THROUGH THE FULL PROCESS. SO
WE'RE EXCITED THAT THIS
DISABILITY ADVOCACY HAS RESULTED
IN- VERY HIGH RATES OF APPROVAL
MUCH HIGHER THAN THE TYPICAL
RATE FOR ALL BENEFICIARIES WHICH
IN CALIFORNIA IS THIRTY NINE
PERCENT. AND FOR THOSE
EXPERIENCING HOMELESSNESS THE
ESTIMATE IS THAT THEY GENERALLY
HAVE A 10215% INITIAL
APPLICATION APPROVAL RATE SO I
JUST MENTION THAT TO HIGHLIGHT
THE IMPORTANCE OF THE DISABILITY
BENEFITS ADVOCACY- NOW I'D LIKE
TO TURN TO OUR COMMUNITY CARE
EXPANSION PROGRAM. WHICH IS
REALLY NEW EXCITING PROGRAM THAT
WE'VE BEEN ADMINISTERING SINCE
IT WAS PASSED IN TWENTY TWENTY
ONE THROUGH THE BUDGET. I
COMMUNICATE EXPANSION IS A STATE
WIDE INVESTMENT IN
INFRASTRUCTURE FUNDING TO
ADDRESS HOMELESSNESS SUPPORT
HEALTHCARE DELIVERY REFORM
INSTRUCTION. TO MEET
STRENGTHENED THE SOCIAL SAFETY
NET. IT ALLOWS FOR THE
ACQUISITION CONSTRUCTION AND
REHABILITATION TO PRESERVE AND
EXPAND. ADULT AND SENIOR CARE
FACILITIES AND OTHER RESIDENTIAL
SETTINGS THAT SERVE AS A SIGN S.
S. P. N. THE CASH ASSISTANCE
PROGRAM FOR IMMIGRANTS CAPPY. UP
BOTH APPLICANTS AND RECIPIENTS
WERE EXPERIENCING OR AT RISK OF
HOMELESSNESS- WE ALSO HAVE A
PRESERVATION COMPONENT TO THIS
PROGRAM. WHICH ALLOWS US TO HELP
PRESERVE CURRENTLY OPERATING
RESIDENTIAL CARE SETTINGS BY
ALLOWING THEM TO DRIVE DOWN
OPERATING SUBSIDIES AND THAT IS
ALSO FOR THE SAME TARGET AS A
SIDE S. S. B. CAAPI POPULATION.
THE TWENTY ONE BUDGET
APPROPRIATED EIGHT HUNDRED AND
FIVE MILLION DOLLARS IN FUNDING
FOR THE C. C. EXPANSION AND
PRESERVATION PROGRAMS. AND THE
TWENTY TWENTY TO BUDGET
APPROPRIATED AN ADDITIONAL FIFTY
FIVE MILLION TO FUND
SPECIFICALLY THOSE OPERATING
SUBSIDIES TO PRESERVE LICENSE
FACILITIES. I'M INVESTING IN THE
SETTINGS WILL HELP ENSURE THAT
AS A SITE AND S. S. P. AND CAPPY
APPLICANTS OR RECIPIENTS WHO
NEED PERSONAL AND SUPPORTIVE
SERVICES WILL HAVE ACCESS TO
HOUSING OPTIONS THAT MEET THEIR
NEEDS AND WILL PROVIDE PREVENT
HOMELESSNESS FROM FORM- FROM IF
YOU MAY PREVENT HOMELESSNESS-
TO. MISPRINT HUBER AND DIRECTOR
JOHNSON'S POINT THIS REALLY IS
INTEGRAL TO WE SEE TO. MAKING
SURE WE HAVE A STRONG CONTINUUM
OF CARE TO PROVIDE HOUSING
OPTIONS FOR PEOPLE WHO ARE OLDER
AND HAVE DISABILITIES AND ALIGNS
WITH OUR MASTER PLAN FOR AGING
GOALS BOTH OF ENDING OLDER ADULT
HOMELESSNESS AND OF MAKING SURE
WE HAVE AFFORDABLE APPROPRIATE
OPTION AT ALL AGES AND STAGES- A
TOTAL. FIVE HUNDRED AND SEVENTY
MILLION DOLLARS HAVE BEEN MADE
AVAILABLE THROUGH THE SEC
EXPANSION FUNDING THROUGH A
JOINT RFA- THAT WAS DONE
ALONGSIDE THE DEPARTMENT OF
HEALTH CARE SERVICES. AND THERE
BEHAVIORAL HEALTH INFRASTRUCTURE
CONTINUING PROJECT BE CHIP- WE
ARE CURRENTLY CONTINUING TO
REVIEW APPLICATIONS WHICH ARE
ACCEPTED ON A ROLLING BASIS. AND
APPLICATIONS FOR THE EXPANSION
CAN BE PROVIDED WITH A
CAPITALIZED OPERATING SUBSIDY
RESERVE OR CLOSER. AND THAT CAN
BE AWARDED FOR UP TO FIVE YEARS
AND THAT'S TO BASICALLY. OF BEDS
IN UNITS THAT WE HAVE THAT WE'RE
MAKING SURE THAT THEY'RE
OPERATING IN A STABLE
ENVIRONMENT ABLE TO BE FISCALLY
SOUND. I'M AS OF FEBRUARY TWENTY
TWENTY THREE CDSS HAS AWARDED A
TOTAL OF TWO HUNDRED AND SEVEN
MILLION DOLLARS TO THE C. C.
CAPITAL EXPANSION FOR THIRTY TWO
DIFFERENT PROJECTS. AND WE HAVE
A C. C. E. AWARDS DASHBOARD
WHICH SPECIFICALLY HIGHLIGHTS
THAT PROJECTS THAT WE HAVE
AWARDED SO FAR. WE ARE
CONTINUING TO REVIEW
APPLICATIONS AND WILL CONTINUE
TO DO UP ANNOUNCED AWARDS ON A
ROLLING BASIS. ADDITIONALLY IN
JUNE OF TWENTY TWENTY TWO WE
RELEASED A NOTICE OF FUNDING
AVAILABILITY. FOR THE
PRESERVATION PORTION OF THE C.
C. PROGRAM. IN RESPONSE THIRTY
FIVE COUNTIES ACCEPTED MORE THAN
ONE HUNDRED AND EIGHTY SIX
MILLION DOLLARS IN NON
COMPETITIVE ALLOCATIONS. A WE DO
ALSO POSTED THAT AWARD
INFORMATION ON OUR BUILDING CAL
HHS WEBSITE. I'M AND I'LL MAKE
SURE YOU HAVE THE LINKS FOR ALL
THESE UP AWARDS DASHBOARD SO
THAT YOU CAN LOOK AND SEE WHERE
WE'RE- PROVIDING THE-
ALLOCATIONS. WE WILL- EXCUSE ME
OUR COUNTIES HAVE SUBMITTED
THEIR PRESERVATION PLANS TO US
IN JANUARY WE ARE IN THE PROCESS
OF REVIEWING THEM. AND EXPECT
PROGRAMS TO START STANDING UP AS
EARLY AS LATER THIS SPRING BUT
THEY WILL BE STOOD UP BY
COUNTIES ON A ROLLING BASIS TO
HELP. PRESERVE THOSE FACILITIES
THAT ARE AT RISK OF CLOSURE IN
THEIR COMMUNITIES AND AGAIN
THOSE ARE. FACILITIES THAT ARE
SPECIFICALLY SERVING AS A SIDE
S. AS PURE CAPPY RECIPIENTS. IN
ADDITION TO THE ONE HUNDRED
EIGHTY SIX MILLION DOLLARS
AWARDED WE HAVE ALSO PUT OUT THE
LETTER NOTIFYING COUNTIES OF THE
ADDITIONAL FIFTY FIVE MILLION
DOLLARS THAT WAS MADE AVAILABLE
IN THE BUDGET ACT OF TWENTY
TWENTY TWO. AND WE ARE CURRENTLY
REVIEWING RESPONSES- AND WE
EXPECT AN AWARD LETTER TO BE
RELEASED LATER THIS SPRING- TWO
LAST THINGS I JUST WANT TO
HIGHLIGHT I WAS ASKED TO
CIVICALLY ABOUT PROGRAM BARRIERS
AND OBSTACLES. I THINK THEY'RE
JUST A COUPLE I WANT TO
HIGHLIGHT I'M AND I KNOW YOU'VE
ALL HEARD THIS IN ALL OF YOUR
OTHER HOUSING AND HOMELESSNESS
HEARINGS BUT OBVIOUSLY SOME OF
THE BIGGEST BARRIERS ARE JUST A
LACK OF SAFE. AND AFFORDABLE
PERMANENT HOUSING IN
COMMUNITIES- WE ARE GLAD THAT CC
IS HELPING TO ADDRESS THE
INFRASTRUCTURE SIDE OF THAT. BUT
ON OUR HOME SAFE AN AGE GAP WE
ARE ALSO TRYING TO MITIGATE THAT
BY USING EVIDENCE BASED RAPID RE
HOUSING AND PREVENTION MODELS-
AND ALWAYS WITH A HOUSING FIRST
APPROACH- AND WE CAN ALSO
PROVIDE FINANCIAL ASSISTANCE AND
OTHER PIECES TO HELP STABILIZE
PEOPLE AND HOUSING. AND HELP.
CREATE THE TRANSITION INTO
PERMANENT HOUSING. WE HAVE ALSO
SEEN THAT FOR LOCAL STAFF AND
YOU MAY HEAR ABOUT THIS FROM
OTHER PANELISTS. THAT WE DO
HAVE. A LOT OF PEOPLE WHO ARE
NEW TO THE HOUSING AND
HOMELESSNESS SPACE WITHIN THE
SOCIAL SERVICES SPACE. SO THESE
ARE TO SORT OF HUGE YOU KNOW
PROGRAMMATIC AREAS THAT- ARE
WORKING TOGETHER A MORE AND MORE
AS THE HOMELESSNESS CRISIS. HAS
DEEPENED UP BUT FOR MANY
COUNTIES HAVING THIS CROSS
CUTTING WORK IS NEW AND THEY ARE
WORKING TO STAND UP- PROGRAMS
AND TO MAKE SURE THAT THEY ARE.
WORKING AT. A AT CONNECTED AND
IN COLLABORATIVE WAYS. AND RTA
THROUGH CHANGE WHAT CAN ALSO
HELP SUPPORT- THE COUNTIES TO
MAKE SURE THAT THEY HAVE GOOD.
RELATIONSHIPS BETWEEN THEIR
HOUSING AND SOCIAL SERVICES
PROGRAMS. I'M FINALLY WE'VE ALSO
SEEN THAT THERE IS A LACK OF
DATA. IN THE HOUSING AND
HOMELESSNESS SPACE AND AGAIN I
KNOW YOU'VE HEARD ABOUT THIS
BUT- PITCH COUNTS AND POINT TIME
COUNTS LIKE. ARE NOT- ALWAYS A
REPRESENTATIVE OF THE TRUE FACE
OF HOMELESSNESS AND DO NOT
ALWAYS CAPTURE EVERYONE. AND
HOMELESSNESS DATA HAS GENERALLY
BEEN HIGHLY DE CENTRALIZED. SO
WITH THE ESTABLISHMENT OF OUR
HOMELESS DATA INTEGRATION SYSTEM
H. D. I. S. WE ARE SEEING THE
OPPORTUNITY TO LEARN MORE ABOUT
WHAT HOMELESSNESS LOOKS LIKE IN
OUR STATE IN A MORE- OVER
ARCHING FASHION AND TO.
UNDERSTAND WHERE WE CAN TARGET
AND LOOK TO BUILD ON THE
SUCCESSES WE'VE HAD. I'M I JUST
WANT TO N. WITH A SUCCESSFUL
FROM ONE OF OUR GRANTEES- AND I
WANT TO SHARE THEIR STORY SO
THIS IS FROM SANTA CRUZ COUNTY.
A CLIENT IN SANTA CRUZ COUNTY
WAS EIGHTY THREE YEARS OLD
HOMELESS AND LIVING IN HER CAR
WITH HER DAUGHTER WHEN SHE WAS
REFERRED HOME SAFE. SHE WAS
SUFFERING SEVERE MEDICAL
CONSEQUENCES EVER HOMELESSNESS.
INCLUDING FREQUENT HOSPITAL
EMERGENCY ROOM VISITS DUE TO
INFECTIONS LACK OF MEDICATION
AND UNTREATED WOUNDS. THE CLIENT
ALONG WITH HER ADULT DAUGHTER
HAD BEEN EXPERIENCING
HOMELESSNESS FOR TWO YEARS.
ADULT PROTECTIVE SERVICES AND
HOME SAFE COMPLETED A THOROUGH
ASSESSMENT OF THE CLIENT'S NEEDS
AND RISKS INCLUDING FAMILY
DYNAMICS ENGAGED HER AND HEARD
ENGAGED HER AND HER DAUGHTER AND
DEVELOPING. A LONG TERM HOUSING
NAVIGATION PLAN. WITH HOME SAFE
SUPPORT THE CLIENT MOVED INTO
PERMANENT HOUSING IN DECEMBER OF
TWENTY NINETEEN. WHERE SHE AND
HER FAMILY. HOSTED THEIR FIRST
CHRISTMAS GATHERING IN THE
YEARS. AS OF NOVEMBER TWENTY
TWENTY TWO SHE AND HER DAUGHTER
CONTINUE TO BE SAFELY AND
INDEPENDENTLY HOUSE IN THIS
UNIT. THE CLIENTS HELP IS
GREATLY IMPROVED AND HER
RELIANCE ON EMERGENCY MEDICAL
SERVICES IS GREATLY REDUCED- SO
WE'RE EXCITED THAT THIS OUR
PROGRAMS ARE HAVING THESE
IMPACTS AND WE LOOK FORWARD TO
CONTINUING THESE IMPACTS. AS THE
MONEY CONTINUES TO ROLL AND WE
SEE OUR MULTI YEAR EFFORTS BEAR
THEIR FRUIT. AND THAT CONCLUDES
MY PRESENTATION HAPPY TO TAKE
QUESTIONS AT THE END. THANK YOU
SO MUCH- FOR THE ROBUST-
BACKGROUND WE'RE GOING TO MOVE
ON TO OUR OUR PANELISTS VIEWS
ZOOM REPRESENTING SAN FRANCISCO
HUMAN SERVICES AGENCY TRENT.
ROLE FOR YOUR ALL RIGHT. GOOD
MORNING. MORNING GOT COMMITTEE
CHAIR AND THAT MEMBERS I'M-
TRUCK ROARING THE EXECUTIVE
DIRECTOR OF THE HUMAN SERVICES
AGENCY IN SAN FRANCISCO. I
REALLY APPRECIATE THE
OPPORTUNITY THIS MORNING TO
SHARE SAN FRANCISCO'S EXPERIENCE
IN IMPLEMENTING THE HOUSING
DISABILITY ASSISTANCE PROGRAM
ARE AGED. AND ALSO HOME STATE.
FIRST WE TALK ABOUT. HOW EACH
STEP. WORKS IN SAN FRANCISCO. OR
AGENCY HAS LONG HAD AS I
ADVOCACY PROGRAM FOR DISABLED
CLIENTS THAT THE BED IN OUR
GENERAL ASSISTANCE PROGRAM.
WE'VE SEEN THROUGH THE YEARS
THAT THE APPROVAL RATE FOR
HOMELESS CLIENTS WAS MUCH LOWER
THAN FOR THOSE WERE HOUSED. YES
THIS APPLICATION PROCESS AS YOU
KNOW IT'S DIFFICULT IT'S PAPER
INTENSIVE REQUIRES A LOT OF
APPOINT APPOINTMENTS
DOCUMENTATION AND IT'S MUCH
HARDER FOR SOMEONE. WITHOUT A
PLACE TO LIVE TO MANAGE ALL THAT
EVEN WITH THE S. IS THE DATA SSI
ADVOCACY OF STAFF WE PROVIDE. SO
WE REALLY NEED A STEP. AS A
GREAT OPPORTUNITY FOR FUNDING TO
PROVIDE OUTREACH. CLIENT
ENGAGEMENT CASE MANAGEMENT SSI
LEGAL SERVICES AND AG ADVOCACY
SERVICES AND. OF COURSE
TEMPORARY OR PERMANENT HOUSING-
THE OUTLOOK PROCESS IS GOING TO
PROVIDE EASE PATH. IT INCREASED
LIKELIHOOD THAT- YOU DISABLED
HOMELESS ADULTS GET APPROVED FOR
SSI. WITHOUT SO THERE TO PASS IT
AND IN THE A STEP PROGRAM IN SAN
FRANCISCO IS THE TRADITIONAL
PASSED OUR GENERAL ASSISTANCE
PROGRAM WHERE. APPLICANTS FOR
GENERAL IS ARE ASSESSED FOR
DISABILITY AND HOMELESS
APPLICANTS WITH WITH HIGH NEEDS
ARE REFERRED. TO THE AGE TAPPED
A TEAM. CAN PASS IT WAS REALLY A
FONG OF OUR BY OF THE- FUNDING
IS A THROUGH A ROVING BONTA
COULDN'T TEAM. IS COMPRISED OF
SOCIAL- ARE DEPARTMENT HELD
WORKERS ARE STAFF FROM THEIR
LEGAL AID I DO OUT. INTO OUR-
NOT SHELTER HOTEL. WE DID THIS.
WITH BROAD ROUTE IN RUBIO. IF
YOU ARE CALLING HOMELESS. AND OF
AND EVEN ON THE STE. SO THE
ROVING MDGS OFFICE DISCOURAGING
CONDUCT- THE JUST ASSESSOR AND
ENROLLMENT IN THE STEP. WHICH
TRIGGER THE S. IS AB. PROCESS
BUT ALSO FACILITATES. IN OTHERS
. SO THE BENEFIT PRO THAT WE- AN
HSA. INCLUDING GENERAL. CAO FOR
MEDI CAL. AND I JUST IF THEY
HAVE TO BE AND HOW MUCH. AND
THEN THIS TEMA HAS- PLACE. IN A
TEMPER OR FROM HOUSING. OUR
OUTCOMES- STUFF HAVE BEEN OF.
WE'VE HAD A ROLE OUT FOR HUNDRED
PEOPLE H. STEP SO FAR TWO
HUNDRED THIRTY THREE OF THEM
WERE 61% OF THE PERMANENTLY
HOUSED. MANNING ARE ARE
TEMPORARILY HOUSED- WHILE
THEY'RE STILL IN THE PROCESS THE
APPLICATION PROCESS OR THE
APPEAL PROCESS FOR US INSIDE. WE
HAD A 31% APPROVAL RATE SO FAR
AND WHILE THAT SCENE SOUNDS LOW
38% OF CLIENTS ARE STILL HAVE
THEIR APPLICATIONS PENDING AND
I'M GONNA TOUCH ON THAT IN A
MOMENT. WE ONLY HAD TWO PERCENT-
DENIED ONCE THEY COMPLETED THE
APPEAL PROCESS. SO OUR REGIONAL
A STEP FUNDING WE'RE ONE OF THE
INITIAL GRANTEES IN TWO THOUSAND
NINETEEN WAS ABOUT ONE POINT ONE
MILLION A YEAR THE INCREASE
FUNDING. HAS ALLOWED US TO
ALMOST TRIPLE. RECEIVING THREE
TIMES AS MUCH MONEY THREE AND A
HALF MILLION DOLLARS CURRENTLY
IN THIS INCREASE FUNDING. ENABLE
US TO LAUNCH THE MDGS THE MULTI
DISCIPLINARY TEAMS THAT I TALK
ABOUT WE COULD NOT DO THAT STAFF
INTENSIVE. SERVICE WORK WITH
JUST THE INITIAL GRANT. WE'VE
BEEN ROLLED ADDITIONAL HUNDRED
SEVENTY FIVE CLIENTS ENGAGED OUT
AND THEY WOULD NOT OF THAT
SERVES TO THAT BASELINE BROWN.
AND THEN REALLY IMPORTANTLY
WE'RE ABLE TO FIND OLD LEGAL
SERVICES VERSUS JUST AS I HAVE A
CONCEALER WHICH ALLOWS. EACH
STEP CLIENTS TO CONTINUE THE
APPEAL PROCESS WILL PASS INITIAL
DIAL ALL THE WAY THROUGH CONCERT
RECONSIDERATION. THROUGH A
HEARING WITH THE ADMINISTRATIVE
LAW JUDGE. EVEN TAKING CASES TO
CIVIL COURT. WE HAVE. FACED
SEVERAL CHALLENGES THAT ARE THAT
I WANT TO TOUCH ON IN AGE GAP.
ONE OF THEM IS OUT OF OUR
CONTROL IT'S- STAFFING. AT THE
FEDERAL SOCIAL SECURITY OFFICES.
AS WELL AS THE STATE DISABILITY
HEARING OFFICES WHICH LEADS TO
REALLY LONG PROCESSING TIMES FOR
APPLICANTS. AND FOUR APPEALS TO
THE AVERAGE SSI APPLICATION FOR
A STEP CLIENT CHECKS NOW
EIGHTEEN MONTHS TO RESOLVE WHICH
IS. ALMOST TWICE THE AMOUNT OF
TIME IT TOOK PRIOR TO THE
PANDEMIC IN SOME CASES. EVEN
TAKE UP TO THREE TO FOUR YEARS.
ON HOUSING OF COURSE IS A
CHALLENGE THE- STAFF FROM DSS
MENTION APPLE SAN FRANCISCO
WE'RE FORTUNATE TO HAVE A LARGE
AMOUNT OF LOCAL DOLLARS
DEDICATED TO PERMANENT
SUPPORTIVE HOUSING. THEY'RE
FULLY WILL TRANSITION CLIENTS
OFF THE AGE GAP FUNDED HOUSING
SUBSIDY INTO PERMANENT HOUSING.
BUT AS I ASSIST P. ALONE CANNOT
SUPPORT RENTED LIVING EXPENSES
IN A LARGE PORTION OF THE STATE
AS YOU KNOW AND SO A STEP REALLY
NEEDS TO CONSIDER. WHETHER I'M
FUNDING. AFTER SAG CATION COULD
BE PROVIDED FOR PERMANENT
HOUSING SUBSIDIES EVEN AFTER
SOMEONE TALKS ASIDE. THE OTHER
CHALLENGES THE RESOURCE
INTENSIVE NATURE OF THIS WORK
THE PROGRAM HAS HAD REALLY
REALLY GOOD SUCCESS IN PLACING A
STEP CLIENTS OF HOUSING AND
GETTING ON SSI. BUT NOW WITH THE
NAVIGATION PROCESS CAN BE
EXTREMELY TIME CONSUMING-
CLIENTS ARE OLDER CLIENTS ARE
EXPERIENCING DISABILITIES LIVE
AND HEALTH. ISSUES SO USING A
STEP TO PAY ONLY FOR ATTORNEYS
AND THE SUBSIDIES BUT ALSO
SOCIAL WORKERS YOU CAN DEVELOP.
THESE RELATIONSHIPS AND MAINTAIN
MAINTAIN THIS SORT OF TRUSTING
INTERACTIONS WITH CLIENTS AND
SUPPORT THEM DURING THE LONG SSI
PROCESS AND IT'S REALLY BEEN A
KEY. TO THE PROGRAM'S SUCCESS.
AND THE OTHER THE OTHER YOU'LL
FRANKLY IS UNCERTAIN FUTURE WILL
. OPERATING THIS. WITH ONE
DOLLAR. THANKS BYE. AT THE END
OF THE FISCAL YEAR TWENTY FOUR.
GIVEN HOW LONG YES IT'S
APPLICATION PROCESS TAKES. AS I
MENTIONED RESOURCE INTENSIVE
NATURE OF THE WORK AND THE
RELIANCE ON THE ON GOING HOUSING
SUBSIDIES DURING THE PROCESS.
THE FUNDING CLIFF IS REALLY
GOING TO FORCE US TO BEGIN TO
REDUCE OUR REQUIREMENTS SO THAT
WE ENSURE WE'RE NOT IN A
SITUATION WHERE. WE A LOT OF
PEOPLE STILL ON THE PROGRAM AND-
FUNDING RESOURCES TO SUPPORT
THEM. LET ME SHIFT GEARS OKAY TO
HOME SAFE. HOME SAFE PROVIDES
HOMELESSNESS PREVENTION SERVICES
FOR ADULT PROTECTIVE SERVICES
CLIENTS WHO ARE CURRENTLY HOUSE
BUT WHO ARE AT RISK CONVICTION
OR OTHERWISE LOSING THEIR
HOUSING. HOMES IT ALSO PROVIDES
HOUSING TRANSITION SERVICES FOR
APS CLIENTS WHO ARE EXPERIENCING
HOMELESSNESS OR HOMELESS
SHELTERS. AND WE USE THAT THE
HOME SAFE FUNDING AND STAFF TO.
PROVIDE THEM A PLACE IN JUST
INTO A PERMANENT HOUSING. SO
JOSE PROVIDE ALL CLIENTS TO THE
TRADITIONAL BRIDGE SERVICES
THROUGH APIS- TO RESOLVE
MITIGATE THEIR THE RESTORE
SAFETY BUT ALSO. THROUGH HOME
SAFE. THE PROVIDES HOUSING
RELATED INTENSIVE CASE
MANAGEMENT FOR CLIENTS WHO ARE
AT RISK OF HOMELESSNESS THINGS
LIKE. SHORT TERM FINANCIAL
ASSISTANCE PAYMENT OF BACK RENT
AND UTILITY BILLS. PURCHASING
SERVICES LIKE PEST ABATEMENT OR
HEAVY CLEANING FOR HER. ORDERS
HOLDERS. AND I CONNECTION LEGAL
ASSISTANCE FOR EVICTION
PREVENTION AND ABELARD.
MEDIATION THE CARD EXPERIENCING
HOME. I'M SAFE THIS EPISODE. THE
TRANSITION PERMANENT FROM
SHELTERS THROUGH. A CASE
MANAGEMENT BILLS WELL AS AS
SUBSIDY PATCHES. AND I'M FOR
CLIENTS WHO. ARE UNABLE TO LIVE
INDEPENDENTLY EVEN WITH OUR
HOMESTAY SERVICES. THE HOUSING
PROGRAM PROVIDES PLACEMENT INTO
ASSISTED LIVING OR CHORE HIGHER
LEVELS OF CARE. I WOULD PROVIDE
RENTAL PATCHES FOR RESIDENTIAL
CARE FACILITIES- AND ALSO HELP
CLIENTS AN AUTOMATIC CALLUSES
INCLUDING WEBER REALLY TO ENSURE
A SHORT LONG TERM SUCCESS. SURE
A STEP OUT THAT HAVE BEEN
IMPRESSIVE- IN THE SHORT TERM
BEEN RUNNING THE WE SERVE TO
EIGHT- EIGHT CLIENTS. NINETY TWO
OF WHOM STILL ACT. WHAT ABOUT
SIXTY PEOPLE THE CASE WERE CLOSE
90% OF THAT- WERE STABLY HOUSED
WOULD BE CLOSE THE CASE SO WE
THE RETAINER HOUSING. OTHER
EXISTING HOUSING. OR FACILITY
TRANSITION TO A HIGHER LEVEL OF
CARE. FROM THE FUNDING. WE WENT
FROM NINE HUNDRED FIFTY THOUSAND
DOLLARS. JUDICIAL GRANTS TO NOW
OVER TWO POINT TWO MILLION UP
SURE MORE CLIENTS OF COURSE WE
MORE THAN DOUBLED OUR CASE LOADS
FROM ONE HUNDRED AND THIRTY
CLIENTS- AT ANY GIVEN TIME NOW-
WE EXPANDED OUR PROGRAM STAFFING
ADDITIONAL CASE MANAGERS- TO
PROVIDE DIRECT SERVICES TO
CLIENTS- AND THEN THEN THE NEW
STAFF. ALLOWED THIS NEW SERVICE
MODEL WHERE WE ARE WORKING WITH
APS HIDES IN A HOMELESS SHELTER
SYSTEMS AND WORKING TO
TRANSITION INTO PERMANENT
HOUSING IT'S NOT JUST. APS
CLIENTS. WHO HAVE. A PLACE TO
LIVE. THE CHALLENGE- SIMILAR A
STEP KNOW THE DID THE CLIENTS IN
APIA- ARE REQUIRED A TREMENDOUS
AMOUNT OF RE- INTO CASE
MANAGEMENT FOR ON HOMES CLIENTS
CAN. CAN LAST AS LONG AS SEVEN
TO NINE MONTHS. HOW DO TYPICAL
APS CASE WOULD BE- OPEN FOR OUR
OF FORTY SIX WEEK. SO CLEARLY
CONCEDE THAT WE NAY IT CANCER
RESEARCH. RESOURCES THEY HAVE.
TO OF THIS LOCAL WITH SOME ARE A
OUT THE UNCERTAIN. FUTURE IS
GOING TO FORCE US TO Y. DOWN THE
SERVICES AGAIN SOON ENOUGH
CLIENTS ACTIVE IN THE PROGRAM
AND THE RESOURCES TO SUPPORT
THAT. ANYTHING GIVEN THE SUCCESS
OF OUR OF AGE GAP AS WELL AS
HOME SAFE IT'S OBVIOUSLY.
SOMETHING THAT WE WANT TO BE
FORCED TO DO- THIS CONCLUDES OUR
OF COURSE WILL BE FOR A
QUESTIONS. THANKS I THINK IT'S
MUCH FRONT MOVING ONTO ANOTHER
PARTICIPANT ON BE ASSUME A
LITTLE MORE DEAL FROM KERN
COUNTY HUMAN SERVICES DEPARTMENT
. GOOD MORNING COMMITTEE CHAIR
AND COMMITTEE MEMBERS- LEADS
OVERALL DIRECTOR OF THREE COUNTY
HUMAN SERVICES THANK YOU FOR
THIS OPPORTUNITY. TO SHARE OUR
CARS EXPERIENCES AS IT RELATES
TO H. STAFF HOME SAFE AND CC. I
KNOW YOU PROGRESSIVE PANEL
MEMBERS THE BEST A LOT OF.
STATISTICS AS WELL AS- THE
PROGRAM OVERVIEW OF KIND OF GIVE
YOU A LITTLE BIT MORE CLOSER-
INFORMATION RELATED TO THESE
PROGRAMS. AND HOW IT'S IMPACTING
OUR- BASED ON THE TWENTY TWENTY
TWO. POINT TIME CAO. CARDS
HOMELESS POPULATION ABOUT LOWER
SIXTEEN HUNDRED. UNLIKE MANY
OTHER COUNTY. AT THAT STAGE
CURRENCY TO STRUGGLE WITH ON THE
SPOT. YEAH I'M FAMILIAR FACT
INCLUDE BIRTH FORM I WAS BLACK
OR HOUSING. I COULD BE RELATED
JOB LOSS. THE VIOLENCE PHYSICAL
DISABILITIES MENTAL HEALTH
SUBSTANCE ABUSE DISORDERS. THIS
OBVIOUSLY GETS ME EXACERBATED AS
WE'RE TALKING ABOUT OLDER ADULTS
OR INDIVIDUALS DISABILITY. ONLY
BECAUSE OF THE CHALLENGES THAT
ARE UNIQUE TO THEM SPECIFICALLY.
ALTHOUGH THE HOMELESS
POPULATIONS CHALLENGE WERE
FORTUNATE THAT WE HAVE THE TOOLS
LIKE. H. STAFF HOME SAFE AND C.
C. L. IT'S SAFE TO SAY THAT
WITHOUT THESE PROGRAMS KERN
HOMES POPULATION WOULD
DEFINITELY BE SIGNIFICANTLY
HIGHER- PRIOR TO HAVING THESE
PROGRAMS IN PLACE ARE IN BIG.
BILLS IN OLDER ADULTS THAT WERE
STRUGGLING WITH HOMELESSNESS.
LARGELY WENT UNNOTICED AND
UNSERVED WHICH IS REALLY COUNTER
INTUITIVE WHEN YOU THINK ABOUT
THE DEMOGRAPHICS. WHICH SHOWED
THE LARGEST GROWING POPULATION
OF OUR HOMELESS IS REALLY OLDER
ADULTS AND THOSE WITH
DISABILITIES. I'M GONNA KIND OF
GO OVER. THE PROGRAMS-
INDIVIDUALLY AND ITS. IMPACT
KERN SPECIFICALLY. SO START WITH
H. HOW THIS BILL IN A PROGRAM.
OBVIOUSLY DESIGN TO HELP IN THE
- UP BY FOR JUST THE BENEFITS
WHY ALSO TO PROVIDE. A HOUSING
SUPPORT. AS FOR KERN WE ARE
EIGHT STEP PROGRAM I. OUTREACH
CASE MANAGEMENT BENEFITS
ADVOCACY AND HOUSING SUPPORTS TO
ALL PROGRAM PARTICIPANTS.
CURRENTLY WE HAVE ABOUT FIFTY
EIGHT ACTIVE PARTICIPANTS IN THE
PROGRAM THE MAJORITY ACTUALLY
PLACED AN ARMED HOUSING ABOUT
FORTY. WHILE THE OTHERS ARE IN
JEOPARDY HOUSING. THAT WILL HELP
IN THE TRANSITION FROM HOUSING
COMING YEAR. AS WE ESTABLISHED A
HOUSING WHETHER BE TEMPORARY
APARTMENT WERE ALSO WORKING WITH
THEM AS FAR AS- ADVOCACY IN
TERMS OF GETTING THEM. APPLIED
FOR AND HOPEFULLY APPROVED FOR
BENEFITS. SUCH AS SSI OR SEVERE
DISABILITY OR A CAT B. OR
VETERANS DISABILITY ASSISTANCE.
WE'RE ALSO WERE WITH THEM ON-
ESTABLISHING THESE BENEFITS
REALLY JUST HELP THEM WITH THEIR
HOUSING GOING FORWARD SO IS WERE
PROVIDING THE STAFF ARE IN
TEMPORARY HOUSING. IN THE END
DRUM WE'RE LOOKING AT THESE
BENEFITS THAT HOPE MAKING
SUSTAINABLE GOING FORWARD AFTER
OUR BENEFITS OUT FOR THEM THE
GUY STATE STAFF. TO GET ONTO THE
AGE THAT PROGRAM KERN. THEY ALL
HAVE TO DO IS REALLY CONTACT OR
TWO ON ONE LINE AND THAT
REFERRAL PROCESS WILL START WITH
THEM THAT WAY. WE HAVE NEED
ENTRY ARE GROUPS THAT ARE
AVAILABLE. THAT CAN ALSO TAKE
REFERRALS AND THEN OUR UNION
SERVICES DEPARTMENT. WE HAVE A
HOUSING UNIT ASSEMBLY. GEARED
TOWARDS AND FOCUSED ON- HOME
SYSTEMS FOR OUR CLIENTS-
ASSESSMENT IS COMPLETED ON A
STEP BUT JUST THEN AND THEN-
THAT BUT THERE'S BEEN WILL THEN
ALSO NOT ONLY GET. HELP WITH
HOUSING NAVIGATION HOPES TO FIND
OUT AMERICAN FORTY HOUSING BUT
ALSO AGAIN GET THAT THIS BILL
THE ADVOCATE HELP THEM I FOR THE
BENEFITS. THEY MAY BE ENTITLED
TO- HOUSING ASSISTANCE IS
AVAILABLE TO OBVIOUSLY STEP
DISPENSED. IN THERE UNTIL THEIR
DISABILITY CAN BE ESTABLISHED.
BUT AS THE PREVIOUS SPEAKERS
HAVE SPOKEN TO- IT'S REALLY
TAKEN CLOSE TO ONE TO TWO YEARS
TO GET. THEIR ELIGIBILITY
DETERMINATION GROUP WHICH
OBVIOUSLY EXTENDS THE COST UP
FOR EACH OF THE PARTICIPANTS IN
TERMS OF OVERALL COST. PER
PARTICIPANT AND PROGRAM. I'VE
SEEN SOME. LAST THREE BEFORE
JUST JUMPING CAN. BE DETERRED.
L. WHICH REALLY IS WANTED TO
CHAT WITH REGARDS THAT H. PRO.
OF I DID WANNA KIND OF SHARED
WHICH STORY- WITH REGARDS TO AGE
THAT IN IT'S AN- ONE. NEW THEY
THAT YOU SHOULD REALLY CAME TO
MIND I WAS I TOLD PEOPLE'S- THAT
THE PERSON I GONNA SPEAK AT A
MEDICAL HER BETTY. SHE WAS
DIAGNOSED AS SUFFERING A REAL
SEVERE MAY ILLNESS- SHE WENT ON
BECAUSE OF BEING HOMELESS. AND
UNLIKE MY OTHER K. LIKE THIS SHE
HAD NO FAMILIES OR OR EXHAUSTED
AND BECAUSE OF THE CONDITION.
BETTY WAS REFERRED TO H. STAFF.
IN OCTOBER OF TWENTY TWENTY-
BECAUSE OF H. STAFF WERE ABLE TO
FIND AN APARTMENT FOR BETTY
WHICH I'M HAPPY TO STAY SHE
STILL. RESIDING THERE NOW. IN
NOVEMBER TWENTY TWENTY ONE SHE
BEGAN RECEIVING SSI BENEFITS.
AND THROUGH THE CASE MANAGEMENT
SHE RECEIVED THROUGH H. STAFF
SHE WAS CONNECTED MENTAL HEALTH
SERVICES. THAT SHE NEEDED AND
BECAUSE THE WRAPAROUND SERVICES
OR MENTAL HEALTH IMPROVED. SO
MUCH SO THAT SHE WAS ABLE TO
ACTUALLY RE ESTABLISH A
RELATIONSHIP WITH THE FAMILY.
WHICH IS REALLY NONEXISTENT
PRIOR. MANY STILL HAVE TO
CONTINUE OTHER PASSED ON. BUT
THIS WILL NOT BEEN. IF IT WAS
FOR H. OUT. NOW IN IN THE CAN
MATCH RELATED H. THAT WAIT THAT
- THAT WOULD HELP. US EXPAND A
STEP PROGRAM AS I SHARED WITH
YOU EARLIER WERE CERTAIN THAT IF
EIGHT. IN CURRENTLY RIGHT NOW-
PRIOR TO THAT IT WAS FORTY AND
BEFORE THAT IT WAS THIRTY
RESPECTIVELY SO. THE ABU. NOT
COUNTY MASSES KIND OF ALLOWED
EXPAND PROGRAM RUNNING LATE- BUT
AGAIN ONE OF THE CHALLENGES THAT
WE CONTINUE TO FACE. IS THE
LONGER PEOPLE ARE ON THE PROGRAM
BECAUSE THE ELIGIBILITY OF
NATION THANKS ALONG. THE MORE
COST INVOLVED UP FOR
PARTICIPANT. NOW I'M GOING TO
SWITCH OVER TO THE HOME SAFE
PROGRAM. REGARDING HOME SAFE
GOING DOWN WAS. A REALITY- ARE
THE INITIAL PILOT- THERE WAS
TWENTY THREE TWENTY FIVE COUNTY
PILOTS. THAT STARTED THE HOME
SAFE PROGRAM- WE PARTICIPATE IN
PILOT. STRONGLY THAT THIS WOULD
REALLY BENEFIT OUR HOMES
POPULATION PARTICULARLY ARE
OBVIOUSLY OLDER ADULTS AND
ADULTS. I JUST TO KIND OF GIVE
YOU SOME NUMBERS RELATED TO THE
HOME SAFE PROGRAM. IN TWENTY
TWENTY WE SERVE NINETY FIVE
CLIENTS APS CLIENTS. IN TWENTY
TWENTY ONE THAT NUMBER WENT UP
TO ONE SEVENTY EIGHT. AND IN
TWENTY TWENTY TWO WE HAD SEVEN
NINE THAT'S THE NUMBER OF
CLIENTS WE SERVED UNDER THE HOME
. STATE PROGRAM. AGAIN PRIOR TO
HOME STAY. I DON'T SERVICES
DON'T THE INDIVIDUAL. AT THAT
WHERE WE'RE RISK OF HOMES ARE
BEING HOMELESS WITH A CALM THING
THE WE WITH THAT WITH OUR FOR
US. PRETTY COMMONLY- BUT- YOU
WITH HOME SAVE. THE BEAUTY OF
THE WAS THAT WE HAVE SCHOOL NOW
. OF THAT WOULD BE TRULY USE TO
FIND PREVENT. AN OLDER ADULT
FROM HOMELESS OR HELP THEM OUR
HOUSE DOWN. IF READY OR HOME. I
THINK TO HAVE FIELD I KNOW FROM
ANNA ARE SOCIAL. HAVE COME
OBERNOLTE THAT PRIOR TO HER
STATE. OUT WE RE WORK THAT. HOW
NAVIGATE. OR MAYBE COUNSELING-
AGAIN THAT QUAKE ANECDOTAL STORY
THAT I HAVE- IN TWENTY TWENTY WE
HADN'T APS. INFO WE GOT ON THE
EIGHTY YEAR OLD. I THOSE LIVING
ON OF A CAR. GEN NO PRIOR EPS
YES REAR LIVING OUT OF A CAR. IN
WE KIND OF OUT WHAT SHE WAS
LIVING OUT OF OUR AS AS IT WAS
OF THE DOMESTIC AT WITH HUSBAND
. AT THEIR HOME SAFE PRO WERE
ABLE ETCETERA TEMPERATE HOUSING
AND- ISN'T OF INTERVIEW. AND
SUPPORT WE ARE ABLE TO FIND HER
APARTMENT HOUSING OR SITUATION
WHICH IS STILL ARE CURRENTLY
LIVING IN NOW. AGAIN SIMILAR
DAHLE AGED OUT I'M NOT HAVING A
COUNTY MAX WHY THAT YOU CAN SEE
IS KIND OF GREATLY INCREASED.
THE NUMBER OF PARTICIPANTS WERE
ABLE TO SERVE- IT WENT FROM
NINETY FIVE ONE REGIONALLY
STARTED TO THREE AND SEVEN NINE
NOW. CURRENTLY AT. AS FAR AS C.
E. THIS PRO I WAS THE DESIGNED
FOR THE BEST OR AND OR EVEN. OF
A SENIOR CAMPUS. THE SERVE AS IN
CAPITAL. IN RBA HEALTH STATE
COMPLETED A THIS FROM. WE'VE A
PLAN TO THE STATE THAT WE'RE
LOOKING AT REHABILITATING SIX
ASSISTED LIVING FACILITIES THAT
WERE AT RISK OF CLOSURE. DID
EXISTING TERROR DETERIORATING
FACILITY CONDITIONS. ARE THESE
FACILITIES ARE IN GOOD STANDING
WITH COMMUNICATOR LICENSING. AND
HAVE A CRITICAL AND OR OPERATION
CASH FLOW GAPS THAT PLACE THE
FACILITY AT RISK OF NOT MEETING-
CCL AND QUALITY STANDARDS. AND
AS A RESULT ARE. AT HIGH RISK OF
CLOSURE. AS PART OF THE PLAN-
YOU KNOW THE SIX IS THAT RIGHT.
THROUGH EXTEND RE. I FEEDBACK
FROM IT. WE WANTED THEM SURE THE
OB SIR OUR CLIENTS WERE LOOKING
AT WITH C. C. E. FINAL SUBMITTED
- THAT SIX BASILEA'S ABOUT TWO
HUNDRED FORTY TWO BEDS. AND
INITIALLY WILL ABOUT WE'RE
LOOKING AT SERVING COST A
HUNDRED INDIVIDUALS AGAIN. THESE
ARE POTENTIALLY. OF FACILITIES
THAT WOULD BE CLOSE IF NOT OR
THE IS GRAD. AND YOU'RE TALKING
ABOUT POTENTIALLY A HUNDRED
INDIVIDUALS THAT COULD BE
DISPLACED OBVIOUSLY HOMELESS-
THE ONGOING CHALLENGES- IN
GENERAL. AND AGAIN SIMILAR TO
THE OTHER PANEL MEMBERS THAT
SPOKEN SO FAR. FOR THE HOUSING
IS REALLY THE BIGGEST. CHALLENGE
IN TERMS OF OUR VACANCY RATE FOR
AFFORDABLE HOUSING IT'S RIGHT
AROUND TWO PERCENT- THIS MAKES
FINDING HOUSING EVEN MORE
CHALLENGING THE FACTORY AND LYFT
INSTALLATION EVERY PRESSURES.
AFFORDABLE HOUSING BECOMES EVEN
MORE ELUSIVE. AND INTENSIVE
RESOURCES- DEALING WITH THE
HOMELESS POPULATION REQUIRES A
GREAT DEAL OF RESOURCES- WE'VE
ACTUALLY SET UP A UNIT. SIMILAR
TO WHAT. SAN FRANCISCO IS. THE
FOCUS ON THIS- ON OCCASION FOR
EXAMPLE WE HAVE. INSTANCES HOTEL
AND MOTELS MIGHT BE AND THERE'S
- OLDER AND- BILL THESE AT THESE
LOW. THAT BE DISPLAY BECAUSE-
THEY'RE BEING CLOSED DOWN FOR.
VARIOUS REASONS BUT THAT BEING
SAID- THE TOOLS THAT WE HAVE IN
PLACE NOW. ALLOWS US TO HAVE
THAT FLEXIBILITY HELP THOSE
INDIVIDUALS WHEN YEARS PASSED.
IT WOULD REALLY BE MORE OF A
HOUSING NAVIGATION TRYING TO
FIND POCKETS WHERE WE CAN PLACE
THESE INDIVIDUALS. WERE
FORTUNATE TO HAVE THE TOOLS THAT
WE HAVE NOW- ALSO TAKES. OF
EIGHT YES PRICE TO THIS YEAR- WE
ARE ABA LINE YOU HAVE SIXTY
FIVE. OR UNDER FIVE WITHOUT OF
SOME SORT- NOW BECAUSE- APS
ANDRE BLISTERS SIX KNOWN THAT
ALLOWS US TO BROADEN AND
OBVIOUSLY SIR MORE CLIENTS IN
GENERAL. TECHNICAL THAT WE
RECEIVED- WAS BEEN VERY GOOD. IF
IT THEY'RE RESPONSIVE. IN TERMS
AND ALLOW OF THE NEW OF THAT WE
HAVE SPECIALLY GETTING OUT ON
STATION OF OUR PROJECT- MAKING
SURE THAT WE'RE USING THE
FUNDING. AND OBVIOUSLY- IN A WAY
THAT I DOES MORE VICIOUS. THAT
CONCLUDES MY PRESENTATION ON
BEHALF AFTER QUESTIONS AFTER SO
THEY YOU. THANK YOU MUCH WITH A
WE'RE GONNA ON TO WATSON THE
CHAIN WELL PROUD. THANK YOU
CHAIRMAN OF OUR MEMBERS FOR THE
OPPORTUNITY TO PROVIDE TESTIMONY
TODAY ON CHANGE WHILE PROJECT
AND THE WORK WE'RE DOING WITH
HOME SAFE AN AGE CAP PROGRAMS
ACROSS CALIFORNIA IN PARTNERSHIP
WITH CSS. MY NAME IS REBECCA
WATSON I'M ONE OF THE TWO
MANAGING DIRECTORS AT CHANGE
WILL PROJECT. CHANGE WILL
PROJECT IS COMPOSED OF A TEAM OF
INDIVIDUALS WITH DECADES OF
EXPERIENCE WORKING ON HOUSING
AND HOMELESSNESS SERVICES AND
DISABILITY BENEFITS ADVOCACY.
OUR TEAM COMES FROM DIRECT
COMMUNITY SERVICES WORK WITH
PROGRAM PARTICIPANTS I'LL USE
MYSELF AS AN EXAMPLE I WORKED
FIRST IN LEGAL SERVICES
ORGANIZATIONS OFFER TEN YEARS
REPRESENTING LOW INCOME CLIENTS
ACROSS LOS ANGELES CLICK COUNTY
AS THEY SOUGHT SOCIAL SECURITY
BENEFITS. I CAME TO CHANGE WELL
BECAUSE I BELIEVE DEEPLY IN THE
TRANSFORMATIVE POWER THAT STUDY
INCOME SUPPORT PROVIDES TO AN
INDIVIDUAL OR A FAMILY. AND I
WANT TO HELP GROW H. DOT
PROGRAMS ACROSS THE STATE THAT
ARE A CRITICAL PART OF ENSURING
THAT EVERY INDIVIDUAL IN
CALIFORNIA. WHO IS ENTITLED TO A
SOCIAL SECURITY BENEFIT RECEIVE
THAT BENEFIT. DRAWING ON OUR
TEAM'S DEEP X. EXPERTISE
ADDRESSING HOMELESSNESS OUR
PRIMARY GOAL IN SUPPORTING THE
IMPLEMENTATION OF PROGRAMS. IS
SUPPORTING THE IMPLEMENTATION OF
PROGRAMS THAT ARE TRANSFORMATIVE
IN THE COMMUNITIES THEY SERVE
AND DEEPLY STABILIZING TO
PROGRAM PARTICIPANTS. OUR TEAM
FOCUSES ON CREATING SYSTEMS
LEVEL RESPONSES THAT ADDRESS
CHALLENGES HOLISTICALLY WHILE
MAKING DECISIONS ACROSS AROUND
PROGRAM INFRASTRUCTURE QUICKLY
TO MEET CRISIS LEVEL NEEDS AND
DOUBLE THE WORK FORCE. WITH A
BROAD RANGE OF SKILLS NEEDED TO
EFFECTIVELY RUN EXPANDED
PROGRAMMING. IN TWO THOUSAND
TWENTY TWO WE PROVIDED FORTY
SEVEN CALIFORNIA COUNTIES AND
TWENTY THREE TRIBAL COMMUNITIES
WITH INDIVIDUAL AND UPS
TECHNICAL ASSISTANCE FOCUSED ON
DESIGNING OR REDESIGNING
PROGRAMS FOR A NEW EXPANDED
SCALE. AND STRENGTHENING OVERALL
SYSTEMS OF CARE TO SUPPORT
BETTER HOUSING OUTCOMES FOR
PROGRAM PARTICIPANTS. MUCH OF
OUR WORK IS ABOUT LEVERAGING
RESOURCES ACROSS FUNDING STREAMS
TO PROVIDE COMPREHENSIVE HOUSING
AND SUPPORTIVE SERVICES ARE THIS
WORK INCLUDED WORK WITH THIRTEEN
HOME SAFE PROGRAMS AND ELEVEN
AGED OUT PROGRAMS. WE ALSO
PROVIDED OVER THREE THOUSAND
THREE HUNDRED SYSTEM
ADMINISTRATOR PROGRAM LEADERS
AND DIRECT SERVICE STAFF
ATTENDEES WITH HIGH IMPACT
TRAINING TO DEVELOP THE KEY
COMPETENCIES NEEDED ACROSS
MULTIPLE DISCIPLINES TO CREATE
AND SCALE TRANSFORMATIVE HOUSING
PROGRAMS AND SYSTEMS. ON
SPECIFIC BEST PRACTICE WE FOCUS
ON IS ADDRESSING ANY RACIAL
DISPARITIES THAT EXIST IN THESE
SYSTEMS THROUGH A PROGRAM LANDS.
WE'VE DONE THIS THROUGH FOCUSED
WEBINARS AND LEARNING
COMMUNITIES FOR SYSTEMS LEADERS
AND PROGRAM LEADERS I'M LOOKING
AT THE DATA IN THEIR ENTIRE
SYSTEM IN PROGRAM FINDING THE
AREAS WHERE THERE ARE
DISPARITIES AND TAKING CONCRETE
STEPS TO ADDRESS THOSE
DISPARITIES. A PRIMARY BEST
PRACTICE WE SUPPORTED HOUSING
FIRST WHICH REQUIRES WORKING
WITH COUNTIES TO ADVANCE THEIR
UNDERSTANDING OF THE LAW HOW THE
LOCAL WE HOUSING SYSTEM
OPERATES. THE UNDERLYING
PHILOSOPHIES AND APPROACHES TO
RE HOUSING HOW THE PROGRAM FITS
WITHIN THE LARGER BE HOUSING
SYSTEM AND HOW THEY CAN LEVERAGE
ALL RESOURCES AVAILABLE TO
ENSURE THAT PEOPLE STAY HOUSED
OR REHOUSED AS QUICKLY AS
POSSIBLE. ONE REAL VIRTUE OF CSS
PROGRAMS AND FUNDING IS THEIR
FLEXIBILITY IN PROVIDING
RESOURCES THAT FILL CRITICAL
RESOURCE GAPS THAT INEVITABLY
EXIST FOR OLDER ADULTS AND
INDIVIDUALS WITH DISABILITIES.
THAT HAVE NO INCOME OR A FIXED
INCOME SOURCE IN AN EVER
INCREASING HOUSING MARKET. IS TO
PROVIDE THAT BENEFITS ADVOCACY
AS WE'VE HEARD HELPING FOLKS TO
OBTAIN INCOME- WHICH IS A
SIGNIFICANT GAP AND WITH HOME
SAFE. WE THERE IS THE FOCUS ON
HAVING HIGHLY FLEXIBLE
PREVENTION DOLLARS TO KEEP OLDER
ADULTS HOUSE TO WHICH IS
ADDRESSES ANOTHER SIGNIFICANT
GAP. WE HELP THESE PROGRAMS PUT
IN PLACE THE OPERATIONAL
FRAMEWORK THAT MAKES THIS
HAPPENED MOVING FROM THE THEORY
OF HOUSING FIRST OR RACIAL
EQUITY TO THE ACTUAL PRACTICE
HOW ARE YOU BUDGETING. HOW ARE
YOU STAFFING WHAT YOUR POLICIES
AND PROCEDURES LOOK LIKE FROM A
PARTICIPANT PERSPECTIVE AND IS
YOUR INFRASTRUCTURE REFLECTIVE
OF THE BEST PRACTICES AND
APPROACHES THAT WE KNOW WORK. I
WANT TO GIVE A FEW EXAMPLES OF
BRIGHT SPOTS WE'VE SEEN AND
THERE ARE A LOT OF BRIGHT SPOTS
ACROSS CALIFORNIA COMMUNITIES.
THE PLASTER COUNTY AGE THAT
PROGRAM HAS EXCEPTIONALLY STRONG
RESULTS WITH THEIR DISABILITY
BENEFITS ADVOCACY. THEY HAVE A
63% APPROVAL RATE FOR SSI SSD I
INITIAL APPLICATIONS AND AN 80%
APPROVAL RATE AT HEARING. OUT OF
SEVENTY EIGHT H. UP CLIENTS WHO
ARE HOMELESS OR IN TEMPORARY
SHELTER. FORTY EIGHT ARE NOW IN
PERMANENT HOUSING. THEY'VE BEEN
ABLE TO ACCOMPLISH THESE
OUTCOMES BECAUSE THEY HAVE
COLLABORATION AS PART OF THEIR
CULTURE AND SO THEY HAVE VERY
STRONG RELATIONSHIPS WITH LOCAL
HEALTH PROVIDERS. THE HOUSING
AUTHORITY AND LOCAL COMMUNITY
NONPROFITS. THE PROGRAM IS
DEEPLY CONNECTED WITHIN THEIR
COMMUNITY EVERYONE KNOWS ABOUT
THEIR PROGRAM FROM HOSPITAL
SOCIAL WORKERS TO OTHER COUNTY
DEPARTMENTS TO SHELTER
PROVIDERS. THEY LEVERAGE OTHER
COUNTY SYSTEMS LIKE THE COUNTY
HEALTH AND BEHAVIORAL HEALTH
CARE SYSTEM TO CONNECT EACH STOP
PARTICIPANTS TO HEALTH CARE
TREATMENT. THE SALON COUNTY HOME
SAFE PROGRAM IS ANOTHER EXAMPLE
I WANTED TO MENTION- THE COUNTY
APPROACHED US FOR ASSISTANCE. AS
THEY HAD A BRAND NEW HOME SAFE
PROGRAM US STARTING IN TWO TO
TWO THOUSAND TWENTY TWO AND
WANTED HELP. REALLY QUICKLY
OPERATIONALIZE AND GETTING OFF
THE GROUND THEIR LEADERSHIP
RECOGNIZE THAT PROVIDING HOUSING
SERVICES WAS A WHOLE NEW LINE OF
BUSINESS FOR THEIR APS SOCIAL
WORKERS. THEY WANTED TRAINING ON
BEST PRACTICES ALL THE
FUNDAMENTALS OF APPROACHES
INCLUDING WORKING WITH A HOUSING
FIRST FRAMEWORK. SO WE WORKED
INTENSIVELY WITH THEM TRAIN
THEIR ENTIRE TEAM ON THESE
FUNDAMENTAL SO THEY COULD REALLY
START THEIR PROGRAM QUICKLY WITH
A SOLID PLATFORM OF BEST
PRACTICES FOR THEIR STAFF. ON
THE WE ALSO OF COURSE HEARD FROM
KERN COUNTY I WANTED TO MENTION
THAT THEY'RE A GREAT EXAMPLE OF-
USING THEIR CSS PROGRAM DOLLARS
AND LEVERAGING OTHER RESOURCES
IN THE COUNTY. TO CREATE ONE
STREAMLINED HOUSING UNIT THIS IS
A PRACTICE WE'VE SEEN DIFFERENT
COUNTIES DOING WITH THE
INCREASED AMOUNT OF FUNDING- WE
WORKED WITH CURRENT ON AND
THINKING THROUGH STRUCTURING
THEIR STREAMLINED UNIT- AND THEN
ALSO PROVIDE A FULL SERVICE
TRAINING TO THEIR WHOLE TEAM ON
EVERYTHING FROM HOUSING CASE
MANAGEMENT. TO PROGRAM
MANAGEMENT- AND THEN I'LL
CONCLUDE BY JUST MENTIONING SOME
COMMON BARRIERS ARE STRUGGLES
THAT WE SEE IN COMMUNITIES.
ACROSS THE STATE AND THAT WERE
REALLY YOU KNOW AS THE DIRECTING
OUR TECHNICAL ASSISTANCE
TOWARDS- YOU KNOW THESE PROGRAMS
ARE BEING TO ASK ASKED TO
CONNECT PREVIOUSLY LARGE AND
CONNECTED SYSTEMS. SOCIAL
SERVICES AND A HOUSING AND
HOMELESSNESS SYSTEM HEALTH AND
BEHAVIORAL HEALTH AND SOCIAL
SERVICES. THIS IS A SIGNIFICANT
LEFT TO DO THIS- THE PROGRAMS
THE OTHER LARGELY SITUATED
WITHIN. SOCIAL SERVICES ARE
HUMAN SERVICES AT THE COUNTY
LEVEL. AND THEY'RE ASKED TO
OPERATIONALIZE IS BRAND NEW-
SORT OF LINE OF BUSINESS LEARN A
NEW LANGUAGE CATCH UP WITH THE
BEST PRACTICES OF THE HOMELESS
RESPONSE SYSTEM USES IN ITS
APPROACH- STAFF BOTH AT A
PROGRAM MANAGEMENT LEVEL AND- AT
A DIRECT SERVICES LEVEL IN THESE
PROGRAMS NEED. DEEP TRAINING IN
THE HOMELESS RESPONSE SYSTEM AND
APPROACHES TO WORK. AND WITH H.
R. PROGRAM STAFF ALSO NEED-
INTENSIVE TRAINING AND
DISABILITY BUT IF ADVOCACY BEST
PRACTICE. THE NEED FOR HOUSING
SUPPORTS IS LARGE AND IN SOME
COMMUNITIES LARGER THAN
AVAILABLE FUNDING SO WE WORK
WITH COMMUNITIES TO THINK ABOUT
HOW TO PRIORITIZE EQUITABLY. AND
HOW TO THINK ABOUT THE BALANCE
BETWEEN THE NUMBER OF PEOPLE
SERVED AND ENSURING ADEQUATE
SUPPORTS ARE AVAILABLE FOR THOSE
ENROLLED. HIGHS SO- THESE ARE
BECAUSE THESE ARE SUCH COMMON
CHALLENGES IS REALLY. BECOME
PART OF THE FOUNDATION OF HOW WE
PROVIDE TECHNICAL ASSISTANCE. HI
THIS CONCLUDES MY REMARKS AND OF
COURSE I WELCOME QUESTIONS AT
THE END. THANK YOU SO MUCH
REBEKAH TURNING OVER TO THE
PANELISTS VIEWS ZOOM JOHNSON
RUSSELL REPRESENTING BAY AREA
COMMUNITY SERVICES. THANK YOU SO
MUCH. GREAT TO BE HERE WITH YOU
ALL AND- GOOD MORNING TENER MANY
OF OUR EGGMAN GROGAN ROTH THANK
YOU SO MUCH FOR THE OPPORTUNITY
TO SHARE WITH YOU. ON THIS
CRITICAL TOPIC TODAY- I'LL BEGIN
BY INTRODUCING MYSELF I'M
JONATHAN RUSSELL AND THE CHEESE
TRAGEN IMPACT OFFICER FOR AN
AGENCY. CALL BAY AREA COMMUNITY
SERVICES MORE COMMONLY KNOWN
FACT. AND WE ARE COMPREHENSIVE-
HOMELESSNESS HOUSING BEHAVIORAL
HEALTH. SERVICE PROVIDERS.
FOUNDED IN NINETEEN FIFTY THREE
IN OAKLAND CALIFORNIA. AND WE'RE
SEVEN DOMAIN OR SEVEN YEAR
ANNIVERSARY THIS YEAR. HOW WE
SERVE ON AVERAGE ABOUT TWENTY
THOUSAND- INDIVIDUAL OF THE
YEAR- ACROSS ALL OF OUR
COMMUNITY. WE CURRENTLY ARE IN
SIX COUNTIES INCLUDING
SACRAMENTO COUNTY AND PRIMARILY
IN THE EAST BAY. AND WE ACTUALLY
HAVE A HISTORY OF PROVIDING
AGING TURNITIN. TO A DIVERSE
RANGE OF POPULATION- FROM THE
VERY BEGINNING OF OUR FOUNDING
OR AGENCY. I'M HERE TODAY TO
TALK A LITTLE BIT ABOUT. THE
AMAZING- PROGRAM THAT IS. A
COMMUNITY EXPANSION PROGRAM OF
WHICH BACKS WAS VERY FORTUNATE
AND HONORED TO BE ONE OF THE
FIRST AWARDEES WE WERE AWARDED
NINETEEN POINT FOUR MILLION
DOLLAR. A GRANT TO ACQUIRE AND
REHABILITATE. AND INCLUDED SOME
OPERATING COMPANY RESERVES FOR
THE TRANSFORMATION- OF A PRIVATE
A RETIREMENT CENTER THAT WAS
CLOSING AND CAN REALLY TRANSFORM
THAT. INTO A COMPREHENSIVE
CAMPUS OF SERVICES. FOR
INDIVIDUALS EXPERIENCING
HOMELESSNESS AND HOUSING
INSECURITY INCLUDING
SPECIFICALLY PHYSICAL AND
BEHAVIORAL HEALTH CARE SERVICES
BUT REALLY FOCUSING ON THE
ADDITION TO THE PHYSICAL HEALTH
CARE SERVICES- SO THAT WE CAN
HAVE THAT SPECIAL FOCUS ON OLDER
ADULTS AND OTHER POPULATION.
WITH MEDICAL FERTILITY AND OTHER
COMPLEX DISABLING CRITERIA.
COMMENT ABOUT A LITTLE BIT OF
CONTACT ABOUT US IN THE
COMMUNITY WE START. WE OF COURSE
ISN'T AS MUCH AS BEEN SHARED THE
DOCKING FOR THE MEETING AND
ALTHOUGH ALREADY DISCUSSED.
ARSENE A PRECIPITOUS INCREASE
YEAR OVER YEAR. IN THE
INDIVIDUAL. THAT ARE OLDER
ADULTS EXPERIENCING HOMELESSNESS
WITH RESEARCH WHAT ONCE FOR US
JUST IN TWENTY EIGHTEEN TWENTY
NINETEEN. ARE FOR EXAMPLE 30% OF
OUR INTERIM HOUSING PROGRAMS IN
OAKLAND IS NOW WELL OVER FIFTY
PERCENT- AND CONTINUING TO
INCREASE SOME PROGRAMS. OVER 65%
OFF FOLKS OLDER THAN FIFTY FIVE
YEARS OLD. MR VULNERABILITY AND
THAT'S STARK INCREASES BEEN
BALLOTED BY LOCAL STUDY ARE
SPECIFICALLY IN OAKLAND CALLED
HOPE HOME STUDY THAT WAS
COMPLETED BY UCSF BENIOFF
OVERCOOKING HOUSING INITIATIVE.
LED BY DR MARA WHO SHALL THAT
HAS BEEN FOLLOWING FOUR HUNDRED
FIFTY. OLDER ADULTS EXPERIENCING
HOMELESSNESS SINCE TWENTY
THIRTEEN IN OAKLAND THIS IS THE
HEART OF WITH WHOM WE SERVE AND
I WILL SAY MANY. OF THE FOLKS IN
THAT THAT WE HAVE ACTUALLY BEEN
AND ARE OR ARE CURRENTLY-
INDIVIDUAL THAT BACK JERKING.
YOU KNOW THE THING THAT WE'RE
LEARNING THAT IT THAT IS
CREATING A LOT OF- IDENTIFIED A
LOT OF GAPS. IN OUR SYSTEM OF
CARE FOR INDIVIDUAL DEPENDING ON
WHAT THAT THAT THAT A LOT OF
WHAT OLDER ADULTS OBVIOUSLY
EXPERIENCE. HOME CONTACT IN
HIGHER RATE COGNITIVE AND
FUNCTIONAL IMPAIRMENT- 25% OF
THE FOLKS IN THE GUARDIAN
REPORTED FROM OUR BEEN
IDENTIFIED. AS HAVING SOME SORT
OF COGNITIVE IMPAIRMENT. AND
INCLUDING 40% HAVING ONE OR MORE
IMPAIRMENT IN THEIR BASIC
ACTIVITIES OF DAILY LIVING.
OBVIOUSLY THE PREVALENCE IN THE
GERIATRIC CONDITIONS THAT THE
STUDY HAS SHOWN THAT POKE IN THE
MID FIFTY. HAVE WORSE OVERALL
PHYSICAL HEALTH CARE CONDITION
THAN THE GENERAL POPULATION DOES
IN THEIR SEVENTIES AND EIGHTIES.
SENSUALLY BEING ON HOW AND THIS
IS WHAT WE SEE EVERY DAY IN THE
GERIATRIC ACCELERATOR. OBVIOUSLY
STRUCTURAL RACISM IMPACT ON THE
HOMELESSNESS. IS STARK WE SEE IN
THE STUDY AND THEN THE
POPULATION WE SERVE EVERY DAY
OVER 80% OF THOSE STUDIED WERE
BLACK. AND CONSISTENTLY THAT IS
NEARLY FOUR TIMES HIGHER THAN
THE GENERAL POPULATION IN
OAKLAND. AND ALAMEDA COUNTY MORE
BROADLY. ONE OF THE THINGS THAT
HAS REALLY STRUCK US IN THE
ETHICALLY PROBLEM REALLY PUT
CAL. AT THE SENATE OF THE CAR.
WE KNOW. BASED ON OUR NATIONAL
STUDY. IT IS VERY LIKELY
DESPITE. OF ALL ADULTS RENDON
HOME WHICH- BY TWENTY THIRTY.
AND BASED ON THE TWENTY TO AND
YOU HOME PROFESSOR REPORT THE
CONGRESS. WE KNOW THAT
CALIFORNIA ALREADY ACCOUNTS FOR
ONE IN THREE OF INDIVIDUALS
EXPERIENCING HOMELESSNESS ACROSS
THE COUNTRY AND NOW FOR THE
FIRST TIME MORE THAN ONE HALF OF
THOSE EXPERIENCING UNSHELTERED
HOMELESSNESS ACROSS THE NATION.
WE ARE THE EPICENTER AND
THEREFORE WE ARE THE PLACE THAT
HAS THE OPPORTUNITY TO TRANSFORM
THEM. I WILL SAY POSITIVELY IN
OUR EXPERIENCE. AND ALSO IN THE
STUDY. OVER 70% OF THOSE FOLLOW
THROUGH THE STUDY FOR YEARS AND
OLDER ADULTS. DO YOU HAVE SOME
FORM OF NON EMERGENCY DEPARTMENT
PHYSICAL HEALTH CARE. THAT IS TO
SAY OFTEN COME FOR A PRIMARY
HEALTH CARE THANKFULLY WE HAVE
DEVELOPED SYSTEMS WHERE ACCESS
TO HEALTHCARE IS HAPPENING EVEN
FOR THOSE- THAT OUR OLDER ADULT
EXPERIENCING HOMELESSNESS. BUT
FIRST B. IN MANY CASES IT'S AT
RISK OF WHAT I CALL HEALTH CARE
TO KNOW WHERE. IN THAT THEY ARE
SERVED WELL IN THE CLINIC. BUT
STILL WITHOUT THE MOST CRITICAL
MEDICINE THAT DOCTORS CAN'T
CURRENTLY PRESCRIBED. WHICH IS
PERMANENT STABLE. DIGNIFIED
HOUSING. IT THE VAST MAJORITY OF
FOLKS THAT WE'RE SERVE IN OUR
FROM. ARE THE WORST IN THEIR ARE
ON FIXED INCOME. ABOUT ONE
THOUSAND ONE HUNDRED AND-
DOLLARS FOR. THIS IS WHERE THE-
REALLY TRANSFER WHATEVER CALL
ONE GENERATE OPPORTUNITY OF THE
COMMUNITY CARE EXPANSION
PROGRAM. HAS BEEN SO EXCITING AN
OPPORTUNITY TO REALLY CHANGE THE
GAME FOR US. WE WERE AWARDED AS
I SAID NINETEEN POINT ONE
MILLION DOLLARS. FOR THE- FOR
THE ACQUISITION AN ADAPTIVE
REUSE OF A OF A CENTER IN
HAYWARD CALIFORNIA ALAMEDA. IT'S
OVER FOUR ACRES A COMPLEX OF
MULTIPLE BUILDINGS WITH A
HUNDRED AND FIFTY EIGHT
RESIDENTIAL ROOMS. AND LARGE
ADMINISTRATIVE AREAS THAT WE ARE
USING JUST ABOUT TEN MILLION OF
THAT TO CONTRIBUTE TO THE
ACQUISITION. OF THE PROPERTY
WHICH WE COMPLETED ENDED IN
AUGUST. LAST YEAR. THE BALANCE
OF THAT. SUPPORTED LOCAL CASH.
ABOUT FIVE MILLION OF THAT WILL
GO TOWARD SOME INITIAL
REHABILITATION OF THE SITE THAT
WILL BE COMPREHENSIVE THE BOTH A
RESIDENTIAL AND WHAT I WOULD
DESCRIBE IT CLINIC AREA. AND
THEN FOUR AND A HALF MILLION OF
THAT WILL OPERATE AND THEY
CAPITALIZED OPERATING SUBSIDY
RESERVED FOR SOME OF THE
PERMANENT HOUSING ON SITE. THIS
PROGRAM HAS REALLY UNLOCK AN
OPPORTUNITY FOR US TO REALLY TRY
TO DEVELOP A MODEL THAT MEETS
THE SPECIFIC AND UNIQUE NEED FOR
WE JUST DESCRIBED OF OLDER
ADULTS EXPERIENCING ALMOST. IN
SOME WAYS WHAT WE'RE TRYING TO
THE LARGE PORTION OF THIS
PROPER. FUNDED BY THE STATE THE-
FUNDS WILL BE TO NO YEAR. OF
WHAT WE CALL PERMANENT
SUPPORTIVE HOUSING PLUS. THIS IS
PERMITS PART OF HOUSING IN THE
NINE NOT JUST WITH THE ONSITE
CASE MANAGEMENT SUPPORT NEEDS.
THE BROADER POTENTIAL BEHAVIORAL
HEALTH OR MENTAL HEALTH SUPPORT
NEEDS BUT REALLY FOCUSING ON
ADDING THOSE ADDITIONAL PHYSICAL
HEALTH CARE SUPPORT. SO THAT
FOLKS WE KNOW THAT ARE COMING
IN. WE HAVE MEDICAL FRAGILITY OF
THE DIFFICULT CONDITIONS MANY OF
THEM OLDER ADULTS. AND HOW ALSO
THAT OPPORTUNITY TO RECEIVE
THOSE MEDICAL SUPPORT TO AGE IN
PLACE TO RECEIVE SUPPORT ON
SITE. I WILL SAY CURRENTLY NONE
OF OUR MODEL FRONT OF OUR
DESIGNS AND FRANKLY NONE OF OUR
FUNDING STREAMS FOR THINGS LIKE
PERMITS PART OF COUNTY. INCLUDE
REALLY EMBEDDED WAY TO PROVIDE
THOSE AT THE BEGINNING. IN
ADDITION. TO THE OTHER SUPPORT
SERVICES THAT WILL BE THE
MAJORITY. OF WHAT IS GOING TO
BUY THIS PROJECT ON TIME AND
THAT THAT UP TO NINETY UNIT I'M
NOT HOOKED UP PERMITS PART OF
HOUSING. PLUS AN ADDITIONAL ALSO
. ROUGHLY FORTY FIVE OF WHAT WE
CALL MEDICAL RESPITE OR
RECRUITED CARE WHICH IS
SPECIFICALLY DESIGNED TO SERVE
FOLKS THAT ARE COMING OUT OF THE
MERGER BETWEEN. ARE USUALLY
IMPATIENT. HOSPITAL THAT HAVE
SOME NEED FROM SIMPLE AND NEEDED
DOWN. IN A TRANSITION. THEIR
ADDITIONAL. BECAUSE OF THE- OR
CERTAIN POPULATE. LOCALLY GOING
TO HAVE A FEDERALLY. HEALTH
CLINIC ON SITE THAT WILL BE ABLE
TO PROVIDE COMPREHENSIVE
SERVICES. INDIAN MEDICAL HOME
FOR INDIVIDUAL THIRD THERE
INCLUDING THOSE. EXPERIENCING
HOMELESSNESS IN THE COMMUNITY
AGAIN SPECIFICALLY DESIGNED. AT
SERVING FOLKS THAT ARE ON FIXED
INCOMES THAT ARE REALLY
RECEIVING SERVICES THERE- AND
THEN OUR OLDER ADULT. THERE'S
ALSO THE- AND WORK AWAY- NO TO.
ARE WE ALL APPLIED FOR. THE
HEALTH INTO- INTEREST PROGRAM
THAT IS LOOKING TO POTENTIAL
PROVIDE ABOUT- THE SIDE OR READ
. TREATMENT THIS. MIDDLE CARE TO
INCLUDING TALKING TO SERVICE.
I'M READY TREE FOR A THAT HAVE
MENTAL HEALTH. AND THOSE GOING
TO SUPPORT. SO ON THE WHOLE THE
AYE- YOU LEVERAGE IN THE
WONDERFUL. TO CREATE A UNIFIED
COMPRA CAMPUS SERVICE THAT CAN.
ONE THING I WILL SAY IN TERMS OF
THE NEED AND SOMETHING THAT I
THINK REALLY NEED TO THINK
ABOUT. I THINK AT STATE OF WE
CAN TO ENTER THE IN. ALLEN
OBVIOUSLY THE- AND IN IN. IN
INTERVENING MAN HELPED. HOUSE
LAW. WHAT WILL PROVIDE A LOT OF
THE BASICS. OF SERVICES ONGOING
FUNDING FOR THAT PERMANENT
SUPPORTIVE HOUSING SO WE WILL BE
ABLE TO- ON A PER MEMBER PER
MONTH. COST BASED. A BUY COVER
MANY OF THE- BUT WE CURRENTLY
DON'T HAVE ANY. BASIC USUALLY
COMFORTABLE WAY TO PROVIDE
MEDICAL HEALTHCARE SERVICES IN
ONGOING MAINTENANCE PERMANENT
HOUSING CONTACT. THERE ARE
AGENCIES THAT ARE WORKING TO
INNOVATE ON THINGS LIKE THE
HOME. AND COMMUNITY BASED
SERVICES WAIVER BUT IT IS
DIFFICULT AND CURRENTLY COMPLEX
TO REALLY BUILD THAT THE ONE OF
THE THINGS THAT WE THINK IS
REALLY IMPORTANT- AS WE FIGURE
OUT HOW TO DO THAT AND PROVIDE
THE- DIGITAL HEALTHCARE
INCLUSIVE HOUSING ENVIRONMENT.
FOR OLDER ADULTS. AND HOW CAN WE
ARE ON MARK WAYS TO REALLY EMBED
THE PHYSICAL HEALTH CARE IN A
STABLE ONGOING FOR EXAMPLE- WAY
GOING FORWARD. THANK YOU SO MUCH
FOR YOUR TIME. THANK YOU SO MUCH
SAID JONATHAN OUR FINAL PANELIST
ARE REPRESENTING PEACE ENERGY
PROGRAMS MICHAEL ONE SCENE AND
LINDA KAUFMAN. CAN YOU HEAR ME
OK. I DON'T KNOW I'M SO EXCITED
BY EVERYBODY ELSE. FIREEYE MORE
KNOWS ANYBODY- SO I JUST WANT TO
SAY THAT. WE ARE PROVIDERS- MY
KID AND MIKE AND I BOTH ARE OUR
CFE AND A. R. F. ADMINISTRATORS
WE HAVE BEEN FOR MANY YEARS MIKE
FOR TWENTY SEVEN YEARS AND- I
MYSELF FOR TWENTY- AND SYNERGY
PROGRAMS- I. TALK A LITTLE BIT
GOOD ON THE QUESTIONS THAT WERE
ASKED- SO SINCE TWO THOUSAND
FIVE SYNERGY HAS PRIMARILY
SERVED SIA ADULTS WITH SERIOUS
MENTAL ILLNESS MOVING FROM
HIGHER LEVELS OF CARE. I AM DIS
MHR SEES- SNUFFS STP PROGRAMS
WHICH ARE SPECIFIC PSYCHIATRIC
MEDICAL SERVICES FOR INDIVIDUALS
THAT HAVE A PSYCHIATRIC
DISORDER- AND- IN TWO THOUSAND
THIRTEEN WE MET SAID TWO
THOUSAND THIRTEEN YEARS AGO- WE
MET WITH A GROUP OF COUNTY
PARTNERS AND CONSERVATORS.
ASKING WHAT OLDER ADULTS WANTED
AND NEEDED- AND THAT BEGAN THE
CONVERSATION TEN YEARS AGO- YOU
KNOW WHAT THEY NEED IT LIVING
WITH SCHIZOPHRENIA IN THE LEAST
RESTRICTIVE CARE SO NINETY. 8%
OF OUR RESIDENTS ARE COMING
FROM- THOSE HIGHER LEVEL LOCK
SETTINGS THEY COULD BE A STATE
HOSPITALS ALSO- SINCE. SORRY I
AM TO MANY NOTES- SOMEONE OF
THAT ONE OF THE THINGS THAT WE
WANT TO CREATE WITH VISTA
ESPERANZA WHICH IS N. FIFTY FOUR
BED RCF VI IN NORTH HIGHLANDS.
IS- IS. INDIVIDUALS THAT HAVE A
MINOR MEDICAL ISSUE SO THEY MAY
BE ARE IN A LOCK SETTING RIGHT
NOW THIS IS THE CASE OF THREE
INDIVIDUALS THAT WE'VE BEEN YOU
KNOW FOLLOWING THAT THEY CANNOT
MANAGE TO DO THEIR OWN FINGER
STICKS- OR THEY CAN'T PULL THEIR
OWN INSULIN THEREFORE THEY
CANNOT LEAVE THAT LOCK SETTING.
SO ONE OF THE YOU KNOW GREATEST
GOALS THAT WE WILL HAVE TWENTY
FOUR HOUR NURSING SO THAT WE ARE
ABLE TO SUPPORT INDIVIDUALS- TO
THAT WOULD BE A VERY DIFFERENT
DYNAMIC- CURRENTLY WHEN I TOOK
ALL OF OUR DEMOGRAPHICS.
CURRENTLY OUR CLIENTS HAVE
ANYWHERE FROM. TWO DIAGNOSES UP
TO EIGHTEEN INCLUDING MEDICAL
ACCESS TO PERSONALITY DISORDERS
COPD INSULIN DEPENDENT DIABETICS
ALL THINGS THAT WE CAN MANAGE
AND ARE YOU GUYS ON THIS. ALL
THINGS THAT WE CAN MANAGE- BUT
IT'S A LOT- SOME OF OUR CLIENTS
REALLY ARE MEDICALLY
COMPROMISED- SO BUT I WOULD SAY
THE AVERAGE DIAGNOSIS IS EIGHT
WHEN WE WENT THROUGH EVERY
SINGLE RECORD OF EVERY SINGLE
CURRENT CLIENT- I'M GONNA HAVE.
MY TALK A LITTLE BIT ABOUT THE
CHALLENGES OF OUR CFE OPERATORS
I WOULD AS I POPULATION IT RIGHT
NOW 98% OF OUR TWO HUNDRED FORTY
TWO CLIENTS ARE SSI INDIVIDUALS
PLACED. IN OUR CARE BY COUNTY-
PARTNERS. YOU TALK ABOUT THAT
THAT. A LITTLE BIT ABOUT THE
OPERATORS BECAUSE- I'VE BEEN
WORKING AS AN ADMINISTRATOR FOR
TWENTY SEVEN YEARS AND- DURING
THE TIME WHEN WE WHEN I WENT TO
STARTED OUT I ENTERED THE
BUSINESS. IN NINETY SIX ALL
RIGHT ORGANIZED A GROUP OF
OPERATORS IN SANTA CLARA COUNTY.
AND WE WERE ABLE TO WORK
TOGETHER AND POOL RESOURCES AND
SANTA CLARA COUNTY- AT THAT TIME
PROVIDED A PATCH AND AS AS WE
KNOW. OUR CLIENTS RECEIVE ABOUT
TWELVE HUNDRED DOLLARS A MONTH
AND OPERATORS GET ABOUT ELEVEN
HUNDRED DOLLARS AND THAT'S
REALLY NOT A SUSTAINABLE MODEL
ANYMORE AND SO IT IS IT IS A
LITTLE BIT OFF OF THE TOPIC
HERE. BUT YOU WANT TO TOUCH ON
THIS BECAUSE WHEN ARE THE
CLIENTS GO THROUGH OUR PROGRAM
THAT ARE READY TO JUST CHARGE
WILL LOWER LEVEL CARE WHICH WILL
BE. A REGULAR BOARD AND CARE-
THE MANY THESE OPERATORS ARE
LEADING THE BUSINESS BECAUSE THE
THOUSAND DOLLARS ELEVEN DOLLARS
A MONTH IS NOT SPACE ON A
SUSTAINABLE MODEL. AND SO WE
WERE ABLE TO WORK WITH SANTA
CLARA COUNTY AND WHEN ORGANIZED
A SYSTEM WHERE PROVIDERS THEY
WERE LICENSE DID RECEIVE A PATCH
IN THE COUNTY ALSO PROVIDED SOME
IN SOME TRAINING AND SUPERVISION
TO THE OPERATORS AS WELL. TO
ALLOW THEM TO- TO FUNCTION- AND
TO PROVIDE THE CARE THAT WAS
NEEDED FOR THESE THIS GROUP OF
CLIENTS. SO THIS IS A DESERVE A
PIECE THAT YOU KNOW THAT NEEDS
TO BE ADDRESSED BECAUSE THESE
SMALL OPERATORS ARE REALLY ARE
THE BACKBONE OF THE SYSTEM. AND
THAT AND IT WOULD BE GREAT TO
SEE A PROGRAM WERE WERE
OPERATORS THROUGHOUT THE STATE
GOT. THE SUPPORT THEY NEEDED
WITH IN THE WAY OF PATCHES OR IN
AND ALSO ADDITIONAL TRAINING
BECAUSE- WITHOUT THEM IT-
STAYING IN THE BUSINESS AND
HAVING SUSTAINABLE MODELS. THE
WORK THAT WE'RE DOING BECOMES
YOU KNOW VERY VERY DIFFICULT- SO
THAT'S THAT'S ONE THING I WANTED
TO TOUCH TOUCH ON BECAUSE I.
WITH I KNOW THAT'S THAT'S A VERY
HOW HELPFUL PIECE THAT THE THREE
OR FOUR HUNDRED DOLLARS. IN
ADDITIONAL ALL- DOLLARS PER
MONTH IF YOU SHOPPERS RECEIVED.
REALLY HELP THEM TO KEEP THEIR.
DOORS OPEN- THREE THE- MADAM
CHAIR FOR COULD ASK JUST ONE. ON
THE NEW. GO AHEAD. UP IT'S WHEN
YOU SAY ABOUT THE PATCH IS A PER
PER RED. OR IS IT PER FACILITY
PER PER. TYPICAL THEY WOULD GET
ANYWHERE BETWEEN THIRTY TO FIFTY
DOLLARS- I'D- ADDITION HER DAY.
ACCOUNT AND THESE YOU KNOW THAT
THESE DOLLARS REALLY HELP THEM
TO HIGHER. YOU KNOW THAT THAT
THAT THE STAFF THAT HAVE THE
RIGHT KIND OF TRAINING AND
BACKGROUND TO TYPICALLY MOST OF
THESE FACILITIES ARE OPERATED BY
FAMILIES OR SIXPENCE. AND A LOT
OF THEM DON'T HAVE THE
EXPERIENCE OF WORKING WITH THE
MEN OFF THE FIELD AND THAT-
METAL HEALTH POPULATION. SO
REALLY- VICE BY SUPPLEMENTING
THESE PROVIDERS ALLOW THEM TO
YOU KNOW TO HIRE APPROPRIATE
PEOPLE- PROVIDED BETTER
NUTRITION. AND YOU KNOW KEEP
THEIR THEIR HOUSES IN BETTER
ORDER. AND I SAID I SAID YOU WE
WERE TALKING A BIT ABOUT WHY A
LOT OF THESE OFFERS ARE LEAVING
THE BUSINESS TODAY BECAUSE YOU
REALLY CAN'T DO IT TODAY YOU
CAN'T DO IT ON ELEVEN HUNDRED
DOLLARS. AND SO IT JUST IF IT IS
A VERY IMPORTANT PART OF ALL THE
WORK THAT YOU'RE DOING BY
PUTTING MONEY INTO. CAPITAL
IMPROVEMENTS. THEN YOU HAVE TO
GO TO KEEP THESE PLACES ARE
RUNNING AND THAT'S OF THE
MAJORITY OF WHAT WE KNOW OF THE
MAJORITY PROPERTIES ARE THESE
VERY SMALL. PLACES AND SO I DID
WORK WITH THEM AND I KNOW A LOT
OF THE THINGS THAT THEY WERE
GOING THROUGH AND TRIED TO
SYSTEMS MUCH AND- AND WE
CONTINUE TO. ALSO HELP TRY TO
HELP OPERATORS AS AS MUCH AS WE
CAN. BECAUSE WE KNOW IT'S A
REALLY IMPORTANT PART OF THE
MODEL. SO ONE OF THE THINGS I
WANT TO MENTION ABOUT RCF VI'S
AND OUR- ABILITY TAKE CLIENTS IS
THE FLEXIBILITY OF IN OUR CFE
OPPOSED TO MAYBE- A LOCK SECURED
STUDY. ALLOWS US TO WORK WITH A.
O. T. CLIENTS. THE CARE COURT
CLIENTS- MENTAL HEALTH DIVERSION
INDIVIDUALS THAT ARE YOU KNOW
HAVING THE LEAST RESTRICTIVE
CARE. YET THEY ALSO HAVE A
MENTAL ILLNESS AND HE'S TO BE
TREATED AND MAYBE SOME MEDICAL
ISSUES ALSO- THE PROPERTY IS.
LOCATED NORTH HIGHLANDS FORMALLY
WAS A SCHOOL- MIKE AND HIS
ORGANIZATION PURCHASED I THINK
IT TWO THOUSAND EIGHTEEN. AND AS
TWO THOUSAND TWENTY THREE AND
IT'S TAKEN THIS LONG YOU KNOW
COVERED WAS A- HUGE
INTERRUPTION. OF THE COST OF
BUILDING WENT UP SUBSTANTIALLY
YOU KNOW IN THAT PERIOD OF TIME.
STAFFING STAFFING STAFFING
COUNTED ENOUGH I'M SURE
EVERYBODY IS IT'S A REAL
STRUGGLE WAS STOPPING RIGHT NOW-
THE SO THE SO IT'S ABOUT 50%
COMPLETED RIGHT NOW SO I THINK
WE WILL BE OPEN IN THE SUMMER I
THINK IT'S EXCITING WITHOUT
THESE FUNDS. I JUST I REALLY
CAN'T SAY THERE'S NOT A LOT OF
BANKS THAT ARE STEPPING UP AND
SAKE- WILL LEND YOU THE MONEY
FOR NASA SIDE MANY MANY PROGRAM-
IT'S VERY CHALLENGING SO.
INCREDIBLY APPRECIATIVE OF THESE
FUNDS- SO FIFTY FOUR CLIENTS SO
ONE OF THE UNIQUE PARTS OF OUR
PROGRAM- SIMILAR TO WHAT THE
GENTLEMAN FROM BACKS WAS SAYING.
IS THAT WE HAVE A OUR CFE AND
THEN ADJACENT TO A LOT OF OUR
PROGRAMS WE HAVE A SPECIALTY
MENTAL HEALTH OUTPATIENT CLINIC
SO WE HAVE PSYCHIATRISTS
ENFORCER CHARACTERS RIGHT NOW TO
A PSYCHIATRIC NURSE
PRACTITIONERS. THERAPISTS ALL TO
HELP INDIVIDUALS LIVING IN THE
COMMUNITY. I THINK YOU KNOW
TRULY WHOLE PERSON CARE- YOU
KNOW MEDICAL MANAGEMENT TO JORGE
MENDEZ ARE VICE PRESIDENT HE
CREATED THE WHOLE PERSON CARE
MODEL FOR SANTA CRUZ- BEFORE HE
JOINED OUR ORGANIZATION. SO THAT
IS YOU KNOW IT'S SUPPORT FOR ALL
OF US AND IT'S ESPECIALLY
IMPORTANT FOR SOMEBODY WHO HAS
A- MENTAL HEALTH DIAGNOSIS- WE
HAVE OUTSIDE EATING THERE
HOPEFULLY ALL THE GUYS WILL COME
ON A TOUR AT SOME POINT- BUT WE
ADDED TWO THOUSAND SQUARE FEET
FOR OUTSIDE- SOCIALIZATION.
EATING THINGS LIKE THAT WE WANT
PEOPLE HAVE FRESH AIR- THE
GROUND ALLOWS US TO FUND THIS
PROJECT WHICH WE ANTICIPATE.
SUMMER. TWENTY TWENTY THREE- I
WANT TO TALK A LITTLE BIT ABOUT
THE- ABOUT THE RCMP OR THE C. C.
GRANT ITSELF- IT WAS DAUNTING.
AND PROBABLY BEING NICE ABOUT
THAT IT WAS BIG IT WAS HUGE AND
WE'RE PRETTY OKAY SMART- WE
BROUGHT IN A CONSULTANT TO HELP
US- AND SHE WAS AMAZING FROM THE
FUTURE ORGANIZATION. AND IT WAS-
IT WAS BIG SO SOME OF THE
QUESTIONS I ASKED HER ABOUT
DEMOGRAPHICS WHICH IT YOU KNOW
ALL OF YOU GUYS KNOW ON A- WHEN
YOU'RE ADMITTING SEVENTY TWO-
BOARDING CARE YOU DON'T ASK
ABOUT GENDER IDENTITY. YOU DON'T
ASK ABOUT THEIR- WHERE THEY WERE
BORN- YOU KNOW WHAT THEIR
ORIGINS ARE YOU DON'T ASK ANY OF
THOSE THINGS YEAH WE- WE HAPPEN
TO HAVE A BECAUSE WE HAVE OUR
CLINIC WE TO GO TALK TO OUR
CLIENTS- A LOT OF THE- THAT-
I'VE TRIED TO COMMUNICATE IN. A
LOT OF DIFFERENT GROUPS ABOUT
THIS BUT THEY'RE STILL THE
PEOPLE THINK OH I CAN USE THIS
FOR- YOU KNOW THE REGIONAL
CENTER. NO CAN'T USE IT FOR THAT
SO YOU KNOW ITS- I THINK
EDUCATING PEOPLE IS BENEFICIAL-
TO. LIKE MIKE CELEBRATE US
SUPPORTING THE BODY CARE
OPERATORS MORE- SO ONE THING I
FIND INTERESTING IS. AS AN A. R.
F. R. C. IF THE ADMINISTRATOR
EVERY EVERY YEAR. IT'S TWO YEARS
HAVE TO TAKE SIX HOURS OF
DEMENTIA TRAINING IT'S A CO YOUR
MAGIC AND THAT MAKES SENSE
BECAUSE EVEN AT AS AN ADULT.
RESIDENTIAL FACILITY YOU WANT TO
RECOGNIZE MAYBE SOME OF THOSE
THINGS THAT ARE LOOKING LIKE
DEMENTIA THERE IS NO REQUIREMENT
RIGHT NOW FOR MENTAL HEALTH-
RECOGNIZING DEPRESSION
SUICIDALITY- AND THAT IS
SOMETHING THAT I THINK IS A
PRETTY PRETTY EASY FIX- BECAUSE
I THINK WITH EDUCATION
UNDERSTANDING BEHAVIORS HOW YOU.
MITIGATE THOSE BEHAVIORS- I
THINK IT WOULD IT WOULD ALLOW
OTHERS THE OPPORTUNITY TO COME
INTO THIS PARTICULAR FIELD- A
THREE YEARS AGO- AS FAR AS THE
C. C. E. APPLICATION- THREE
YEARS AGO I WOULD HAVE BEEN ABLE
TO WE WOULDN'T HAVE BEEN ABLE TO
EVEN APPLY FOR THESE FUNDS.
BECAUSE IT WAS TYPICALLY LIMITED
TO A NONPROFIT- TO RESURFACE
QUEENIE AND LARA TALK ABOUT A
REALLY ADVOCATED ON A WHOLE
DIFFERENT LEVEL TO ALLOW FOR
PROFITS WERE WE ARE FOR PROFIT
BUT ALSO REALLY GOOD PROVIDER-
WE DO A GOOD JOB WE CARE A LOT
WE TREAT OUR CLIENTS REALLY
WELL. A LOT OF HEALTH GOOD
NUTRITION- SO THAT ALONE I THINK
ALLOWED AN OPPORTUNITY FOR
OTHERS TO COME IN TO DO THIS
WORK AND SUPPORT THEM. M. IT WAS
ANYTHING ELSE. FIFTY QUESTIONS
OKAY. THAT'S GREAT PERFECT GONNA
JUMP INTO QUESTIONS I REALLY
APPRECIATE YOU STICKING AROUND-
I'LL KICK THIS OFF WITH A COUPLE
QUESTIONS- ON THE PREVENTION
SIDE PADDY YOU MENTIONED AND
TRENT YOU MENTIONED IT. I WANT
TO HEAR MORE ABOUT YOU KNOW ON
THE PREVENTATIVE SIDE WITH
CALFRESH IMMERSION ALMONDS AND
DEAN AND MAJORITY OF OUR SENIORS
YOU KNOW BEING ON THE WANTED TO
HOUSEHOLDS. ARE GOING TO GO DOWN
TO THREE TWENTY THREE DOLLARS A
MONTH POTENTIALLY. HOW ARE YOU
KNOW HARD THOSE CONVERSATIONS
GOING YOU KNOW HOW WORRIED ARE
WE NEED TO YOU KNOW FURTHER PUSH
THIS POPULATION INTO
HOMELESSNESS AND I'LL START OFF
WITH THAT QUESTION. I CAN START.
THIS TRIP OR- EVEN SERVICES- WE
ARE VERY CONCERNED ABOUT THE
REDUCTION IN THE EMERGENCY A LOT
BUT- WE ARE OF FORTUNES OURS IS
GOOD WE HAVE A LOCALLY FUNDED.
FOOD SUPPORT COMMUNITY COULD
SUPPORT NETWORK OF. ABOUT THIRTY
THREE MILLION DOLLARS. THAT'S ON
TOP OF. WHAT WE- ARE PROJECTS.
WITH THE FOOD BANK ALREADY AND
OUR PUBLIC REPEAL PROGRAMS ARE
COMMONLY. PROGRAMS OF THE THIRTY
THREE MONTHS IN ADDITION TO
THAT. WE SERVICE- THOUSANDS AND
THOUSANDS OF PEOPLE AND SO WHAT
WE'RE DOING IS. AND WE STILL
HAVE ROOM TO GROW SO WHAT WE'RE
DOING. IS PRETTY AGGRESSIVE
MARKETING. CAMPAIGN TO BECOME
SABAEANS THEM KNOW. THEIR LIFE
IS GOING TO GO DOWN. WE HAVE THE
ABILITY TO TEXT- CLIENTS. ARE
DOING. SO REALLY KIND OF WORKING
WITH OUR COMMUNITY PARTNER TO
GET THE OUT- AND ALL OF THAT
NOW. IT'S NOT ONLY BENEFITS
GOING TO BE RID- BUT HERE THE
OPTIONS YOU HAVE- TO THE
NEIGHBORHOOD AT. ALL THROUGHOUT
THE CITY- BUT IT IS YOU KNOW
IT'S A REAL CONCERN WE IN
SERVICES ALONE THE VALUE- OR OR
THE TOTAL AMOUNT. THE REDUCTIONS
ABOUT ELEVEN POINT FIVE ELEVEN
AND A HALF MILLION DOLLARS IN
COVERAGE BENEFITS. EACH MONTH IN
SAN FRANCISCO. THANK YOU IN A
FEW AT ANY TO THAT UP I WOULD
SAY YOU FOR LIFTING UP THAT THAT
ISSUE IT'S A REAL CONCERN AND
CALIFORNIA- INDIVIDUALS WHO ARE
RECEIVING SSI JUST RECENTLY.
BECAME ELIGIBLE FOR FOOD STAMPS
FOR THE FIRST TIME WE WERE THE
LAST STATE IN THE NATION TO
JOIN. THE FOOD STAMP PROGRAM
WITH OUR SSI POPULATION AND I'M
JUST EXTREMELY CONCERNED BECAUSE
THE PARTICIPATION LATE RATE IS
ALREADY LOW. AND THERE IS-
THERE'S BEEN SOME. PRESS AROUND
THE FACT THAT PEOPLE ARE NOT
GETTING WHAT THEY NEED AND IN
THIS PERIOD OF FOOD INFLATION IT
ALL COMES OUT OF- THE FAMILY
BUDGET AND AS MATTHEW DESMOND.
SAYS THE RENT EATS FIRST SO IT
WILL CAUSE HUNGER. THANK YOU I'M
SECOND QUESTION ON THEN I'LL
KICK IT OVER TO MY- SUBCOMMITTEE
MEMBERS. I'M Q. SPEAK YOU KNOW
YOU'VE MENTIONED THAT YOU KNOW
SEVERAL OF YOU MENTIONED THE
DIFFICULTY IN FINDING AFFORDABLE
HOUSING. THANK YOU TALK ABOUT
THE UNICORN UNITS THAT PERHAPS
YOU KNOW THEY PUT SO MUCH
RESTRICTION ON THEM THAT YOU
HAVE THEY CAN SEIZE YOU CAPITOL
SENIORS AND THEIR- ANYONE. I'LL
JUST SAY QUICKLY FROM THE
COMMUNITY CARE EXPANSION
PERSPECTIVE I THINK WE'RE REALLY
TRYING TO TAKE A BROADER
APPROACH AS YOU HEARD FROM. THE
DIFFERENT- SPEAKERS TODAY WE'RE
REALLY TRYING TO FIND A BROAD
ARRAY THAT IS LOW BARRIER TO
ACCESS YES IT IS PRIORITIZING
THE SS I SS P. CAPPY POPULATION-
BUT THAT'S A LARGE POPULATION IN
CALIFORNIA THERE'S MORE THAN ONE
POINT ONE MILLION. RECIPIENTS
RIGHT NOW AND WE KNOW IT'S
POPULATION THAT STRUGGLES
BECAUSE OF THE FIXED INCOME TO
FIND HOUSING- SO WE ARE TRYING
TO GO IN THE OPPOSITE DIRECTION
OF CCTV TO MAKE IT LOW BARRIER
TO MAKE SURE WE'RE MEETING
PEOPLE WHERE THEY'RE AT. TO FIND
THAT A RATE OF BEDS- INCLUDING
THE RCF FEES THEY DON'T
RESIDENTIAL FACILITY BEDS BUT
ALSO PERMANENT SUPPORTIVE
HOUSING BEDS AND MEDICAL RESPITE
SO- BECAUSE WE DON'T RUN OF ANY
OF THE HOUSING SIDE YOU KNOW
HOUSING AUTHORITY OR THAT SIDE
OF THE PROGRAMS I CAN'T SPEAK TO
THAT BUT- BUT- I THINK FROM OUR
PERSPECTIVE AND- AND THAT'S TRUE
WITH ALL OUR PROGRAMS WE WANT
THEM TO BE LOW BARRIER. WE WANT
THEM TO BE FLEXIBLE AND WE WANT
THEM TO MEET OUR- RECIPIENTS
WHERE THEY'RE AT AND PROVIDE THE
SERVICES AS QUICKLY AS POSSIBLE
AND ALL THAT OTHER SPEAK TO
OTHER PIECES OF THAT. YEAH
JONATHAN FROM BACK I'D BE HAPPY
TO SPEAK BRIEFLY ON THE
SPECIFICALLY AROUND PERMITS FOR
POUNDING. I THINK ONE OF THE
THINGS THAT WE ARE. VERY EXCITED
ABOUT IN THIS CONTACT. AND
SPECIFICALLY WITH THE THINK THE
PROGRAM. IS IN THIS- AND I WILL
SAY ONE OF THE THINGS THAT IS
TRULY INNOVATIVE THE OPPORTUNITY
TO GET- WHAT WE CALL CULTURE ARE
CAPITALIZED OPERATING COMPANY
RESERVE WHICH IS REALLY EXACTLY
WHAT YOU NEED TO TRULY HAVE. A
PERMANENT PART OF HOUSING WHERE
PEOPLE ARE PAYING 30% OF THEIR
INCOME RIGHT THIS IS WHAT IS.
COVERING THE OFFSET IN COSTS.
ASSEMBLY NINETY. GIVEN THAT THAT
IN THAT STATE MONEY AND WE TO
THINK GENERAL FUND FUNDING THAT
PORTION OF IT AND THEN SOME
LOCAL FUNDING OUR PERMANENT
SUPPORTIVE HOUSING IS ABLE TO
BE. I WAS JUST DESCRIBED MORE
FLEXIBLE RIGHT IT'S NOT PASSING
THROUGH- CERTAIN FUNDING STREAMS
THAT MIGHT REQUIRE IN
POTENTIALLY PUT ON THE MORE
UNINTENTIONAL BARRIERS SO WHILE
THERE WILL STILL BE THE
PRIORITIZATION PROCESS AND
MARTIN WORKING CLOSELY WITH OUR
COUNTY. THE SORT OF STATE BASED
OPERATING RESERVES AND LOCAL
COUNTY OPERATING RESERVES AROUND
ALLOW IT TO REALLY CREATE I
WOULD SAY THAT THE LOWEST
BARRIER VERSION OF PROMISED ONE
OF HOUSING IN TERMS OF LIKE.
PEOPLE ACCESS AND THAT IS- THAT
REALLY. HELPING TO CHANGE THAT
KIND OF. WHAT YOU'RE TALKING
ABOUT THOSE THOSE GAPS AND
REALLY GETTING PEOPLE INTO
UNITS. IN EFFICIENT WAYS ARE
POTENTIAL BARRIERS OR
DOCUMENTATION THAT CAN. REALLY
SLOW THE PROCESS. PERFECT THANK
YOU OKAY COULD HAPPEN TO. SEVEN
CENTER AT MY THANK YOU I COULD
JUST ASK IN AND STATE THIS- SEE
SEE BECAUSE IT'S EXCITING I WE
HAVE POTS OF THAT WE CAN. HELP
BUT THEN WE JUST HEARD FROM. SAY
IT WASN'T. HARD TO ACCESS IT- SO
I'M WONDERING ALSO JUST FROM THE
DEPARTMENT PUT YOUR RESPONSE TO
THAT. TWO THINGS THANK YOU FOR
THE QUESTION- FIRST I'LL JUST
SAY- WITH THE APPLICATION
PROCESS WE KNOW THAT IT IT WAS-
A LOT OF PIECES TO PUT TOGETHER
AND- YOU KNOW WE REALLY TRIED TO
BALANCE- TWO THINGS ONE IS-
MAKING SURE THAT WE HAD A WIDE
ARRAY OF OPERATORS FROM BIG TO
SMALL. PEOPLE DON'T NORMALLY
SEEK STATE GRANTS ARE IN ALL
AREAS OF THE STATE THAT WAS
TRULY IMPORTANT HAVE THAT
ACCESSIBILITY TO US- WE ALSO
WANTED TO MAKE SURE THAT WE WERE
RECEIVING ENOUGH INFORMATION ON
THE OTHER SIDE. TO BE REALLY
EXCELLENT STEWARDS OF ALL THESE
OF STATE RESOURCES THAT ARE
BEING POURED INTO THIS PROGRAM.
AND TO MAKE SURE THINGS LIKE- IF
SOMEBODY SAID THEY WERE GOING TO
BUILD SOMETHING TO REHABILITATE
SOMETHING. THERE WAS SOMETHING
ON THE OTHER END AND THEY WERE
SERVING THE CLIENTS THAT THEY
WERE SUPPOSED TO SERVE. SO I
THINK- WE ARE CERTAINLY OPEN TO
LESSONS LEARNED ABOUT WHETHER WE
CAN STREAMLINE THINGS SIMPLIFY
THINGS- WE DID PROVIDE TECHNICAL
ASSISTANCE TO. APPLICANTS CENTER
PRE LICENSE- PEOPLE WHO ARE IN
THE PRE LICENSING PROCESS. TO
REALLY OPEN TO FEEDBACK AROUND
THAT AND JUST MAKING SURE WE'RE
FINDING THAT RIGHT BALANCE SO WE
HAVE THE- THE RESULT AT THE END
TO SHOW. FROM ALL THIS WORK UP
FRONT. IN IF I COULD ASK JUST
FOR MY OWN EDUCATION IS. IT DOES
IT DOES IT ALL JUST GO TO-
PROVIDER TO THE COURT OF THE
COUNTY AND THE COUNTY COULD
ADMINISTER SOME AT THE SAME
TIME. OR JUST FOR AN END A
CONSTRUCTION OF AN INDIVIDUAL.
SITE IT'S A MIXED ARRAY OF WHO'S
RECEIVING THE FUNDS IT'LL TURN
TO MY- COLLEAGUE TO ANSWER MORE
SPECIFICALLY ON WHO WERE
FUNDING. SURE I THINK YOU. I'M
AN AS AMENDED FTA DIRECTOR OF
HOUSING AND HOMELESSNESS M.
DIVISION. AT SO CCP HAS TWO
COMPONENTS THE FIRST IS THE
EXPANSION- SIDE WHICH- HAS
INVESTED FIVE HUNDRED AND
SEVENTY MILLION DOLLARS IN
CAPITAL. AT EXPOSITION OF
REHABILITATION AND CONSTRUCTION
AND THAT IS- RUN THROUGH OR
ALLOCATED THROUGH A COMPETITIVE
PROCESS WE LAUNCHED OUR- AND OUR
STAY IN JANUARY OF TWENTY TWENTY
TWO ALONG SIDE- AT DEPARTMENT OF
HEALTH CARE. SERVICES FOR THEIR
BEACH A PROGRAM WHICH IS A-
SIMILAR PROGRAM FOCUSED ON
BEHAVIORAL HEALTH AND AT CARE
CONTINUUM. AND THAT IS OPEN TO
FOR PROFIT NONPROFIT CITIES
COUNTIES A VERY OPEN. TO
APPLICANTS AND I'LL JUST ADD TO
WHAT CLEAR WAS SHARING THAT. AND
AS PART OF THE INVESTMENT AND
TECHNICAL ASSISTANCE TO SUPPORT
APPLICANTS THAT ALSO INCLUDED AN
INITIAL STAGE IN THE APPLICATION
PROCESS WHERE THERE WAS-
ACTUALLY AT MUCH MORE NARROW SET
OF INFORMATION REQUESTED. AND TO
PREACH AND APPLICATION
CONSULTATIONS WERE HELD BASED ON
THAT NARROW SET OF INFORMATION
WITH THE TECHNICAL ASSISTANCE
PROVIDER TO. THEN SUPPORT THE
APPLICANTS WHERE- AND AT TO GO
THROUGH THE APPLICATION PROCESS
FROM THERE SAID WE- WE KNOW THAT
SEVENTEEN HUNDRED PRE
APPLICATION CONSULTANT PATIENTS
WERE HELD WITH APPLICANTS- TO
SUPPORT THEM THROUGHOUT THAT
PROCESS FROM THE VERY GET GO.
AND THEN ON THE PRESERVATION
SIDE THE MODEL IS A LITTLE BIT
DIFFERENT THERE WHAT WE HAVE
DONE AS AND I CHOSE IN A NON.
COMPETITIVE ALLOCATION PROCESS
WHERE WE HAVE IDENTIFIED ALL OF
THE COUNTIES THAT HAVE ELIGIBLE
FACILITIES AND- ALLOCATED
DOLLARS TO THEM TO THEN BE ABLE
TO IDENTIFY THE FACILITIES THAT
ARE AT HIGHEST- REST OF CLOSURE.
AND A FIGURE OUT WHAT THE BEST
WAY IS FOR THAT COUNTY TO
ALLOCATE RESOURCES- ON THE
PRESERVATION. SITES HAVE DOES
HAVE BOTH CAPITAL DAHLE THERE IS
AND OPERATING STEPS AS WELL.
THANK YOU. CAN QUICKLY GET JUST
MENTION THING- I WILL SAY
THROUGH THE PRE OP. FOR A KUNIN
KUNIN Q- SHE WAS AMAZING GRANTED
SHE HAD TO REPEAT HERSELF FIVE
TIMES FOR TERMS THAT WE JUST
WERE NOT FAMILIAR WITH TO BE
HONEST- BUT YES THROUGH EVERY
STEP OF THE WAY WE HAD A
QUESTION. YOU KNOW SHE WOULD
ANSWER WITHIN A COUPLE OF HOURS
IF IT WAS SOMETHING ABOUT THE
PROPERTY SHE WE GET PEOPLE ON
THE LINE BUT GETTING GETTING
OPERATORS TO APPLY GETTING THEM
TO THOSE PRE APPLICATION. THAT'S
RIGHT THE CHALLENGES ONCE ONCE
YOU GET THE SHARON- IT'S YOU
KNOW IT'S PRETTY AMAZING ABOUT
THAT PART. I SAID YOU KNOW WE'RE
LOOKING BECAUSE WE HAVE OF A
GROUP OF. A PROFESSIONALS AND
ARE COUNTING AND DIFFERENT AREAS
IT REALLY WERE HELP HELP VERY
HELPFUL FOR US INTERNALLY TO PUT
THIS TOGETHER BUT IT IS A BIG
PROJECT. AND IF YOU DON'T HAVE
THE FINANCIAL BACKGROUND AND A
LOT OF OUR PLAYERS DON'T THAT IT
YOU KNOW LOOKING AT IT BECOMES
REALLY DAUNTING CAN I IS IT
SOMETHING I CAN EVEN DO. AND I
AND I YOU KNOW IF THERE WERE
SOME CONSULTANTS OUT THERE
PERHAPS I COULD HELP SOMEBODY
SMALLER OPERATORS I THINK THAT
THAT MAY BE SOME MORE THAN ONE
BABY STEPPED UP AND APPLIED FOR
FUNDS. BUT IT WAS IT WAS A BIG
PROCESS AND BUT I WILL THE STATE
THE STATE WAS AMAZING AND
HELPING US AND YOU KNOW WE-
RECEIVED ALL THE- HELP THAT WE
NEEDED. AND SO THAT WAS THAT WAS
THAT WAS IT WAS A REALLY GOOD
PROCESS WE REALLY ENJOYED IT.
CAN I ALSO ASK THEM. DO YOU DO
YOU SEE ANY HOPE. COMING
CALTRAIN. TO BE TO BRIDGE SOME
OF THESE GAPS- FOR THE OPERATION
PART AND FOR THE FUNDING PART OF
THAT. IS THAT GOING TO BE A- HOW
BIG A LIFE AND I BECAUSE I
BECAUSE I HEAR THAT ISSUE ABOUT.
THE PATCH I CERTAINLY UNDERSTAND
ISSUE ABOUT THERE'S NOT ENOUGH.
FOR OPERATIONAL COST. IN TO
WOULD I GUESS THE DEPARTMENT'S
IDEAS ABOUT THAT. YEAH I THINK
YOU FOR THAT QUESTION A CLEAR
RAMSEY FROM CDSS. I'LL JUST SAY
I DON'T WANT TO SPEAK OVERLY TO
OUR DEPARTMENT HEALTH CARE
SERVICES CALLING JUST BECAUSE I.
DON'T KNOW THOSE PROGRAMS AS
INTIMATELY- BUT I WILL SAY THAT-
WE ARE TRYING TO THINK
CREATIVELY ABOUT HOW THESE.
DIFFERENT PIECES ALL FIT
TOGETHER TO SERVE THE SAME
POPULATION I THINK THAT'S REALLY
AT THE HEART OF WHAT YOU'LL
HEAR. A LOT OF HEALTH AND HUMAN
SERVICES AGENCY DEPARTMENTS
TALKING ABOUT WHICH IS. PERSON
CENTERED MODEL WE'RE NO LONGER
TRYING TO THINK PROGRAMMATIC
LEE. OR TRYING TO THINK ABOUT
THE PERSON AND HOW WE'RE
PROVIDING THE NEEDED SERVICES TO
THEM. I THINK THERE ARE
OPPORTUNITIES WITHIN CAL AIMED.
I'M NOT CLEAR YET THAT THEY WILL
WORK EXACTLY LIKE. AN OPERATING
SUBSIDY PAYMENT- BUT MORE TO
WHAT JONATHAN MENTION FROM BACKS
AROUND- THEY ARE PROVIDING AND
NUMBER OF COMMUNITY SUPPORTS FOR
INDIVIDUALS WHO ARE INVOLVED IN
MEDIC HOW WHICH- EVERYONE AT THE
SITE. IS SO WE THINK IT'S GOING
TO PROVIDE A LOT OF- SERVICE
RICH UP POSSIBILITIES AND THEN.
I JUST TO BE CLEAR WHAT- WE ARE
REALLY EXCITED ABOUT WITH THE
FIFTY FIVE MILLION DOLLARS
OFFERED IN. FRONT OF FISCAL YEAR
TWENTY TWENTY ONE AND TWENTY TWO
ANOTHER FIFTY FIVE IN TWENTY
TWENTY TWO. THAT THAT IS
OPERATING. A TO PROVIDE THAT
PATCH AND THAT'S- WHAT'S OF THE
PLANS WERE RECEIVING RIGHT NOW
FROM COUNTIES. COULD BASICALLY.
SEE HOW HE HAD A QUESTION A
PATCH FUNDING EXACTLY AND
THEY'RE IDENTIFYING THE
FACILITIES AT HIGH RISK- THEY'RE
GOING TO BE AS LEADER DESCRIBED-
AND THEY WILL- BE ABLE TO WORK
OUT UP BY COUNTY KIND OF WHAT
THEY THINK IS NEEDED TO. KEEP
FACILITIES IN BUSINESS AND SO
WE'LL BE LEARNING MORE OVER THE
COMING YEAR. AND BEYOND ABOUT
SORT OF WHAT THAT RIGHT AMOUNT
WAS WHAT KEPT FACILITIES GOING
AND- YOU KNOW WHETHER IT NEEDED
TO BE EVERY BAD WAS GETTING UP
OF. PARTICULAR AMOUNT OR IF SOME
ADDITIONAL OPERATING SUBSIDIES
INTO THE FACILITY STABILIZE THE
ENTIRE FACILITY AND THEREFORE
STABILIZED MORE BEDS THAN EVEN.
THE DIRECT. RECIPIENT BEDS THAT-
THEY WERE SERVING SO I THINK
THERE'S A LOT OF- EXCITING-
DATED A COMMON. AND- WE DO WANT
TO CONTINUE TO WORK TO SEE WERE
CALLIN CAN SUPPORT. OKAY AND
THEN JUST MY FINAL QUESTION AND
THANK YOU FOR THE INDULGENCE
MADAM CHAIR- ON THE ISSUE OF
PEOPLE BEING ABLE LIKE IF YOU
HAVE A VOUCHER TO BE ABLE TO GET
A PLACE. ARE YOU FINDING THAT
PEOPLE'S INSPECTION OF YOUR
OLDER PEOPLE YOU HAVE A LONG
HISTORY. LIKE CREDIT HISTORY OR
ANY OF THOSE KINDS OF THINGS
PREVENTING PEOPLE FROM BEING
ABLE TO ACTUALLY USE THAT
VOUCHER THAT THEY HAVE IN THEIR
HANDS. I CAN SPEAK TO THAT
SENATOR- THANK YOU FOR THAT
QUESTION IT'S INCREDIBLY
FRUSTRATING TO SEE THESE
VOUCHERS BEING OFFERED TO
INDIVIDUALS AND THAT THE-
ABILITY TO ACTUALLY SECURE
LOCATION IF YOU ARE ON HEALTH
AND LOOKING FOR A PLACE OR NEED
TO MOVE. M. IS IN SOME PLACES AS
LOW AS TWENTY FIVE PERCENT. THAT
MEANS 75% OF THE VOUCHERS ARE
GOING UNUSED AND IS IT AND IS
THAT BECAUSE OF PEOPLE'S CREDIT
HISTORY OR NOT BECAUSE THEY
CANNOT FIND A PLACE THAT WILL
RENT- WELL I THINK THAT IT. IS
FOR A NUMBER OF REASONS IT IS
OUR SOURCE OF INCOME
DISCRIMINATION LAW NOT BEING
FULLY ENFORCED. I THINK YOUR
BILL AROUND CREDIT HISTORY IS
VERY IMPORTANT AND BRING IT BACK
THIS YEAR YEAH. SHE DIDN'T PLANT
THAT QUESTION REALLY. AND I
THINK ALSO LOOKING AT THE
MAXIMUM INCOME THAT YOU HAVE TO
HAVE- THE- THE DEPARTMENT OF
EMPLOYMENT AND FAIR HOUSING HAS
HAS INDICATED THAT WHEN YOU LOOK
AT- AN APPLICANT YOU SHOULD ONLY
LOOK AT WHETHER THEY HAVE THREE
TIMES. THE OR PORTION OF THE
RENT THAT THEY'RE GOING TO HAVE
TO CONTRIBUTE AND NOT THE FULL
FAIR MARKET RENT AND YET MANY.
OF LANDLORDS AND RENTAL
COMPANIES- ASK FOR THAT FULL
AMOUNT WHICH OF COURSE ANYONE AN
SS I COULD NOT MEET. AND I JUST
FINALLY SOMEONE JUST SAY THANK
YOU TO CENTER JOB I WORK CLOSELY
WITH TO SUPPRESS QUEENIE AND I
HEARD THE NAME SO OFTEN THANK
YOU VERY MUCH. SENATOR ROB YOU
HAVE ANY QUESTIONS. JUST ONE-
MENTOR THANK YOU I'M JUST
CURIOUS MAYBE I MISSED THIS BUT-
REGARDING THE C. C. E. E.
CONSTRUCTION ACQUISITION
REHABILITATION PROGRAM. HOW DO
YOU ACCOUNT FOR THE- POTENTIAL
CAPABILITY- DIFFERENTIAL BETWEEN
CITIES AND COUNTIES IN THE
PRIVATE SECTOR IN THE PROFITS
AND NONPROFIT. ARENA IN TERMS OF
PREPARING- APPROPRIATE IN
COMPLYING APPLICATIONS YOU KNOW
SOMETIMES IN OTHER AREAS I
NOTICED- WE PUT MONEY IN. IN
VARIOUS BUCKETS AND WE- WHAT THE
LARGE CITIES IN LARGE COUNTIES
FIGHT IT OUT IN THE ONE BUCKET
AND WE LET THE OTHER FOLKS DEAL
WITH IT AND THE OTHER BUCKET
AND- SORT OF. POTENTIALLY
SIMPLIFIES- THE PROCESS IN TERMS
OF. GIVING FOLKS A FAIR
OPPORTUNITY TO COMPETE. IF
YOU'VE ANSWERED THIS BEFORE JUST
TELL ME TO. SHUT UP AND MOVE ON
I DON'T THINK I'LL BE DOING THAT
. BUT I KNOW I HAD ANSWERED
THAT- THANKS FOR THE QUESTION- I
WILL JUST SAY THAT WE WERE
MINDFUL OF THIS CONCERN AS WE
SET UP THE C. C. E. PROGRAM WE
DID NOT WANT TO FIND OUT AT THE
END OF- ALL THIS WORK THAT. YOU
KNOW WE ENDED UP WITH OF ALL THE
FACILITIES LOCATED IN URBAN
CENTERS AND ALL THE OTHER
COUNTIES ENDED UP LOSING OUT SO
WE DID CREATE A REGIONAL MODEL.
TO ENSURE THAT THE ALLOCATIONS
WERE SPREAD OUT THROUGHOUT THE
STATE- WE ALSO HAVE A TRIBAL SET
ASIDE- WE'VE BEEN ABLE TO AWARD
A COUPLE OF- AWARDS. TO TRIBAL
ENTITIES- TO BUILD PROPERTIES-
NOT TOO FAR FROM SACRAMENTO- WE
ALSO HAVE. SET ASIDE 20% OF THE
FUNDS SO THAT WE CAN BE FLEXIBLE
FOR YOU SEE THAT THERE
UNDERSERVED AREAS OR OTHER NEEDS
WE ARE ABLE TO BE NIMBLE AND
MEET THEM. AND I WILL ALSO JUST
SAY IN OUR APPLICATION PROCESS
WE ARE SEEING A LOT OF JOINT
APPLICATIONS WHERE PEOPLE ARE
WORKING TOGETHER SO IT MIGHT BE.
A FOR PROFIT AND BEHAVIORAL
HEALTH- COUNTY BEHAVIORAL
HEALTH- I BELIEVE AND I'M SO I'M
NOT SURE WHAT THE NONPROFIT OR
FOR PROFIT ALL. I HAVE TO BE
DIRECTORS MIGHT- CONFIRM BUT-
THE FACILITY THAT CURRENT
RECEIVED AN AWARD FOR I BELIEVE
IS A JOINT APPLICATION SO THAT
THERE REALLY ARE PARTNERSHIPS
FORMING TO SUPPORT THESE
PROJECTS. AND WHEN YOU GET TO
NOT TO BELABOR IT WHEN YOU GET
ENOUGH DATA. TO THE ANALYSIS
MEANINGFUL OF PERHAPS YOU COULD
SUPPLY US WITH THE SORT OF A-
THE BREAKDOWN IS TO- SUCCESSFUL
. PERCENTAGES IN TERMS OF
SUCCESSFUL CITY COUNTY
APPLICATIONS VERSUS THE PRIVATE
SECTOR PROFITS. OF THE NON
PROFITS- JUST SO WE CAN SEE HOW
THE- FUNDING WAS DISTRIBUTED AND
WHETHER THERE IS ANY- PERCEIVED
INEQUITY AND THAT WE MAY NEED TO
DEAL WITH SO IN SOME OTHER WAY.
YEAH WE'D BE HAPPY TO FOLLOW UP
WITH THAT WE HAVE PROVIDED- A
LIST OF ALL THE PROPERTIES THAT
HAVE BEEN AWARDED SO FAR- THAT
MISSION IT HAS AND CAN CERTAINLY
DISTRIBUTED THE COMMITTEE BUT
WILL CONTINUE TO PROVIDE THAT
INFORMATION AND DO THE ANALYSIS
AS WE GO FORWARD. PERFECT THANK
YOU FOR YOUR HARD WORK THANK YOU
MANAGER. I'LL END WITH ONE FINAL
QUESTION THAT I HAVE- HI TO YOU
MENTIONED IT REGARDING IN THE
PROCESS OF FINDING FACILITIES
ARE ON THE BRINK OF CLOSURE
WE'VE HEARD FROM A LARGER
BOARDING CARE. AND EVEN FOR YOU
WAS THERE WERE SOME DIFFICULTIES
IN NAVIGATING THAT WERE ANY
SMALLER BOARDING CARE FACILITIES
AWARDED SEC GRANT. YES WE HAVE.
A NUMBER OF VERY SMALL I'M A
FACILITIES THAT HAVE BEEN
AWARDED. FOR EXAMPLE AND THERE
IS AT AND CHICO THERE IS A-
THERE ARE ACTUALLY TWO FOR TWO
FACILITIES THAT ARE RIGHT-
ADJACENT TO ONE ANOTHER EACH
SERVINGS HAVING SIX BEDS- THAT
I'M REMEMBERING OFF THE TOP OF
MY HEAD. THAT HAD THAT- WON
AWARDS- IN THIS LAST ROUND THAT
WE JUST ANNOUNCED SO AND THERE
ARE OTHER EXAMPLES AS WELL AND
WE CAN WE CAN SHARE THIS WITH
YOU SO WE HAVE BEEN ABLE TO GET
THIS AWARD TO SMALL OPERATORS AS
WELL AS LARGER ONES. PERFECT
THANK YOU SO MUCH THAT ENDS MY
ALL OUR QUESTIONS HERE WANT TO
THANK ALL THE PANELISTS BOTH IN
PERSON AND SOON FOR JOINING US.
AND GIVEN A REALLY IN DEPTH-
BACKGROUND ON THIS TOPIC VERY
IMPORTANT THANK YOU SO MUCH.
THANK YOU. YOU. YEAH. WE'RE NOT
GOING TO BE MOVING ON TO ISSUE
TOO. WE'RE GONNA BE LOOKING AT-
DEPARTMENT SOCIAL SERVICES
HOUSING AND HOMELESSNESS
DIVISION OVERVIEW. WELCOMING
BACK. DEPUTY DIRECTOR HANA. AS
THE MAHDI.
DOT GO AHEAD. SORRY HI. ANOTHER
MIGHTY DEPUTY DIRECTOR OF
HOUSING HOMELESSNESS DIVISION AT
THE DEPARTMENT OF SOCIAL
SERVICES AT THANK YOU FOR THE
OPPORTUNITY TO PRESENT HERE
TODAY. AND THE CALIFORNIA
DEPARTMENT OF SOCIAL SERVICES
HOUSING AND HOMELESSNESS
DIVISION SCHOOLS ARE TO DESIGN
SUPPORT AND OVERSEE THE DELIVERY
OF PROGRAMS THAT ARE TAILORED TO
THE UNIQUE NEEDS OF. CHILDREN
AND FAMILIES OLDER ADULTS AND
PEOPLE WITH DISABILITIES WERE
EXPERIENCING HOMELESSNESS OR
HOUSING INSTABILITY AND ARE
SERVED BY THE LOCAL SOCIAL
SERVICES AGENCIES THE DIVISION
TAKES ON A VARIETY OF ACTIVITIES
TO HELP SUPPORT THE EFFECTIVE
IMPLEMENTATION OF DSS HOUSING
AND HOMELESSNESS PROGRAMS WITHIN
THE BROADER SYSTEM OF CARE WE
WERE COLLABORATIVE WE WITH OUR
SISTER DEPARTMENTS WITHIN THAT
CALIFORNIA HEALTH AND HUMAN
SERVICES AGENCY INCLUDING THE
DEPARTMENT OF. HEALTH CARE
SERVICES PUBLIC HEALTH THE
DEPARTMENT OF AGING AMONGST
OTHERS AS WELL AS MULTIPLE STATE
AGENCIES STRIVING TOWARD THE
SAME MISSION TO END HOMELESSNESS
BY CREATING PERSON CENTERED
PROGRAM DELIVERY WITH A FOCUS ON
EQUITABLE ACCESS TO SAFE AND
STABLE HOUSING. DSS DIRECTOR
JOHNSON ALSO- ALSO SERVES AS A
COUNCIL MEMBER ON THE CALIFORNIA
INTERAGENCY COUNCIL ON
HOMELESSNESS AND THE CDSS TEAM
WORKS SIDE BY SIDE WITH OUR
SISTER IT DEPARTMENTS ON THE
STATE'S ACTION PLAN TO END
HOMELESSNESS. THE HOUSING AND
HOMELESSNESS DIVISION OVERSEE
SEVEN HOUSING AND HOMELESSNESS
PROGRAMS THAT ARE EMBEDDED IN
THE SOCIAL SERVICES DELIVERY
SYSTEM WITH SIGNIFICANT ONE TIME
PROGRAM EXPANSION DOLLARS WITH
MULTI YEAR SPENDING AUTHORITY
TOTALING MORE THAN TWO BILLION
DOLLARS INVESTED OVER THE LAST
TWO YEARS. THE MAJORITY OF THESE
FUNDS ARE MADE AVAILABLE TO
COUNTY SOCIAL SERVICES AGENCIES
AND TRIBAL GOVERNMENTS
THROUGHOUT THE STATE VIA NON
COMPETITIVE FUNDING ALLOCATIONS
ACROSS ALL FIFTY EIGHT COUNTIES.
AND SET ASIDES FOR TRIBAL
GOVERNMENTS. DSS ENCOURAGES AND
WORKS WITH TWENTIETH TO BLEND
AND BRAIT THE TREMENDOUS STATE
INFRASTRUCTURE INVESTMENTS WITH
A WIDE ARRAY OF HEALTH AND
SOCIAL SERVICE INTERVENTIONS.
THE SPECIFICALLY AND ACTUALLY
AND AM PLEASED TO REPORT THAT AS
OF FEBRUARY TWENTY TWENTY THREE
THE DEPARTMENT HAS MADE ALL OF
THESE FUNDS AVAILABLE. VIA
APPLICABLES FUNDING AND NOTICES
AND HAS AWARDED OVER ONE POINT
SIX BILLION DOLLARS IN FINES TO
OVER THREE HUNDRED AND FIFTY
GRANTEES TO IMPLEMENT HOUSING
AND HOMELESSNESS PROGRAMS.
STATEWIDE THE REMAINING FOUR
HUNDRED MILLION IS AVAILABLE VIA
THE RELEVANT FUNDING
ANNOUNCEMENTS AND WE ARE IN THE
PROCESS OF REVIEWING SUBMITTED
APPLICATIONS. ALONG WITH THE
SIX. FUNDING EXPANSIONS IN
TWENTY TWENTY ONE PROGRAM
ELIGIBILITY WAS ALSO EXPANDED TO
SERVE FAMILIES OLDER ADULTS AND
ADULTS WITH DISABILITIES AT RISK
OF HOMELESSNESS WE'RE NOT YET IN
RECEIPT OF AN EVICTION NOTICE.
THIS REALLY HAS ALLOWED GRANTEES
TO STEM THE INFLOW INTO THE HOME
WITH THE SYSTEM AND ALSO
PROVIDE. THAT SUPPORTS AND
SERVICES FURTHER UPSTREAM. THE
PROPOSED TWENTY TWENTY THREE
TWENTY TWENTY FOUR BUDGET
MAINTAINS THESE INVESTMENTS
THERE WERE NO CUTS OR CHANGES TO
OUR DIVISIONS AT INVESTMENTS.
ADDITIONALLY ALL OF THE ONE TIME
INVESTMENTS IN FISCAL YEAR
TWENTY ONE TO TWENTY TWENTY TWO
AND FISCAL YEAR TWENTY TWO TO
TWENTY TWENTY THREE PROVIDE
MULTI YEAR SPENDING AUTHORITY.
AND TO ENSURE THAT GRANTEES CAN
COMMIT TO LONGER TERM SUPPORT
FOR INDIVIDUALS AND FAMILIES WHO
ARE ENROLLED IN OUR PROGRAMS.
THIS ALLOWS LOCAL COMMUNITIES
THE FLEXIBILITY TO PROVIDE
SERVICES AND SUPPORTS IN
RESPONSE TO INDIVIDUALIZED NEEDS
WHETHER THAT BE SHORT TERM OR
ONE TIME INTERVENTION OR LONG
TERM SERVICES AND SUPPORTS BY WE
HAVE CONNECTION TO OTHER.
PERMANENT ASSISTANCE PROGRAMS
THAT CAN BE ACCESSED THROUGH
COMPLEMENTARY SYSTEMS THAT CAN
INCLUDE THE HEALTHCARE DELIVERY
SYSTEM OR COORDINATED ENTRY
SYSTEMS. NOW I'LL HIGHLIGHT SOME
OF THE EFFORTS AT- AT THAT WE
HAVE MADE TO PROVIDE TECHNICAL
ASSISTANCE AND ALSO AND ETHNIC
ADVANCES ON OUR EQUITY GOALS.
AND SO ROBUST ACCESS TO TAILORED
SUPPORT AND RESOURCES SUCH TOOLS
AND TEMPLATES FOR CAPACITY
BUILDING AND GUIDANCE ON HOW TO
STAND UP PROGRAMMING HAS BEEN
INSTRUMENTAL TO PROGRAM SUCCESS.
AND YOU HEARD A LITTLE BIT ABOUT
THAT FROM THE CHANGE WILL
PROJECT EARLIER. YES HAS
LAUNCHED A COMPREHENSIVE
TECHNICAL ASSISTANCE INITIATIVE
IN PARTNERSHIP WITH CHANGE WHILE
AND TO PROVIDE GRANTEES DIRECT
AN INTENSIVE SUPPORT IN AREAS
RELATED TO INTEGRATING HOUSING
AND HOMELESSNESS. PROGRAMS AS
WELL AS DISABILITY BENEFITS
ADVOCACY TRIBAL OUTREACH FAMILY
SUPPORT RESOURCE SAYS THROUGH A
DATA INFORMED RACIAL EQUITY
LINES. DSS HAS SUPPORTED OVER
TWENTY THREE HUNDRED
PARTICIPANTS ARE TWENTY EIGHT
DIFFERENT ACTIVITIES IN
PARTNERSHIP WITH CHANGE WELL AND
THAT INCLUDES WEBINARS TRAININGS
RESOURCE GUIDES PROGRAM TOWARDS
CORPORATE STYLE LEARNING
COLLABORATIVES. AND INTERCHANGE
WILL HAS ALSO LAUNCHED A DIGITAL
LEARNING PLATFORM FOR
INDEPENDENT EARNINGS. DSS HAS
FOCUSED ON ITS WORK WITH TRIBAL
GOVERNMENTS TO EXPAND ACCESS TO
HOUSING RESOURCES AND PROGRAM
SUPPORTS AS WELL. FIVE OF OUR
SEVEN PROGRAMS DESIGNATED TRIBAL
GOVERNMENTS AS ELIGIBLE GRANTEES
THAT INCLUDES THE BRING FAMILY'S
HOME PROGRAM HOME SAFE HOUSING
AND DISABILITY ADVOCACY PROGRAM
COMMUNITY CARE'S EXPANSION AND
PROJECT FROM KIM. AND ALL TRIBAL
LEADER LETTER AND I'M SAYING THE
FIRST EVER TRAVEL FUNDING SET
ASIDE AS WELL AS PROGRAM
GUIDANCE. APPLICABLE TO. PROGRAM
IF OF AND TRY TO COME. WAS
RELEASED IN JULY OF TWENTY
TWENTY TWO. THE CDSS OFFICE OF
TRIBAL AFFAIRS AND OUR DIVISION
AND LET TRIBAL CONSULTATIONS AND
PROVIDED TECHNICAL ASSISTANCE TO
SUPPORT OUTREACH AND ENGAGEMENT
WITH TRIBAL AGENCIES ACROSS THE
STATE. WE HAVE RECEIVED REQUESTS
FROM TWENTY FOUR TRIBAL AGENCIES
TO OPERATE OUR PROGRAMS AND AN
ADDITIONAL FIVE TRIBES HAVE ALSO
SUBMITTED LETTERS OF INTEREST.
WE ARE CURRENTLY FINALISING OUR
WERE DECISIONS AND ARE EXCITED
TO ANNOUNCE THEM VERY SOON IN
EARLY SPRING. DIRECTOR JOHNSON
AND- CDSS AT AN END AT CHIEF
DEPUTY DIRECTOR RAMSEY ALREADY
SPOKE AND TO OUR PROGRAMS FOR
OLDER ADULTS AND ADULTS WITH
DISABILITIES SO I'M GOING TO
FOCUS. ON A SOME OF THE OVERVIEW
AND PROVIDING SOME BACKGROUND ON
OUR PROGRAMS. ARE FOCUSING ON
FAMILIES. FAMILIES WITH CHILDREN
REPRESENT 35% OF CALIFORNIA'S
HOMELESS POPULATION SUPPORTING
FAMILIES IN OBTAINING AND
RETAINING STABLE HOUSING OF
COURSE LEADS TO BETTER OUTCOMES
FOR PARENTS AS WELL AS CHILDREN.
ACROSS MULTIPLE SYSTEMS FROM
EDUCATION TO WORK FORCE CHILD
WELFARE TO HEALTH IT IS A
KEYSTONE TO NOT ONLY ADDRESSING
OUR HOMELESSNESS CRISIS BUT ALSO
IN BREAKING THE CYCLE OF
INTERGENERATIONAL POVERTY WHICH
DISPROPORTIONATELY IMPACT PEOPLE
OF COLOR. SO WE HAVE THREE
PROGRAMS THAT'S OUR FAMILIES THE
FIRST IS THAT CAR WORKS HOMELESS
ASSISTANCE PROGRAM WHICH IS OUR
ENTITLEMENT PROGRAM THAT
PROVIDES. A PAYMENTS FOR
TEMPORARY SHELTER FOR UP TO
SIXTEEN TO MUCH OF CALENDAR DAYS
AS WELL AS PAYMENTS TO SECURE
AND MAINTAIN HOUSING INCLUDING A
SECURITY DEPOSIT AND LAST
MONTH'S RENT OR UP TO. TWO
MONTHS OF RENT ARREARS CHESS IN
FISCAL YEAR TWENTY ONE TO TWENTY
TWENTY TWO JUST OVER FORTY SEVEN
THOUSAND FAMILIES WERE SERVED
THROUGH THIS PROGRAM. THE
COWBOYS HOUSING SUPPORT PROGRAM
PROVIDES TEMPORARY HOUSING
RENTAL SUBSIDIES AND SUPPORTIVE
SERVICES TO FAMILIES AND THE
CALL WORKS PROGRAM IT IS B. HAS
SERVED MORE THAN SIXTY SIX
THOUSAND FAMILIES AND
PERMANENTLY HOUSE. UP MORE THAN
THIRTY ONE THOUSAND FAMILY SINCE
THE PROGRAM'S INCEPTION IN
TWENTY FOURTEEN. AND WE KNOW
THAT BASED ON DATA THAT IS
REPORTED TO US BY COUNTY SIX
MONTHS AFTER EXITING A TO P.
PROGRAMS. AND EIGHTY EIGHT
PARTICIPANTS ARE ABLE TO RETAIN
THEIR HOUSING. THE BRINGING
FAMILIES HOME PROGRAM PROVIDES
THOSE SAME RESOURCES TO FAMILIES
AND THE CHILD WELFARE SYSTEM. TO
KEEP FAMILIES TOGETHER AS WELL
AS STABLY HOUSED. AND THAT
PROGRAM HAS SERVED OVER FORTY
SEVEN HUNDRED FAMILIES AND
PERMANENTLY HOUSED TWENTY TWO
HUNDRED FAMILY SINCE THAT
LAUNCHED IN TWENTY SIXTEEN. SO
IN THE INTEREST OF TIME I WILL
PAUSE HERE SINCE YOU'VE HEARD
THAT AS A NOTED- ABOUT OUR OLDER
ADULTS AND PEOPLE WITH AND
PROGRAMS FOR. PEOPLE WITH
DISABILITIES BUT I'M HAPPY TO
ELABORATE FOR THEIR OR ANSWER
ANY QUESTIONS THANK YOU. THANK
YOU- TRYING TO- LA ORDEAL F. AND
YOUR FOR ANY COMMENTS. ASSEMBLY
MARSHALL DEPARTMENT OF FINANCE
NO ADDITIONAL COMMENT AT THIS
TIME BUT HAPPY TO ANSWER ANY
QUESTIONS. LUTAS MORALIS WITH
THE LEGISLATIVE ANALYST'S OFFICE
THEN YOU JUST HEARD THE
ADMINISTRATION PROVIDE AN
OVERVIEW AND UPDATE ON SOME OF
THE RECENT INVESTMENT IT
RECEIVED TO SUPPORT ITS HOUSING
AND HOMELESSNESS PROGRAMS.
THERE'S GOING TO TAKE A MOMENT
TO PROVIDE ADDITIONAL CONTEXT
AROUND THESE RESOURCES- TO THE
STATE HAS MADE SIGNIFICANT
INVESTMENTS IN RECENT YEARS IN
THE RESOURCES WITHIN DEPARTMENT
SOCIAL SERVICES ARE JUST ONE
PART OF THE STATE'S BROADER
EFFORT TO SUPPORT HOUSING
AFFORDABILITY AND HOMELESSNESS.
HISTORICALLY IT'S BEEN BONDS AND
TAX CREDITS THAT SUPPORT THE
STATE'S EFFORTS TO SUPPORT
HOUSING. THOSE EFFORTS CONTINUE
MOST RECENTLY IN TWENTY EIGHTEEN
VOTERS AUTHORIZED SIX BILLION
DOLLARS IN FUNDING. TO SUPPORT
HOUSING AND HOMELESSNESS
PROGRAMS. IN ADDITION TO THAT
THE STATE HAS AUTHORIZED ABOUT
TWENTY BILLION DOLLARS IN
FUNDING AROUND FOUR KEY STATE
DEPARTMENT THAT HAVE
HISTORICALLY SUPPORTED HOUSING
HOMELESSNESS EFFORTS. THOSE
BEING THAT DEPARTMENT OF HOUSING
AND COMMUNITY DEVELOPMENT THE
CALIFORNIA HOUSING FINANCE
AGENCY THE INTERAGENCY COUNCIL
ON HOMELESSNESS AND THE TAX
CREDIT ALLOCATION COMMITTEE.
THESE RESOURCES HAVE SUPPORTED A
VARIETY OF ACTIVITIES INCLUDING
PROVIDING FLEXIBLE AID TO LOCAL
GOVERNMENTS TO ADDRESS HOUSING
AND HOMELESSNESS NEEDS. TO
PROVIDE EMERGENCY RENTAL
ASSISTANCE TO SUBSIDIZE THE
DEVELOPMENT OF AFFORDABLE
HOUSING. AS WELL AS TO SUPPORT
FIRST TIME HOME BUYERS IT'S AN
CLOSING. THE STATE HAS MADE
SIGNIFICANT. INVESTMENTS IN
RECENT YEARS TOWARDS THIS EFFORT
IN THE DEPARTMENT OF SOCIAL
SERVICES RESOURCES. REALLY
REPRESENTED ONE PART OF THIS
LARGER EFFORT THAT FOCUS ON VERY
SPECIFIC POPULATIONS THAT ARE
ENGAGED IN THE STATE SAFETY NET
PROGRAMS HAPPY. TO TAKE ANY
QUESTIONS WHEN APPROPRIATE THANK
YOU. THANK YOU SO MUCH HAVE
QUESTION YOU MAY- BRIEF OR OF
THE- HOME ASSIST PROGRAM YOU
MENTIONED YOU SAW LITTLE BIT
OVER FORTY FIVE THOUSAND- YOU
SERVED A LITTLE OVER FORTY FIVE
THOUSAND INDIVIDUALS. BUT UP
THAT I SEE FOR THE TEMPORARY
SIXTEEN DAY'S ALLOTMENT. I SEE
THAT ALL OF THAT ONLY ABOUT
TWENTY SEVEN HUNDRED PEOPLE
MOVES FROM THE SIXTEEN DAYS
TEMPORARY INTO PERMANENT.
HOUSING YOU KNOW WHY ARE SO MANY
FAMILIES RECEIVING TEMPORARY BUT
THEN NOT BEING. RISE IN A
PIPELINE TO PERMANENT. THANK YOU
FOR THAT QUESTION AND THAT HAS
TO DO WITH THE WAY THAT THE
STATUTE HAS DEFINED ELIGIBILITY
FOR THE- HOME AND THE PERMANENT
HOUSING. A PORTION OF THE
HOMELESS ASSISTANCE PROGRAM
SPECIFICALLY AND- IN LARGE PART
A KEY FACTOR IS THAT. AND AT THE
RENTAL- THE RENT OF A UNIT. AND
THAT SOMEBODY WANTS TO USE THE
PERMANENT HOUSING DOLLARS FOR
HAS TO BE- AT AT AT MOST 80% OFF
THE- OFF THEIR INCOME AND SO
THAT HAS MADE AT THAT THAT HAS
CREATED SOME CHALLENGES FOR
ACCESS. SO WOULD YOU SAY ARE THE
CONTINUING IN THAT BOB TEMPORARY
CYCLE OR THEY JUST RETURNING TO
HOMELESSNESS. NO SO WE- AT. THE
LARGER CONTEXT FOR THIS PROGRAM
IS THAT WE STRONGLY ENCOURAGE
OUR COUNTIES AN OPTICAL
OPERATING PARTNERS TO BREAK THIS
HOMELESS ASSISTANCE PROGRAM
WHICH IS REALLY AND CRISIS
INTERVENTION WITH OUR OTHER
PROGRAMS. SO YOU OFTENTIMES SEE
FOLKS BEING COLIN ROLLED WITH
OUR HOUSING SUPPORT PROGRAM
WHICH PROVIDES A LOT MORE
FLEXIBILITY. IN TERMS OF-
OFFERING RENTAL SUBSIDIES AS
WELL AS SUPPORTIVE SERVICES CASE
MANAGEMENT WEEK WE TALKED ABOUT
CREDIT- BARRIERS EARLIER SO
CREDIT REPAIR IS ONE OF THE
INVESTMENTS- THAT ARE ABLE TO BE
MADE. AND SO- OFTENTIMES
FAMILIES ARE HELPED. THROUGH
OTHER PROGRAMS ONCE THEY ENTER
INTO- OR OR OR BEING IDENTIFIED
AS IN NEED OF HOUSING AND
HOMELESSNESS SERVICES- THROUGH
THE HOUSE- HOMELESS- ASSISTANCE
PROGRAM. THANK YOU SO MUCH OUR
COLLEAGUES. THANK YOU WE'RE
GOING TO BE MOVING ON TO THE
NEXT ISSUE. HELLO THANK YOU SO
MUCH. ARE YOU ONCE WOULD. YEAH
WE'RE GONNA BE MOVING ON TO
ISSUE WHAT THE NUMBER. THREE ON
HOUSING HOME WITH THIS EXPANDED
PROGRAMS IN PERMANENT POSITION
FUNDING. ALL. THANK YOU AND THE
PROGRAM EXPANSIONS IN FISCAL
YEAR TWENTY TWENTY ONE TO TWENTY
TWENTY TWO BUILT UPON AN ONGOING
WORKLOAD ASSOCIATED WITH
OPERATING HOUSING AND
HOMELESSNESS PROGRAMMING THAT
HAS REGULARLY EXPANDED IN SCOPE
AND SIZE OVER THE YEARS. TO MEET
THIS EXPANDED ON GOING NEED A
HOUSING AND HOMELESSNESS BRANCH
ACTUALLY GREW INTO THE HOUSING
AND HOMELESSNESS DIVISION JUST-
A FEW- YOU KNOW SOME MONTHS AGO
IN JULY OF TWENTY TWENTY TWO AND
THE SEVENTEEN POSITIONS IN THIS
BE C. P. ARE REALLY MEANT TO
ADDRESS THE ONGOING WORKLOAD
THAT'S ASSOCIATED WITH
OPERATIONS. AND ADMINISTRATION
OF ONGOING HOUSING AND
HOMELESSNESS PROGRAMS TO FULFILL
THE LEGISLATIVE MANDATES FOR
OUR- DEPARTMENT AS WELL AS
PROVIDES CRITICAL SERVICES FOR
OUR GRANTEES SO THAT DAY AND
TURN CONSERVE INDIVIDUALS AND
FAMILIES EXPERIENCING
HOMELESSNESS EFFECTIVELY. HAPPY
TO TAKE ANY QUESTIONS. QUESTIONS
EMILY MARSHALL DEPARTMENT OF
FINANCE- NO ADDITIONAL COMMENT
THIS TIME BUT HAPPY TO QUESTIONS
. AWAY- NO CONCERNS TO RAISE AT
THIS POINT. NO QUESTION SOMEONE
COLLEAGUES. FOR AFFECT MAYBE NOT
TO ISSUE FOR HOUSING INTO AB AB
PROGRAM TECHNICAL CHANGES.
SHORTER AND FOR THE HIGH COMMAND
AT YOUR AGE AND THAT DID A
REALLY ROBUST- JOB OF
SUMMARIZING A LOT OF THE TECHNO-
TV ELSE AND B. C. P. SO I WILL-
STAY HIGH LEVEL AND JUST
HIGHLIGHT ON THIS ONE. AND THAT
TOO CHANGES ARE BEING REQUESTED
AS PART OF THE H. TAP- TBL AT
THE FIRST AS IT EXTENDS THE
SUNSET DATE FOR THE GRANTEE
MATCH EXEMPTION AND THE WAIVER
OF THE REQUIREMENT TO COLLECT
AND FROM THE SISTANCE
REIMBURSEMENT. TO ALIGN WITH
EXPENDITURE TIMELINE OF THE ONE
TIME FUNDS THAT WERE APPROPRIATE
AT- IN THE BUDGET ACT OF TWENTY
TWENTY TWO AND TWO AT AT AT. TO
MATCH WITH THAT AND THEN
SECONDLY AND THIS TBL CLARIFIES
THAT THE DEPARTMENT OF SOCIAL
SERVICES OBLIGATION HAS AN
OBLIGATION TO DEVELOP
REGULATIONS CORRESPONDING TO THE
ENTIRETY OF THE AGE THAT
STATUTE- BY JULY OF TWENTY
TWENTY FOUR. WE THINK THAT THESE
TECHNICAL CHANGES WITH THE
SUPPORT STREAMLINED-
IMPLEMENTATION OF THE ONE TIME
FUNDS INCLUDED IN THE TWENTY
TWENTY TO BUDGET ACT- AND
CLARIFY THE SCOPE OF OUR-
AUTHORITY TO DEVELOP. AND
REGULATIONS FOR ALL OF EACH STOP
STATUTORY PROVISIONS NOT JUST
THE CHANGES THAT WERE ENACTED IN
AB ONE THIRTY FIVE SO. IT'S A
CLARIFICATION TO THAT EFFECT. L.
A. O. D. O. F. ANY. EMILY
MARSHALL DEPARTMENT OF FINANCE
NO COMMON AT THIS TIME. LOTUS
MODELS ELLIA HAVE NO CA TO RAISE
THE COMMITTEE. NO COMMENTS ON MY
END. WE'RE WE'RE GONNA FOR THIS
ITEM OPEN MOVE ON ISSUE NUMBER.
THANK YOU. AND AS A MATTER TO OF
SOCIAL SERVICES AT AND AT
HOUSING HOMELESS DIVISION. AND
HERE AGAIN I THINK THE BACKROOM
PROVIDED WAS REALLY ROBUST SO I
WOULD JUST HIGHLIGHT THAT THERE
WERE THREE CHANGES BEING
REQUESTED. FIRST AND THIS TO BE
L. CLARIFIES AT TRIBAL
ELIGIBILITY LANGUAGE IN THE
TRIBAL HOME SAFE PROGRAMS. SO
SINCE TRIBES DO NOT ADMINISTER
ADULT PROTECTIVE SERVICES AND
INSTEAD HAVE LOCAL AND UNIQUE
AND LOCALLY. RESPONSIVE ELDER
ADULTS SERVICE PROGRAMS AND
SYSTEMS THE REQUIREMENT TO ONLY
SERVE THOSE WHO WOULD OTHERWISE
BE ELIGIBLE FOR EPS. AND DOES
NOT MEET THE IDENTIFY TRIBAL
SERVICES NEEDS FOR HOME SAFE AND
SO WE WANT TO CLARIFY. THAT AND
SECOND AT THE TBL THAT'S THE
DEFINITION OF SENIOR WHICH MEANS
THE SAME AS THE TERM ELDER AS
CODIFIED IN THE APS PROGRAM. AND
IS INCLUSIVE OF PERSONS WITHIN
AN AGE RANGE ESTABLISHED BY THE
TRIBAL LAW I'M AT WORK- OR
CUSTOM FOR TRIBAL PROGRAMS.
THIRD THIS TBL I APPROACH
CROSSREF. TO CODIFY DEFINITIONS
USED IN THE APS PROGRAM TO
DEFINE DEPENDENT ADULT AND
OLDER. AND THEN FINALLY AND
THIS- TBL ALSO EXTENDS THE
SUNSET DATE FOR THE GRANTEE
MATCH EXEMPTION. TO ALIGN WITH
THE ONE TIME FUNDS AT AND AT-
APPROPRIATION TO ADD JUNE
THIRTIETH TWENTY TWENTY FIVE- SO
THAT THERE IS- CONSISTENCY THERE
SO THESE CHANGES ARE REALLY
IMPORTANT TO MAKE SURE THAT
WE'RE ABLE TO EQUITABLY SERVE
OUR TRIBAL MEMBERS AND HOME
SAFE. AND ALSO- AND TRIED THAT
AT AND- ELIGIBLE OLDER AND
DEPENDENT ADULTS WERE BEING
SERVED BY A PS ARE ALSO ABLE TO
BE SERVED AND BY HOME SAFE. L.
A. O. DEAL AFTER COMMENTS EMILY
DEPARTMENT FINANCE ADDITIONAL
COMMENTS TIME. LOUIS MORALES LEN
NO CA JURY FOR THE COME THANK
YOU I KNOW. ON MY IN CALLING.
GREAT WE'RE GONNA HOLD ITS OPEN
AND MOVE ON TO ISSUE NUMBER SO.
HOW INVESTMENT POWER IN DUTIES
CHANGES. THANK YOU AND AS A
MULTI AGAIN AT DEPARTMENT OF
SOCIAL SERVICES A DIVISION FOR
HOUSING OF AND HOMELESSNESS-
THAT GENDER DOES AGAIN IT
PROVIDES A VERY STRONG
BACKGROUND SO THREE TEN JUST
HIGHLIGHT ON THIS- TBL FOR- AT
TO BE OFF AND- AS THE FIRST-
TECHNICAL CHANGE CLARIFIES THAT
DSS IS. AUTHORIZED TO EXPEND TEN
POINT FIVE MILLION AND GENERAL
FUNDS- OF THE TOTAL AMOUNT OF
FUNDS INCLUDED IN THE TWENTY
TWENTY TWO BUDGET ACT FOR
HOUSING AND HOMELESSNESS
PROGRAMS ON DATA COLLECTION DATA
TRACKING AND TECHNICAL
ASSISTANCE. SECOND IT
AUTHORIZES- DEPARTMENT OF SOCIAL
SERVICES TO MODIFY OR WAIVE AT
ITS DISCRETION AND EDS AS
HOUSING OR HOMELESSNESS PROGRAM
REQUIREMENTS. THAT CONFLICT WITH
TRIBAL LAW OR CUSTOM IN LINE
WITH THE EQUITY FOCUSED BEST
PRACTICES THAT HAVE BEEN
ESTABLISHED. AND THEN THIRD AND
AUTHORIZES DSS TO IMPLEMENT
PROGRAM GUIDANCE THROUGH THE ALL
COUNTY- LETTER PROCESS AND WE
THINK THESE CHANGES ARE REALLY
IMPORTANT AGAIN BECAUSE THE
INSURANCE. THAT WERE ABLE TO
CONTINUE ADMINISTERING EQUITABLE
AND DATA DRIVEN HOUSING. AND
HOMELESSNESS PROGRAMS THANK YOU.
DOES OR DO OUT ANY COME AND
MARSHALL DEPART OF FINANCE
NOTICE COMMENTS TIME. THIS MODEL
IS A- NO CONCERNS TO FOR THE
COME. NO CONCERNS ARE ARE COME
TO MY IN. NOTHING FROM
COLLEAGUES WERE GONNA HOLD ITEM
OPEN AND ON TO IS NUMBER SO.
BRINGING FROM HOME PROGRAM
CHANGES. THANK YOUR HIGHNESS MIT
DEPARTMENT OF SOCIAL SERVICES-
HOPE HOUSING AND HOMELESSNESS
DIVISION. AND I WANT TO
HIGHLIGHT FOUR COMPONENTS OF
THIS- AT TBL THAT AT THAT ARE
BEING REQUESTED- SO FIRST AS
WE'RE TRYING TO CLARIFY THE
PROGRAM ELIGIBILITY TO INCLUDE.
A TRIBE OR TRIBAL ENTITY OR
AGENCY SECOND I'M ALSO TRYING TO
CLARIFY SORRY AT IN TERMS OF
CLARIFYING THE PROGRAM
ELIGIBILITY WILL ALSO A
CLARIFYING THAT UNDER THE
DEFINITION OF HOMELESSNESS.
INDIVIDUALS FLEEING AND DOMESTIC
VIOLENCE DATING VIOLENCE SEXUAL
ASSAULTS THAT STALKING OR OTHER
DANGEROUS OR LIFE THREATENING
CONDITIONS- THAT RELATE TO
VIOLENCE AGAINST THE INDIVIDUAL
OR FAMILY MEMBER INCLUDING A
CHILD. AT THOSE COUNT AS AN
ELIGIBLE UNDER- THE DEFINITION
OF HOMELESSNESS. AND THE SECOND
CHANGE BEING REQUESTED AS
UPDATES TO OUTDATED DEFINITIONS
OF PERMANENT HOUSING AND THE B.
F. EACH STATUTE TO ALIGN WITH
HOUSING BEST PRACTICES AND
SPECIFICALLY WE'RE CLARIFYING
THAT PERMANENT HOUSING MUST BE
SUBJECT TO. LANDLORD TENANT LAWS
AND WITHOUT A PREDETERMINED
LENGTH. LIMIT ON LENGTH OF STAY.
THIRD WERE AND AT THE T. B. L.
OUT REQUEST TO EXTEND THE SUNSET
DATE FOR THE GRANTEE MATCH
EXEMPTION RELATED TO THE ONE
TIME FUNDS TO JUNE THIRTIETH
TWENTY TWENTY FIVE TO A LINE
AGAIN WITH THE EXPENDITURE
TIMELINE. OF THE ONE TIME FUNDS
APPROPRIATED IN THE TWENTY
TWENTY TO BUDGET ACT AND THEN
FINALLY AND WE AT THE TV
ELFQUEST AND THAT. AT DSS BE
REQUIRED TO DEVELOP THE FH
REGULATIONS TO IMPLEMENT CHANGES
MADE. TO THE STATUE VIA AB ONE
THIRTY FIVE BY JULY OF TWENTY
TWENTY FOUR. SO ALL OF THESE
CHANGES ARE REALLY IMPORTANT
AGAIN BECAUSE B. F. AS IT
BECAUSE THEY WILL POSITION US TO
MAKE SURE THAT. IF IT CONTINUES
TO SERVE FAMILIES AND THE- CHILD
WELFARE SYSTEM USING. AN EQUITY
LENS AND BEST PRACTICES. THANK
YOU. THANK ANY COMMENTS FROM LA-
DELAY AND WE MARSHALL DEPARTMENT
OF FINANCE ADDITIONAL COMMENT
THIS. THE L. A. L. COULD STREETS
FOR THE COMMITTEE. NO HAN ON MY
COLLEAGUES. GOING TO HOLD THIS I
OPEN A MOVE TO- ISSUE NUMBER A
HOWARD PREGNANCY HOME IS A-
IMPLEMENT ANSWER. TO S. B. TEN A
THREE. THANK YOU. I'M NOT
SUBMITTED DEPARTMENT OF SOCIAL
SERVICES DIVISION- HOUSING AND
HOMELESSNESS AND- SB WILL AT TEN
EIGHTY THREE EMPLOYMENT SEVERAL
DIFFERENT POLICY CHANGES THAT
STREAMLINE PROCESSES AND ACCESS
FOR THE HOMELESS ASSISTANCE
PROGRAM. THIS REQUEST- WITH S.
B. C. P. INCLUDES TO ASSOCIATE
GOVERNMENTAL PROGRAM ANALYST AND
ONE STAFF SERVICES MANAGER ONE
TO IMPLEMENT SB TEN EIGHTY THREE
POLICY CHANGES. PROVIDE HIGH
QUALITY ONGOING TECHNICAL
ASSISTANCE AS WELL AS GUIDANCE
AND OVERSIGHT TO COUNTIES TO
MAKE SURE THAT THEY'RE ADOPTING
THESE CHANGES IN LINE WITH THE
INTENT. THESE RESOURCES ARE
NEEDED TO ADEQUATELY. ADEQUATELY
IMPLEMENT SB TEN EIGHTY THREE
PROVIDE KEY GUIDANCE ON
LEGISLATIVE UPDATES AND DELIVER
THAT OVERSIGHT AND TECHNICAL
ASSISTANCE TO COMMUNITIES. AND
SO I WILL PAUSE THERE AND TAKE
ANY QUESTIONS THANK YOU. DO YOU
F. L. A. O. AND WE MARSHALL
DEPARTMENT OF FINANCE NO
ADDITIONAL COMMENT THIS TIME
HAPPY TO ANSWER ANY QUESTIONS.
NO THAT'S MARVELOUS ELIANE NO
CONCERN STREETS FOR THE
COMMITTEE. THE QUESTION FROM MY
END CALLING. HELLO THANK YOU SO
MUCH FOR JOINING US AND
PRESENTED NO THOSE BCPS. WE'RE
GOING NOW GOING TO BE MOVING ON
TO OUR NEXT DEPARTMENT A
DEPARTMENT OF AGING.
WELCOME.
THE NEXT SECTION WILL BE BUDGET
PROPOSALS FROM DEPARTMENT OF
AGING OR START OFF WITH ISSUE
ONE AN OVERVIEW OF DEPARTMENT OF
AGING. THREAT OF. RED BEANS ON
OKAY GOOD GOOD AFTERNOON MADAM
CHAIR AND MEMBERS I'M SUSAN TO
MORRIS DIRECTOR OF THE
CALIFORNIA DEPARTMENT OF AGING
AND I'M PROUD TO BE JOINED TODAY
WITH FIRE CHIEF DEPUTY DIRECTOR
MARK BECKLEY AND OUR DEPUTY
DIRECTOR OF ADMINISTRATIVE
SERVICES NICOLE SHE MISAKA. MARC
NICOLE IN THE ENTIRE CD EIGHT
TEAM HAVE LED US THROUGH A
PERIOD OF ACCELERATED AN
UNPRECEDENTED GROWTH AND I THINK
THE CDA TEAM- BEFORE WE LAUNCH
INTO THE BUDGET I WANTED TO
FIRST THANK THE LEGISLATURE AND
THE GOVERNOR FOR THE TREMENDOUS
SUPPORT AND THE RESOURCES OVER
THE LAST SEVERAL YEARS OF THE
PUBLIC HEALTH EMERGENCY THAT
HAVE ENABLED THE DEPARTMENT. TO
RESPOND TO THE COVERT NINETEEN
PANDEMIC AND TO BETTER SERVE OUR
PRIORITY POPULATIONS OLDER
ADULTS PEOPLE WITH DISABILITIES
FAMILY CAREGIVERS AND
COMMUNITIES OF COLOR. WHO ALL
WERE DISPROPORTIONATELY IMPACTED
BY THE PANDEMIC CALIFORNIA FARED
FAR BETTER THAN OTHER STATES
BECAUSE WE HAVE THE RESOURCES.
TO REACH DEEP INTO DIVERSE RURAL
AND LOW INCOME COMMUNITIES TO
PROVIDE PP. VACCINES BOOSTER'S
OFFER OUR FRIENDSHIP LINE. AND
DELIVER CLOSE TO ONE HUNDRED
MILLION LIFE SUSTAINING MEALS SO
THANK YOU VERY MUCH. BEFORE WE
RESPOND TO BUDGET QUESTIONS I
WANTED TO BRIEFLY HIGHLIGHT TWO
AREAS THE FIRST IS THE ROLE OF
THE DEPARTMENT OF AGING AND THE
SECOND IS THE MASTER PLAN FOR
AGING. AS CALIFORNIA'S STATE
UNIT AGING CDA OVERSEAS AT
NETWORK OF THIRTY THREE AREA
AGENCIES ON AGING COVERING ALL
FIFTY EIGHT COUNTIES. THESE
LOCAL AGENCIES PROVIDE A WIDE
ARRAY OF SERVICES TO PEOPLE WITH
THE GREATEST ECONOMIC AND SOCIAL
NEED. WELL SENIOR NUTRITION IS
BY FAR OUR LARGEST PROGRAM WE
ALSO OFFER INFORMATION AND
ASSISTANCE HEALTH INSURANCE
COUNSELING FAMILY CAREGIVER
SUPPORT SUPPORTS EMPLOYMENT AND
JOB TRAINING AND MUCH MORE. IN
ADDITION TO THE TRIPLE A.'S WE
ALSO SUPPORT THE STATE WIDE
NETWORK OF ELEVEN CARE GIVER
RESOURCE CENTERS. THE DESIGNATED
AN EMERGING AGING AND DISABILITY
RESOURCE CONNECTIONS IN
PARTNERSHIP WITH STATE
INDEPENDENT LIVING CENTERS AND
THE LONG TERM CARE OMBUDSMAN
PROGRAM LED BY BLANCA CASTRO. WE
ALSO COLLABORATE WITH THE
DEPARTMENT OF HEALTH CARE
SERVICES ON TO PROGRAMS TO
PROVIDE DIRECT SERVICES TO
MEDICARE BENEFICIARIES. THE
FIRST IS OF WE OVERSEE THE
COMMUNITY BASED ADULT SERVICES
OR SEA BASS CENTERS- SERVING
OLDER ADULTS AND PEOPLE WITH
DISABILITIES AND I WANT TO THANK
ALL OF THE SENATE STAFF WHO TOOK
THE TIME IN DECEMBER TO VISIT.
SEA BASS CENTERS AND INTER
COUNTY. WE ALSO OVERSEE THE
MULTIPURPOSE SENIOR SERVICES
PROGRAM AN INTENSIVE IN HOME
CASE MANAGEMENT PROGRAM. IN THE
PAST YEAR WE'VE HAD THE
PRIVILEGE OF OVERSEEING DOZENS
OF NEW INITIATIVES WHICH YOU'LL
HEAR MORE ABOUT INCLUDING CAL
GROWS OUR DIRECT CARE WORKFORCE
EFFORT THAT RECENTLY AWARDED
SEVENTY EIGHT. COMMUNITY GRANTS
TOTALING EIGHTY NINE MILLION
DOLLARS TO TRAIN AND COMPENSATE
FRONTLINE STAFF. OUR DIGITAL
DIVIDE EFFORTS THAT OFFER
DEVICES SERVICE PLANS AND
TECHNOLOGY TRAINING TO OLDER
ADULTS. AND OUR NUTRITION
INFRASTRUCTURE GRANTS ENABLING
THE PURCHASE OF EQUIPMENT AND
VEHICLES TO STORE AND TRANSPORT
FOODS. SINCE JUNE OF TWENTY
NINETEEN WHEN GOVERNOR NEWSOM
TOOK EXECUTIVE ACTION TO
ESTABLISH CALIFORNIA'S MASTER
PLAN FOR AGING. THE DEPARTMENT
OF AGING HAS LED THIS WHOLE OF
GOVERNMENT EFFORT ON BEHALF OF
THE ADMINISTRATION. UNDER THE
DIRECTION OF CALLIE J. TEST
AGENCY SECRETARY DR MARK GALLI.
I WANT TO ACKNOWLEDGE THE
INCREDIBLE LEADERSHIP OF THE
LEGISLATURE. EVERY STEP OF THE
WAY FROM INCEPTION TO
IMPLEMENTATION TO TODAY'S
HEARING TO TODAY'S HEARING.
EARLIER WHEN WE HEARD ABOUT
OLDER ADULT HOUSING AND WE HEARD
FROM ONE OF OUR KEY MASTER PLAN
STAKEHOLDERS PATTY PRUNE HUBER
WHO ALONG WITH ERIC HARRIS AND
AT DISABILITY RIGHTS CALIFORNIA.
CO CHAIRS THE MASTER PLAN FOR
AGING DISABILITY AND AGE
DISABILITY. AGING AND COMMUNITY
LOOK BEING ADVISORY COMMITTEE
STAKEHOLDER GROUP. GOAL NUMBER
ONE AS YOU HEARD IN OUR STATE'S
MASTER PLAN IS HOUSING FOR ALL
AGES AND STAGES. GOAL TO IS
HEALTH REIMAGINED GOAL THREE IS
INCLUSION AND EQUITY NOT
ISOLATION GOAL FOR IS CARE
GIVING THAT WORKS AND GOAL FIVE
IS AFFORDING AGING WE'VE TOUCHED
ON ALL OF THOSE TOPICS ALREADY
THIS MORNING IN THIS HEARING.
WORKING IN PARTNERSHIP THE
GOVERNOR AND LEGISLATURE HAVE
MADE HISTORIC INVESTMENTS AND
ALL FIVE GOLD BOLD GOAL AREAS
CUTTING ACROSS MULTIPLE AGENCIES
AND DEPARTMENTS. AND ENGAGING
PHILANTHROPY AND THE PRIVATE
SECTOR IN THIS WORK. DOZENS OF
STATES ARE NOW FOLLOWING
CALIFORNIA'S LEAD AND EMBARKING
ON THEIR OWN MASTER PLANS FOR
AGING. THE PLAN IS THE STATE'S
TEN YEAR BLUEPRINT PROVIDING
STRATEGIC DIRECTION AS WE MOVE
TOWARD THE YEAR TWENTY THIRTY
ONE ONE AND FOR CALIFORNIANS
WILL BE AGE SIXTY OR OLDER.
IMAGINE NEARLY ELEVEN MILLION
CALIFORNIANS THE EQUIVALENT OF
ALL OF LOS ANGELES COUNTY BEING
AGE SIXTY OR OLDER. IN FACT MUCH
OLDER AS THE FASTEST GROWING
DEMOGRAPHIC IN OUR STATE IS AGE
EIGHTY FIVE AND ABOUT. THE U. S.
CENSUS CONFIRMS OLDER ADULTS
NATIONWIDE ARE MORE DIVERSE THAN
EVER A POINT OF IMMENSE PRIDE IN
CALIFORNIA WHERE OUR STRENGTH
COMES FROM OUR RACIAL. ETHNIC
CULTURAL SEXUAL ORIENTATION
GENDER IDENTITY ECONOMIC
GEOGRAPHIC AND RELIGIOUS
DIVERSITY. IN JANUARY SENATE
PRESIDENT PRO TEM TONI ATKINS
JOINT SECRETARY GALLEY AND THE
GOVERNOR SENIOR ADVISER ON AGING
DISABILITY AND ALZHEIMER'S
CHEMICALLY WADE. TO LAUNCH YEARS
THREE AND FOUR OF THE MASTER
PLAN. WE RELEASED NINETY FIVE
NEW INITIATIVES AND UNVEILED A
NEW PUBLICLY ACCESSIBLE
INITIATIVE TRACKER TO ACCOMPANY
THE DATA DASHBOARD ON AGING. IN
CLOSING I WANT TO LIFT UP FIVE
AREAS OF FOCUS OVER THE NEXT TWO
YEARS OF THE MASTER PLAN. ONE
DELIVERING MORE BEHAVIORAL
BEHAVIORAL HEALTH SUPPORTS TO
OLDER ADULTS AS WE STRENGTHEN
THE MENTAL HEALTH CONTINUUM
ACROSS THE LIFESPAN. RECENT
TRAGIC EVENTS IN MONTEREY PARK
IN HALF MOON BAY HAVE MOTIVATED
US TO REDOUBLE OUR EFFORTS ON
BEHALF OF OLDER ADULTS. TO
DELIVERING A NO WRONG DOOR
SYSTEM OF CARE BUILT WITH AND
FOR CONSUMERS WERE EMBARKING ON
THE STATE'S FIRST CONSUMER
SATISFACTION SURVEY EVER. OF
THIS SUMMER- THREE EXAMINING THE
HIGH COST OF HOME CARE AND
IDENTIFYING FINANCING OPTIONS TO
HELP THE GROWING MISSING MIDDLE
INCOME POPULATION. FOR ANALYZING
OUR HOME AND COMMUNITY BASED
CAPACITY AND INFRASTRUCTURE WITH
OUR SISTER DEPARTMENT DH C. S.
TO JOINTLY DEVELOP A STATEWIDE
H. CBS GAP ANALYSIS AND ROADMAP
. AND FIFTH. HARRY NEED TRIPLE A
NETWORK FOR TWENTY THIRTY IN
ORDER TO MEET THE DEMANDS OF A
GROWING POPULATION THAT IS. MUCH
OLDER MORE MEDICALLY COMPLEX AND
MORE DIVERSE THAN EVER BEFORE IN
THE HISTORY OF TWO YEAR HISTORY
OF THE OLDER AMERICANS ACT.
THANK YOU AND ALL REMAIN FOR ANY
QUESTIONS. THANK YOU SO MUCH TO
THEM- WE'RE GONNA MOVE ON TO
ISSUE NUMBER TWO MASTER PLANNING
FOR AGING PHASE THREE
INFRASTRUCTURE AND CAPACITY
WELCOME MARK. RAY GOOD MORNING-
CHAIRMAN SIR AND MEMBERS I'M
HAPPY TO BE HEARD TODAY I'M MARK
BECKLEY CHIEF DEPUTY DIRECTOR
FOR THE CALIFORNIA DEPARTMENT
AGING. I'M FOR OUR MASTER PLAN
FOR AGING PHASE THREE PROPOSAL
REQUESTING TEN POSITIONS AND ONE
POINT SEVEN MILLION GENERAL FUND
PROVIDE NEEDED INFORMATION
TECHNOLOGY RESOURCES TO CONTINUE
TO SUPPORT THE IMPLEMENTATION OF
THE MASTER PLAN FOR AGING.
SPECIFICALLY WERE REQUESTING TWO
POSITIONS TO SERVICE IT PROJECT
MANAGERS TO OVERSEE THREE KEY IT
PROJECTS THAT WILL BE ESSENTIAL
FOR THE IMPLEMENTATION OF THE
MASTER PLAN. THE FIRST PROJECT
IS THE MIGRATION OF THE MPA DATA
DASHBOARD FROM CDPH TO CDA. THE
SECOND IS THE ESTABLISHMENT OF A
STATE WIDE LEARNING MANAGEMENT
SYSTEM SO THAT ALL OF OUR- AGING
NETWORK PARTNERS CAN AVAIL
THEMSELVES OF LEARNING RESOURCES
AND TRAINING RESOURCES. THE
THIRD IS THE IMPLEMENTATION OF
AN ENTERPRISE CLIENT
RELATIONSHIP MANAGEMENT SYSTEM-
TO BE INSPIRED TRIPLE A PARTNERS
AND THEN FINALLY THE DEVELOPMENT
OF A CUSTOMER FACING WEB PORTAL
WHICH ARE REALLY EXCITED ABOUT
THAT WOULD ENABLE. INDIVIDUALS
AND THROUGHOUT THE STATE TO
ACCESS SERVICES FOR THEIR AREAS.
THE PROPOSAL ALSO REQUESTS THE
ESTABLISHMENT OF THREE
ADDITIONAL IT SECURITY STAFF AS
CDA CONTINUES TO COLLECT DATA
SETS TO SUPPORT THE MASTER PLAN
FOR AGING IN THE AREAS OF
TRANSPORTATION HEALTH CARE
GIVING AND OTHER AREAS- TO
BETTER UNDERSTAND THE NEEDS. FOR
OLDER ADULTS WE NEED TO ENSURE
THAT THESE DATA SETS WERE
SECURED AND THAT WERE USING THE
APPROPRIATE- SECURITY PROTOCOLS
AND POLICIES. TO SAFEGUARD THEM-
AS WE USE THEM THE STAFF WILL
ALSO BE PROVIDING OVERSIGHT AND
TRAINING FOR LOCAL DATA
EXCHANGES AMONG OUR LOCAL
PARTNERS- THE B. C. P. ALSO
PROPOSES TO INFRASTRUCTURE
POSITIONS. SAYS PERMISSION
SYSTEM CONTROLS FOR THE NEW
SYSTEMS THAT WILL BE
ESTABLISHING AS PART OF OUR MPA
INITIATIVES AS WELL AS TO
DEVELOP CONFIGURE AND EXPAND OUR
EXISTING DEPARTMENT DATABASES TO
ACCOMMODATE THE NEW DATA SETS
THAT WILL BE ACQUIRING. AND THEN
FINALLY REQUESTING THREE NEW
CONTRACT ANALYST POSITIONS. ARE
THESE POSITIONS WITH SUPPORT THE
AFTERMATH OF THE NEW IT SYSTEMS
THAT I JUST MENTIONED AS WELL AS
PROCUREMENT ACTIVITIES RELATED
TO THE FORTY ONE ACTIVE PROGRAM
INITIATIVES THAT WE CURRENTLY
HAVE UNDER WAY. TO IMPLEMENT
VARIOUS ASPECTS OF THE MASTER
PLAN FOR AGING AND HAPPY TO TAKE
ANY QUESTIONS. I'LL TURN OVER TO
D. O. F. AND LA- FOR ANY
COMMENTS. HER SCRIPTED IN THE
FINANCE NOTATIONAL CALL AT THIS
TIME. THANK YOU MADAM CHAIR
GINNY BELLOW AT THE LEGISLATIVE
ANALYST'S OFFICE WE'RE
CONTINUING TO REVIEW THIS
PROPOSAL I DON'T HAVE ANY
CONCERNS TO RAISE AT THIS TIME
THANK YOU A COLLEAGUES ANY
QUESTIONS. I THINK YOU'RE GOING
TO HOLD THIS ITEM OPEN AND MOVE
ON TO ISSUE NUMBER THREE RELATED
TO HEALTH INSURANCE COUNSELING
AND ADVOCACY PROGRAM
MODERNIZATIONS. GREAT THANK YOU
MARK BECKLEY CHIEF DEPUTY
DIRECTOR CALIFORNIA DEPARTMENT
AGING. THE HEALTH INSURANCE
COUNSELING AND ADVOCACY PROGRAM
OR HIGH CAT PROVIDES HEALTH PLAN
AND LONG TERM CARE INSURANCE
APPROXIMATELY FIFTY ONE THOUSAND
MEDICARE BENEFICIARIES ANNUALLY.
THROUGHOUT TWENTY SIX HIGH CAP
PROGRAMS- CTAS LOT RECENTLY
LAUNCHED A HIKE UP MODERNIZATION
INITIATIVE TO IDENTIFY AND
ADDRESS. GAPS AND NEEDS- FOR THE
HIGH CAP SYSTEM- THIS PROPOSAL
WOULD GET US STARTED ON TO THE
GOALS OF THE HIGH CAP
MODERNIZATION INITIATIVE. THE
FIRST IS THE NEED FOR ADDITIONAL
HIGH CAP VOLUNTEERS OVER THE
PAST SIX YEARS WE'VE SEEN A
DECLINE OF 26% AND HIGH CAP ON
TEARS. I'M STATEWIDE MANY OF
THESE VOLUNTEERS ARE OLDER
ADULTS THEMSELVES AND WE DID SEE
SIGNIFICANT DECLINES DURING THE
PANDEMIC- THE SECOND IT IS ALSO
THE NEED FOR ADDITIONAL
VOLUNTEER TRAINING- AS WE KNOW
TRAINING IS BECOMING
INCREASINGLY COMPLEX WITH THE
COMPLEXITY OF MEDICARE ADVANTAGE
PLANS- SERVICES TO DUAL
BENEFICIARIES AS WELL AS
PRESCRIPTION DRUG BENEFITS. SO
IT'S REALLY IMPORTANT TO- INVEST
IN ADEQUATE TRAINING FOR- THE
HIGH CAP STAFF- A THIRD GOAL OF
THE PLAN THAT'S NOT ADDRESS IN
THIS PROPOSAL IS REALLY TO
INCREASE THE AWARENESS PUBLIC
AWARENESS OF THE HIGH CAP
PROGRAM. CURRENTLY WE SERVE LESS
THAN 1% OF MEDICARE RECIPIENTS-
IN OTHER STATES WE SEE-
PENETRATION RATES OF BETWEEN
227% THAT IS A GOAL OF THE STATE
TO. INCREASE PUBLIC AWARENESS
AND PROVIDE MORE COUNSELING
SERVICES STATEWIDE- SO WHAT THIS
POSITION WOULD DO IS IT WOULD
CONTINUE TO MAINTAIN AN
ADDITIONAL VOLUNTEER COORDINATOR
POSITION AT EACH OF THE HIGH
CAPS. THEY. WOULD BE RESPONSIBLE
FOR CREATING NEW VOLUNTARY IS AN
TRAINING THIS FALL. AT THE STATE
LEVEL WOULD ALSO BE ABLE TO
MAKE. THREE POSITION. THAT ARE-
THAT OVERSEE STATEWIDE TRAINING-
RESEARCH ANALYSTS- ANALYSIS FOR
OUR HIKE AND MODERNIZATION
EFFORTS AS WELL AS FISCAL AND
MANAGEMENT FOR HIGH CAP
CONTRACTS. THANK YOU MARK DOES
DO UP OR LA- HAPPENING COMMENTS
SISTERSHIP SO IT'S PART OF
FINANCED NOTICE WILL COME AT
THIS TIME WE HAVE NO CONCERNS OF
THE PROPOSAL. THANK YOU RELATED
TO THIS B. C. P. IS THE
STAKEHOLDER PROPOSAL WHICH WE'RE
GOING TO HEAR NEXT- I'D LIKE TO
WELCOME ON ZOOM- MISTER MICHAEL
COSTELLO THE EXECUTIVE DIRECTOR
OF CALIFORNIA ASSOCIATION OF
AREA AGENCIES ON AGING. TO TALK
ABOUT ISSUE NUMBER FOUR. THANK
YOU CHAIR MENTION BARDEN
COLLEAGUES FOR THE- TO SPEAK
WITH YOU TODAY. ABOUT THE
CALIFORNIA ASSOCIATION OF AREA
AGENCIES ON AGING BUDGET ASK. HI
MICHAEL CONSTANCE I COULD'VE
DIRECTOR OF C. FOUR EIGHT. WHICH
REPRESENTS THE THIRTY THREE AREA
AGENCIES ON AGING IN CALIFORNIA
COVERING ALL FIFTY EIGHT
COUNTIES. THE INTENT OF MY
REMARKS HERE IS TO STRESS THE
IMPORTANCE OF PROVIDING
SUFFICIENT FUNDING TO SUPPORT
THE EXPANSION AND ENSURE THE
SUSTAINABILITY OF AGING AND
DISABILITY. RESOURCE CONNECTION
PROGRAM- FOR THE GOALS THE MEN.
MASTER PLAN ON AGING. WE'D LIKE
TO THANK SENATOR OVER OUT OF
GUILT FOR CHAMPION BOTH OF OUR
REQUEST. THE VISION OF ADR
CEASES TO ESTABLISH TRUSTED
SOURCES OF INFORMATION IN EVERY
COMMUNITY WHERE PEOPLE
PARTICULARLY OLDER ADULTS AND
PEOPLE WITH DISABILITIES. CAN
TURN TO ACCESS THE FULL RANGE OF
LONG TERM SERVICES AND SUPPORTS.
CURRENTLY TEN MILLION IS
ALLOCATED ANNUALLY YOUR SEATS TO
ACCOMPLISH THIS VISION. RIGHT
NOW ALL TEN MILLION IS ALLOCATED
AMONG FIFTEEN DESIGNATED NEED
EMERGENCY. EMERGING AT OUR
SEATS. THERE IS NO ADDITIONAL
FUNDING AVAILABLE TO SUPPORT
TRIPLE A.'S OR INDEPENDENT
LIVING CENTERS WHO ARE IN THE
PROCESS OF APPLYING FOR MERGING
STATUS SUCH AS ALAMEDA CONTRA
COSTA. AND L. A. COUNTY IS. SEE
FOR A RECENTLY BEEN IN FOR. THAT
AN ADDITIONAL NINE TRIPLE A.'S
HAVE WITHHELD APPLICATIONS TO
BECOME A MERGING EIGHTY OR SEIZE
DUE TO CONCERNS ABOUT ADEQUATE
FUNDING GOING FORWARD. AND A
NUMBER OF INDEPENDENT LIVING
CENTERS OUR PARTNERS IN THE ADRC
PROGRAM HAVE ALSO WITHHELD
APPLICATIONS. FOR THE ADRC TO
CONTINUE DEVELOPMENT IS A
CRITICAL ASPECT OF THE MASTER
PLAN'S INTENT TO DEVELOP A NO
WRONG DOOR STRATEGY. THE
ALLOCATION MUST BE RAISED WE ARE
ASKING THAT THE ALLOCATION BE
REYES BEYOND TEN MILLION. OVER
TWO YEARS WITH AN ADDITIONAL
FIVE POINT NINE SEVEN TWO
MILLION ALLOCATED DURING FISCAL
YEAR TWENTY THREE TWENTY FOUR
AND NINE POINT SIX SEVEN ONE
MILLION ALLOCATED IN FISCAL YEAR
TWENTY FOUR TWENTY FIVE. THAT WE
FEEL IS THE ONLY WAY THAT THE
PROGRAM CAN EXPAND THROUGHOUT
CALIFORNIA. OUR SECOND ASK. IS
DEALS CARE GIVER SUPPORT. WE
ALSO BELIEVE IT'S IMPORTANT TO
MAKE IT EASIER FOR LOCALITIES TO
MEET THE FEDERAL MASS
REQUIREMENTS FOR THE FEDERAL
CARE GIVER SUPPORT PROGRAM WHICH
REQUIRES A 25% MATCH. TO ACHIEVE
THAT GOAL THIS CALL SEE FOR A
RECOMMENDS THAT THE STATE
PROVIDES A 15% STATE MATCH WHICH
IS A TWO POINT SIX NINE BILLION
WE ESTIMATE. REDUCING THE LOCAL
MATCH REQUIREMENT 210% WE ALSO
RECOMMENDED THAT THE STATE MAKE
AN ADDITIONAL INVESTMENT OF FIVE
MILLION TO SUPPORT THE
DISPROPORTIONATE NUMBER OF WOMEN
OF COLOUR PROVIDING UNPAID CARE
FOR THEIR FAMILY MEMBERS. I AND-
A NUMBER OF FOLKS FROM THE
TRIPLE A.'S ARE AVAILABLE TO
PROVIDE ADDITIONAL DETAILS ABOUT
OUR ASK. THANK YOU. THANK YOU SO
MUCH MICHAEL I'M TURNING OVER TO
DEAL UP IN LA- FOR ANY COMMENTS
. RISK OF THE DEPARTMENT
FINANCE- WILL CONTINUE TO REVIEW
THE PROPOSAL THIS TIME. JENNY
BELLOW WITH THE L. A. WE'RE
HAPPY TO PROVIDE THE EXCEPT
COMMITTEE WITH ANY TECHNICAL
ASSISTANCE YOU MAY NEED. I'M NO
QUESTIONS ON MY END COLLEAGUES
WE'RE GONNA HOLD THAT ITEM OPEN-
AND THEN MOVE ON TO THE NEXT
ISSUE HERE. THE NEXT ISSUE ON
THE AGENDA THE OVERSIGHT ITEM-
ON BOTH THE DEPARTMENT OF AGING
THE DEPARTMENT OF SOCIAL
SERVICES PROGRAMS UNDER THE
STATE'S HOME AND COMMUNITY BASED
A SPENDING PLAN SO THE NEXT I
WILL INVITE ALL THE PANELISTS TO
MOVE ON UP- WELCOME.
PERFECT WE WILL START WITH A
JACQUI BATTLE C. O. FROM THE
LEGISLATIVE ANALYST'S OFFICE TO
PROVIDE AN OVERVIEW OF H. C. B.
S.'S PLAN NEXT WE WILL HEAR FROM
A MARK BECKLEY W. TO RECTOR
WHO'S HERE WITH US ON THEIR
DEPARTMENTS H. H. CBS PROGRAM WE
ALSO HAVE. PHILOSOPHY NOT FROM
THE CALIFORNIA DEPARTMENT OF
SOCIAL SERVICES ON THE I. HSS
CAREER PATHWAYS PROGRAM MIKE
ACOSTA WHO'S ON ASSUME WHAT WILL
THEN GIVE COMMENTS REGARDING TO
THE CALIFORNIA ASSOCIATION OF
AREA AGENCIES ON AGING BRENT
WAKEFIELD PRESENT EVER MEALS ON
WHEELS FROM SAN DIEGO COUNTY WHO
JOINS US FROM ZOOM WITHIN SPEAK.
AND WILL ENTER WITH TIFFANY
WHITE IN THE SENIOR GOVERNMENT
RELATIONS ADVOCATE FROM
CALIFORNIA STATE COUNCIL OF SEIU
. WELCOME GO AHEAD JACQUI. JACK
GRUBER WITH THE LEGISLATIVE
ANALYST'S OFFICE THEY YOU- WE
WERE TO PROVIDE A BRIEF-
OVERVIEW OF THE H. C. B. S.
SPENDING PLAN AND THEN ALSO
UPDATE IN TERMS OF WHERE THINGS
ARE TODAY WITH REGARDS TO THE
OVERVIEW IN TWENTY TWENTY ONE AS
A PART OF THE AMERICAN- RESCUE
PLAN ACT THE FEDERAL GOVERNMENT
TEMPORARILY. INCREASE THE
FEDERAL MATCH FOR MEDICAID EACH
CBS ARE HOME AND COMMUNITY BASED
SERVICES BY TEN PERCENTAGE
POINTS. AS A PART OF THE TWENTY
ONE TWENTY TWO BUDGET PACKAGE
THE STATE DECIDED TO DROP DOWN.
ALL OR THE FULL AMOUNT OF THE
ADDITIONAL FEDERAL H. C. B. S.
FUNDS RESULTING FROM THIS
TEMPORARY INCREASE TO THE
FEDERAL MEDICAID MATCH RATE.
THIS DECISION ULTIMATELY FREED
UP TWO POINT EIGHT BILLION
DOLLAR GENERAL FUND THAT
OTHERWISE WOULD HAVE BEEN SPENT
ON MEDICAID EACH CBS PROGRAMS.
AS A CONDITION OF DRAWING DOWN
THESE ADDITIONAL H. C. B. S.
FUNDS AS ALL REFER TO THEM IN MY
PRESENTATION. THE FEDERAL
GOVERNMENT REQUIRES STATES TO
SPEND AN EQUAL AMOUNT OF
FUNDING. ON H. C. B. S.
ENHANCEMENTS FOR EXPANSIONS.
ADDITIONALLY THE FEDERAL
GOVERNMENT REQUIRES STATES TO
COMPLY EFFECTIVELY WITH THE
MAINTENANCE OF EFFORT OR AM A WE
REQUIREMENT WHICH INCLUDES ONE
NOT IMPOSING STRICTER EACH CBS
ELIGIBILITY RULES. TO PRESERVING
EXISTING SERVICE LEVELS WITHIN
H. C. B. S. M. PROGRAMS AND
THREE MAINTAINING H. CBS
PROVIDER PAYMENT RATES FOR AS
LONG AS IT TAKES FOR THE STATE
TO SPEND ALL THE DOLLARS.
ORIGINALLY THE STATE HAD UNTIL
MARCH THIRTY FIRST TWENTY TWENTY
FOUR TO FULLY I'M SPEND THE TWO
POINT EIGHT BILLION DOLLARS IN
EACH CBS ENHANCEMENTS. AND
EXPANSIONS HOWEVER IN JUNE
TWENTY TWENTY TO THE FEDERAL
GOVERNMENT RELEASED UPDATED
GUIDANCE WHERE THEY SAID STATES
IF THEY SO CHOOSE. COULD EXTEND
THIS DEADLINE BY A YEAR TO
MARCH- THIRTY FIRST TWENTY
TWENTY FIVE. SO ARE INTERESTED
IN HIS- YOU MAY SEE LIKE
DIFFERENT EXPENDITURE DEADLINES
OUT THERE MARCH VERSUS MAY ARE
UNDERSTANDING IS RELATIVE TO THE
MARCH FEDERAL- DEADLINE.
DEPARTMENTS AND EXPENDITURES MAY
NEED- ACTUALLY WOULD NEED TO BE
AND EXPENDITURES BY DECEMBER SO
THAT THEY ARE ALLOWED TO JUST
CLOSE OUT COST RECONCILE
REIMBURSEMENTS AND THINGS LIKE
THAT FOR THOSE LAST THREE MONTH
PERIOD SO I JUST WANTED TO
EXPLAIN THE DIFFERENCES IN THOSE
DEADLINES- IN TERMS OF WHERE WE
ARE TODAY SO OF THE TWO POINT
EIGHT BILLION DOLLARS IN EACH
CBS FUNDS- AS OF SEPTEMBER
TWENTY. TWO TWENTY TWO ONLY AND
TWO HUNDRED EIGHTY TWO MILLION
HAS BEEN SPENT. THERE ARE MANY
REASONS FOR THIS BUT ONE OF THE
MAIN REASONS IS BECAUSE WITHIN
THE VARIOUS H. CBS AND-
ENHANCEMENTS AND EXPANSIONS AT
THE STATE IS PURSUING SOME OF
THEM WERE ONE TIME. AND JUST
LAYERED ON TOP OF EXISTING
PROGRAMS AND WERE PRETTY EASY TO
GET OUT THE DOOR HOWEVER SOME OF
THESE PROGRAMS ARE NEW ENDEAVORS
AT THE STATE IS TAKING ON. SO IT
JUST REQUIRES A LONGER TIMELINE
TO RAMP UP SERVICES AND ACTUALLY
IMPLEMENT THE PROGRAM- AND ALSO
MANY OF THEM ARE DOING THIRD
CONTRACTOR DOING CONTRACTS WITH
THIRD PARTIES AND THAT ALSO
TAKES TIME TO READ THE RFP
PROCESS. ADDITIONALLY THE
ADMINISTRATION AND THE CURRENT
BUDGET ASSUMES THAT THE END DATE
OF THE H. CBS ENHANCEMENTS AND
EXPANSIONS WILL ADHERE TO THAT
ORIGINAL MARCH THIRTY FIRST
TWENTY TWENTY FOUR OR DECEMBER
TWENTY TWENTY THREE ESSENTIALLY
A DECEMBER TWENTY TWENTY THREE
EXPENDITURE DEADLINE- MEANING
THAT- THE GOVERNOR'S BUDGET DOES
NOT. INCLUDE TAKE UP ANY OF THE-
ADDITIONAL EXTENSION TIME THAT
WE WERE ALLOWED BY THE FEDERAL
GOVERNMENT- ARE UNDERSTANDING IS
THE REASONS BEHIND THIS IS ONE
THE ADMINISTRATION CONTINUES TO
PROJECT THAT ALL EIGHT CBS FUNDS
WILL BE FULLY EXPENDED BY
DECEMBER TWENTY TWENTY THREE SO
AN EXTENSION IS NOT NOT NEEDED.
BUT THEN ALSO THERE'S CONCERNS
AROUND THE MOE REQUIREMENT-
POTENTIALLY BEING JUST A
ADMINISTRATIVE BURKE BUT
ADMINISTRATIVELY BURDENSOME.
CHALLENGES AND OTHER A MEDICAID
ENDEAVORS AND THEN ALSO LIMITING
THE ABILITY OF THE STATE TO MAKE
ANY CHANGES TO PROGRAM
ELIGIBILITY RULES OR SERVICE
LEVELS. AND GIVEN THAT THIS
ISSUE MAY COME UP IN FUTURE
HEARINGS AS USE SPECIFICALLY
TOUCH ON CERTAIN H. CBS
ENHANCEMENTS AND EXPANSIONS. I'M
SOME OF THE QUESTIONS THE
LEGISLATURE MAY WANT TO ASK THE
ADMINISTRATION IS ONE WHAT WOULD
HAPPEN. IF- THE FUNDS AREN'T FOR
I WHAT WOULD NEED TO HAPPEN IN
EACH OF THESE INITIATIVES FOR
THE FUNDS TO BE FULLY SPENT
ESPECIALLY FOR THOSE INITIATIVES
WERE NO DOLLARS HAVE GONE OUT
THE DOOR WERE SENSUALLY TALKING
ABOUT A NINE MONTH PERIOD WHERE
WE NEED TO SPEND THE DOLLARS
THEN- BUT- IF THAT. IS NOT
POSSIBLE AND THERE'S MONEY LEFT
ON THE TABLE BY THE TIME WE
REACH DECEMBER TWENTY TWENTY
THREE WHAT WILL HAPPEN. OUR
UNDERSTANDING IS THAT THE
ADMINISTRATION'S INTERPRETATION
OF FEDERAL GUIDANCE IS THAT THE
EXPENDITURE DEADLINE ESSENTIALLY
IS DEPENDENT ON HOW LONG IT
TAKES TO SPEND THESE FUNDS SO IF
THAT HAPPENS WE HAVE DECEMBER
TWENTY TWENTY THREE THEY'RE
STILL MONEY ON THE TABLE. THE
DEADLINE WILL AUTOMATICALLY BE
ADJUSTED BASED OFF OF UPDATED
PROJECTIONS HOWEVER UNDER THAT
SCENARIO IT'S UNCLEAR TO US IF
THE ADMINISTRATION WOULD
PROPOSED TO KEEP THE MONEY. IN
THEIR CURRENT PROGRAM
COMMITMENTS AND JUST EXTEND THE
DEADLINES FOR THEM FOR THOSE
PROGRAM COMMITMENTS OR WOULD
THEY SHIFT THE DOLLARS TO IT
ANOTHER PROGRAM COMMITMENT. I'M
JUST TO- SPEND THE MONEY AS
QUICKLY AS POSSIBLE.
ADDITIONALLY EVEN THOUGH THE
EXPENDITURE DEADLINE BASED OFF
OF THE ADMINISTRATION'S
INTERPRETATION WOULD
AUTOMATICALLY ADJUST TO REFLECT
UPDATED EXPENDITURE PROJECTIONS.
THERE'S STILL A QUESTION ABOUT
PRACTICALLY SPEAKING SHOULD THAT
DECISION BE MADE TODAY OR SOONER
THROUGH THE BUDGET PROCESS
RATHER THAN WAIT UNTIL DECEMBER-
THE BENEFIT OF MAKING THE
DECISION SOONER. IF COULD
POTENTIALLY COULD ALLOW
DEPARTMENTS TO MODIFY ANY
CONTRACTS THAT STILL REFLECT A
DECEMBER TWENTY TWENTY THREE
DATE. AND BY DOING THAT WE WOULD
MINIMIZE THE POTENTIAL FOR A GAP
IN SERVICES OR PROGRAMS TURNING
OFF AND THEN HAVING TO RESTART
THEM. AFTER WE MODIFY THE
CONTRACTS. THANK YOU. THANK YOU
SO MUCH JACQUI- MARKHAM INTERNET
OVER TO YOU. THANK YOU MARK
BUCKLEY- CHIEF DEPUTY DIRECTOR
CALIFORNIA DEPARTMENT BEIJING.
WHEN ASKED TO PROVIDE UPDATES ON
OUR H. CBS INITIATIVES AND I'M
HAPPY TO DO SO. ON THAT THAT CDA
HAS FORTY ONE ACTIVE INITIATIVES
UNDER WAY- OF THE SEVENTEEN R.
H. CVS INITIATIVES IT'S QUITE A
LONG LIST SO I THOUGHT I WOULD
JUST. HIGHLIGHT FIVE OF OUR
LARGER INITIATIVES AND PROVIDE
UPDATES ON THOSE AND I'M HAPPY
TO ANSWER QUESTIONS ABOUT ANY OF
THE OTHER INITIATIVES- THAT YOU
MIGHT HAVE. SO THE FIRST
INITIATIVE I'D LIKE TO HIGHLIGHT
IS OUR CALIFORNIA GROWS PROGRAM
WHICH- SEASON HAD TALKED ABOUT
HER OPENING REMARKS. THIS IS A
PROGRAM THAT PROVIDES TRAINING
AND STIPENDS TO NINE I HSS
DIRECT CARE WORKERS THROUGHOUT
THE STATE THE INITIATIVE
CONSISTS OF TWO COMPONENTS.
STANDARDIZE ONLINE TRAINING
THREE DS'S CAREER PATHWAYS
PLATFORM AND COACHING FROM A
PROFESSIONAL CONSULTING
ORGANIZATION. AND THEN THE
SECOND IS- CAL GROWS INNOVATION
FUND WHICH PROVIDES EIGHTY NINE
MILLION DOLLARS TO SEVENTY EIGHT
COMMUNITY BASED ORGANIZATIONS.
TO RISE SPECIALIZED TRAINING TO
DIRECT CARE WORKERS- WE'RE HAPPY
TO SAY THAT WE DID GET GRANTS
OUT TO ALL SEVENTY EIGHT
ORGANIZATIONS AND THEY'RE
CURRENTLY IN THE PROCESS OF
DEVELOPING THEIR PROGRAMS- WE
ALSO HAVE- TO AN INITIATIVE SAYS
ISN'T IT MENTIONED IN A REMARKS
AS WELL- TARGETED TO BRIDGE THE
DIGITAL DIVIDE FOR OLDER ADULTS
IN CALIFORNIA- THE FIRST PROGRAM
IS OUR ACCESS TO TECHNOLOGY. FOR
OLDER ADULTS AND PERSONS WITH
DISABILITIES PROGRAM. THIS
PROVIDES FORTY SIX MILLION TO
FORTY TWO PARTICIPATING
COUNTIES- AND THEN THE SECOND
PROGRAM IS OUR DIGITAL
CONNECTIONS PROGRAM WHICH
PROVIDES SEVENTEEN MILLION. TWO
HUNDRED AND SEVENTY
PARTICIPATING HOME AND COMMUNITY
BASED PROVIDERS- THESE PROVIDERS
INCLUDE SEA BASS AMASIS P. PACE
INTERPLAY PROGRAMS. IN BOTH OF
THE PROGRAM- GRANTEES ARE ABLE
TO PURCHASE DEVICES- DIGITAL
SERVICE PLANS AND OFFER TRAINING
TO PROGRAM PARTICIPANTS- TODAY
WE'VE EXECUTED THIRTY FIVE OF
THE FORTY TWO CONTRACTS ALL THE
CONTRACTS ARE OUT TO OUR
PROVIDERS WERE JUST WAITING TO
RECEIVE THEM BACK. AND WE'VE
RECEIVED NINETY PROVIDER
CONTRACTS BACK- THE NEXT PROGRAM
ALL HIGHLIGHT IS IN THE AREA OF
SENIOR NUTRITION SO THIS IS OUR
NUTRITION INFRASTRUCTURE GRANT
PROGRAM. AND THIS PROGRAM WE ARE
AWARDING FORTY MILLION DOLLARS
IN FUNDING TO OUR THIRTY THREE-
TRIPLE A- PROVIDERS- AND AGAIN I
BELIEVE SUSAN IT MENTIONED THIS
PROGRAM IS SMALLER OPENING
COMMENTS. THIS IS TO PROVIDE-
FUNDING TO LOCAL- SENIOR-
NUTRITION- PROGRAM PROVIDERS TO
PURCHASE EQUIPMENT TO IMPROVE
AND EXPAND THEIR FACILITIES- SO
THAT THEY CAN- SERVE- MORE OLDER
ADULTS THROUGHOUT THE STATE-
TODAY WE HAVE THIRTY. TWO OF THE
THIRTY THREE CONTRACTS BACK FROM
OUR TRIP LAYS. THE LAST PROGRAM
I'D LIKE TO HIGHLIGHT IS OUR
CALICO PRO. WHICH IS A PILOT
PROGRAM THAT PROVIDES A FIVE
MILLION DOLLARS TO SEVEN ADULT
DAY HEALTH AND ADULT DAY
CENTERS. TO EXPAND DEMENTIA
CAPABLE- SERVICES IN THEIR
COMMUNITIES- TO PREVENT
INSTITUTIONALIZATION AND IMPROVE
HEALTH OUTCOMES. THE SEVEN
GRANTS WERE AWARDED LAST
NOVEMBER AND THE GRANTEES
CURRENTLY HAVE- SERVICES
UNDERWAY. THANK YOU MARK-
ATTORNEY NUMBER TO LEORA. THANK
YOU MADAM CHAIR AND COMMITTEE
MEMBERS MY NAME IS LI OR
FILIPINA I AM THE DEPUTY
DIRECTOR OF THE ADULT PROGRAMS
DIVISION AT THE DEPARTMENT OF
SOCIAL SERVICES- MY DIVISION IS
RESPONSIBLE FOR CAREER PATHWAYS-
I'M REALLY EXCITED TO PROVIDE
ACTUALLY PROVIDE AN UPDATE ABOUT
CAREER PATHWAYS IS ACTUALLY
REALLY EXCITING PROGRAM FOR US.
I'M CAREER PATHWAYS IS A IS A
NEW STATEWIDE TRAINING PROGRAM
FOR HSS AND WPCS PROVIDERS THAT
IS MEANT TO INCREASE THE QUALITY
OF CARE FOR RECIPIENTS. ASSIST
WITH RECRUITING RETAINING
PROVIDERS AND PROVIDE
OPPORTUNITY FOR CAREER
ADVANCEMENT THROUGH TRAINING.
PROVIDERS CAN COMPLETE CLASSES
IN FIVE SEPARATE CAREER PATHWAYS
TWO OF THEM ARE GENERAL- THOSE
INCLUDE GENERAL HEALTH AND
SAFETY AND ADULT EDUCATION AND
THEN THREE SPECIALIZED PATHWAYS.
THAT INCLUDE A COGNITIVE
IMPAIRMENTS AND BEHAVIORAL
HEALTH COMPLEX PHYSICAL CARE
NEEDS AND TRANSITIONING. TO IN
HOME CARE COMMUNITY BASED
LIVING. THE EMBLEM CAREER
PATHWAYS WE COMPLETED TWO
PROCUREMENTS- WE BROUGHT ON-
SOME REALLY GREAT TRAINING
VENDORS- WE'VE BROUGHT ON SOME
EGGS OTHER VENDORS TO HELP US
CREATE CAREER LATTICES CAREER
GROWTH MATERIALS AND ALSO FOR
COACHING SERVICES. SO THAT
PROVIDERS CAN- OBTAIN
INFORMATION THAT THEY NEED IN
PARTICULAR WHO ARE INTERESTED IN
FURTHERING THEIR CAREERS IN THE
HEALTHCARE FIELD. CLASSES
LAUNCHED IN OCTOBER OF TWENTY
TWENTY TWO- WITH CLASSES BEING
PRIMARILY PROVIDED BY OUR COUNTY
AND PUBLIC AUTHORITY PARTNERS-
IN JANUARY TWENTY TWENTY THREE
MORE CLASSES WERE LAUNCHED. BY
TO THE VENT TO VENDORS WE
BROUGHT ON HOME BRIDGE AND THE
CENTER FOR CARE GIVING
ADVANCEMENT- MORE CLASSES HAVE
BEEN ADDED AS OF MARCH TWENTY
TWENTY THREE. AB FOR THE PERIOD
OF JANUARY THROUGH MARCH OF
TWENTY TWENTY THREE WE HAD A WE
HAVE A TOTAL OF ONE THOUSAND
NINE HUNDRED AND FORTY NINE
CLASSES AVAILABLE- THEY'RE BEING
OFFERED IN MULTIPLE LANGUAGES
MOSTLY ONLINE- DEPENDING ON THE
CLASS IN THE VENDOR PROVIDERS
CAN. TAKE CLASSES IN ENGLISH
SPANISH ARMENIAN CANTONESE
MANDARIN RUSSIAN VIETNAMESE M.
CAREER. WE HAVE THE APPROXIMATE
CAPACITY TODAY FOR SIXTEEN TO
EIGHTEEN THOUSAND PROVIDERS TO
ATTEND TRAINING PER MONTH. BASED
ON OUR CURRENT OUR CURRENT CLASS
WE ARE SEEING ATTENDANCE AT
APPROXIMATELY 5270% WHICH IS NOT
UNHEARD OF IN THIS TYPE OF- IN
IN THE TRAINING WORLD- THAT'S
PRETTY AVERAGE ATTENDANCE. SO
ROUGHLY WE'RE SEEING EIGHT TO
ELEVEN THOUSAND PROVIDERS ATTEND
CLASSES EACH MONTH AT THIS POINT
- THE GREAT NEWS IS THAT THOSE
CLASSES FILL UP EVERY TIME WE
POST A NEW CLASS COURSE CATALOG
SO EVERY TIME WE SEND THE
MESSAGE. EVERY TIME WE MESSAGES
EVERY TIME WE POST A NEW COURSE
CATALOG PEOPLE ARE VERY EXCITED
ABOUT THE TRAINING AND THEY FILL
UP ALMOST IMMEDIATELY. OUR
VENDORS DO RUN WAIT LISTS-
BECAUSE WE KNOW THERE IS A HIGH
ABSENTEE RATE- THEY'RE DOING
THEIR ABSOLUTE BEST TO REACH OUT
TO PROVIDERS AT THE LAST MINUTE
WHEN CLASS SPACES OPEN UP- WITH
REGARDS TO ENSURING HOW ALL OF
THE ACS FUNDS WILL BE SPENT WE
ARE CONTINUING TO RAMP UP THE
TRAINING SO WE WENT FROM. FROM
MORE THAN FIVE JUST FIVE
THOUSAND COURSE HOURS THROUGH IN
OCTOBER TO DECEMBER TWO MORE
THAN TWENTY THREE THOUSAND
COURSE HOURS IN JANUARY- OUR
PLAN IS TO CONTINUE TO PRO
ACTIVELY COMMUNICATE THROUGH OUR
NORMAL CHANNELS EMAILS WE USE
UTILIZE BANNER MESSAGES ON OUR
LIKE TRONIC SERVICES PORTAL
WHERE. NINETY NINE POINT 9% OF
OUR PROVIDERS GO TO FILL OUT
THEIR TIME SHEETS- WE DO SOCIAL
MEDIA POSTS- LAW WE HAVE DONE
OUR BEST ABSOLUTE BEST TO MAKE
SURE THAT ACCESSING COURSES AS
EASY. CLAIMING MONEY CLAIMING
YOUR INCENTIVE PAYMENTS ARE
EASY- AND WE'VE ALSO PROVIDED
COACHES TO- CAREER PATHWAYS
PARTICIPANTS- TO PROVIDE PERSON
TO PERSON ASSISTANCE- AS WELL
AND HELP THEM NAVIGATE NOT ONLY
THE PROGRAM. BUT ALSO UNDERSTAND
WHAT OPPORTUNITIES ARE AVAILABLE
TO THEM IN RELATED HEALTH CARE
FIELD IF THEY WISH TO CONTINUE
THEIR TRAINING AND EDUCATION SO
WE'RE WE'RE REALLY TRYING TO
GET. AT THE REALLY CORPS OF YOU
KNOW OUR GOALS OF THIS PROGRAM
IS REALLY TO GET PEOPLE. THE
INFORMATION THEY NEED TO GET THE
TRAINING THEY NEED. AND TO MAKE
IT EASIER TO BE OF IHS US
PROVIDER WITH THE HOPE OF
RECRUITING AND RETAINING THOSE
THOSE FOLKS IN THE PROGRAM. SO
THE- THE NEXT QUESTION WAS
REALLY ABOUT ASSUMPTIONS THAT
WE'RE MAKING- TO PROJECT THAT
ALL THE FUNDS OR DOES IT YOU
KNOW THAT THAT WE'RE GOING TO
SPEND ALL THE MONEY- SO WE
CONTINUE TO RAMP UP TRAINING.
CLASSES AND TRAINING HOURS SO
WE'RE REALLY LEANING IN AND
TRYING TO GET FOLKS. A LOT OF
CLASSES OUT THERE AND AVAILABLE-
WE'RE THINKS SO. AT THE CURRENT
ATTENDANCE RATE OF EIGHT TO
ELEVEN THOUSAND PROVIDERS WE
ANTICIPATE AT LEAST WE'RE
LOOKING AT AROUND A HUNDRED
THOUSAND PROVIDERS ATTENDING
SOME TYPE OF TRAINING BY THE END
OF DECEMBER. ADDITIONALLY SINCE
THE PROGRAM BEGAN PROVIDERS HAVE
ATTENDED OVER THIRTY THREE
THOUSAND HOURS OF TRAINING SO
THAT'S JUST IN THE SHORT TIME
THAT WE'VE BEEN UP- AS CLASSES
CONTINUING BASED ON CURRENT
TENANTS RATES WE BELIEVE THAT WE
WILL EXPAND THE FUNDS.
ADDITIONALLY WE ARE STARTING TO
RECEIVE CLAIMS FOR INCENTIVES
SO- THE PROGRAM STARTED IN
OCTOBER. OF PROVIDERS ARE PAID
FOR THE TIME THEY ATTEND
TRAINING AS WELL AS THEY QUALIFY
FOR INCENTIVE PAYMENTS FROM FOR
A MEETING CERTAIN CRITERIA SO IF
THEY- COMPLETE FIFTEEN HOURS OF
TRAINING. IN ONE OF THE FIVE
CAREER PATHWAYS THEY QUALIFY FOR
A FIVE HUNDRED DOLLAR INCENTIVE
PAYMENT- THERE CAN GET UP TO TWO
OF THOSE- IF. THERE'S A SECOND
SENATE PAYMENT IF THEY COMPLETE
FIFTEEN HOURS OF TRAINING IN A
SPECIALIZED- CAREER PATHWAY AND
THEY WORK FOR SOMEBODY FOR A
MINIMUM OF FORTY HOURS IN ONE
MONTH WHO HAS THAT SPECIALIZE
NEED. TO QUALIFY FOR A SECOND
AND SEND A PAYMENT OF FIVE
HUNDRED DOLLARS. THE THIRD
INCENTIVE PAYMENTS IS THAT THEY
COMPLETE THAT FIFTEEN HOURS AND
THIS IS THE SAME FIFTEEN HOURS
IS NOT ADDITIONAL FIFTY HOURS OF
THEY TAKE FIFTEEN HOURS OF. OF
TRADING IN ONE OF THE
SPECIALIZED GROUP PATHWAYS THEY
CAN QUALIFY FOR SENATE PAYMENT
TO END THREE. WHICH THEY IF THEY
CONTINUE TO WORK FOR THAT
INDIVIDUAL FOR SIX MONTHS AT A
MINIMUM OF FORTY HOURS PER MONTH
VIDENT QUALIFY FOR TWO THOUSAND
DOLLAR INCENTIVE PAYMENT. SO
RIGHT NOW WE HAVE A REALLY MEET
MET THE SIX MONTH MARK YET SO
IT'S REALLY KIND OF HARD FOR US
AT THIS MOMENT TO DETERMINE. THE
INCENTIVE PAYMENTS AND THOSE
KINDS OF THINGS AND. AND WHAT
WE'RE GOING TO BE LOOKING AT.
AND I DO WANT TO SAY THAT WE
ALSO RECOGNIZE THAT. THIS WAS
NOT A ONE AND DONE PROGRAM SO
THIS IS A PROGRAM THAT WE
CONTINUE TO MONITOR WE WILL
CONTINUE TO MONITOR. AND ADJUST
OUR COMMUNICATION STRATEGIES
ACCORDINGLY THE FACT THAT WE'VE
HAD SUCH A PHENOMENAL RESPONSE.
TO OUR COMMUNICATIONS AND THE
CLASSES ARE ARE FULL AND PEOPLE
ARE REALLY EXCITED IS REALLY A
GREAT SIGN THAT WE WILL CONTINUE
TO BE SUCCESSFUL AND- REALLY
KIND OF- CAPITALIZE ON THIS
MOMENTUM THROUGH THE END OF THE
YEAR AND EXPAND THE FUNDS. SO
THE THIRD I BELIEVE THAT THE-
REALLY IS ABOUT HOW MANY
PROVIDERS DO WE EXPECT TO GO
THROUGH THE TRAINING SEND
RECEIVE INCENTIVE PAYMENTS. AND
HOW DO WE SEE THE WINDING DOWN
OF THE PROGRAM TO ENSURE
PROVIDERS ARE AWARE OF THE
DEADLINES THAT THEY MISSED ME.
SO LIKE I SAID IT'S BEEN
PHENOMENAL- AND VERY SUCCESSFUL.
WE ARE CONTINUING TO MONITOR
DATA LOOK AT INCENTIVE PAYMENTS
WE ARE RESTARTING TO SEE- OF
COURSE WE'VE GOT LOTS OF
TRAINING CLAIMS COME THROUGH SO
WE'VE HAD OVER EIGHT THOUSAND
TRAINING CLAIMS COME IN THROUGH
THE DOOR AT THIS POINT- THAT
WE'RE- REALLY BUSY PROCESSING- I
THINK IT'S REALLY IMPORTANT. TO
SEE THAT THE CAN. THE REACTION
FROM THE PROVIDER COMMUNITY.
EVERY TIME WE SEND MESSAGES
RELATED CAREER PATHWAYS HAS JUST
BEEN. UP IT'S SHOCKING
SOMETIMES- WHAT WE SEE WHAT
WE'VE SEEN IS THAT WHENEVER WE
SEND A MESSAGE WE GET OVER A
HUNDRED THOUSAND HITS ON OUR
CAREER PATHWAYS WEBSITE- OFTEN
ONE DAY SOMETIMES OVER THE
WEEKEND SO THAT'S GREAT- TO
CONTINUE THE MOMENTUM WE'RE
PLANNING. ON DOING MESSAGING
BEGINNING IN APRIL- TO REMIND
PROVIDERS OF THE REQUIREMENTS SO
TO REALLY START TO TELL FOLKS
WHAT THE RULES ARE TO REMIND
THEM TO CLAIM THEIR INCENTIVE
PAYMENTS TO REMIND THEM. TO
CLAIM THEIR TRAINING TIME- WILL
BE POSTING ADDITIONAL MESSAGES
ON ELECTRONIC SERVICES PORTAL
USING OUR SOCIAL MEDIA OUTLETS
AS WELL AS OUR PARTNER SO WE DO
PARTNER WITH- THE COUNTY'S
PUBLIC AUTHORITIES THE LABOR
ORGANIZATIONS HELP US OUT WITH
SOME OF THAT MESSAGING AS WELL-
WE ARE COMMITTED. TO ENSURING
THAT PROVIDERS RECEIVE THE WAGES
AND THE INCENTIVES THROUGH THIS
PROGRAM SO WE'RE DOING
EVERYTHING WE CAN. TO SUPPORT I
JUST AS PROVIDERS- AND ENSURE
THAT THEY ACTUALLY- GET THIS THE
PAYMENTS THEY GET THE TRAINING
THEY NEED AND BY EXTENSION OUR
RECIPIENTS. IN IN THE FINAL IS
WILL THE ADMINISTRATION PROPOSED
TO EXTEND THE PROGRAM EXPANSION
DEADLINES AND I THINK TO MISS
BRAZIL- KIND OF ADDRESS THIS
PIECE AT THIS POINT WE BELIEVE
THAT WE WILL EXPAND THE FUNDS
BASED ON OUR CURRENT ATTENDANCE
RECORDS. AND OUR ABILITY TO RAMP
UP TRAINING HOURS AT THIS POINT
SO WE'LL BE MONITORING DATA- AND
ENSURING THAT WE'RE- CHANGING
OUR COMMUNICATIONS APPROACH
APPROPRIATELY WERE RAMPING UP
THOSE TRAINING CLASSES AND WE'RE
GETTING PEOPLE. THE INFORMATION
THEY NEED TO COME INTO THE
PROGRAM AND SUCCESSFULLY
COMPLETE. THANK YOU- WE'RE GOING
TO MOVE ON TO AND WELCOME BACK
MICHAEL COSTELLO WHO'S ON JUNE.
YES THANK YOU GERMAN TO BURN AND
COLLEAGUES. FOR THE OPPORTUNITY
TO SPEAK UP AGAIN THIS TIME
ABOUT THE IMPACT OF CUTS IN
PROGRAM FUNDING. FOR A NUMBER OF
H. C. B. PROGRAMS. THAT AREA
AGENCIES ON AGING PROVIDE
DIRECTLY OR CONTRACT OUT TO OUR
COMMUNITY PARTNERS. AGAIN I'M
I'M MICHAEL KOSTA EXECUTIVE
DIRECTOR OF C. FOUR AA WE
REPRESENTS THIRTY THREE. TRIPLE
A.'S IN CALIFORNIA SERVING ALL
FIFTY EIGHT COUNTIES.
INTERPOLATES ARE AUTHORIZED BY
THE OLDER AMERICANS AN OLDER
CALIFORNIANS KNACK TO PROVIDE A
WIDE RANGE OF HOME COMMUNITY
BASED SERVICES. THE CALIFORNIANS
OVER SIXTY YEARS OF AGE AS WELL
AS INDIVIDUALS LIVING WITH
DISABILITIES UNDER SIXTY YEARS
OF AGE. NUMBER RECENTLY A
GROWING NUMBER OF YOUR POLICE
ARE ALSO PROVIDING SERVICES
DIRECTLY OR INDIRECTLY- TO
CALVET SOMATIC CALORIE SEPARATE
RECIPIENTS TO THE CALLIN
PROGRAM. MY COLLEAGUE FROM MEALS
ON WHEELS CALIFORNIA WILL SPEAK
ABOUT THE IMPACT OF ANY
NUTRITION INFRASTRUCTURE PROGRAM
FUNDING. ON TWELVE THIRTY ONE.
OF THIS YEAR SO NOT ADDRESS THAT
HERE BUT KNOW THAT SEE FOR A
SUPPORTS THE RECOMMENDATIONS
THAT. MEALS ON WHEELS CALIFORNIA
WILL MAKE. ALSO DID I ALSO WILL
NOT TALK TO PROGRAMS THAT-
DEPUTY DIRECTOR BECKLEY SPOKE TO
EARLIER SUCH. AS HELL GROWS. BUT
THERE ARE A NUMBER OF OTHER PRO
THAT ARE NOW TO BE IN. BY TRIAL
THIRTY ONE. DEADLINE MY NAME.
THE FOR PREVENTION AND HOME OUT
OF THE PROGRAM WHICH INVOLVES
TRAINING EDUCATION AND
ASSISTANCE FOR INDIVIDUALS AT
RISK. THIRTY OUT OF THIRTY THREE
TROUBLING IS PARTICIPATING IN
THIS PROGRAM WHICH HAS VERY
BROAD APPEAL. AS OF DECEMBER
THIRTY SIX HUNDRED AND SIX
INDIVIDUALS HAVE BEEN ASSISTED
THROUGH THREE HUNDRED AND TWELVE
TRAINS. ANOTHER PROGRAM IS GOING
TO BE NEGATIVELY IMPACTED AS
LEGAL SERVICES. WHICH AN
INTERNATIONAL MODEL WAS PROVIDED
TO HELP FOLKS DURING A CODED TO
DEAL WITH ISSUES SUCH AS FRAUD.
LANDLORD TENANT ISSUES
DISCRIMINATION ETCETERA ALTHOUGH
CODE MAY BE GONE. THESE ISSUES
ARE NOT THEIR ONGOING AND- THESE
IN TROUBLE IS ARE CURRENTLY
DELIVERING SERVICES IN THIS AREA
THAT WILL HAVE TO BE CURTAILED.
THE ANOTHER PROGRAM SEEMS
OPPORTUNITIES PROGRAM WHICH WAS
ABLE TO INCREASE FUNDING FOR
SENIOR EMPLOYMENT UNDER TITLE
FIVE. LINE CREASING SLOTS IN
ENHANCING PROGRAM INFRASTRUCTURE
THAT THOSE WHO SOUGHT SERVICE
GOOD AND- THE PROGRAM- WILL HAVE
TO BE CURTAILED AS WELL. A NEW
PROGRAM CALLED INTERGENERATIONAL
ACTIVITIES INVOLVED- EFFORTS TO
BUILD RELATIONSHIPS ACROSS
GENERATIONS. AND REDUCE SOCIAL
ISOLATION FOR OLDER OF
CALIFORNIANS. ANOTHER PROGRAM
THAT WILL BE IMPACTED BY THE
TWELVE THIRTY ONE DEADLINE.
ASSEMBLY CAREGIVING OKAY THERE'S
A CERTAIN AMOUNT THAT WAS- ABLE
TO BE A- AUGMENTED THE PROGRAM
THAT'S FUNDED TRIPLE EDUCATION
TRAINING AND RESPITE SERVICES.
THAT WILL BE NEGATIVELY IMPACTED
AND THERE ARE A COUPLE OF OTHER
PROGRAMS INVOLVING- BUILDING
STATE AND LOCAL LEADERSHIP.
AMONG TRIPLE A.'S AND- AND
TRIPLE A- LEADERS- WILL BE
THAT'S MULLER MY MONEY WITH
GOING TO BE OF NEGATIVLAND WELL
INCLUDING. AN AMOUNT OF MONEY
THAT WAS- MADE AVAILABLE TO
ACTUALLY DO. LOOK AT THE OPTIONS
FOR NETWORK DEVELOPMENT OR
TRIPLE A IS TO BEGIN TO CONTRACT
WITH HEALTH CARE AND OTHER
MOTHER WILL BE IMPACTED IS
ACTUALLY THE AMOUNT THAT WOULD
BE USED TO DEVELOP A NETWORK- TO
ATTAIN THAT END. SO GIVEN THE
IMPACT THE WAIVER AND ON WIND OF
PROGRAMS FROM LARGER PROGRAMS
LIKE L. GROWS. TO THE SMALLER
PROGRAMS HAVE TALKED ABOUT- WE
URGE THIS COMMITTEE IN THE
LEGISLATURE TO REQUEST THAT THE
ADMINISTRATION APPLY FOR THE ONE
YEAR EXTENSION OF- IN THE H. C.
B. S. WAIVER FOR THESE PROGRAMS.
COULDN'T NUTRITION
INFRASTRUCTURE FUNDING THAT
MEALS ON WHEELS WILL TALK TO THE
EXTENT THAT A PARTIAL WAIVER
EXTENSION IS AN OPTION AVAILABLE
TO THE STATE. THANK YOU. THANK
YOU SO MUCH MOVING ON TO BRENT
WAKEFIELD. HELLO EVERYBODY GOOD
AFTERNOON THANK YOU SO MUCH FOR
THIS OPPORTUNITY I'M HONORED TO
BE HERE- I THANK YOU CHAIRMAN OF
OUR MEMBERS BROUGHT WAKEFIELD
PRESIDENT AND CEO OF MEALS ON
WHEELS SAN DIEGO COUNTY- BUT I'M
ALSO THE PRESIDENT OF THE MEALS
ON WHEELS CALIFORNIA STATE
ASSOCIATION. AND WE REPRESENT
MORE THAN FIFTY SENIOR NUTRITION
PROVIDERS ACROSS THE STATE AND
THEY'RE ALL DIFFERENT SIZES- A
LOT OF SMALL ONES AND
GEOGRAPHICALLY VERY DIVERSE-
REMOTE AREAS- THEY DON'T HAVE
MUCH ACCESS TO FUNDS OR TO
INFRASTRUCTURE- AND BIG ONES
LIKE SAN FRANCISCO MEALS ON
WHEELS LOS ANGELES SAN DIEGO- WE
AS OUR AGENCY- WE HERE IN SAN
DIEGO. DO PROVIDE ABOUT SIX
HUNDRED FIFTY THOUSAND MEALS A
YEAR TO SENIORS ACROSS THE
COUNTY AND THESE ARE HOME BOUND
SENIORS SO JUST I THINK YOU ALL
KNOW WHAT MEALS ON WHEELS DOES.
AND SO THAT ACTUALLY EQUATES TO
ABOUT THREE HUNDRED THIRTY
THOUSAND TOUCHES A YEAR TO
SENIORS JUSTIN SAN DIEGO COUNTY
SO YOU MULTIPLY THAT ACROSS THE
STATE IN THE IMPACT WE'RE HAVING
ON A DAILY BASIS. I'M IS PRETTY
REMARKABLE AND YOU CAN IMAGINE
DURING THE PANDEMIC I WE WERE
ALL REALLY TAPPED OUT MY AGENCY
HOW 2407% INCREASE IN DEMAND FOR
SERVICES THE FIRST MONTH OF THE
PANDEMIC. HOW MUCH WAS
STAGGERING WE WERE DELIVERING TO
ABOUT THIRTEEN HUNDRED CLAIMS
TODAY WE WENT TO TWENTY TWO
HUNDRED A DAY IN ONE MONTH SO.
WE WERE KIND OF YOU KNOW WIPED
OUT BY THAT AND AS WERE
COLLEAGUES WE HAVE SOME
COLLEAGUES WHOSE- INCREASED BY
TWO HUNDRED PERCENT. I MEAN SO
WHAT DID THAT DO TO US I MEAN
YOU KNOW I WAS RAISED BY MY-
LOVE LEAVE MEXICAN GRANDMOTHER
AND SHE WOULD ALWAYS HAVE
SOMETHING HAPPENED ALL THE
SUDDEN SHE WOULD MY GUYVER. COME
UP WITH A SOLUTION JERRY RECORD
INFRASTRUCTURE SHE CALLED IT SHE
CANNOT WRITE IT WAS USUALLY
ENVOLVE AND A GARDEN HOSE A
BUCKET IN SOME. DUCT TAPE IF IT
WAS OUTSIDE IT WAS INSIDE IT WAS
DENTAL FLOSS SCOTCH TAPE AND
BUBBLE GUM TO MAKE SOMETHING
WORK. AND THE CHICKEN OTHERS
WERE REALLY MEANT TO LAST. FOR A
MONTH TO MONTH- AND THEN YOU
LOOK FOR THE PERMANENT SOLUTION
RIGHT AND WE'RE LOOKING FOR THE
PERMANENT. INFRASTRUCTURE
SOLUTION AND WE WORK WITH THE
LOBBY FIRM WE- PRICE. FUNDS PAY
THEM. I'M AND WE WORKED WITH.
PEOPLE LIKE MICHAEL. WHO JUST.
IN ALSO SEE. TOMORROW I WANTED
TO HER SHALL OUT. I IN THE K.
DEPARTMENT ON AGING. THESE
PEOPLE ARE KIND OF THE OR OUR
OUR BRAINS AND THE ONES REALLY
HELP US GET AT THE ROOT ISSUES.
AND HOW WE CAN ADDRESS THESE A
WEEK WE GOT IN FRONT OF YOU ALL.
I'M AS THEY DID AND WE WERE ABLE
TO WE'RE HAPPY. I'M TO GET A
RESULT IN THE SENSE THAT IN JUNE
OF TWENTY TWENTY ONE OF THE
GOVERNOR AND LEGISLATURE
RESPONDED TO OUR PLEA- AND GIVE
US FORTY MILLION DOLLARS IN
GENERAL- FUNDS- FOR
INFRASTRUCTURE ONE TIME ONLY
FUNDS AND WE WERE BLOWN AWAY. SO
WE'RE ALL CELEBRATING AND
DANCING AND DOING A HAPPY DANCE
AND- AND SO THIS TO US IS
REALLY. WHAT WE NEED TO MOVE
FORWARD- IF WE'RE GOING TO
CONTINUE TO DO THIS ON A DAILY
BASIS AND SAVE PEOPLE'S LIVES
FRANKLY- WE ARE ISOLATION
INTERRUPTERS. AS WELL AS
NUTRITION PROVIDERS. AND SO WHAT
WHAT HAPPENED THEN IS THAT YOU
KNOW NOT NOW WE'VE BEEN OUT AND
NELSON JUNE TWENTY ONE THAT WITH
THESE FUNDS ARE COMING. AND THEN
JUNE FIFTEENTH OF TWENTY TWENTY
TO THE CALIFORNIA DEPARTMENT ON
AGING ISSUED AN UPDATE THAT
MAINTAIN THAT THE FUNDING END
DATE. WOULD BE DECEMBER THIRTY
FIRST OF TWENTY TWENTY FOUR.
HOWEVER A FEW MONTHS LATER AND
DRIVEN BY THIS ADMINISTRATION'S
DECISION TO SUBSTITUTE FEDERAL
FUNDS. FOR THE ORIGINALLY
APPROVED GENERAL FUND THE
DEPARTMENT OF AGING ISSUE TO
PROGRAM MEMO NOTIFYING. ON THE
TRIPLE A.'S AND THEN IT TRICKLE
ITS WAY DOWN TO US. THAT ARE PUT
THAT THE FUNDING ONE AND A FULL
YEAR SOONER IN KEEPING WITH THE
EXPIRATION OF THE FEDERAL HOME-
AND COMMUNITY BASED SERVICES
FUNDS. SO BASICALLY HERE'S THE
LANGUAGE YOU KNOW THE ENTIRETY
OF THE H. C. B. S. AND PACK. A
SPEND PLAN PACKAGE. WILL EXPIRE
DECEMBER THIRTY FIRST TWENTY
TWENTY THREE. FEDERAL GUIDANCE
FROM THE CENTER FOR MEDICAL AND
MEDICARE AND MEDICAID SERVICES
ALLOWS FOR STATES TO EXERCISE A
ONE YEAR. TIME EXTENSION OF H.
C. B. S. SPEND PLANNED AT THIS
TIME CALIFORNIA HOWEVER DOES NOT
INTEND TO. EXERCISE. THE TIME
EXPANSION AND PLANS TO ADD AND-
H. BANK PROBE UNDER. THIRD FIRST
. OF TWENTY TWO THREE SO WHAT
WOULD YOU WITH NOW IS A SPENDING
DEADLINE ISSUE THE SOMEBODY OF
MEN. BEFORE AND SO IF YOU THINK
OF US BIG MEALS ON WHEELS IN
CALIFORNIA'S IN SAN DIEGO I
WHERE I HAVE NINETY EMPLOYEES
AND I HAVE- RESERVES. I CAN IF
YOU ALL SAY OKAY YOU KNOW. BY
SOMETHING AND THEN WILL
REIMBURSE YOU- BECAUSE THAT'S
REALLY RIGHT NOW IT'S A
REIMBURSEMENT MODEL I CAN DO
THAT RIGHT SO ONE OF THE THINGS
THAT I'M SAYING IS. HOW ARE THE
SMALLER MEALS ON WHEELS THAT
MIGHT BE TWO OR THREE EMPLOYEES
THE DELIVERED OF FIFTY PEOPLE
WHO ARE PROBABLY SERVING THE
MOST UNDERSERVED. COMMUNITIES
AND OUR ENTIRE STATE HOW ARE
THEY GOING TO ACTUALLY FRONT
FIFTY SEVEN THOUSAND DOLLARS FOR
A NEW VAN- OR THESE HOT SHOTS WE
CALL THEM WHICH ARE EVEN MORE
EXPENSIVE. THE TO GET A BANK.
AND THEN. WHAT WE'RE ALL DEALING
WITH RIGHT NOW OUR SUPPLY CHAIN
ISSUES RIGHT- SO WE DON'T
UNFORTUNATELY WORD WE'RE NOT
SURE THAT WE'RE GOING TO BE ABLE
TO BUY THINGS. BY THAT DATE A
LOT OF US ARE ARE TRYING TO GET
ELECTRIC VEHICLES THAT FEDERAL
OR JUST EVEN NORMAL FOR TRUCKS
THAT ARE EQUIPPED WITH THE
HEATING UNIT ON THE BACK. AND
IT'S ALL GIVE YOU A FEW EXAMPLES
HERE JUST SO YOU CAN TO MAKE IT
MORE RELATABLE- EXAMPLE ONE IS
THE PROVIDER. THAT'S WHAT WE ARE
WORRIED WHERE YOUR COMMUNITY
PARTNERS FOR YOUR PROVIDERS THAT
HAVE BENEFITTED FROM ALL THESE
FUNDS ARE GOING WE HOPE TO
BENEFIT. ORDER ELECTRIC VEHICLE
AND THEN THERE ARE INFORMED BY
THE MANUFACTURER OF THE VEHICLE
THAT IS GOING TO TAKE TWELVE
WEEKS TO GET VEHICLES. AND THEN
AN ADDITIONAL TWELVE WEEKS TO
ASSEMBLE THEM. OKAY THE TIMELINE
IS CONTINGENT ON WHETHER THE
VEHICLES ARE EVEN AVAILABLE FOR
FROM THE MANUFACTURER TO SUPPLY
CHAIN ISSUES AND IN ADDITION THE
VENDOR MUST PAY. UPON RECEIPT OF
THE VEHICLE. BUT THE SENIOR
NUTRITION PROVIDER MAY NOT. HAVE
RECEIVED FUNDING YET OR LIKELY
WON'T BECAUSE YOU HAVE TO HAVE
SPENT THE MONEY ALREADY AND
PROVIDED INVOICE BEFORE YOU'RE
REIMBURSED. I'M LEADING TO THE
NEED FOR THAT SMALLER- NONPROFIT
OR ANY OTHER NONPROFIT AND THAT
REGARD TO- TO FIND FUNDING WITH
BANKS TO GET A LINE OF CREDIT.
CETERA AND IN THE SECOND EXAMPLE
IS A PROVIDER HAD A LUCKY BREAK.
RIGHT AND THIS ACTUALLY HAPPENED
TO ME. OF ANY VEHICLE- ONCE
SOMEONE ELSE- I HAD ORDERED IT
WAS THEY THEY CANCELED THE ORDER
AND I HAD ACCESS TO THIS RIGHT.
AND IT'S ELIMINATING THAT EIGHT
TO TEN MONTH WAIT TIME I'M STILL
PROBABLY NOT GOING TO GET THAT.
UNTIL OCTOBER OR NOVEMBER MAYBE
AND THIS DEADLINE IS DECEMBER
THIRTY FIRST TWENTY TWENTY
THREE. I'M SO SIMPLY PUT FOR A
LOT OF THESE AGENCIES THAT ARE
DOING AMAZING WORK- IT'S NOT
GONNA BE POSSIBLE FOR THEM TO
ACTUALLY PURCHASE THE BIG TICKET
ITEMS NOW. THERE ARE OTHER
THINGS LIKE SOMEBODY HERE'S MY
CONTRACT WITH THE TRIPLE
ACTUALLY. I HAVE A COPY OF IT
HERE. I'VE GOT SOME OF THE
SMALLER THINGS LIKE THERMAL FOOD
BAGS. STORE DIRECTIONS THINK
THINGS LIKE THAT THAT IT'S JUST
GONNA TAKE ME TWO OR THREE
MONTHS TO GET. THE BIG TICKET
ITEMS THAT COST THE MOST ARE THE
MOST BURDENSOME FOR- SOME OF MY
COLLEAGUES ACROSS THE STATE. ARE
THE FANS AND THOSE- ARE ARE
PROBABLY NOT GOING TO BE
AVAILABLE IF THEY'RE LUCKY
UNTIL- NOVEMBER OF BECAUSE OF
BACKLOGS. I'M AND SO SOME OF
THEM AREN'T EVEN GONNA GET THEM
BY DECEMBER. I'M SO THAT'S WHAT
WE'RE ASKING THE STATE IS TIED
TO REQUEST AN ADDITIONAL ONE
YOUR TIME EXTENSION ALLOWED- BY
A CMS. OR COMMIT NOW TO
APPROPRIATE GENERAL FUND DOLLARS
IN THE TWENTY TWENTY THREE
TWENTY FOUR BUDGET. TO OFFSET
ANY OF THOSE DOLLARS THAT ARE
LOST- I THINK IT'S- IT'S.
HEARTBREAKING WE FINALLY
ACHIEVED THIS. OF MEGA IN FIRST.
GOAL AND THAT WE NOT BE A TO
SPEND THE DOLLARS. SO WERE.
RIGHT NOW SIR. ALL OF OUR- WE
CAN COME BACK TO HOPEFULLY IN A
MONTH OR SO. WITH EVERYBODY'S
CONTRACTS UNDER EXPECTED-
DEADLINES- I WHEN THEY THINK
THEY'RE GOING TO GET PRODUCT.
AND THE DOLLAR AMOUNTS TO JUST
JUST TO PUT THAT SOME SOME
SPECIFIC NUMBERS AROUND THERE
BUT- I'M I'M REALLY HAPPY TO
TAKE ANY QUESTIONS THAT I CAN
FROM THIS COMMITTEE I'M I'M
SORRY I HAVE A MORE FOLKSY
APPROACH ON MY- MY WALK IS
FRIENDS HERE SUSTAINING THE WITH
ALL OF YOUR POLICY- MATTERS. TO
TRY TO GET THE POINT ACROSS IT'S
BUT I CAN SPEAK ON BEHALF OF THE
OTHER MEALS ON WHEELS ACROSS THE
STATE- HOPEFULLY ANSWER SOME
QUESTIONS. AND HOPEFULLY BURKE
WITH YOU ALL TO PROVIDE SOME
SOLUTIONS BUT I'VE I APPRECIATE
THE TIME SO THANK YOU ALL SO
MUCH. THANK YOU BRENT OUR FINAL
FINAL- PENALISES TOOK ME WHY IN
. FROM THE SEA CAL OF SEIU HI.
HI THERE GOOD AFTERNOON CHAIR
MEMBERS TIFFANY WHITE WITH THIS
YEAR YOU. REPRESENTING OVER FOUR
HUNDRED THOUSAND LONG TERM CARE
WORKERS THANK YOU FOR THE
OPPORTUNITY TO SPEAK WITH YOU
ALL TODAY. I WAS ASKED TO
RESPOND TO FOUR QUESTIONS I'LL
JUST JUMP RIGHT IN- REGARDING
THE AGES AS CAREER PATHWAYS
TRAINING INCENTIVES AND WHY IT'S
IMPORTANT TO HSS PROVIDERS IN
THE RECIPIENTS. THE HOME CARE
WORK FORCE INCLUDING THE AGES AS
WORKFORCE CONSISTS
DISPROPORTIONATELY OF WOMEN OF
COLOR. AND IMMIGRANT WORKERS WHO
HAVE HISTORICALLY BEEN EXCLUDED
FROM BASIC WORKER PROTECTIONS.
AND BEEN SUBJECT TO POOR JOB
QUALITY. IT IS THE WORK FORCE
THAT HAS BEEN TO- LONG UNSEEN
AND UNAPPRECIATED. THIS
UNDERSCORES THE IMPORTANCE OF
THE AGES AS CAREER PATHWAYS
PROGRAM. A PAID AND INCENTIVIZED
A TRAINING PROGRAM FOR AGES AS
AND WPCS PROVIDERS. HOPING TO
ADVANCE RACIAL GENDER AND
LINGUISTIC EQUITY BY REFRAMING
AND RE POSITIONING THE WORK
FORCE AS ONE OF AS ONE TO BE
INVESTED IN VALUED AND TREATED
WITH DIGNITY. THE PROGRAM AIMS
TO PROVIDE HIGH QUALITY
ACCESSIBLE TRAINING TO I. HSS
AND WPCS PROVIDERS. AND
STATEWIDE TO STABILIZE PROVIDE A
TO WORK- TO THE WORKFORCE AND
ENCOURAGE THE RECRUITMENT
RETENTION. OF PROVIDERS TO
IMPROVE THE QUALITY OF CARE FOR
CONSUMERS AND TO PROVIDE
OPPORTUNITIES FOR CAREER.
ADVANCEMENT AND HOME HEALTHCARE
. THE C. B. P. WITH A- MASTER ON
AGE TWENTY TWENTY. AND A
NECESSITY OF. TO DIVERSIFY THE
PIPELINE OF DIRECT CARE WORKERS
BY TESTING AND SCALING EMERGING
MODELS TO EXPLORE OPPORTUNITIES
TO EXPAND CAREER PATHWAYS. FOR
DIRECT CARE WORKERS AND TO
DEVELOP AN INVENTORY OF EVIDENCE
BASED TRAINING CAREER LADDER AND
CERTIFICATE AND CERTIFICATION
PROGRAMS THAT ARE SENSIBLE
PERSON CENTERED AND CULTURALLY
AND LINGUISTICALLY RESPONSIVE.
THE AGES AS CAREER PATHWAY
PROGRAM RESPOND SPECIFICALLY TO
THE INDUSTRY'S LACK OF
OPPORTUNITIES FOR TRAINING AND
CAREER ADVANCEMENT FOR AGES AS
PROVIDERS A CONTRIBUTING FACTOR
TO THE WORK FORCE SHORTAGE
CURRENTLY PLAGUING THE INDUSTRY.
NO FORMER CAREER LADDERS EXISTS
WITHIN THE HSS AND PROVIDER
SEEKING CAREER ADVANCEMENT HAVE
TO LOOK OUTSIDE OF THE IHS AS
PROGRAM TO OTHER PROFESSIONS AND
INDUSTRIES. THIS ONLY SERVES TO
EXACERBATE THE CURRENT AND
IMPEDING WORK FORCE CRISIS WE
ARE AT A CRITICAL JUNCTURE AND
MUST WORK TO STABILIZE AND
UPLIFT THE WORK FORCE BY
FORMALIZING TRAINING
OPPORTUNITIES AND BUILDING OUT
CAREER PATHWAYS WITHIN I. HSS.
WHAT IS EXACTLY THE PURPOSE OF
THAT OF CPP AND WHAT THEY ARE
EMBARKING ON. THE BENEFITS OF
PAID TRAINING ARE FAR REACHING-
AS PROVIDERS ARE EMPOWERED WITH
KNOWLEDGE AND FUND FOUNDATIONAL
AND SPECIALIZED SKILLS THROUGH
THE CPP CONSUMERS CAN BENEFIT
IMMENSELY FROM AN IMPROVED CARE
EXPERIENCE. THE COMPLETION OF
CAREER PATHWAYS AND THE
RECOGNITION THAT COMES WITH IT
SUCH AS THE RESEARCH TO FOR KIDS
AND INCENTIVE PAYMENTS CAN HAVE
A PROFOUND INDIVIDUAL AFFECT ON
PROVIDERS INCREASING PROVIDERS
CONFIDENCE SATISFACTION.
ADEPTNESS WHILE SIMULTANEOUSLY
ADDRESSING LARGE SCALE SYSTEMIC
ISSUES LIKE TO WORK FOR SHORTAGE
AND INCREASING PROFILE OF THE
JOB. REGARDING THE TIMELINE OF
THE PATHWAYS PROGRAM OF
IMPLEMENTATION WE HEARD A LOT-
FROM THE DEPARTMENT EARLIER IN.
AGES AS CAREER PATHWAYS
LAUNCHING FALL TWENTY TWO WITH
THE LIMITED NUMBER OF CLASSES
FIRST BEING OFFERED STARTING IN
OCTOBER TWENTY TWO. IT OPENED
WITH A WITH AN ENORMOUS AMOUNT
OF INTEREST AND EXCITEMENT. THE
CDS AS I AGES AS CAREER PATHWAYS
WEBPAGE HAD ABOUT THREE HUNDRED
THOUSAND HITS AND A THREE DAY
PERIOD AND CLASSES FILL QUICKLY.
COURSES CONTINUE TO BE ADDED ON
A ROLLING BASIS INCLUDING A
LARGE RELEASE OF CLASSES IN
JANUARY TWENTY THREE AND MARCH
TWENTY THREE. WHENEVER CDSS
RELEASE NEW CLASSES MANY IF NOT
ALL APPEAR TO REACH CAPACITY
VERY QUICKLY. PROVIDERS HAVE
DESCRIBED THEIR EXPERIENCE AND
COUNTERING OF FULL AND
WAITLISTED CLASSES DURING CDSS
MULTIPLE INFORMATIONAL SESSIONS
ON THE PROGRAM. THE CENTER FOR
CAREER ADVANCEMENT OR CCA M. AS
A CURRENTLY A TRAINING VENDOR
FOR CPP AND THEY HAVE ALSO
FIELDED A MULTITUDE OF CALLS AND
EMAILS FROM AGES AS PROVIDERS
WHO ARE FRUSTRATED AND ANGRY
THAT THEY CANNOT GET INTO
CLASSES. THAT ARE ALREADY FULL
REFLECTING A SENSE OF
DESPERATION AND A GENUINE DESIRE
TO ENROLL IN THE CLASSES. CCA
CURRENTLY HAS A WAIT LIST OF
OVER THREE THOUSAND PROVIDERS
CDSS IS COURSES- COURSE CATALOG
WILL ALSO REVEAL- FULL CLASSES
ACROSS MULTIPLE TRAINING
VENDORS. PARTICULARLY FOR THOSE
CLASSES. THAT ARE- INSTRUCTOR
LED. IN OWNER EXPE. MOST CLASS
WHICH- WITHIN TWO TO THREE HOURS
OF OPENING REGISTRATION THE
CURRENT SET UP ALSO DOES NOT
ACCOUNT FOR ATTRITION A
CHALLENGE THAT NEEDS TO BE
ADDRESSED SO IF A PROVIDER
MISSES A CLASS THEY SIGNED UP
FOR THEIR SEAT IS BASICALLY
RELINQUISHED. BECAUSE THE C.
CANNOT BE FILLED BY ANOTHER
PROVIDER ON THE SPOT. THE
PROGRAM IS ONLY BEGINNING TO TAP
INTO THE HIGH DEMAND FOR
TRAINING AND CAREER PATHWAYS AND
YET CLASSES ARE SET TO END IN
LESS THAN A YEAR FROM NOW. I
WOULD NOTE CCA IS CONTRACTED TO
DELIVER CLASSES UNTIL FEBRUARY
OF TWENTY FOUR SO WE WOULD HAVE
SOME QUESTIONS AROUND THAT TIME
LINE FOR THE DEPARTMENT.
REGARDING THE CHALLENGES WITH
IMPLEMENTING THE PROGRAM IN
PARTICULAR WITH THE SHORT TIME
FRAME AVAILABLE FOR PROVIDERS TO
TAKE ADVANTAGE OF THE TRAINING
OPPORTUNITY AND EARNED THE
STIPENDS. AS WITH ANY PILOT
PROGRAM THERE HAVE BEEN
SIGNIFICANT UP FRONT ACTIVITIES
AND COST TO BUILD THE
INFRASTRUCTURE AND PROCESSES-
NECESSARY TO ESTABLISH THE CPP.
THE PROCESS HAS BEEN TIME AND
LABOR INTENSIVE THE STATE AND
TRAINING VENDORS HAVE DEVELOPED
AND INVESTED IN TECHNICAL
SYSTEMS AND INFRASTRUCTURE.
INCLUDING WEBSITES AND LEARNING
MANAGEMENT SYSTEMS AS WELL AS
BUILT ORGANIZATIONAL CAPACITY
INCLUDING HIRING ON BOARDING AND
TRAINING STAFF. FINDING AND
HIRING QUALITY INSTRUCTORS AND
ALL THE LANGUAGES NEEDED TO
TEACH THE DIVERSE AGES AS
WORKFORCE. IS ONE EXAMPLE OF THE
UP FRONT ACTIVITIES THAT TOOK A
CONSIDERABLE AMOUNT OF TIME AND
EFFORT FOR CCM. AND RATHER
PROGRAM LAUNCHED IN OCTOBER
TWENTY TWO IMPLEMENTATION HAS
BEEN IN PHASES AND THE INITIAL
RELEASES OF CLASSES WERE LIMITED
IN NUMBER. AND TWENTY TWENTY TWO
THERE WERE ONLY THIRTY SEVEN
COURSES IN APPROXIMATELY A
HUNDRED AND FORTY CLASS CLASSES-
SESSION OFFERED. THE TWO VENDORS
FROM THE REQUEST OF PROPOSAL DID
NOT START THEIR TRAINING
DELIVERY UNTIL JANUARY OF TWENTY
TO TWENTY THREE. AND SINCE
JANUARY. THERE HAVE BEEN MORE
THAN FORTY NEW COURSES AND OVER
FIVE HUNDRED CLASSES- SESSIONS
ADDED TO THE COURSE CATALOG.
VENDORS AND CDSS CONTINUE TO
RAMP UP THE PROGRAM AND BUILT
THE COURSE CATALOG. AS THE
DEMAND IS EXTREMELY HIGH AND
CLASSES REACH CAPACITY QUICKLY
THERE IS CONCERN THAT PROVIDERS
WILL NOT BE ABLE TO ENROLL IN
ENOUGH CLASSES TO COMPLETE A
CAREER PATHWAY BY THE TIME
CLASSES ARE SCHEDULED TO END.
AND THEREFORE THEY WILL NOT BE
ELIGIBLE TO RECEIVE INCENTIVE
PAYMENTS NOR WILL THEY OBTAIN
BROWN KNOWLEDGE OR SKILL GAME TO
ADVANCE THE GOALS OF THE PROGRAM
OF IMPROVED CARE. RETENTION AND
JOB SKILLS. IN ADDITION TO BEING
PAID FOR THEIR HOURS SPENT IN
TRAINING THERE ARE THREE TYPES
OF INCENTIVE PAYMENTS WHICH WE
HEARD ABOUT EARLIER THAT
ENCOURAGE PATHWAY COMPLETION
APPLICATION AND WORKFORCE
RETENTION. FOR COMPLETION OF
FIFTEEN HOURS OF COURSES WITH
THE CAREER PATHWAY THE SECOND IS
FOR PROVIDING AT LEAST FORTY
HOURS OF CARE TO THE CONSUMER
AND THE FIRST MONTH AFTER
COMPLETION. OF A SPECIALIZED
CORRECT EXCUSE ME CAREER PATHWAY
AND THE THIRD ONE IS FOR
PROVIDING AT LEAST FORTY HOURS
OF CARE PER MONTH TO A CONSUMER
FOR SIX MONTHS AFTER COMPLETION
OF A SPECIALIZED CAREER PATHWAY.
THE INCENTIVE PATHWAYS
PARTICULARLY THE TYPE TWO AND
THREE INCENTIVE PAYMENTS PROMOTE
THE RETENTION OF HSS PROVIDERS
IN THE PROGRAM. BUT THE NUMBER
OF PROVIDERS WHO MAY BE ELIGIBLE
TO RECEIVE THESE PAYMENTS ONE
AND SIX MONTHS AFTER TRAINING IS
POTENTIALLY VERY LIMITED.
ESPECIALLY DEPENDING ON WHEN.
THE DEPARTMENT STOP ACCEPTING
CLAIMS FOR THIS PAYMENT THIS IS
COUNTERPRODUCTIVE TO THE CDP'S
GOAL OF IMPROVING THE RETENTION
FOR PROVIDERS. AS OF THE END OF
LAST YEAR ONLY ABOUT A THOUSAND
PROVIDERS STATEWIDE HAD
SUBMITTED TRAINING CLAIMS AND
THERE WERE LESS THAN A HUNDRED
INCENTIVE CLAIMS SUBMITTED. WE
CAN REASONABLY ASSUME THIS IS
LIKELY IN PART DUE TO THE
LIMITED NUMBER OF CLASSES
OFFERED WHICH MEANT MANY
PROVIDERS WERE UNABLE TO ENROLL
IN ENOUGH OPEN CLASSES TO
COMPLETE A PATHWAY. BASED ON THE
COURSES AVAILABLE IN THE FALL IT
IS ALL PROBABLE MOST OF THESE
INCENTIVE CLAIMS WERE FOR
ENGLISH SPEAKERS WHICH POINTS TO
THE ISSUE OF LANGUAGE EQUITY FOR
NON ENGLISH SPEAKERS. THE FULL
POTENTIAL OF THE STATE'S
INVESTMENT IN TRAINING MAY NOT
BE REACHED IF PROVIDERS WHO ARE
PROGRESSING THROUGH A PATHWAY
ARE FORCED TO CUT THEIR LEARNING
JOURNEYS JOURNEYS SHORT WHEN CPP
ENDS. THE EXTENSION BY THE STATE
TO CONTINUE FUNDING THE C. P. P.
PROGRAM THROUGH ALL OF THE
FISCAL YEAR OF TWENTY THREE
TWENTY FOUR WOULD HELP ALLEVIATE
SOME OF THIS PENT UP DEMAND FOR
THESE OPPORTUNITIES. LASTLY WHAT
WAYS- WHAT ADDITIONAL TIME TO
IMPLEMENT SUPPORT THE SUCCESS OF
THIS PROGRAM. THE GOALS OF THE
CPP ARE AMBITIOUS AND BROUGHT TO
ADVANCE PROVIDER SKILLS TO AND
IMPROVE CARE FOR CONSUMERS TO
PROVIDE LOCAL A RECRUITMENT AND
RETENTION AND BUILT THEIR WORK
FORCE. AND TO FOSTER CAREER
PATHWAYS IS ENVISIONED GOALS ARE
ACHIEVABLE AND WOULD BE MORE
IMPACTFUL IF THERE IS ADDITIONAL
TIME TO IMPLEMENT THE PROGRAM.
IT WOULD ALLOW FOR MORE
EQUITABLE ACCESS TO C. P. PIECE
OF AT ALL LINK LANGUAGES AND
RANGES OF TECHNICAL ABILITIES
HAVE A CHANCE TO PARTAKE IN THE
PROGRAM. ADDITIONAL TIME TO
IMPLEMENT THE PROGRAM WOULD ALSO
GIVE ALL STAKEHOLDERS THE CHANCE
TO EXPLORE HOW TO MAKE PAID
TRAINING OPPORTUNITIES AND
CAREER PATHWAYS. PERMANENT AS
PART OF THE AGES AS PROGRAM. ON
A PRACTICAL LEVEL IF THE PROGRAM
WERE HALTED AND THEN RESUMED IN
THE FUTURE THE STATE AND
TRAINING VENDORS WOULD INCUR-
EXTRANEOUS PROGRAM COSTS AND
WOULD EXPERIENCE NEEDLESS AND-
EFFICIENCIES. TRAINING VENDORS
WOULD HAVE TO CUT STAFF LEADING
TO A DEFICIT OF EXPERIENCE AND
INSTITUTIONAL KNOWLEDGE AND MAY
START UP ACTIVITIES WOULD HAVE
TO BE REPEATED AND REFRESH
CAUSING DELAYS AND DUPLICATION.
ON THE IDEOLOGICAL LEVEL WE
SHARE THE STATE'S URGENCY AROUND
BUILDING A STRONG DIRECT CARE
WORKFORCE AS ARTICULATED IN THE
MASTER PLAN OF AGING. REVIEW THE
CPP AS PART OF A LONG TERM
VISION AND A STRATEGY TO SUPPORT
THE DIRA CARE WORK FORCE BY
CEMENTING TRAINING AND CAREER
PATHWAYS AND TO THE AGES AS
PROGRAM. BEYOND THE PILOT
PROGRAM STAGE AGAIN I THINK YOU
FOR THE OPPORTUNITY TO SPEAK
WITH YOU ON THIS VERY IMPORTANT
ISSUE. THANK YOU SO MUCH
TIFFANY- DOES DEPARTMENT OF
FINANCE HAVE ANY COMMENTS. YES
IS HER SCHOOL DO ITS FINANCE
CENTER REITERATE A COUPLE OF
POINTS THAT JACKET BROUGHT UP
EARLIER SO THE GOVERNOR'S BUDGET
REFLECTS THAT ALL- ACS FUNDS
WILL BE EXPANDED BY THE DECEMBER
THIRTY FIRST. DEADLINE AT THIS
TIME THE ADMINISTRATION DOES NOT
BELIEVE. THAT EXTENSION IS
NECESSARY BUT BASED ON THE
FEEDBACK THAT WE'VE HEARD TODAY
AND WE CONTINUE TO MONITOR THE
IMPLEMENTATION THESE PROGRAMS-
AND ARE WORKING DILIGENTLY TO
EXPAND THE FUNDS AS AS FOLKS
LIKE MISSILES IN A POINTED OUT
AS WELL. AND ALSO JUST QUICKLY
ADD THAT ANY CHANGE TO THE
DEADLINE- SHIFT IS GONNA REQUIRE
NOTIFICATION TO THE JOINT
LEGISLATIVE BUDGET COMMITTEE AND
THIS IS GOING TO BE SOMETHING
THAT WE WOULD CONSULT THE
LEGISLATURE ABOUT. THANK YOU YOU
KNOW ALTERNATE WITH ST I'M
WORRIED- THAT WE'RE NOT GONNA BE
ABLE TO- EXPAND ALL THE FUNDS BY
THIS DEADLINE. I'M MORE THAT IF
WE WANT TO MEET THAT DEADLINE IS
GOING TO BE RUSHED- AND THAT
THESE PROGRAMS ARE GOING TO GIVE
THE ACTUAL IMPACT WE'RE LOOKING
TO SEE RIGHT. WE HEARD FROM
MEALS ON WHEELS- SMALLER
ENTITIES THAT ARE STRUGGLING TO
ME. TO FIND TO PUT MONEY UP
FRONT I WORRIED THAT- WITH THE
IHS US INTO TO THAT RIGHT NOW IS
STRUGGLING TO GET PROVIDERS. ON
AN ENTITY THAT YOU KNOW WE
DESPERATELY NEED TO INVEST IN
AND GIVEN THE DEFICIT. THERE'S
HARD IT'S GONNA BE HARD TO FIND
OTHER WAYS. THIS INCENTIVE IS
NEEDED- SO WITH WITHOUT
QUESTION- WITH THAT IN MIND I
WHEN I HAVE A COUPLE OF
QUESTIONS IS. MY FIRST ONE IS
THE I JUST SAYS INCENTIVE
PROGRAM YOU KNOW IF OUR IF IT
WAS ME I WOULD WANT TO TWO
THOUSAND DOLLARS. TO THE SIX
MONTHS RIGHT SO IF WERE ENDED
DECEMBER THIRTY FIRST AND THEIR
TRAINING AND THEY WOULD HAVE TO
END BY. JUNE THE TRAINING TO
QUALIFY TO WORK FOR SIX MONTHS
BEFORE THE DEADLINE. I'M IF YOU
ANTICIPATE YOU MENTIONED- LEORA
YOU MENTIONED THAT. TRAINING IS
GOING TO GO ALL THE WAY UP TO
DECEMBER. THERE'S NO ROOM FOR
THE SIX MONTHS- TO SHOW PROOF OF
THAT Q. PLAYER FIVE THAT PROCESS
FOR ME PLEASE. SURE THANK YOU SO
MUCH FOR THE QUESTION- WE ARE
CLOSING THE- A DEPUTY OF ADULT
PROGRAM TO CSS- SO OUR PLAN IS
TO START SO WE'RE WE'RE
ANTICIPATING THE FIRST ROUND OF
THOSE INCENTIVES SIX MONTH
INCENTIVE PAYMENT SHOULD BE
COMING. COMMUNICATION- STRICTLY
OUT TO PROVIDERS TO MAKE SURE
THAT EVERYBODY IS AWARE. OF
THOSE TIME LINES- FOR THOSE
INCENTIVE PAYMENTS SO WE
RECOGNIZE THAT THE SIX MONTHS
THIS IS A TOUGH TIMELINE TO DO.
BUT IS ACTUALLY THAT WAS IN THE
STATE IT WAS A REQUIREMENT IN
THE STATUTE SO WE WERE WARY BEEN
TIED TO THE SIX MONTHS AND IN
WITH THE INCENTIVE PAYMENTS ALL
THREE OF THOSE ARE LAID OUT IN
THE STATUTE SO WE'RE TRYING TO
DO OUR BEST TO SUPPORT.
PROVIDERS TO MAKE SURE THAT
THOSE THAT WORK FOR PEOPLE- CAN
GET IT AND IN PARTICULAR ONE OF
THE THINGS THAT WE DID DO AND-
RESPONSE TO SOME CONCERNS THAT
WERE RAISED TO US THROUGH THE
STAKEHOLDER WE HAVE A LOT OF
PUBLIC CALLS. WE ALSO HAD-
MEETINGS OFFLINE YOU KNOW WITH
OTHER STAKEHOLDERS AND THERE WAS
A CONCERN ABOUT THAT PARTICULAR.
THAT PARTICULAR INCENTIVE
PAYMENT BECAUSE INITIALLY WE HAD
INTERPRETED THAT THE STATUTE TO
SAY THAT THEY HAD TO WORK FOR A
NEW RECIPIENTS. SO WE ACTUALLY.
CHANGED OUR INTERPRETATION
BECAUSE WE HAVE THE FLEXIBILITY
AND WE OPENED IT UP TO EVERYBODY
WHO IS CURRENTLY WORKING IN THE
PROGRAM TO GET TO THAT. THAT
INCENTIVE PAYMENTS SO WE DO WE
HAVE BEEN VERY RESPONSIVE AND
REALLY TRYING TO ENSURE THAT
PEOPLE HAVE ACCESS- IT'S JUST
THE TIMING AND WE RECOGNIZE
THAT. BUT I DO BELIEVE THAT. I
KNOW THAT'S THE LARGEST IS IN A
BUT I DO BELIEVE THAT PEOPLE
WILL. STILL BE ABLE TO ACCESS TO
TRAINING AND GET THE OTHER
INCENTIVE PAYMENTS AS WELL SO-
AT THIS POINT WE ARE JUST
MONITORING THE SITUATION TRYING
TO FIGURE OUT WHAT'S GOING ON-
LIKE I SAID. WE DON'T EVEN KNOW
HOW MANY PEOPLE WILL BE ABLE TO
CLAIM THAT INCENTIVE PAYMENT
UNTIL WE GET THAT INFORMATION IN
AN THE EARLIEST. THAT WOULD BE
WOULD BE APRIL TWENTY TWENTY
THREE. YOU KNOW AND CHECK YOU
MENTIONED YOU KNOW IS IT BETTER
TO LOOK AT IT NOW THE LETTER YOU
KNOW THIS MOTION NOTION OF
MONITORING THE SITUATION AND
MODERATE UNTIL NOVEMBER IS GOING
TO BE TOO LATE. RIGHT SO- I'M
INTERESTED IN SEEING WHAT WE CAN
DO SOONER. THAN LATER. MY SECOND
QUESTION TO YOU JACQUI IS KEY
PROVIDE A LITTLE BIT
CLARIFICATION- YOU SPOKE A
LITTLE BIT WILL ABOUT WHAT WOULD
HAPPEN. SHOULD WE NOT X. EXPEND
ALL THOSE- MONIES BY DECEMBER
THIRTY FIRST. WHERE WHERE THAT
GO IT WOULD THAT BE SHIFTED TO
OTHER INITIATIVES WITH THEM
ACTUALLY BE S. OR- ELSEWHERE. SO
THAT'S A QUESTION THAT WE WOULD
DEFINITELY RECOMMEND THE
LEGISLATURE SEE CLARIFICATION
FROM THE ADMINISTRATION- AS
ADMINISTRATION DID NOTE- THEY
WOULD PROVIDE NOTIFICATION TO
THE LEGISLATURE IF THERE WERE
ANY PROPOSED CHANGES OF SHIFTING
DOLLARS TO. EXISTING EACH CBS
INITIATIVES OR IF THEY WANTED TO
SHIP DOLLARS FOR NEW AGE CBS
INITIATIVE- HOWEVER. IT TO THE
EXTENT THAT THE LEGISLATURE
WANTED TO PROVIDE JUST A LEVEL
OF CERTAINTY OF WHAT ULTIMATELY
WOULD HAPPEN IF FUNDS ARE- OF AN
EXPANDED IN DECEMBER- EAT THAT
SOMETHING THAT YOU COULD ALSO
PURSUE. SPECIFICALLY WOULD YOU
WANT TO SPECIFY THAT UNSPENT
FUNDS SHOULD REMAIN WITHIN THEIR
EXISTING PROGRAM COMMITMENTS-
ANOTHER. OPTION THAT I WOULD
ALSO RAISE TWO IS OUR
UNDERSTANDING IS THAT- THE
FEDERAL GOVERNMENT ALLOW STATES
TO- WE COULD CHOOSE TO EXTEND
DEADLINES FOR CERTAIN H. C. B.
S. INITIATIVES LIKE I MENTIONED
IN MY COMMENTS. SOME OF THE H.
C. H. C. B. S. INITIATIVES SUCH
AS THE ONE TIME. PAYMENTS TO HSS
PROVIDERS MOST OF THAT MONEY HAS
ALREADY GONE OUT THE DOOR THOSE
PAYMENTS WERE MADE ON MARCH
TWENTY TWENTY TWO I'M SO SOME OF
THEM MAY NOT REQUIRE AN
EXTENSION HOWEVER FOR THOSE IN
WHICH THE LEGISLATURE BELIEVES
THEY WOULD WANT TO EXTEND IT TO
ENSURE THAT. EVERY PROVIDER HAS
AN OPPORTUNITY FOR THE INCENTIVE
PAYMENT FOR EXAMPLE- THAT IS AN
OPTION THAT YOU COULD PURSUE
SPECIFIES SPECIFICALLY WHICH
PROGRAMS YOU WOULD WANT. THEM TO
EXTEND THE DURATION OF THE
PROGRAM AND ENSURE THAT ANY
UNSPENT DOLLARS REMAIN IN THOSE
PROGRAMS. YOU KNOW TO THE I
WOULD KNOW YOU WE HEARD- WHEELS
ON WHEELS LONG TOOK TO. HOW LONG
ANY NEW PROGRAM TAKES SO YOU
KNOW SHIFTING FUNDING TO A NEW
INITIATIVE WOULD JUST CREATE THE
SAME CHALLENGES SO I WOULD BE
INTERESTED IN IN IN MAINTAINING
THESE FUNDS WITHIN. THESE
PROGRAMS THAT YOU ALL HAVE
INVESTED SO MUCH ALREADY I'LL
TURN TO MY COLLEAGUES RIGHT NOW
FOR ANY QUESTIONS A CENTER ROTH
. WELL I'M A LITTLE CONFUSED-
MAYBE SOMEONE CAN ANSWER THIS
WHAT WHAT PERCENTAGE OF THESE H.
C. B. S. FUNDS. THAT WE RECEIVED
REMAIN UNSPENT. ONE AND TWO
WHAT'S THE MONTHLY BURN RATE. I
GUESS THAT YOU FINANCE. AT THIS
FOR THE QUESTION HER SCRIPT-
DEPARTMENT OF FINANCE. THAT
REALLY VARIES ACROSS THE
PROGRAMS THERE- BUT BUT- JUST
GIVE ME THE TOTAL BECAUSE IT'S
HARD FOR ME TO. RUN A
CALCULATOR. I THOUGHT I'D BEEN
ABLE TO DO MATH I WOULD HAVE
GONE TO LAW SCHOOL SO. BUT I'M
SURE YOU CAN. WE GOT A
CALCULATOR A- I HAVE A
CALCULATOR- SO AS I MENTIONED MY
COMMENTS OF THE TWO POINT EIGHT
BILLION DOLLARS ONLY TWO HUNDRED
EIGHTY TWO MILLION HAVE BEEN
SPENT SO THAT'S JUST ABOUT 10%
OF FUNDS SO FAR. AND WE HAVE
ABOUT. EIGHT TO NINE MONTHS LEFT
. IN THIS CALENDAR YEAR WHICH IS
THE TIMELINE THAT YOU'VE
INDICATED. OF THE FOR THE FUNDS
NEED TO BE SPENT EXCEPT FOR THE
CLEANUP. THAT COULD EXTEND TO
MARCH OF TWENTY FOUR CORRECT
RIGHT THE REMAINING FUNDS UNDER
THE- THE ASSUMPTIONS INCLUDING
THE GOVERNOR'S BUDGET WE NEED TO
BE SPENT- ESSENTIALLY WITHIN THE
NEXT EIGHT TO NINE MONTHS
WITHOUT AN EXTENSION AND IT WAS
SPEAKING OF THE EXTENSION IS
THERE SOME PROCESS. THEN IT
NEEDS TO BE FOLLOWED IN ORDER TO
OBTAIN AN EXTENSION OR IS THIS
SOMETHING THAT WE CAN JUST OR
YOU CAN JUST LET CHIU ELLIE OF.
THE ADMINISTRATION CAN JUST
DECIDE TO DO ON. MARCH. TWENTY
FOUR OF TWO THOUSAND TWENTY FOUR
AND IT HAPPENS. OUR
UNDERSTANDING IS IT'S A STATE
DECISION THERE'S NO APPLICATION
PROCESS WE DON'T HAVE TO SEEK
CMS APPROVAL. THE STATE CAN
DECIDE TO DO IT THE PROCESS IN
WHICH THAT COULD BE DONE IT CAN
BE DONE THROUGH STATUTE TO BE
DONE THROUGH THE BUDGET PROCESS.
THERE IS EXISTING CONTROL
SECTION LANGUAGE THAT THE
ADMINISTRATION HAS SAID THAT
THEY WOULD- IF IT LOOKS LIKE
SPINES ARE GONNA BE ON SPENT
THEY WOULD THEY COULD ALSO JUST
NOTIFY US THROUGH A CONTRACT. A
SECTION LETTER- HOWEVER AS WE
MENTIONED THERE ARE BENEFITS IN
MAKING THIS DECISION SOONER
POTENTIALLY THROUGH THE BUDGET
PROCESS- AND BUT AND ALSO JUST
JUST AS A PART OF THE BUDGET
PACKAGE ITSELF SO THERE'S A
LITTLE LEVEL OF CERTAINTY-
BECAUSE AS WE NOTED- MAKING THIS
DECISION POTENTIALLY IN THE FALL
IT COULD CREATE JUST DID PROGRAM
DISRUPTIONS. AND A RISK OF MAYBE
PROGRAMS NOT BEING ABLE TO
MODIFY THEIR CONTRACTS FAST
ENOUGH HAVING TO CLOSE DOWN AND
THEN RESTART. WILL GIVEN THE
LARGE AMOUNT OF. FUNDING THAT
APPARENTLY REMAINS UNSPENT HAS
THE ADMINISTRATION DEVELOPED AN
OVERALL. GAME PLAN FOR EXPAND IF
YOU THINK IT'S GOING TO BE
EXPENSE EXPENDED BY. DECEMBER OF
TWENTY THREE WHICH YOU'VE
INDICATED IT IS THERE AN
OVERALL. GAME PLAN THAT'S BEEN
PREPARED. GIVEN THE BREADTH OF
THE PROGRAMS. TO HAVE SOME IDEA
OF HOW MUCH MONEY IS GOING TO BE
SPENT ON EVERY MONTH TO GET TO
ZERO BY DECEMBER THIRTY FIRST
OF. TWO THOUSAND TWENTY THREE.
YEAH AND THAT'S SOMETHING THAT
IS- THAT EACH DEPARTMENT IS
MONITORING ON THEIR OWN FOR
THEIR SET OF PROGRAMS. AND ALL
THAT IS THE FOR IT WILL DOESN'T
I MEAN WE'RE- YOU HAVE
DEPARTMENTS AND THAT THIS WAY OF
A CHAIN OF COMMANDS OF
SOMEBODY'S GOT TO BE AT THE TOP
WHOEVER'S AT THE TOP IS DOES THE
PERSON AT THE TOP HAVE A- HAVE A
GAME PLAN. UNDERSTOOD YES WE I
MEAN WE'RE- SO THE DEPARTMENT
HEALTH CARE SERVICES IN
CONJUNCTION DEPARTMENT FINANCE
ARE ULTIMATELY OVERSEEING. THE
OPERATION AND EXPENDITURE OF
THESE A CVS DOLLARS AND SO IN
APRIL ACT WE'RE GONNA GET AN
UPDATE- EXPENDITURE PICTURE OF
HOW MANY HOW MUCH FUNDING HAS
BEEN SPENT ACROSS ALL PROGRAMS
THAT'S THE- INFORMATION THAT ALL
DEPARTMENTS REPORTING UP TO
DEPARTMENT HEALTH CARE SERVICES.
AND SO FROM THERE WILL HAVE A
MUCH MORE UPDATED PICTURE AND
ACTUALLY THE 10% FIGURE THAT
JACQUI POINTED OUT. IS HOW MANY
FUNDS HOW MUCH MONEY HAS BEEN
EXPENSE HE'S ME SINCE AS OF
SEPTEMBER OF TWENTY TWENTY TWO.
SO IT IS A SLIGHTLY OUTDATED
PICTURE AND ALSO NOTE THAT THERE
IS- YOU KNOW FOR MANY PROGRAMS
IN THAT. CURRENT SNAPSHOT OF
EXPENDITURES AS OF SEPTEMBER
TWENTY TWENTY TWO- THERE ARE
SEVERAL PROGRAMS FOR WHICH- VERY
LITTLE FUNDING HAS GONE OUT THE
DOOR. AND I WANTED TO BE CLEAR
THAT AND FOR A LOT OF PROGRAMS-
YOU KNOW FUNDING ACTUALLY MIGHT
GO OUT LARGE CHUNKS- AND SO HE
MIGHT. THE PICTURE OF WHAT
FUNDING REMAINS COULD CHANGE
PRETTY PRETTY RAPIDLY IN A SHORT
TIME WELL LET ME JUST SO WITH
RESPECT TO THE REPORT THAT
YOU'RE GOING TO RECEIVE IN APRIL
AS SIMPLY GONNA. SEND US A COPY
TO OR THE CHAIR A COPY TO- WILL
THAT REPORT. FROM THE AGENCY
ALSO INCLUDE IN ADDITION TO THE
AMOUNT OF MONEY SPENT. THE
MONTHLY PROJECTION OF
EXPENDITURES GOING DOWN TO ZERO
BY DECEMBER OF TWENTY THREE.
THAT'S SOMETHING I'LL HAVE TO
DOUBLE CHECK ON WITH THE
PARTICLE CARE SERVICES THEY
MONITOR THE REASON I'M ASKING IS
ASSUMING THAT WOULD BE NICE TO
KNOW IF WE'RE- SORT OF ASSUMING
WE'RE GONNA HAVE. FINISH THE
SAYING OFTEN SPEND THE MONEY
DOWN TO ZERO BUT IS CIMBER
THROUGH THIRTY FIRST I THINK
WOULD BE GOOD FOR THE CHAIRMAN
OF THE COMMITTEE TO NOTE THE
LEGISLATURE TO KNOW THAT THERE'S
A PLAN TO DO SO. ABSOLUTELY AND
I'LL JUST QUICKLY ADD THAT AT
LEAST IF THERE'S NOT A- PRECISE
NUMBERS TIMELINE I KNOW THAT
EACH DEPARTMENT IS BEING ASKED.
THEIR ABILITY TO EXPAND FUNDS
DOWN FOR EACH OF THEIR PROGRAMS
AND SO THAT IS A KEY PIECE OF
INFORMATION PART OF OUR-
MONITORING OF THE IMPLEMENTATION
PROCESS. WELL JUST ONE FINAL
AGAINST COMMENTER QUESTION. IT
WAS IT'S MY UNDERSTANDING
INITIALLY THAT. THIS MONEY THAT
WE RECEIVED WAS. ENABLED THE
ADMINISTRATION I GUESS AND THE
LEGISLATURE BECAUSE IT'S SORT OF
A JOINT THING WITH THE BUDGET.
TO FREE UP ABOUT TWO BILLION
DOLLARS OF GENERAL FUND MEDICAL
EXPENDITURES IN GENERAL FUND IN
THE BUDGET. TWO BILLION COULD
BIN THEN BE USED SIMPSON GOING
FOR SOMETHING ELSE IN THE BUDGET
. DID I GET THE NUMBER RIGHT IT
WAS TWO POINT EIGHT- BUT IT THE
FEDERAL GOVERNMENT THEY WOULD
WOULDN'T ALLOW STATES TO
SUPPLANT FUNDING SO THEN THAT'S
WHY THEY SAID YOU MUST REINVEST
THAT TWO POINT EIGHT. EIGHT CBS
ENHANCEMENTS AND EXPANSIONS- BUT
AT THE TIME WE ESSENTIALLY WERE
ASSUMING ALL THE GENERAL FUND'S
GONNA PICK IT UP SO IT DID HAVE
AN EFFECT OF FREEING UP GENERAL
FUND. BUT WAS BRING UP GENERAL
FUND FOR PROPOSALS THAT- WERE
CATEGORIZED AS H. C. B. S.
EXPANSIONS AND ENHANCEMENTS THAT
PROBABLY ORIGINALLY IN THE
BUDGET WE WERE GONNA SPEND
GENERAL FUND ON WELL I GUESS MY
QUESTION IS IF WE'RE IF WE ARE
ALL WRONG ON THIS. AND THE
FEDERAL GOVERNMENT SAYS. I
ASSUME. YOU DIDN'T SPEND IT SO
YOU HAVE TO GIVE IT BACK. I KNOW
OUR NEW STANDING IS- THE
ADMINISTRATION'S INTERPRETATION
OF WHAT THE FEDERAL GUIDANCE IS
THE EXPENDITURE DEADLINE IS
RELIANT ON HOW LONG THE STATE
WILL TAKE TO SPEND THE FUNDING.
RIGHT NOW THE REASON WHY YOU AND
THE ADMINISTRATION IS STILL
ASSUMING A DECEMBER TWENTY
TWENTY THREE EXPENDITURES
DEADLINES BECAUSE THEIR
PROJECTIONS. AT THE THEIR SOON
WE'RE GONNA SPEND ALL THE MONEY
BY DECEMBER TWENTY TWENTY THREE
HOWEVER IF WE REACH DECEMBER
TWENTY TWENTY THREE THEY'RE
STILL MONEY ON THE TABLE. WE
HAVE TO EXTEND THE DEADLINE AT
THAT POINT. OKAY AND UNDER NO
CIRCUMSTANCES WITH THE MONEY. BY
THE FEDERAL GOVERNMENT BE ABLE
TO CLAW THE MONEY BACK. WE
HAVEN'T SEEN ANY GUIDANCE THAT-
SAYS THAT THE FEDERAL GOVERNMENT
CAN CALL THE MONEY BACK- BUT WE
KNOW THAT. DHS THEY'RE IN
CONSTANT COMMUNICATION WITH THE
FEDERAL- GOVERNOR OF WITH THE
FEDERAL GOVERNMENT- SO BUT THEY
HAVEN'T HEARD ANYTHING OF THAT
SORT. BUT IF THERE HAPPENED TO
BE A CLUB BACK IT WOULD ONLY BE
A CLUB BACK. OUT OF THE H. C. B.
S. PROGRAMS. AND HAVE NO OTHER
IMPACT ON OUR BUDGET. THESE
DOLLARS ARE JUST LIMITED IT H.
CBS PROGRAM SO IN THEORY IF
TOMORROW THE FEDERAL GOVERNMENT
SAID WE WANT TO CLAP BACK YES
BUT AGAIN NO GUIDANCE HAS BEEN
ISSUED BY THE FEDERAL.
GOVERNMENT THAT INDICATES THAT
THEY WERE CONNIE THING BACK IF
ANYTHING THAT THE ALLOWANCE OF A
ONE YEAR EXTENSION WAS THEM
HEARING FROM STATES THAT- MADE
UP SOMETIMES IT'S TAKING TIME TO
RAMP UP THESE PROGRAMS- SAID
THEY DID THE ONE YEAR EXTENSION
BECAUSE THEY DO WANT STATES TO
USE THIS MIGHT MAKE YOU. THANK
YOU MADAM CHAIR. CENTER EGGMAN.
THANK YOU AND THANK YOU FOR THAT
CLARIFICATION I THINK THE-
GENERAL ROSSON AND NOT CHAIR OF
CASTLE OF THE QUESTIONS I HAD
BECAUSE I WAS VERY EXCITED ME
THAT WAS ONE OF OUR BIG. THRUST
LAST YEAR WAS TO MAKE SURE WE
HAD WORKFORCE TRAINING AND
DEVELOPMENT AND CAREER PATHWAYS-
AND I HEARD THE- DEBRA DIRECTOR
TALK AND I WAS EXCITED AND THEN
I HEARD HIM TALKING AND I WAS
SAD- SO I WAS WONDERING WHERE
THAT. THAT DISCONNECT CAME FROM
SORT OF ANYONE COULD JUST SPEAK
TO THAT PART IS REALLY BRIEFLY.
THANK YOU FOR THAT QUESTION I
APOLOGIZE I DON'T WANT TO HAVE
MY BACK THAT'S OKAY I'M GOING TO
TRY TO TALK ON THE SIDE OF MY
MOUTH. I THINK THAT WE HAVE DONE
OUR BEST IN PARTNERSHIP TO
REALLY IMPLEMENT SOMETHING- THAT
BENEFITED OUR PROVIDER
COMMUNITY. WE DO NOT HAVE A LONG
TIME THIS WAS A NINE MONTH
IMPLEMENTATION OF A PROGRAM
THAT. IS A VERY LARGE PROGRAM
AND NOTHING THAT WE HAD EVER
DONE BEFORE SO. YOU KNOW I THINK
THAT IT IS A STARTING PLACE- AND
YOU KNOW TIFFANY I'M SURE
PROBABLY HAS. SOME ADDITIONAL
COMMENTS THAT SHE'D LIKE TO MAKE
BUT I THINK THAT WITH THE TIME
CONSTRAINTS AND- AND- ALL OF THE
ACTIVITIES THAT HAVE BEEN
COMPLETED I YOU KNOW I THINK
THAT IT'S A PRETTY SOLID
PROGRAM. IS IT YOU KNOW IT IS
PART OF THE H. CVS PLANS SO
WE'RE KIND OF. THAT'S WHERE
WHERE WE LANDED BUT- I'M NOT
SURE WHO IS WHITE HAS ANY
ADDITIONAL. THANK YOU CENTER
EGGMAN FOR THE QUESTION I THINK-
FOR AS IT'S IT IS IT'S A
WONDERFUL PROGRAM WE'RE ALL VERY
EXCITED. UNFORTUNATELY IF IT
DOESN'T LIVE UP TO THE
EXPECTATIONS OF WHAT WE ALL
HOPED THEN IT FALLS A LITTLE BIT
SHORT- OF WHAT WE- WERE HOPING
THAT IT WOULD DO- IT'S
UNFORTUNATE THAT THE THAT THE
PROGRAM WOULD END IN DECEMBER IT
SOUNDS LIKE THE CLAIMS WOULD BE
PAID OUT TO MARCH. THAT'S STILL
THREE MONTHS SHORT OF A FULL
FISCAL YEAR SO WE'RE STILL
CUTTING IT SHORT EVEN IF WE GET
DONE IN MARCH. AND HAVE US COME
BACK IN ANOTHER YEAR AND SAY.
YOU KNOW I MEAN THAT'S THE
DIFFICULTY WITH ONE TIME MONEY-
AND SPECIALLY ON TRAINING THAT
SHOULD BE GOING ON GOING FOR A
POPULATION THAT'S GOING TO
CONTINUE TO GROW. THESE
PROVIDERS ARE GOING TO CONTINUE
TO DO THE TRAINING THE
RECIPIENTS ARE GOING TO CONTINUE
TO NEED THEIR PROVIDERS TRAINED.
AND VERY SPECIALIZED AREAS AND
WE ARE CUTTING IT SHORT FROM THE
FISCAL YEAR SO AS AN ADVOCATE WE
OF COURSE WOULD WANT TO COME
BACK. AND SAY WE SHOULD EXTEND
THIS PROGRAM FOR A LONGER PERIOD
OF TIME WE UNFORTUNATELY
WOULDN'T EVEN GET A FULL FISCAL
YEAR TO KIND OF SEE HOW THAT
PLAYS OUT AND WHAT THAT LOOKS
LIKE SO THAT WE CAN. MAKE A
DETERMINATION ON KIND OF FUNDING
FOR AN ON GOING BASIS SO WE DO
HAVE A BIT OF CONCERNED. NOT TO
TAKE AWAY FROM THE GREAT PROGRAM
THAT IS OUT THERE I THINK WE ALL
CAN AGREE THAT IT'S A GREAT
PROGRAM. WE JUST NEEDED TO KIND
OF. GO A LITTLE LONGER AND GO A
LITTLE FURTHER AND- PARTICULARLY
IN OUR OPINION ON ONGOING BASIS
OF THE PROVIDERS CAN ACTUALLY.
GET THE TRAINING TO PROVIDE THE
NECESSARY- SERVICES TO THEIR
RECIPIENTS. ONE OF THE- MORE THE
IDIOMS IN MY HEAD THAT MY MOM
SAID ALL THE TIME. WITH HASTE
MAKES WASTE. SO RIGHT TRYING TO
RUSH AT NIGHT AND I HEARD THE-
WHICH I WHICH I LOVED. MISTER
WAKEFIELD TALKING ABOUT MEALS ON
WHEELS. AND NOT WANTING TO SPEND
IT JUST ON SILLY THINGS BECAUSE
YOU HAVE TO WAIT TOO LONG. TO
GET THE VAN THAT YOU WANT NOBODY
WANTS. US TO SPEND THIS MONEY
UNNECESSARILY BUT WANTED TO HAVE
THE GREATEST IMPACT.
TRADITIONALLY WRITTEN VERY MUCH
WHEN I THINK THE L. A. O. FOR
BRING THIS ALL TO OUR ATTENTION.
AND THEN JUST I GUESS DOESN'T
DIRECTOR DO YOU HAVE. I MEAN DO
YOU THINK YOU CAN WAIT BY TWENTY
THREE OR SHOULD WE REALLY START
PLANNING FOR THAT EXTENSION. NOW
BECAUSE I IS BACK IN DC THIS
LAST WEEK. AND SPEAKING WITH
DIFFERENT. AND EVERYBODY TALKED
ABOUT THE POSSIBILITY OF A
CLAWBACK AS OUR- AS THINGS
CHANGE. AT THE DEPARTMENT OF
AGING WE ARE WORKING. DAILY WITH
OUR PARTNERS AND AS YOU HEARD.
AND THANK YOU FOR THAT QUESTION
SENATOR- IN THE CASE OF THE
NUTRITION DOLLARS. ARE OUR KEY
PARTNERS WITH WHOM WE CONTRACT
ARE THE AREA AGENCIES ON AGING.
THEY IN TURN SUBCONTRACTED WITH
MEALS ON WHEELS AND OTHER
PROVIDERS. SO THERE IS A BIT OF
A CASCADING EFFECT IN TERMS OF.
CONTRACTING ALSO MANY OF OUR AT.
TRIPLE A PARTNERS IN OUR
COMMUNITY BASED PARTNERS. NEED
TO OBTAIN BOARD APPROVALS
WHETHER IT'S THEIR NONPROFIT
BOARD OF DIRECTORS. OR THEIR
COUNTY BOARD OF SUPERVISORS- TO
BE AUTHORIZED TO MAKE SOME OF
THESE PURCHASES SO THERE IS- A
LAG. INVOLVED BUT- I KNOW THAT-
NICOLE SHE MISSED. SHE MASAK AND
HER TEAM. MEETS REGULARLY WITH
ALL OF THE TRIPLE A.'S ON ALL OF
THE FISCAL MATTERS. AND WE'RE
REALLY WORKING IN LOCKSTEP TO
ENSURE THAT THESE DOLLARS ARE
SPENT BY DECEMBER TWENTY TWENTY
THREE. AND MAYBE TO THE L. A. OR
TO ANYBODY SO IT'S NOT A OF. AN
ISSUE OF TEMPORALIS IS. THAT WE
HAVE SO MUCH MONEY WE DON'T KNOW
WHAT TO DO WE CAN DO RIGHT IT'S
JUST AN ISSUE OF TIMELINESS AND
IMPLEMENTATION AND DEADLINES UP
BUT WE'RE TO UNDERSTAND. YES
THAT IS OUR UNDERSTANDING IN
TERMS OF- THE MOST RECENT NUMBER
THAT WE HAVEN'T OF 10% OF THE
FUNDS BEING EXPENDED THUS FAR IT
REALLY IS AN ISSUE OF JUST SOME
OF THESE PROGRAMS. ARE
COMPLETELY NEW PROGRAMS- SOME OF
THEM ARE COMPLETELY NEW
INITIATIVES THAT WE'VE NEVER
DONE BEFORE AND IT JUST TAKES
TIME TO GET THE CONTRACTS IN
PLACE. I'M GET THE SUPPORT STAFF
AND TO IMPLEMENT AND THEN ALSO
IN SOME CASES FOR PROVIDERS TO
GO THROUGH THE PROGRAM AND THEN
SUBMIT THE REIMBURSEMENT. CLAIM
TO THEN GET THE DOLLARS OUT THE
DOOR. OKAY THANK YOU MUCH UNTIL
MISTER FINANCE YOU'VE YOU'VE
HEARD ALL THIS. YEAH THANK YOU I
MEAN I WANT TO BE CLEAR TO THAT
THE ADMINISTRATION'S YOU'VE
HEARD FROM OUR COLLEAGUES HERE I
MEAN. WE CARE ABOUT THESE
PROGRAMS WE REALLY WANT TO SEE
THEM IMPLEMENTED AND SEE THEM DO
WHAT THEY'RE DESIGNED TO DO- AND
I THINK. YOU KNOW WE'RE DOING
OUR BEST TO JUST CONTINUE TAKING
THIS FEEDBACK INTO ACCOUNT AT
THE LATEST EXPENDITURE PICTURES
TO THE SOUND WE CAN AS AS
DEPARTMENTS COLLECT INFORMATION
FROM THEIR STAKEHOLDERS AND
PARTNERS ON THE GROUND- ALSO
JUST ONE OF. MANY CONTEXTUALIZES
TO WITHIN. SOME JACKIE'S EARLIER
COMMENTS REGARDING THE-
MAINTENANCE OF EFFORT
REQUIREMENT THAT COMES ALONG
WITH THESE FUNDS. AND SO YOU
KNOW AS JACKIE MENTION YOU CAN
EXTEND. THE DEADLINE TO- FOR
SOME OF THESE PROGRAMS TO SPEND
ALL THEIR DOLLARS. BUT THAT
MAINTENANCE OF EFFORT
REQUIREMENT ACTUALLY- IS STILL
CONTINUES TO APPLY TO ALL
MEDICAID EACH CBS PROGRAMS. AND
I THINK JUST PART OF THE
CHALLENGE THERE IS THAT THE
MAINTENANCE OF EFFORT
REQUIREMENT. ACTUALLY RESTRICTS
THE STATE'S ABILITY TO MAKE
CHANGES TO SOME OF THE OTHER
IMPACTED PROGRAMS- THAT FALL
UNDER THE MEDICAID EACH CBS-
AND- HAS. RESULTED IN SOME
SIGNIFICANT DELAYS IN FEDERAL
APPROVAL FOR A LOT OF OTHER
PROGRAMS THAT THE STATE HAS- AS
PRIORITIES WITH CMS I THINK
THERE IS. A DOUBLE EDGED SWORD
HERE AND WE'RE TRYING TO STRIKE
A STRIKE THAT BALANCE BY
EVALUATING THIS DEADLINE AND
LEAD THE FEEDBACK THEY WERE
HEARING FROM STAKEHOLDERS- BUT
VERY MUCH. YOU KNOW ONE OF THESE
PROGRAMS TO. DO WHAT THEY'RE
DESIGNED TO DO AND LOOK FOR THE
MONITORING THE SITUATION IS
THERE A WAY TO- MODIFY THE L.
REQUIREMENT ON BEING ABLE TO
SHOW THAT. THAT THIS IS THE THAT
PAYMENTS OF AFTER REQUIREMENTS.
MY UNDERSTANDING IS THAT THAT'S
PRETTY THAT THAT IS SET FOR THIS
FOR THE ECB HAS MEDICAID
FUNDING. AT THE CMS FEDERAL
LEVEL. THAT WAS IT NEGOTIATION
WITH THE STATE- PRIOR TO THE
FUNDING GOING OUT. OKAY
REDIRECTOR. YEAH AND THAT'S
SOMETHING I CAN YOU KNOW COSTA
CIRCLE BACK WITH DEPARTMENT
HEALTHCARE SERVICES IS REALLY
THE ONE. WHO WORKS ON THAT AND
HAVE TO CIRCLE BACK. OKAY THANK
YOU. IN A ROTH. I THINK YOU
ANSWERED MY QUESTION BUT I'M NOT
SURE I UNDERSTAND THE ANSWER. I
WAS GOING TO ASK AND MY
COLLEAGUE ASKED THAT DIRECTLY
WHY NOT JUST EXTEND SO IT'S THE
MAINTENANCE OF EFFORT ISSUE THAT
IS DRIVING THE DECISION ON THE
EXTENSION. THAT THAT IS ONE OF
THE PRIMARY CONCERNS YES AND
HOW. EXPLAIN TO ME MAYBE IT WAS
COVERED AND I WAS BRAIN DEAD.
THE MAINTENANCE OF EFFORT
REQUIREMENT HOW LONG DOES IT
EXTENDS SO IF WE END THE PROGRAM
FEW IN THE PROGRAM IN DECEMBER
OF TWENTY THREE. DOES THAT IN
THE MAINTENANCE OF EFFORT. SAID
THE BAN. THAT ADVANCE OF AFTER
REQUIREMENT IS THE LATER OF
WHENEVER WE GET THE LAST DOLLAR
OUT OR WHENEVER THE DEADLINE IS
THAT WE'VE- SET FIXED IN THE FUN
HI C. SO THE MAINTENANCE OF IF
YOU SPEND ALL THE MONEY BY
DECEMBER TWENTY THREE. TWO
THOUSAND TWENTY THREE. AND DO
NOT REQUEST AN EXTENSION. YOUR
MAINTENANCE OF EFFORT
REQUIREMENT STOPS DECEMBER TWO
THOUSAND TWENTY THREE AND WHAT
YOU'RE CONCERNED ABOUT IS IF YOU
EXTENDED FOR THIS ANOTHER YEAR.
YOU'LL HAVE OF A FURTHER
MAINTENANCE OF EFFORT
REQUIREMENT EXTENDING ANOTHER. I
GUESS IT'S A CALENDAR YEAR.
WHICH WILL DRIVE COSTS UP IN
SOME OTHER. RELATED PROGRAMS.
LESS SO COSTS SAID I THINK IT
MORE JUST DELAYS IN AN APPROVAL
FOR OTHER PROGRAMS OTHER WAIVERS
AND MEDICAID SPACE OTHER FOR
SOCIAL SERVICE PROGRAMS AS WELL.
IT'S A LOT OF JUST PROCESS.
ISSUES ON THE FEDERAL SIDE THAT
THIS WOULD. RUN INTO AND THEN
ALSO THE ACTUAL MAINTENANCE OF
EFFORT REQUIREMENT PERTAINS TO
THE- YOU KNOW. CHANGES TO ANY OF
THESE PROGRAMS AND SO IT WOULD
RESTRICT OUR ABILITY TO DO THAT
AND EFFICIENT WAY. I GUESS YOU
HAVE TO BALANCING ACT YOU HAVE
TO BALANCE THE VALUE OF.
ALLOWING THESE PROGRAMS TO
MATURE IN GETTING. THE FULL
BENEFIT OF THESE PROGRAMS WHICH
YOU WHICH MIGHT REQUIRE AN
EXTENSION. VERSUS THE IMPACT ON
THESE OTHER PROGRAMS. DURING
THIS MAINTENANCE OF EFFORT
PERIOD EXACTLY. OKAY WELL I'M
THANK YOU FOR YOUR RESPONSE
THANK YOU FOR WHAT YOUR
INDULGENCE MADAM CHAIR. I HAD
THE SAME QUESTION SO IT WAS
PERFECT- THANK YOU SO MUCH FOR
THIS I'M APPRECIATE IT YOU KNOW
AGAIN. REITERATE WHAT I
MENTIONED VERY INTERESTED IN
SCENE- BUT WHAT WE CAN DO WITH
THIS EXPANSION SOONER RATHER
THAN LATER BUT ALSO TO KNOW. IT
DID SOUND THOUGH BECAUSE OF
THOSE MAINTENANCE OF EFFORTS
CONCERNS THAT. DOESN'T LOOK LIKE
THERE'S A POSSIBILITY EXTEND
WHEN IT COMES TO NOVEMBER
BECAUSE THOSE CONCERNS ARE STILL
GOING TO BE THERE SO IT DOESN'T
SEEM LIKE IT'S AN OPTION. I TO
DO EVEN NOW OR LATER ON I'M SO
THAT STILL VERY CONCERNED ABOUT
THAT AND AGAIN. YOU KNOW I'VE
MENTIONED BEFORE EARLIER TODAY
CALFRESH IMMERSION ALLOTMENTS
WITH THE NUTRITION PROGRAM
THAT'S A HUGE WAY TO CLOSE THAT
GAP FOR OUR SENIORS RIGHT- AND-
AGAIN WE CAN'T STAY HERE TALK
ABOUT THIS RIVER WANT TO BUT- WE
WILL DEFINITELY BE FOLLOWING UP
ON THIS TOPIC THANK YOU SO MUCH.
COOL.
THE DEPARTMENT SOCIAL SERVICES.
OKAY WE'RE GONNA BE MOVING BACK
TO THE DEPARTMENT OF SOCIAL
SERVICES. AND THE FIRST ITEM ON
OUR LIST- IT'S GOING TO BE THE
ISSUE ONE ON AN OVERVIEW BUT
BEFORE THAT WE'RE GONNA WELCOME
BACK DIRECTOR AT KIM JOHNSON FOR
SOME OPEN FOR. ANOTHER OPENING
REMARKS. THANK YOU MUCH THANK
YOU VERY MUCH MADAM CHAIR-
COMMITTEE MEMBERS CAN JOHNSON
DEPARTMENT OF SOCIAL SERVICES
AND- AS WE'VE MOVED NOW TO THIS
PORTION OF THE AGENDA RELATED TO
IN HOME SUPPORTIVE SERVICES I
ALSO JUST WANT TO RECOGNIZE THE
RECENT PASSING IN WOMEN'S
HISTORY MONTH AND JUDY. HUMAN
AND NATIONAL AND INTERNATIONAL
LEADER AND ACTIVIST FOR
DISABILITY RIGHTS I'M AS YOU'LL
HEAR CALIFORNIA CONTINUES TO
LEAD IN SUPPORTING OLDER ADULTS
AND THOSE WITH DISABILITIES WITH
OUR IN HOME SUPPORTIVE SERVICES
PROGRAM SERVING OVER SIX HUNDRED
AND FIFTEEN THOUSAND
INDIVIDUALS. ACROSS THE STATE
AND AS YOU JUST HEARD. QUITE A
BIT ABOUT THE CAREER PATHWAYS
PROGRAM THE EXCITEMENT RELATED
TO THE LAUNCH OF THAT NEED HEARD
AT AND STILL SEE NO MENTION NOT
ONLY THE ABILITY TO REALLY
UPSKILL THE CURRENT WORK FORCE
AND HOW THEY CAN SUPPORT WHO
THEY'RE SERVING TODAY BUT ALSO
RECRUIT NEW. MEMBERS OF THAT
WORK FORCE AND ALSO REALLY
CONNECTS FOR THOSE WHO MIGHT
WANT TO MOVE ON TO IT FOR THEIR
HEALTHCARE A CAREER PATHWAY IN.
QUITE A BIT OF INVESTMENT THERE
THAT WE'VE MADE TOGETHER THE
ADMINISTRATION LEGISLATURE
RELATED TO WORKFORCE INC AND
HEALTH CARE CAREER PATHWAY
SPECIFICALLY SO I WANT TO COMMIT
TO THIS COMMITTEE GIVEN THAT
LAST CONVERSATION PANEL A
CONTINUED INTEREST IN FINDING
THOSE WAYS. TO CONNECT EXISTING
. MEMBERS THE AGE OF US WORK FOR
TO THE OTHER HILL HEALTHCARE
PATH AND FINDING ADDITIONAL WAYS
TO SUPPORT. ONGOING TRAINING AND
SUPPORT FOR IT FOR THEM AND
YOU'LL HEAR THIS ALSO AS A
COMMUNICATOR LICENSING DIVISION
JOINS. A LATER THIS AFTERNOON
TOO BUT- A REAL FOCUS RIGHT
YOU'VE HEARD TO THE MASTER PLAN
AGING IN OUR PRIORITIES IN THAT
SPACE THAT WE HAVE TO. KIND OF
NO WORK NO MATTER WHERE AN
INDIVIDUAL AT HAVING- HAS SOME
ADDITIONAL NEEDS IS RESIDING
WHETHER IT'S AND I DON'T SENIOR
CARE SETTING OR IN THEIR HOME
THAT WE ARE. HAVING THE RIGHT
COMPETENCIES AND SKILL SETS OF
OUR WORK FORCE IN PROVIDING THIS
TRAINING OPPORTUNITIES THAT TO
SUPPORT THEM SO I JUST WANT TO.
COMMIT TO THAT AS AN ONGOING
GOAL AT THE ADMINISTRATION AS WE
MOVE FORWARD AND I ALSO JUST-
MISS WILSON MENTIONED IT BUT I
WANT TO JUST REALLY APPRECIATE
AT THE AMOUNT. OF TIME AND
ENERGY BOTH S. YEAH YOU AND
THEIR PARTICULAR CCA PROGRAM BUT
THE PUBLIC AUTHORITIES IN THE
COUNTIES IN THE WORK FORCE SPENT
WITH ASTON DEVELOPING THIS
PROGRAM WHY WAS IT TAKING UP SO
MUCH I THINK IT WAS. AND THAT
WAS BECAUSE THEY CREATED IT
ADDED I THINK THAT REALLY
MATTERS IN TERMS OF HOW WE- GO
FORWARD WITH PROGRAM DESIGN.
GOING FORWARD SO WE'RE GRATEFUL
FOR THAT PARTNERSHIP IN IN THOSE
OPPORTUNITIES TO BUILD ON WHAT
HAD BEEN DONE PRIOR. AND MORE TO
COME AS WE GO AS WE GO FORWARD.
ARE YOU ALSO JUST HERE AT- IN
THIS NEXT UPDATES AROUND THE
GOVERNOR'S BUDGET PROPOSAL TO
HAVE THAT FULL YEAR COMPENSATION
RELATED TO THE SSI NECESSITY
KEEP INCREASE A VERY EXCITED TO
CONTINUE THAT MOMENTUM AND WORK.
AND YOU ALSO HEAR FROM AJ ADULT
PROTECTIVE SERVICES WORK ADD NEW
FEDERAL FUNDING AGAIN ONE TIME
IN NATURE BUT JUST COULD
INCREDIBLE OPPORTUNITIES. AFTER
THE COUNTIES IN THE STATE TO
BUILD CAPACITY AROUND
SUPPORTING. AT THOSE
PARTICIPATING IN OUR DOCTOR TO
SERVICES PROGRAM YOU'VE HEARD
ABOUT HOME SAFE EARLIER ON THE
PANEL- IN ALSO JUST EXPAND
SERVICE ARRAY LOOKING AT
DIFFERENT WAYS WE'RE DOING CASE
MANAGEMENT CONNECTION TO OTHER
SERVICES THAT WE HAVE. A FINALLY
YOU WILL HEAR FROM THE
COMMUNICATOR LICENSING DIVISION
OF THE WHO SUPPORTS AB- CHILD
CARE CHILDREN'S RESIDENTIAL AND
I. DON'T CARE AND SETTINGS. I
WANT TO THEY- AND THAT IN THE
SPECIAL GIVEN AS THE- FIRST
PANEL WE SYNERGY. IRAQ'S
PROVIDER AND DELIVER OF THOSE
TO. THE TREMENDOUS WORK THAT HAS
HAVE IN THE SETTINGS ESPECIALLY
IN THE CODE PANDEMIC. AFTER
LICENSING AND OVERSIGHT WE
REALLY DID HAVE TO PIT IT QUITE
A BIT WE ACTUALLY CREATED
TOGETHER- INFECTION CONTROL
MODULE THAT WE WERE VERY FOCUSED
ON PROVIDING TECHNICAL
ASSISTANCE SUPPORT TO THE
SETTINGS GIVEN ALL THAT WE SAW
THE TRAGIC LOSS OF LIFE- IN THE
IN THE PANDEMIC AND SO. SO MUCH
OF OUR WORK WAS TRYING TO BE
ADAPTABLE AND RESILIENCE AS AS
WAS WHERE THE OPERATORS OF THESE
PROGRAMS AND COBIT IN SO WE'RE-
DOING A BIT OF A RE CALIBRATION
IN OUR LICENSING. A DIVISION NOW
IN TERMS OF REALLY GETTING FOCUS
BACK ON OUR I KERR INSPECTION
TOOLS THAT YOU'RE HERE YOU'LL
HEAR MORE ABOUT- IN IMPLEMENTING
THOSE FELIPE AT TO ENSURE THE
HEALTH AND SAFETY OF ALL THOSE
IN OUR SETTING SO I APPRECIATE
THE OPPORTUNITY TO PROVIDE SOME
OPENING REMARKS AND ALSO HERE.
FOR QUESTIONS THANK YOU. THANK
YOU DIRECTOR- WE'RE OUR FIRST
ISSUE WAS THE OVERVIEW AN IN
HOME SUPPORTIVE SERVICES.
WELCOME BACK. THANK YOU MADAM
CHAIR COMMITTEE MEMBERS- MY NAME
IS LI OR FELICITY AND I AM THE
DEPUTY DIRECTOR OVER ADULT
PROGRAMS I OVERSEE. IN HOME
SUPPORTIVE SERVICES PROGRAM THE
CASH ASSISTANCE PROGRAM FOR
IMMIGRANTS SS I SS P. AND THE
ADULT PROTECTIVE SERVICES
PROGRAMS- THE AGENDA DID A
REALLY GREAT JOB. OF GIVING A
GREAT OVERVIEW- OF THE PROGRAM I
THINK IT REALLY EMPHASIZES THE
IMPORTANCE OF THIS PROGRAM IS
BEING A BACKBONE OF H. C. B. S.
SERVICES HERE IN CALIFORNIA- I
COULD TALK ABOUT THE PROGRAM
FOREVER SO I'LL JUST PROVIDE
SOME HIGHLIGHTS AND- I'M
DEFINITELY ANSWER QUESTIONS.
THAT THE IHS OF PROGRAM.
PROVIDES DOMESTIC AND PERSONAL
CARE SERVICES TO CHILDREN AND
ADULTS WITH DISABILITIES. AND
OLDER ADULTS TO KEEP THEM SAFELY
IN THEIR OWN HOMES AND
COMMUNITIES AND AVOID
INSTITUTIONALIZATION. HSS IS A
VERY LARGE PROGRAM WITH THE
LARGEST PROGRAM IN THE COUNTRY.
THAT DOES THIS- WE- SERVICES.
OVER SIX HUNDRED THOUSAND
RECIPIENTS RECEIVE SERVICES FROM
FROM OUR FROM PROVIDERS HERE. IN
CALIFORNIA AND JUST FOR THE
MAGNITUDE I WAS LOVE TO LET
FOLKS KNOW THAT WE ACTUALLY
ISSUE. OVER ONE POINT TWO
MILLION CHECKS PER MONTH SO IT
IS A VERY LARGE PROGRAM- I HSS
IS LARGELY ADMINISTERED BY THE
COUNTIES WITH OVERSIGHT OF CDSS
SO COUNTY SOCIAL WORKERS PERFORM
ANNUAL IN HOME ASSESSMENT- BAIT.
UP BASED ON A NEEDS BASIS
ASSESSMENT- AND DETERMINE WHAT
SERVICES I JUST A SERVICES A
RECIPIENT NEEDS- BASED ON THEIR
ABILITY TO PERFORM CERTAIN
TASKS- SOME. EXAMPLES OF FIGHTS
AS A SERVICES INCLUDE DOMESTIC
RELATED TASKS SUCH AS A BASIC
HOUSE CLEANING AND MEAL PREPPER
CLEAN UP- PERSONAL CARE SERVICE
SUCH AS BED BATHS AMBULATION AND
FEEDING- THERE ARE PARA MEDICAL
TASKS- THAT INCLUDE MANAGING
MEDICATION AND INJECTIONS-
THEIR- PROTECTIVE SUPERVISION.
AND ACCOMPANIMENT. AS WELL SOME
ONE TIME SERVICES THIS IS NOT A
COMPANY. WILL BY THE AUTHORS SAY
OF THESE SERVICES OFTEN MEANS
THE DIFFERENCE BETWEEN SOMEONE
STAYING IN THEIR HOME IN BEING
INSTITUTIONALIZED SO IT'S VERY
YOU KNOW I CAN'T STRESS THAT
ENOUGH- AS FAR AS CSS AS ROLE WE
ARE OVER WE DO- SOME OVERSIGHT
ACTIVITIES AS WELL AS WERE
CONSIDERED THE PAY ROLLING
AGENT. AND WE'RE RESPONSIBLE FOR
ALL PAY RULING ACTIVITIES AND
INCLUDE THAT INCLUDES OPERATION
OF THE CASE MANAGEMENT
INFORMATION AND PAY ROLLING
SYSTEM WHICH IS THIS THE- SYSTEM
OF RECORD FOR HSS- I THINK ONE
OF THE MOST IMPORTANT TENETS OF
THE IHS HAS PROGRAM WHEN I FEEL
I SHOULD STRESS THE MOST IS THAT
THIS IS A SELF DIRECTED PROGRAM.
WHICH MEANS THAT ISIS RECIPIENTS
ARE MANAGE AND DIRECT THEIR OWN
CARE AND IT'S THEIR INDEPENDENCE
IS REALLY THE ONE OF THE MOST
IMPORTANT THINGS ABOUT THIS
PROGRAM- I JUST AS PROVIDE-
RECIPIENTS ARE SERVED BY
PROVIDERS WHO CAN BE A FAMILY
MEMBER A FRIEND OR SOMEBODY
SOMEONE ELSE- I HSS PROVIDERS
NAY HERE'S ANOTHER UNIQUE.
TWISTS TO THE PROGRAM- I JUST AS
PROVIDERS ARE CONSIDERED
EMPLOYEES OF THE RECIPIENT- AND-
FOR PURPOSES. OF HIRING AND
MANAGING THE PROVIDER. THE
CURRENT BUDGET IHO US FOR TWENTY
TO TWENTY THREE FISCAL YEAR IS
EIGHTEEN POINT FIVE BILLION- THE
GOVERNOR'S BUDGET PROPOSES A
TOTAL OF TWENTY POINT FIVE
BILLION- IN TWENTY THREE TWENTY
FOUR WHICH IS AN INCREASE OF
ABOUT ONE POINT NINE BILLION
DOLLARS. OF THE INCREASE IS DUE
TO EXPANSION OF FULL SCOPE
MEDICAL TO UNDOCUMENTED ADULTS
AGE FIFTY AND OLDER REGARDLESS
OF IMMIGRATION STATUS. THE
CONCLUSION OF ENHANCED- FEDERAL
FUNDING AND GROWTH IN THE
PROJECTED CASELOAD AND COST PER
HOUR. OTHER TWENTY TWO TWENTY
THREE COSTS INCLUDE HALF YOUR
IMPACT OF THE MINIMUM WAGE OF
FIFTEEN DOLLARS AND FIFTY CENTS-
AND WHILE IN FISCAL YEAR TWENTY
THREE TWENTY FOUR THE FOR H.
SAYS COSTS. INCLUDE A FULL YEAR
IMPACT OF NOT ONLY THE FIFTEEN
DOLLARS A FIFTY CENT MINIMUM
WAGE. IMPLEMENTATION AND A HALF
YEAR IMPACT OF THE SIXTEEN
DOLLAR MINIMUM WAGE AND-
IMPLEMENTATION. SO THAT'S KIND
OF THE HIGHLIGHT OF THE PROGRAM
YOU KNOW I'M GLAD TO ANSWER ANY
QUESTIONS- OR- WE CAN MOVE ON TO
THE SECOND QUESTION. ANY
QUESTIONS SENATOR ROTH JUST A
QUICK WHEN I I'VE I'VE BEEN OUT
OF THIS WORLD FOR. SEVERAL YEARS
BUT I REMEMBER BACK WHEN WE HAD
PAY RULING ISSUES I ASSUME PAY
ROLLING IS GOING SMOOTHLY AND-
THERE NO THEIR NO. THAT'S A
GREAT QUESTION THANK YOU FOR
ASKING THAT BECAUSE WE CAN
ACTUALLY TAKE CREDIT FOR
SOMETHING THAT ACTUALLY REALLY
GREAT. SO WE HAVE IMPLEMENTED
ELECTRONIC TIME SHEETS SO IT WAS
AN INITIATIVE THAT WE STARTED A
FEW YEARS BACK. WITH THE WE
BUILT ELECTRONIC SERVICES PORTAL
AND- IT HAS IMPROVED TIME SHE
PROCESSING EXPONENTIALLY SO AT
THIS POINT ABOUT NINETY NINE
POINT 9% OF OUR PROVIDERS. ARE
USING ELECTRONIC METHOD TO
SUBMIT THEIR TIME SHEETS AND IF
THEY'RE ON DIRECT DEPOSIT
THEY'RE ACTUALLY GETTING THEIR
PAYCHECKS WITHIN THREE TO FOUR
BUSINESS DAYS. AND I'VE BEEN IN
THIS PROGRAM FOR A LONG TIME AND
THAT WAS UNHEARD OF BACK THEN
RIGHT WE GOT A LOT OF
COMPLAINTS- PEOPLE WERE TAKEN TO
IT WAS TAKEN TWO WEEKS TO GET
PEOPLE'S CHECKS BUT NOW WE'RE
SEEING PEOPLE GET PAID IN THREE
OR FOUR BUSINESS DAYS SO THOSE
PAY ROLLING. ISSUES HAVE BEEN-
REALLY RESOLVED WITH GOING
ELECTRONIC. THANK YOU FOR THE
GREAT EFFORT BY THE WAY- DREADED
PEOPLE SAY THEY LIKE MY QUESTION
SO I PREFER. TO I ACTUALLY DO
HAVE A QUESTION- EVEN GIVEN THAT
MEDICAID WAS EXPANDED TO ONE
DOCUMENT INDIVIDUALS- WHAT IS
THE IMPACT OF THE ACTUAL
UTILIZATION OF THOUGHT ON IHS
PROGRAM. SO WE ARE SEEING SO IT
IS A PHASED IN APPROACH ON ON
THAT PIECE AND ARE YOU. I
APOLOGIZE MA'AM CHAIR ARE YOU-
ASKING FROM A FISCAL STANDPOINT
OR FROM A- PROGRAM STANDPOINT
WORKFORCE- FISCAL BOTH YEAH.
SURE SO I WOULD PROBABLY
DEFERRED DEPARTMENT TO MY
DEPARTMENT FINANCE COLLEAGUE ON
THE ON THE FINANCIAL PIECE- WE
ARE SEEING AN INCREASE CASELOAD
AND BUT IT IS. REALLY A PHASED
AND SO RIGHT NOW WE'RE DEALING
WITH- NOT DEALING WITH WERE
ACTUALLY INCLUDING. INDIVIDUALS
WHO I BELIEVE ARE- ARCHES MOSTLY
MINOR CASES. AND THEN- THERE'S A
PHASE AND FOR THOSE THAT ARE
FIFTY YEARS AND OLDER FOR THIS
FISCAL YEAR. WE HAVE NOT SEEN A
HUGE INCREASE IN CASELOAD AS OF
YET WE ARE MONITORING THAT THOSE
OF THESE CASES- WILL BE PART OF
OUR I. HSS RESIDUAL WHICH IS OUR
STATE OWNED ARE STATE FUNDED- I
JUST AS PROGRAM. WE ARE
MONITORING THAT WE HAVE NOT SEEN
A HUGE INFLUX OF CASES BUT THAT
DOESN'T MEAN IT WON'T HAPPEN- AS
WE AS WE GO WE DO ANTICIPATE.
THERE'S GOING TO BE A BIT OF A
PHASE AND SO AS FAR AS THE
FISCAL IMPACTS- I WOULD DEFERRED
DEPARTMENT FINANCE ON THE- JANAB
. OF FINANCE AND WE ARE CRACKED
IN THINKING IN TERMS OF THE ON
DOCK FIFTY PLUS EXPANSION. WHERE
PHASING IN THE COSTS FOR BOTH
THE SERVICES AND ADMINISTRATION
SO WE'RE NOT GONNA SEE COST.
FULLY IMPLEMENT WE HAVE- A
LIMITED NUMBER. OF COST INCLUDED
IN CURRENT YEAR'S BUDGET WITH
THE- BULK OF THE FUNDING COMING
IN IN BUDGET YEAR. DUE TO THE
CASELOAD. THANK YOU SO MUCH.
HELLO ARE YOU ALSO SPEAK A THE
AYE JUST AS BACK UP PROVIDERS.
SURE DEFINITELY- HE UP SO WE
HAVE IMPLEMENTED THE I JUST AS
BACK UP PROVIDER SYSTEM THAT
HAPPENED IN OCTOBER OF TWENTY
TWENTY TWO. AS FAR AS WE ARE
AWARE ALL COUNTIES HAVE
CONFIRMED THAT THEY HAVE A
BACKUP SYSTEM. AND IT'S UP AND
RUNNING- WE ARE CURRENTLY
UTILIZATION RATE AND I IS VERY
HARD TO IT TAKES A LITTLE BIT OF
TIME FOR US TO GET THAT DATA-
BECAUSE OF THE WAY PROVIDER
SUBMIT THEIR TIME SHEETS SO WE
DON'T. SO WE DON'T HAVE ANY
INSIGHT INTO HOW MANY PEOPLE ARE
REQUESTING THE SERVICES WE HAVE
INSIGHT INTO HOW MANY PEOPLE GET
PAID- TO PROVIDE THOSE SERVICES-
WE HAVE HEARD ANECDOTALLY THAT-
FINDING BACKUP PROVIDERS CAN BE
DIFFICULT SOMETIMES DEPENDING ON
THE AREA. OF WHERE THE RECIPIENT
LIVES. AND OR THEIR NEEDS AND
WE- BUT- I DO WANT TO MAKE SURE
THAT- I MENTIONED THAT OUR
EXPERIENCE WITH THE COUNTY'S
ADMINISTERING THESE PROGRAMS IS
THAT THEY ARE VERY DILIGENT
ABOUT REALLY WORKING AND TRYING
TO FIND. PEOPLE BACK UP
PROVIDERS WHEN THEY NEED THEM-
I'M NOT SURE IF THERE WERE ANY
OTHER QUESTIONS THAT YOU HAD
WITH REGARDS TO HOW THAT. EIGHT
IT'S UP IT'S RUNNING AND- OF
COURSE WE CONTINUE TO- LISTEN TO
OUR STAKEHOLDERS AND- AND THEIR
FEEDBACK AND- PROVIDE TECHNICAL
ASSISTANCE COUNTIES AS NEEDED.
PERFECT THANK YOU SO MUCH DOES
L. A. O. HAVE ANY COMMENTS.
THANK YOU MADAM CHAIR JENNY
BELLOW WITH THE LEGISLATIVE
ANALYST'S OFFICE AS YOU HEARD
TODAY THERE ARE NO MAJOR NEW
PROPOSALS FOR THE IN HOME
SUPPORTIVE SERVICES AT PROGRAM
IN THIS BUDGET. THAT SAID THERE
ARE A FEW THINGS WERE MONITORING
AND EXPECT SOME UPDATES FOR AT
THE MAY REVISION. THE FIRST IS-
WHAT WAS PREVIOUSLY MENTIONED IS
THE ENHANCE TO FEDERAL FUNDING
FOR THE PROGRAM NOT THIS IS NOT
THE H. C. B. S. SPENDING PLAN
ENHANCED FUNDING THIS IS.
FEDERAL FUNDING THAT WAS
ASSOCIATED WITH THE PUBLIC
HEALTH EMERGENCY IT WAS A SIX
POINT 2% INCREASE THAT WE
STARTED RECEIVING FOR THE IN
HOME SUPPORTIVE SERVICES.
PROGRAM AND REALLY ALL OF
MEDICAID- BACK IN THE BEGINNING
OF JANUARY OF TWENTY TWENTY. SO
WE HAVE BEEN HAVING THAT
ENHANCED FEDERAL FUNDING WHICH
HAS OFFSET GENERAL FUND COSTS IN
THE PROGRAM FOR SEVERAL YEARS.
THE ADMINISTRATION'S BUDGET
ASSUMES THAT THAT ENHANCEMENT
WILL END AT THE END OF THE
CURRENT YEAR AND THEREFORE
GENERAL FUND COSTS WILL KICK IN
IN THE BUDGET YEAR. SINCE THE
DEVELOPMENT OF THE BUDGET WE
HAVE LEARNED FROM THE FEDERAL
GOVERNMENT THAT THERE IS A BIT
MORE OF FEDERAL FUNDING
AVAILABLE IN THE BUDGET YEAR SO
THEY'LL BE SOME OF THAT
ENHANCEMENT RAMPING DOWN SO THAT
WE EXPECT. SOME ADDITIONAL-
FEDERAL FUNDING THAT WILL OFFSET
GENERAL FUND COSTS IN THE BUDGET
YEAR WE EXPECT TO SEE THAT
UPDATED AT THE MAY REVISION. I
THE OTHER THING WE'RE MONITORING
IS JUST OVERALL WE ALWAYS ARE
WATCHING THE CASE LOAD IN AND
CHECKING THE ADMINISTRATION'S
ESTIMATES AGAINST THE MOST.
RECENT ACTUAL UP- CLAIMS FOR THE
PROGRAM. AND ONE TREND THAT
REALLY EMERGED DURING COVE IT
HAD AT WAS SORT OF A- FOR A LONG
TIME WE SEE WE SEE AT OF THE
CASES. AUTHORIZED ABOUT 91% OF.
THOSE CASES SUBMIT A TIME SHEET
EVERY MONTH AND- AND AS YOU
HEARD THE TIME SHEETS AREN'T.
NECESSARILY REGULAR BUT ON
AVERAGE ABOUT NINETY ONE
PERCENT. DURING KOBE SAW THAT
FALL TO ABOUT EIGHTY EIGHT
PERCENT. AND THERE'S A VARIETY
OF REASONS FOR THAT THERE COULD
HAVE BEEN- RECIPIENTS COULD HAVE
BEEN HOSPITALIZED THERE COULD
HAVE- HAD HAD HAD HESITANCY TO
HAVE A PROVIDER COME INTO THEIR
HOME DURING THAT TIME. IN RECENT
MONTHS WE'VE BEEN SEEN NOT
NUMBER ACTUALLY GET CLOSER- TO.
THAT THAT THAT PRE COVERAGE
AVERAGE THERE WATCHING THAT AND
HOPE TO HAVE SOME UPDATES AGAIN
AT. THE MAY REVISION. AND
FINALLY THE LAST THING WE'RE
REALLY WATCHING IS. THE
IMPLEMENTATION OF ALL OF THESE
NEW INITIATIVES THAT YOU'VE
HEARD THE DEPARTMENT IS.
UNDERTAKING THEY'RE SLOWER TO
START BUT COULD BE PICKING UP
FASTER SO WE'LL BE WATCHING THAT
AND HOPE TO HAVE SOME UPDATES
WITH THE MORE RECENT DATA AT THE
MAY REVISION AS WELL. AND DOES
THE WIFE HAVE ANY ADDITIONAL
COMMENTS. YEAH AND I'M
CONFIRMING OF FINANCE NOTHING
FURTHER TO ADD AT THIS TIME BUT
HAPPY TO ANSWER ANY QUESTIONS.
GREAT THANK YOU SO MUCH WE'RE
GOING TO MOVE ON TO ISSUE NUMBER
TWO- I HSS WAGE SUPPLEMENT. THE
FIGURE AGAIN THIS FOR YOUR
FILIPINA- I'M BEING JOINED BY MY
COLLEAGUE IN CASE THERE ARE ANY-
TECHNICAL QUESTIONS- WE ARE
FLOWS INTO I AM THE DEPUTY
RECTOR OF ADULT PROGRAMS- FOR
THIS THE AGAIN THE- THE- AGENDA
HAD A REALLY GREAT. OVERVIEW OF
THIS PROPOSAL SO ESSENTIALLY
JUST TO KIND OF TAKE IT DOWN TO
ITS- BREAST TAXES- WHAT THE-
WILL WE WANT TO DO IS UPDATE THE
STATUTES OF THE WAGE SUPPLEMENTS
FOR IHS US- WAGES WORKS THE SAME
FOR ALL COUNTIES. NOW THAT
MINIMUM WAGE IS FIFTEEN DOLLARS
AND FIFTY CENTS AN HOUR SO THIS
IS REALLY KIND OF- MAKING A
CHANGE THAT BENEFITS. THREE
COUNTIES BUT IT ACTUALLY IS
MAKING- THE WEIGHT SUPPLEMENT
MORE EQUITABLE NOW THAT WE'RE AT
FIFTEEN DOLLARS AND FIFTY CENTS
AN HOUR. I JUST FEEL FOR ELLIE-
HAVE BECOME AND STILL WITH AND
I'M CONFIRMING OF FINANCE
NOTHING FURTHER TO ADD. INTERNET
QUESTION. WE VIEW THIS AS
TECHNICAL WE HAVE NO CONCERNS.
COLLEAGUES THANK YOU WERE GOING
TO HOLD THIS ISSUE OPEN AND MOVE
ON TO I'M ISSUE NUMBER THREE THE
OR RUBIO FSIN FSP. THANK YOU
MADAM CHAIR AND KITTY MENTOR
MEMBERS- AND DANIEL MORRIS I AM
THE CHIEF OR THE FISCAL KILLS
AND BENEFIT PROGRAMS BRANCH IN
THE ADULT PROGRAMS DIVISION OF
THE CALIFORNIA DEPARTMENT OF
SOCIAL SERVICES. AS TO THE
AGENDA DID PRIOR PROVIDE A
THOROUGH OVERVIEW AND REVIEW OF
THE PROGRAM AND BUDGET- FOR SS I
SS P. BUT THERE WERE A FEW KEY
ITEMS WHICH I WANTED TO TOUCH
ON- SS I SS P. PROVIDES A
MONTHLY CASH BENEFIT TO ENABLE
AGE BLIND DISABLED CALIFORNIANS
TO MEET THEIR BASIC LIVING
EXPENSES. SSI IS FUNDED BY THE
US TREASURY AND S. S. P. IS
FUNDED BY STATE GENERAL FUND.
THE FEDERAL- SOCIAL SECURITY
ADMINISTRATION ADMINISTERS BOTH
AS A SCIENCE S. S. P. FOR THE
STATE. AND IT CURRENTLY SERVES
UNDER- ONE POINT ONE MILLION
RECIPIENTS IN TWENTY DIFFERENT
CATEGORICAL VARIATIONS- SUCH AS
INDEPENDENT SINGLE ADULT OR H.
FOR DISABLED COUPLE. SO THE
GOVERNOR'S PROPOSED BUDGET
INCLUDES A CONTINUED INVESTMENT
FROM THAT TWENTY TWENTY TWO
BUDGET ACT OF INCREASING
INCREASING THE S. S. P. GRANT
PAYMENTS BY EIGHT POINT SIX
PROJECTED TO BE. A HUNDRED AND
FORTY SIX MILLION FOR HALF YOUR
COST EFFECTIVE JANUARY FIRST OF
TWENTY TWENTY FOUR. THESE
INCREASES ARE INTENDED TO
RESTORE S. S. P. GRANTS THAT
WERE REDUCED DURING THE
RECESSION OF TWO THOUSAND NINE.
DON'T KNOW IF THERE'S ANY
SPECIFIC QUESTIONS BUT I AM
HAPPY TO ANSWER THEM. I DO
OPENING DO YOU HAVE ANY COMMENTS
. AND I'M CONFIRMING FINANCED
NOTHING FOR IT SIR OKAY- OKAY
JENNY BELL LMAO JUST ONE
TECHNICAL NOTE THAT WE WOULD WE
JUST WANTED TO MENTION THAT THE
ONE HUNDRED AND FORTY SIX
MILLION UP PROPOSED FOR THE S.
S. P. GRANT INCREASE. IS REALLY
AT AT AT THE AMOUNT OF THE GRANT
INC THE GRAND CRYSTAL ACTUALLY
OCCUR IS AN ESTIMATE RIGHT TO
THE DOLLAR AMOUNT IS CERTAIN THE
ONE HUNDRED FORTY SIX MILLION AS
THE PROPOSAL. AND ONCE WE GET
CLOSER TO ACTUALLY THE TIME THAT
THE GREAT INCREASE WOULD HAPPEN
THE ADMINISTRATION WILL PERFORM
AN ESTIMATE TO SEE WHAT IS THE
CURRENT CASELOAD AND HOW MUCH OF
A GRANT INCREASE CAN WE AFFORD
WITH THE HUNDRED AND FORTY SIX
MILLION. IN THE PAST WHEN WE'VE
DONE THAT THE LEGISLATURE HAS
ALSO INCLUDED TRAILER BILL
LANGUAGE THAT REALLY LAYS OUT
THAT METHODOLOGY I JUST EXPLAIN
FOR THE ADMINISTRATION DOES THAT
MATH AND COMES BACK IN REPORTS
THE LEGISLATURE. IN THE FALL
BEFORE THE GRANT INCREASE GOES
INTO PLACE. WE JUST RECOMMEND
THE LEGISLATURE CONSIDER WHETHER
OR NOT THEY WOULD WANT THAT
TRAILER BILL LANGUAGE AGAIN-
THAT WOULD SET OUT THE
PARAMETERS OF THE OF THE OF HOW
THE GRANT INCREASE WOULD BE
DETERMINED. AND INCLUDE THAT
REPORT BACK TO THE LEGISLATURE.
THANK YOU SO MUCH COLLEAGUES.
GREAT WE'RE GONNA MOVE ON TO
ISSUE NUMBER FOR AN OVERVIEW ON
ADULT PROTECTIVE SERVICES.
GOOD AFTERNOON MY NAME IS JAMES
TO JARRING ON THE PROGRAM
ADMINISTRATOR FOR ADULT
PROTECTIVE SERVICES. BUT
PROTECTIVE SERVICES IS A COUNTY
LEAD CDSS SUPPORTED PROGRAM THAT
IT'S- OLDER ADULTS AGE SIXTY AND
OLDER INDEPENDENT ALL TORN ABLE
TO MEET THEIR NEEDS ARE VICTIMS
OF ABUSE NEGLECT OR
EXPLOITATION. BY FAR THE MOST
COMMON TYPE OF ABUSE REPORTED IS
FINANCIAL ABUSE FOLLOWED BY
PSYCHOLOGICAL EMOTIONAL ABUSE
NEGLECT AND PHYSICAL ABUSE.
THESE MAKE UP ALMOST 94% OF THE
OVER FOUR HUNDRED THOUSAND CASES
OF ABUSE REPORTED TO APS OVER
RECENT THREE YEAR SPANS. THE APS
PROGRAM PROVIDES TWENTY FOUR
SEVEN EMERGENCY RESPONSE TO
REPORTS OF ABUSE AND NEGLECT OF
OLDER INDEPENDENT ADULTS WHO
LIVE IN PRIVATE HOMES APARTMENTS
HOTELS HOSPITALS AND HEALTH
CLINICS. APS SOCIAL WORKERS
EVALUATE ABUSE CASES IN A RANGE
FOR SERVICES SUCH AS ADVOCACY
LEGAL SUPPORT COUNSELING MONEY
MANAGEMENT AND HOUSING
STABILIZATION. CLIENT SERVICES
MUST BE HOLISTIC TAKING INTO
ACCOUNT THE MANY NEEDS THAT
CLIENTS HAVE SUPPORT IS OFTEN
NEEDED IN MOST CASES AROUND SELF
CARE INDEPENDENT LIVING.
AMBULATORY DIFFICULTIES AND
COGNITIVE DIFFICULTIES ALTHOUGH
APS HELPS CLIENTS FROM EIGHTEEN
TO OVER A HUNDRED YEARS OLD 36%
OF OUR CLIENTS ARE BETWEEN THE
AGES OF SIXTY FIVE AND SEVENTY
FOUR AND 28% ARE BETWEEN THE
AGES OF SEVENTY FIVE. AND EIGHTY
FOUR. MOST COMMON REPORTERS OF
ABUSE OR FAMILY MEMBERS SOCIAL
WORKERS MEDICAL PERSONNEL AND
FINANCIAL PROFESSIONALS. IF
YOU'RE A SOCIAL WORKERS CONDUCT
IN PERSON INVESTIGATIONS ON
COMPLEX CASES OFTEN COORDINATING
WITH LOCAL LAW ENFORCEMENT.
ASSISTING OLDER ADULTS AND THEIR
FAMILIES NAVIGATE COMPLEX
SYSTEMS SUCH AS CONSERVATORSHIP
AND LOCAL AGING PROGRAMS. CDSS
ASSIST THE COUNTY PROGRAMS WITH
POLICY PROCEDURE GUIDANCE AND
DEVELOPMENT. DATA AND REPORTING
FOR FEDERAL GRANTS DEVELOPING OR
BOTH A ROBUST SET OF TRAININGS
FOR APS WORKER STATE BIDE. IN
COORDINATION WITH OTHER STATE
PROGRAMS THROUGH EFFORTS LIKE
THE MASTER PLAN ON AGING TO
ENSURE OLDER ADULTS HAVE ACCESS
TO THE RESOURCES THEY NEED TO
SUCCESSFULLY RECOVER FROM ABUSE
. FINALLY I WANT TO HIGHLIGHT
THE RELEASE OF THE APS STATEWIDE
PUBLIC DASHBOARD WHICH IS NOW
AVAILABLE ONLINE. THE NEW
DASHBOARD UTILIZES DATA SUPPLIED
BY EVERY COUNTY TO GIVE A
SNAPSHOT OF IT GUESSES CASES AND
CLIENTS. IT ALSO PROVIDES
LONGITUDINAL TRENDS ON TWENTY
CASE RELATED METRICS. THE
DASHBOARD UPDATED ON A MONTHLY
BASIS INCLUDES TO TEST X. ON
ACTIVE CASES CLOSE CASES
STAFFING AND DEMOGRAPHIC DATA.
TYPES OF ABUSE SERVICES PROVIDED
AND MUCH MORE. WITH THE STASH
FOR THE PUBLIC CAN BETTER
UNDERSTAND HOW ELDER ABUSE IS
IMPACTING OLDER ADULTS IN
CALIFORNIA COMMUNITIES. AND WHAT
APS IS DOING TO RESPOND. THESE
METRICS AND TRENDS HELP APS
PLANNED FOR THE CURRENT AND
FUTURE NEEDS OF OLDER ADULTS IN
CALIFORNIA. SO STOP ON THE
OVERVIEW QUESTION AND SEE IF
THERE'S ANY QUESTIONS. I TO
NUMBER TWO DEPARTMENT OF FINANCE
FOR A COMMENT. THE NON CONTA
PERMANENT FINANCE NOTHING
FURTHER. DELAY NOTHING TO ADD ON
THE OVERVIEW THANK YOU.
COLLEAGUES ANY QUESTIONS. AND
THEN ALL OF MOVE TO THE SECOND
QUESTION WAS REGARDING- THE
IMPLEMENTATION OF FEDERAL A PS-
GRANTS IN THE APS EXPANSION IN
THE TWENTY TWENTY ONE BUDGET-
COULD NOT COVER NINETEEN REALLY
FUNDS WERE PRIMARY DISTRIBUTED
DIRECTLY TO THE COUNTIES TO
ALLOW FOR FLEXIBILITY AND HOW
BEST TO SUPPORT THEIR LOCAL
PROGRAMS AND CLIENTS. SOME USES
INCLUDED EMERGENCY SHELTER.
TECHNOLOGY FOR STAFF TO REACH
CLIENTS AND EXPANDING EXPANDING
EXTENDED CASE MANAGEMENT
CAPABILITIES. WITH OUR PER
ROUNDS ONE INTO FUN AGAIN THE
MAJORITY THE FUNDS ARE BEING
GIVEN TO THE COMPANIES. TO
DIRECT TO THEIR PROGRAMS TO
ADDRESS AND SUPPORT LOCAL NEEDS-
TO THE PARTICULAR NEEDS OF THEIR
COMMUNITY. IN ADDITION CDSS IS
USING A PORTION OF THE OPERA
FUNDS TO IMPLEMENT THREE
STATEWIDE PROGRAMS TO BENEFIT
ALL APS PROGRAMS IN THE STATE.
WHICH IN TURN BENEFIT ALL OF
THEIR TO INDEPENDENT ALL TO NEED
ASSISTANCE FOR ME YES. STARTING
IN SPRING OF TWENTY TWENTY THREE
A P. S. SOCIAL WORKERS WILL BE
OFFERED A COURSE FROM CORNELL
TITLED INTERVIEWING FOR
DECISIONAL ABILITIES. THIS
INTERACTIVE TRAINING TOOL KIT
WILL ALLOW APS WORKERS TO BETTER
UNDERSTAND AND ADDRESS THE
FUNCTIONAL LIMITATIONS OF
CLIENTS SERVED AND HOW BEST TO
RESPOND. SECOND APS CONTRACTED
TO INTEGRATE AN ONLINE FINANCIAL
ABUSE REPORTING TOOL NAMED
HELPFUL. THROUGH THIS TOOL BANKS
WILL HAVE THE ABILITY TO EASILY
AND QUICKLY MAKE FINANCIAL OTHER
VIEWS REPORTS TO APS AND UPLOAD
RELEVANT DOCUMENTATION. THIS
TOOL IS EXPECTED TO
SIGNIFICANTLY SHORTEN RESPONSE
TIMES TO CLAIMS OF FINANCIAL
ABUSE FROM BANKS. THIRD A PAST
CONTRACTED WITH THE CALIFORNIA
SOCIAL WORK EDUCATION PROGRAM TO
PROVIDE STIPENDS TO MASTERS OF
SOCIAL WORK STUDENTS. THIS
PROGRAM IS DESIGNED TO ADDRESS
THE FRONTLINE WORKER SHORTAGE
FOR THE APS PROGRAMS ARE
EXPERIENCING ACROSS THE STATE.
BY GIVING STIPENDS TO A HUNDRED
AND TEN MSW STUDENTS TO FOCUS ON
WORKING WITH OLDER ADULTS.
STUDENTS RECEIVE A STIPEND FOR
ONE YEAR AND IN RETURN COMMIT TO
WORKING FOR APS FOR ONE YEAR
POST GRADUATION. AFFECTED OF
JANUARY FIRST TWENTY TWENTY TWO
APS WAS EXPANDED THE DEFINITION
OF OLDER ADULTS WAS CHANGED TO
SIXTY AND OLDER. PRIOR TO THIS
CHANGE. AN ADULT BETWEEN SIXTEEN
SIXTY FOUR WOULD HAVE TO QUALIFY
AS A DEPENDENT ADULT TO RECEIVE
A PO SERVICES. THE EXPANSION
ALSO BROADENS THE DEFINITIONS OF
CERTAIN FORMS OF ABUSE THAT
ENABLES A PSOC WORKERS EARLIER
VENTURE EARLIER INTERVENTION TO
PREVENT HOMELESSNESS AS
DISCUSSED EARLIER THROUGH THE
HOME SAFE PROGRAM. BAPS
EXPANSION BROWN. ADDITIONALLY
THE PROGRAM EXPENSES ALLOWING
THE COMPANIES TO DO MORE
EXTENSIVE CASE MANAGEMENT WITH
APS CLIENTS CDSS IS WORKING WITH
COUNTY. COUNTY APS LEADERSHIP IN
SEVERAL WORK GROUPS TO HELP
BETTER UNDERSTAND THE
IMPLEMENTATION OF EXTENSIVE CASE
MANAGEMENT. THIS INCLUDES A PAST
FOCUS WORK WILL WORK GROUP WITH
THE ELDER AND DISABILITY JUSTICE
CORDONING COUNCIL OF THE MASTER
PLAN ON AGING. AND A COUNTY LED
APS CONSISTENCY WORKGROUP.
ADDITIONALLY THE BUDGET ACT OF
TWENTY TWENTY ONE ALSO REQUIRED
CDSS TO EXPLORE OPTIONS FOR
STATEWIDE APS DATA SYSTEM AND
SUBMIT THE FINDINGS IN THE
REPORT TO THE LEGISLATURE. CDSS
FACILITATED. FOR VIRTUAL
MEETINGS IN TWENTY TWENTY TWO
WITH THE APS STATE WORKGROUP
HELP PUBLIC STAKEHOLDER MEETINGS
TO DISCUSS CALIFORNIA'S OPTIONS
FOR STATEWIDE CASE MANAGEMENT.
SYSTEM OR DATA WAREHOUSE SYSTEM
AS WELL AS GATHERED EVALUATED
AND FEEDBACK OBTAINED THROUGH
THROUGHOUT THE STAKEHOLDER
PROCESS. THE REPORT WAS RELEASED
IN NOVEMBER OF TWENTY TWENTY TWO
AND IDENTIFIED THREE MAKE IT
RECOMMENDATIONS FOR STATEWIDE
SYSTEM FOR THE APS PROGRAM THAT
INCLUDES THE STATE BILL CASE
MANAGEMENT SYSTEM. A VENDOR
BUILT COMMERCIAL CASE MANAGEMENT
SYSTEM AND A DATA WAREHOUSE THE
REPORT DOES NOT IDENTIFY
PREFERRED OPTION BUT RATHER
IDENTIFIES ADVANTAGES AND
CHALLENGES TO EACH OF THE
CONSIDERED SYSTEMS AND- WITH
EACH RECOMMENDATION. WE
RECOMMEND IT WE CONTINUE TO
EXPLORE THESE OPTIONS WITH
ADDITIONAL INPUT FROM
STAKEHOLDERS AND FURTHER
CONVERSATIONS REGARDING THE
QUOTE REQUIRED I IT AND SYSTEM
SUPPORT THE SYSTEMS WOULD
REQUIRE. THAT'S IN. I'M HAVE I'M
SORRY YES DO YOU HAVE ANY
COMMENTS. AND I'M CONFIRMING OF
FINANCE NOTHING FURTHER. NOTHING
FURTHER THANK YOU GOOD QUESTION
YOU MENTION THEM ASSEMBLY SLOTS
FOR THE STIPENDS YOU KNOW WAY TO
RETAIN THEM ARE YOU SEEN THAT
THEY BELIEVE AFTER THAT ONE YEAR
SHORTLY ARE YOU HAVING TROUBLE
EVEN FILLING THOSE SLOTS GIVEN
THE WORKFORCE- SHORTAGE IS
WRAPPING. SO THAT IS THE TWENTY
TWENTY ACT WAS AN EXPANSION OF A
PILOT PROGRAM WITH THOSE
STUDENTS THAT SO WAS INITIALLY
OFFERED- ONLY IN A COUPLE OF A
COUPLE OF MSW PROGRAMS. I'M NOT
SURE IF WE HAVE QUITE SEEN THAT
WE WILL HAVE TO TAKE BACK THE
QUESTION AS TO WHETHER WE'VE
SEEN RETENTION YET- BECAUSE I'M
NOT SURE THAT THE PROGRAM'S BEEN
IN. HAVE ENOUGH TIME TO MAKE
SURE TO KNOW THAT IF WE'VE HAD-
ANY RETENTION ISSUES WITH THOSE
M. S. W.'S COMING OUT OF THE
PROGRAM BUT WE WILL DEFINITELY
MONITOR- DOUBT ESPECIALLY WITH
THE EXPANSION- AND ALSO
CONSIDERING THE STATEWIDE ISSUE
IN SHORTAGE WERE WERE MAKING
SURE THAT. THE NSW OFFERING IS
OFFERED THROUGHOUT THE STATE AT
DIFFERENT SCHOOLS YOU KNOW
GEOGRAPHICALLY- ALL AROUND THE
STATE SO THAT IT'S NOT LOCATED
JUST IN THE URBAN CENTERS BUT
THAT WHERE WE'RE FOCUSING ALSO
ON GETTING. M. S. W.'S IN THESE
PROGRAMS TO RURAL AREAS AS WELL.
THANK YOU SONORA. GREAT THANK
YOU SO MUCH WE'RE GONNA MOVE ON
TO ISSUE NUMBER FIVE AN OVERVIEW
OF COMMUNITY CARE LICENSING
DIVISION. AND WELCOME KEVIN
GAINES.
MADAM CHAIR THE COMMITTEE
MEMBERS GOOD AFTERNOON- KEVIN
GAINS- DEPUTY DIRECTOR FOR
COMMUNITY CARE LICENSING
DIVISION WITH- THE- DEPARTMENT
SOCIAL SERVICE. I'LL I'LL GO
AHEAD AND GET STARTED WITH THE
WITH A QUICK OVERVIEW OF THE- OF
THE DIVISION. AND THEN WE CAN-
ANSWER QUESTIONS REGARDING- OUR
INSPECTION- PROTOCOLS AND
UPDATES AND- THEN WE CAN GET TO
THE- THE PROPOSALS WITH YOUR
PERMISSION. FROM SO. QUICKLY
OTHER COULD WITH THE MISSION OF
THE OUR COMMUNITY CARE LICENSING
DIVISION IS TO PROMOTE HEALTH
AND SAFETY AND QUALITY OF LIFE-
FOR EACH PERSON IN COMMUNITY
CARE THROUGH THE ADMINISTRATION
OF INFECTIVE- COLLABORATIVE
REGULATORY ENFORCEMENT SYSTEM SO
WE ARE DELIVER THOSE SERVICES
AND FOR- PROGRAM CLUSTERS- WE
HAVE A RATHER LARGE CHILD CARE
PROGRAM- WE HAVE- THE ASCENT-
RESIDENTIAL PROGRAMS WHICH
INCLUDE CHILDREN'S RESIDENTIAL.
AND IN A LARGER- ADULT AND
SENIOR CARE PROGRAM THAT YOU'VE
HEARD ABOUT IN A PREVIOUS ITEMS
IN THIS HEARING AND WE HAVE A
RELATIVELY NEW- SERVICE CALL A
HOME CARE SERVICES- AND WILL
WILL DISCUSS A PROPOSAL ON THAT
AND THE COMING MINUTES. ARE JUST
AWESOME BASIC STATISTICS ON ON
WHAT WE'RE DOING ACROSS THE
STATE- WE HAVE- ONE THOUSAND
FIVE HUNDRED SIXTY SIX
AUTHORIZED POSITIONS OPERATING
OUT OF EIGHTEEN LOCATIONS
THROUGHOUT THE STATE- PROVIDING
LICENSING AND. THOUSANDS
FACILITIES IN FLIGHT LICENSEES
OF THIRTY TWO DIFFERENT TYPES
AND- TOGETHER THEY'LL SERVE
ABOUT ONE POINT THREE MILLION
CALIFORNIA RESIDENTS- THE BREAD
AND BUTTER THE BASIC ACTIVITIES
THAT WERE INVOLVED IN OUR-
LICENSE APPLICATIONS. COMPLAINTS
THAT OCCUR WITHIN FACILITIES-
AND- INSPECTIONS SOME OF THOSE
ARE ANNUAL SOME OF THEM ARE ON A
DIFFERENT TIMELINE AND I'LL
DESCRIBE THOSE- AS WE GET TO
INSPECTIONS- WE ALSO PROVIDE
POLICY SERVICES- OBVIOUSLY
INSTRUCTIONS TO THE FIELD- JUST
TO GIVE YOU SOME SENSE OF THE
VOLUME THAT THAT THAT TAKES
PLACE THERE- OVER CALENDAR YEAR
TWENTY TWENTY TWO- TWENTY EIGHT
THOUSAND FACILITY INSPECTIONS-
CASE MANAGEMENT BUSINESS ABOUT
THIRTEEN THOUSAND- COMPLAINTS
INVESTIGATED FOURTEEN THOUSAND.
AND WE PROCESS ABOUT FIFTY SIX
HUNDRED- LICENSES- APPLICATIONS
FOR THE LICENSE. SO ALL- BUT WE
HAD A LOT OF RATHER LARGE
WORKLOAD THAT DESCENDED UPON US-
DUE TO- THE PANDEMIC. AND
BETWEEN INQUIRE REASON
INVESTIGATIONS AND COMPLAINTS
AND OTHER ALL WORK JUST TO GIVE
YOU A SENSE OF SCOPE- BY JUST
UNDER FOUR THOUSAND- INQUIRE
EASE- THAT WERE COLD RELATED-
HOW LONG CALL INCOME- WE HANDLE
DURING TWENTY TWENTY TO ABOUT
THIRTY SEVEN THOUSAND- TOLL AND
I'LL I'LL TAKE YOUR QUESTIONS OR
I CAN GO TO- OUR OVERVIEW OF
INSPECTIONS. YOU CAN CONTINUE IN
THE OVERVIEW OKAY THANK. SO-
THE- RECENTLY I GUESS PRIOR TO
THE UP. FIRE TO THE OTHER
BEGINNING A PANDEMIC WE HAD A-
AND INTENTION TO MOVE TO A NEW-
THE SENATE NEW INSPECTION TOOLS-
THAT WILL PROVIDE A REALLY
COMPREHENSIVE LOOK AT THE
RELATIVE HEALTH OF A FACILITY-
AND SO WE HAD AN OPPORTUNITY
DURING THE- DURING THE PANDEMIC
TO IMPLEMENT- THAT IT THAT NEW
INSPECTION PROTOCOL ACROSS ALL
OF OUR PROGRAM CLUSTERS- AND SO
I'LL JUST PROVIDE YOU AN UPDATE
OF THOSE WHO ARE THAT THAT SET
OF. TOOLS CALLED THE CARE TOOLS-
IN SO- IN UNTIL MARCH FIRST OF
TWENTY TWENTY THREE ON THE ADULT
AND SENIOR CARE PROGRAMS- ARE
FOCUSED THEIR ANNUAL INSPECTIONS
ON A COVERT NINETEEN
INSPECTIONS. IN AN INFECTION
CONTROL ACTIVITIES- AND WE
PRIMARILY USE THE CARE TOOL TO
IT TOO TO MONITOR INFECTION
CONTROL ACTIVITIES THERE WITHIN-
WITHIN FACILITIES- AND THAT'S
ONE DOMAIN OF TWELVE DOMAINS OF
THE FULL CARE TOOL FOR ADULT AND
SENIOR CARE. ARE THESE FOCUSED
INSPECTIONS WERE DUE TO THE HIGH
RISK SETTINGS OF ADULTS SENIOR
CARE FACILITIES AND HAVE THE
MAXIMUM EFFECT OF MITIGATING AND
PREVENTING THE SPREAD OF COVERT
NINETEEN- THE ASSAULT ANNOUNCING
CARE PRO. ARE HALF THEIR TRANS
HOWEVER- TO THE FULL SLATE OF
CARE TOOLS AS OF MARCH. ONE DID
DID YOU HAVE A QUESTION OKAY. OF
THE CHILD CARE PROGRAM HAS BEEN
USING- THE FULL SLATE OF CARE
TOOL SINCE THE FALL OF TWENTY TO
OFFER ALL OF THEIR PRE LICENSING
AND ANNUAL INSPECTIONS. AND IS
BEGINNING TO WORK ON THE
CREATION OF A SINGLE LICENSING
TOOL TO ALIGN THE STATUTORY
REQUIREMENTS. ASK FOR THE
CHILDREN'S RESIDENTIAL PROGRAMS
THEY'RE USING THE FULL- SLATED
CARE TOOLS FOR ANNUAL
INSPECTIONS IN TWELVE FACILITY
CATEGORIES AN ELEVEN FACILITY
CATEGORIES FOR PRE LICENSING-
INSPECTIONS. ON CHILDREN'S
RESIDENTIAL PROGRAMS IN THE
PROCESS OF DEVELOPING A CARE
TOOLS FOR THEIR REMAINING
SMALLER FACILITY CATEGORIES-
JUST TO GIVE YOU SOME NUMBERS-
THE ADULT SENIOR CARE PROGRAM
HAS AN ANNUAL INSPECTION MANDATE
IN STATUTE. AND MET 85% OF THAT-
THAT TOTAL FOR CALENDAR YEAR
TWENTY TWENTY TWO- CHILD CARE
PROGRAM HAS- A MANDATE TO
INSPECT ALL FACILITIES WITHIN
THREE YEARS. AND AT THIS POINT
FOR CALENDAR YEAR TWENTY TWENTY
TWO- THEY COMPLETED- 45% OF
THEIR INSPECTION SO THEY'RE A
LITTLE AHEAD OF SCHEDULE. AS FOR
CHILDREN'S RESIDENTIAL- THEIR
INSPECTION MANDATE IS A BIENNIAL
ONE- AND SO- WITH 55% OF THEIR
INSPECTIONS COMPLETED FOR- FOR
TWENTY TWENTY TO THEIR HEAD. AND
THAT IS- THE UPDATE ON OUR
INSPECTION PROTOCOLS IF THERE'S
ANY QUESTIONS I'M HAPPY TO TAKE
THOSE NOW. I DOES DEAL AFTER LA-
HAVE ANY COMMENTS BEFORE OR
QUESTIONS. DIANA DOMINGUEZ
DEPARTMENT OF FINANCE NO
COMMENTS. ANGELA SHORT WITH THE
LEGISLATIVE ANALYST'S OFFICE
NOTHING TO ADD FOR THE OVERVIEW
THANK YOU MISTER GAINES Q. SPEAK
ABOUT YOU KNOW ALL OF THESE
EXPECT INSPECTIONS A MISTER HIGH
PERCENTAGE OF THINGS THAT. YOU
FLAG- THE YOUR YOUR TEAM IS
FLAGGING- TO BE A FOR AT NO
WORRIED. ABOUT WORRIED ABOUT NOW
AND- I'VE- IN MY TENURE I'M I'M
TWO YEARS INTO THE- INTO THE
POST- AS OF FEBRUARY AND I'VE
MADE IT A POINT TO VISIT- EACH
OF MY REGIONAL OFFICES AND TO
ATTEND WITH- AN ANALYST-
INSPECTIONS COMPLAINTS OTHER
ASPECTS OF THE JOB- AT LEAST
TWICE A MONTH. AND AS I'VE
OBSERVED- EVERY- EVERY-
INSPECTION BECAUSE IT'S BECAUSE
THE TOOLS ARE USING AND SO
COMPREHENSIVE- EVERY INSPECTION
WILL GENERALLY TURN UP
SOMETHING- THE MAJORITY THAT
I'VE SEEN OUR TECHNICAL
VIOLATIONS THE ONES THAT ARE
NOT- SOMETHING THAT WE'D CITING
RELATIVELY MINOR ISSUES THAT
THAT DON'T PERTAIN TO HEALTH AND
SAFETY AT ALL- THERE EVERY NOW
THE BLUE MOON WILL WILL COME UP
WE'LL SEE- AND OBSERVE- A LARGER
SCALE ISSUE THAT MAY. INVOLVE AN
IMMEDIATE CORRECTION OR- A TIME
CORRECTION THAT THAT WE WOULD
TIME OVER A WEEK. AT AN ANALYST
WOULD WOULD PROVIDE A WEEK TO
PROVIDE A SPECIFIC- REMEDY TO
THE ISSUE GIVE ME AN EXAMPLE ON
A CHILD CARE- THE- CHILDCARE-
CENTER I VISITED BACK IN
PALMDALE IN THE SUMMER OF TWENTY
TWO- THERE WERE EXPOSED
ELECTRICAL OUTLETS THAT WERE IN
IMMEDIATE. ADJACENCY TO CHILDREN
WHO WERE PLANNING- WE GAVE
TWENTY FOUR HOURS TO- TO CLOSE
THOSE UP- THAT. THAT DEADLINE
WAS MET THAT'S AN. EXAMPLE OF A
RELATIVELY. YOU KNOW- OF.
OBSERVE AFTER. THAT OUR ANALYSTS
- WHAT'S- I'M IN THE MY QUESTION
IS WHY THE CLUB LOOK LIKE WITH
ON BUT FOR THESE KIND OF
COMPLAINTS- THE LONG TERM CARE
OMBUDSMAN- THEY THEY THEY FIND
THEMSELVES IN AN ADULT AND
SENIOR FACILITIES AND THEY HAVE.
FREEDOM OF MOVEMENT WITHIN THOSE
WE SEE A LOT OF REFERRAL
TRAFFIC- WE RECEIVED COMPLAINTS
FROM ON THE ON BUDGET OFFICE-
THE LOCAL- BIRDS IN IN IN
VARIOUS COUNTIES. AND WE
MAINTAIN A RELATIVELY
COLLABORATIVE RELATIONSHIP- OUR-
OUR REGIONAL OFFICES- RESPOND
QUICKLY TO- TO THEIR COMPLAINTS-
ANECDOTALLY THEY THEY- I FEAR
THAT THEY- THAT THEY HOLD-
REGULAR- ENGAGE IN MEETINGS TO
DISCUSS ISSUES OF LOCAL CONCERN
. I THINK THERE'S A VERY- ACTIVE
RELATIONSHIP THERE THANK YOU
MISTER GAINES SONORA. YES SIR
WITH THE- WHAT GROUP OF
FACILITIES- HAS A 45% INSPECTION
RATE OVER THREE YEARS OUT OUR
CHILD CARE PROGRAM HASN'T HAS-
AND STATUTORY OBLIGATION TO THE
VISIT ALL OF. THE FACILITIES
WITHIN A THREE YEAR TIME PERIOD
WERE AT 45% AS OF THE END OF
TWENTY TWENTY TWO- ARE YOU
CONCERNED ABOUT THAT. AM I
CONCERNED ABOUT IT MMHM. IN
TERMS OF THE ABILITY TO COMPLETE
OUR OBLIGATIONS THAT WITHIN
THREE YEARS NOW I'M NOT I'M ON-
FOR CHILD CARE- THAT'S OUR
BIGGEST PROGRAM THE BIGGEST
VOLUME BUT IT'S OUR BIGGEST WORK
FORCE AS WELL- WE SEE- A FAIR
AMOUNT OF DILIGENCE TO IT TODAY-
COMPLETING THOSE MANDATES- THE-
AS WELL AS THE COMPLAINT.
BACKLOG IS FAIRLY LOW WHEN THEN
WHEN THEY'RE NOT SHOCKER PROGRAM
PARTICULARLY. PROUD OF THAT
PARTICULAR THAT PIECE OF OUR-
OUR VISION OF THE FACILITIES IN
YOUR PORTFOLIO WOULD YOU
DESCRIBE THAT AS A LOW RISK
MEDIUM RISK OR HIGH RISK.
OPERATION CHILD CARE JOKER. I
WOULD SEE IT AS LOW RISK BUT BUT
ALWAYS DEMANDING OF DUE
DILIGENCE I'M JUST CONFIRMING.
OTHERS ARE YOU'RE NOT GOING TO
BE INSPECTED IN THREE YEARS. IF
YOU HAVE A 45% I KNOW THAT'S THE
MIKE YOU KNOW I DO UNDERSTAND
THE FIGURE NO YOU'RE
MISINTERPRETED. PROBABLY SO.
SEOUL THE THIS STATUTORY MANDATE
HAS A SAD- MANDATES THAT WE SEE
EVERYONE WITHIN A THREE YEAR
CYCLE HERE WE ARE WE ARE. JUST
ABOUT HALFWAY DONE WITH THAT
WITHIN ONE YEAR- ICY SOMEWHERE
WE'RE AHEAD OF SCHEDULE I SEE SO
I'M NOT CONCERNED. I WOULDN'T BE
A FIERY YOU GAVE ME A 45% FIGURE
THAT'S WHAT CONFUSED ME YEAH
WE'RE WE'RE WE'RE 45% INTO
OBLIGATION. IN ONE YEAR AND
WE'RE COMPLETE WITHIN THREE
YEARS. UNION SEMI CONFUSION YES
I APOLOGIZE THE PRO. FOR THE
QUESTION THANK YOU SO MUCH I'M
GREAT WITH THAT THEN WE'RE GONNA
MOVE ON TO ISSUE NUMBER SIX
WHICH IS THE HOME KERR FUND
CIVILIZATION THANK YOU. KEVIN
GAINES A SOCIAL SERVICES- SO THE
AGENDA PROVIDES A PRETTY-
COMPREHENSIVE OVERVIEW THIS
PROPOSAL BUT I'LL JUST- MAKE
MENTION OF- A COUPLE OF KEY
ITEMS. OF THE HOME CARE PROGRAM
WAS INITIALLY ESTABLISHED IN-
TWENTY SIXTEEN AS A 1100% BE
FUNDED PROGRAM- THIS STRUCTURE
WAS CREATED UNDER ASSUMPTIONS
THAT ABOUT PROGRAM REVENUES AND
OPERATING. OPERATING EXPENSES
THAT HAVE SINCE BEEN PROVEN AND
CORRECT. DUE TO LOWERED- THEN
PROJECTED REVENUE FROM-
UNLICENSED HOME CARE
ORGANIZATIONS A CRITICAL
SHORTAGE OF PERSONNEL IN OF IT
FOR INSPECTIONS AND INCREASE
LEGAL EXPENSES THE HOME CARE
PROGRAM ISN'T CURRENTLY
SUSTAINABLE. FULLY FEE FUND AS
WE ORIGINALLY INTENDED. ON THIS
PARTICULAR PROPOSAL- CREATES
SOME- STATUTORY CHANGES TO
STABILIZE THE FUNDING USING
STATE GENERAL FUND FOR TWENTY
THREE TWENTY FOUR AND FOR FISCAL
YEAR TWENTY FOUR TWENTY FIVE AS
WELL AS A DEFERRAL OF SEVEN
HUNDRED ELEVEN THOUSAND- GENERAL
FUND- AS AS A LOAN REPAYMENT. IN
FISCAL YEAR TWENTY THREE TWENTY
FOUR AND IT ALSO- PROVIDES FOR-
FIFTEEN POSITIONS TO INCREASE
OUR CAPACITY TO LICENSED HOME
CARE ORGANIZATIONS. SO NINE OF
THOSE I REQUEST THE STAFF WOULD
BE TO CREATE AN ADDITIONAL
ENFORCEMENT UNIT- TAKEN BY
CONDUCTING INSPECTIONS AND
INVESTIGATIONS AND WILL PROVIDE
A POLICY UNITS TO PROVIDE SOME
POLICY GUIDANCE FOR THE
MAINTENANCE OF THE PROGRAM- OUR
DATA INDICATES THAT- FAR FEWER
OF OUR- HOME. ORGANIZATION
SOUGHT LICENSURE DAN WE. HOPE
THEY WILL. AT PROGRAM IMPLEMENT
- TO FUND SEVEN- HUH CARE ORGAN
APPLY FOR LICENSURE RATHER THAN
THE EXPECTED TWO THOUSAND- AND
THAT LED TO A REVENUE SHORTFALL
OF APPROXIMATELY FOUR MILLION
DOLLARS- CURRENTLY WE HAVE-
EIGHT EIGHTEEN HUNDRED FORTY
FOUR LICENSE HOME CARE
ORGANIZATIONS. AND IT'S
ESTIMATED THAT WILL HAVE ELEVEN
HUNDRED CULTURE ORGANIZATIONS
OPERATING WITHOUT A LICENSE.
WHICH IS OBVIOUSLY PROBLEMATIC
WITH THE ADDITIONAL ENFORCEMENT
UNIT WILL HOPEFULLY SEE AN
INCREASE IN REGULAR INSPECTIONS
AS WELL AS AN UNLICENSED
COMPLAINS FACTION- CAPACITY TO
PERFORM. WELL WITH THESE
EXISTING RESOURCES- THE PROGRAM
COMPLETES APPROXIMATELY SIXTY
FIVE VISITS PER MONTH AND WITH
THE REQUEST OF RESOURCES WE CAN
INCREASE THAT- TO APPROXIMATELY
FOUR HUNDRED VISITS PER MONTH-
WE THINK THIS PROPOSAL NECESSARY
TO ADD TO IT TO- YOU KNOW
MAINTAIN STABILITY PROGRAM. AND
THIS PROGRAM IS PRETTY IMPORTANT
AS IT ENSURES THAT ARE OLDER AND
DISABLED CALIFORNIANS RECEIVE A
HIGH STANDARD OF CARE WHILE
BEING ABLE TO MAINTAIN AGE IN
PLACE AND MAINTAIN THEIR OWN
HOMES- THE THINK IT'S PRETTY
IMPORTANT AND HOPEFULLY HE'LL-
OVER. THANK YOU MISTER GAINES-
DOES THE F. L. OR L. A. R. ANY
COMMENTS. HI DIANA DOMINGUEZ OF
. NO COMMENTS BY WE CAN ANY. Q-
AGAIN ANGELES SHORT WITH THE A-
JUST A BRIEF ON THIS- AS YOU
JUST HEARD FROM THE DEPARTMENTS
OF THE HOME CARE PROGRAM- SINCE
ITS CREATION WAS ENVISIONED TO
BE A SELF SUSTAINING PROGRAM
HOWEVER HOWEVER GIVEN A NUMBER
OF CHALLENGES THAT HAS. NOT YET
COME TO FRUITION- AS SUCH WE
FIND THE REQUEST TO ADD THE
POSITIONS TO BE ABLE TO
INCREASE- ENFORCEMENT
INSPECTIONS INCREASE A LICENSING
FEE COLLECTION CERTAINLY MAKES
SENSE. WE WOULD ALSO JUST ADD-
WE FIND THE ADMINISTRATION'S
PLAN TO REEVALUATE THE FEE
STRUCTURE- TO HOPEFULLY BE ABLE
TO ESTABLISH A FEE STRUCTURE
THAT CAN LEAD TO THE FUNDS
BECOMING SELF SUSTAINING IN THE
LONGER TERM- TO BE QUITE
REASONABLE. AND THE INTERIM
REQUEST TO PAUSE THE GENERAL
FUND LOAN ACCORDINGLY ALSO WE
FIND REASONABLE. FINALLY I WOULD
JUST NOTE- AS DESCRIBED IN YOUR
AGENDA THERE'S SOME TRAILER BILL
LANGUAGE ALIGNED WITH THIS
PROGRAM THAT HAS NOT YET BEEN
MADE AVAILABLE FOR REVIEW BUT WE
WILL REVIEW THAT. WHEN IT
BECOMES AVAILABLE AND WILL
CERTAINLY CIRCLE BACK UP WITH
COMMITTEE STAFF AND WITH THE
DEPARTMENT TO UP DISCUSS ANY
COMMENTS WE HAVE AT THAT TIME
THANK YOU. DO WE HAVE A TIMELINE
ON WHEN THAT TRAILER BILL
LANGUAGE WILL BE AVAILABLE. HI
DIANA DOMINGUEZ WITH DEPARTMENT
OF FINANCE- BE TRAILER BUILDING
WHICH IS STILL WITH PLEDGE
COUNCIL SO IT SHOULD BE
AVAILABLE SOON. PERFECT THANK
YOU S. INTERRUPT ANY. WELL JUST
A COMMENT YOU KNOW WE SEE THIS
IN THE DC EIGHT. SITUATION
ISSUES TO WHERE WE LICENSE. WELL
WE SORT OF INSISTED THEY BE
LICENSED AND THEN WE TELL THEM
THAT THEY'RE GOING TO FUND. A
100% THE LICENSING OPERATION IN
THE ENFORCEMENT OPERATION AND
I'M JUST FROM A PERSONAL
STANDPOINT I THINK THAT'S THE
WRONG SITE PICTURE WE'RE TALKING
ABOUT CONSUMER PROTECTION HERE.
I THINK THIS IT'S ONE THING TO
REQUIRE LICENSEES TO PAY FOR.
YOU KNOW THE LICENSING ITSELF
AND- PERHAPS SOME OF THE
ANCILLARY SERVICES SURROUNDING
THEIR OWN LICENSE BUT TO TURN TO
LICENCES LICENSEES WHO WERE.
PERFORMING AS THEY SHOULD BE
PERFORMING AND SAY YOU'RE GOING
TO PAY FOR. OTHER PEOPLE'S
MISCONDUCT AND THAT'S WHAT
DRIVES UP THE COST IN
ENFORCEMENT AND LITIGATION AND
ALL THE REST. I THINK THAT'S THE
WRONG SITE PICTURE THAT'S JUST
MY COMMENT WE'LL SEE HOW THIS
PLAYS OUT I SUSPECT IT'S GONNA
PLAY OUT THE SAME WAY IT DOES IN
THE DCA. ARENA WHERE WE LICENSE
OCCUPATIONS AND PROFESSIONS AND
WE KEEP HAVING TO DRIVE THE
LICENSE FEES UP. BECAUSE THE
COST OF GOVERNMENT CONTINUES TO
GO UP SO. I LOOK FORWARD TO
HAVING THE CONTINUED
CONVERSATION WITH YOU ON ON THIS
PARTICULAR ONE BECAUSE IT LOOKS
ABOUT THE SAME TO ME. BUT THANKS
FOR CONTINUING TO WORK THE
PROBLEM THANK YOU VENTURE MR
THANK YOU THANK YOU SO WERE HOLD
WILL HOLD THIS ISSUE. OPEN AND
MOVE ON TO ISSUE NUMBER SEVEN I
REINFORCE THE CARE GIVER
BACKGROUND CHECK SYSTEM AND
BACKGROUND CHECK RESOURCES I
WELCOME GREG OLIBA. MADAM CHAIR
SENATOR AND SO. I GET AFTERNOON
GRAVELLY THE ASSISTANT DEPUTY
DIRECTOR FOR CENTRAL OPERATIONS
AND COMMUNITY CARE LICENSING-
ALL MOVED RIGHT INTO THE
QUESTIONS- THE FIRST ONE BEING
TO PROVIDE AN OVERVIEW OF THE
PROPOSAL. SO THE COMMITTEE
AGENDA PROVIDES AN EXCELLENT
OVERVIEW OF THE PROGRAM
BACKGROUND AS WELL AS THE
PROPOSAL. TO CLARIFY CDSS IS
REQUESTING ONE POINT FIVE
MILLION DOLLARS TOTAL- TO DO FOR
TWO PURPOSES. THE FIRST IS A
THREE HUNDRED THOUSAND DOLLARS
FOR EACH OF THREE YEARS TO
SUPPORT THE MAINTENANCE AND
OPERATION OF THE GUARDIAN
BACKGROUND CHECK SYSTEM. FOR A
TOTAL OF NINE HUNDRED THOUSAND
DOLLARS. AND SECOND SIX HUNDRED
THOUSAND DOLLARS OVER TWO YEARS
FOR CONSULTANT SERVICES TO
SUPPORT CSS IS. PROJECT APPROVAL
LIFECYCLE STAGE TWO ACTIVITIES.
AS WELL AS LAYING THE GROUNDWORK
FOR STAGES THREE AND FOUR. THIS
PROCESS WILL HELP US DETERMINE
THE MOST EFFECTIVE MEANS. TO
BUILD A NEW BACKGROUND CHECK
SYSTEM. SO THESE WORST RESOURCES
WILL ENSURE WE CONTINUE TO HAVE
A FUNCTIONAL BACKGROUND CHECKS
SYSTEM. WHICH IS GUARDIAN AND
WILL ALLOW US TO PLAN FOR A
REPLACEMENT SYSTEM TO BETTER
NEED TO BETTER MEET THE NEEDS OF
OUR STAKEHOLDERS. AND OF THE
DEPARTMENT. I CAN MOVE ON TO
QUESTION TO GO AHEAD OKAY-
QUESTION TO WAS TO DESCRIBE THE
MEASURE CDSS IS TAKEN IN SHORT
TERM TO ADDRESS ISSUES WITH THE
GUARDIAN SYSTEM AND REDUCE THE
CURRENT BACKLOG. AND SO CDSS IS
FOCUSING ATTENTION IN THREE
AREAS TO ADDRESS THE SHORT TERM
ISSUES. FIRST WE'RE INCREASING
THE NUMBER OF OVERALL STAFF
HOURS DEDICATED TO REDUCING THE
BACKLOG BY REDIRECTING STAFF
OFFERING OVERTIME TO CURRENT
STAFF. AND HIRING TEMPORARY
STAFF TO WORK ON CASE PROCESSING
. SECONDLY WE ARE IMPLEMENTING A
NUMBER OF IMPORTANT SOFTWARE
DEVELOPMENT ITEMS. FOR GUARDIAN
TO IMPROVE SYSTEM PERFORMANCE SO
THESE ARE AIMED AT BOTH INTERNAL
EFFICIENCIES AS WELL AS EXTERNAL
PROCESSES. THE FIRST SET OF
DEVELOPMENT ITEMS HAVE BEEN
LAUNCHED AND A NUMBER OF
ADDITIONAL ONES WILL FLOW
THROUGHOUT THE COMING MONTHS.
AND FINALLY WE ARE LEVERAGING
THE CHANGES ENACTED IN AB
SEVENTEEN TWENTY. THANK YOU
LEGISLATURE THANK YOU
ASSEMBLYMAN HOLDEN- WHICH ALLOWS
A GREATER NUMBER OF CASES TO GET
THROUGH THE SIMPLIFIED
BACKGROUND CHECK PROCESS. AND
THIS IS BEEN AN IMPORTANT CHANGE
BECAUSE THE SIMPLIFIED
BACKGROUND CHECK PROCESS TAKES
FAR LESS TIME. THAN A STANDARD
EXEMPTION SO MORE- OF OUR CASES
FALL INTO THE CATEGORY OF
SIMPLIFIED AS A RESULT OF THIS
LEGISLATION. I CAN MOVE TO THE
FINAL QUESTION. OKAY THE THIRD
QUESTION WAS WHAT ARE THE
DESIRED OUTCOMES IN TERMS OF
TIME FRAMES FOR PROCESSING
EXEMPTIONS. FOR REPLACEMENT OF
THE GUARDIAN SYSTEM. SO CSS HAS
NOT YET ESTABLISHED DESIRED TIME
FRAMES FOR PROCESSING EXEMPTIONS
AS THE PROJECT HAS NOT BEGUN THE
STAGE TO ALTERNATIVE ANALYSIS.
OF THE PROJECT APPROVAL
LIFECYCLE. IN AUGUST TWENTY
TWENTY TO THE DEPARTMENT ISSUED
A REQUEST FOR ENQUIRY TO SELECT
TO SOLICIT VENDORS INTERESTED IN
OFFERING SUITABLE BACKGROUND
CHECKS ALEUTIANS TO MEET. CDSS
IS UNIQUE BUSINESS NEEDS AND
RECEIVED ENCOURAGING PROPOSALS
FROM THE VENDOR COMMUNITY. THE
STATE'S TO ANALYSIS WILL PROVIDE
AN ALTERNATIVE ANALYSIS AND A
SOFTWARE SOLUTION RECOMMENDATION
WENT WHEN IT'S COMPLETE. CDSS
CONSULTS WITH OUR AGENCY AND THE
CALIFORNIA DEPARTMENT OF
TECHNOLOGY. ON THAT S. TO A
RECOMMENDATION AND HOW TO
PROCEED WITH THE RECOMMENDATION
TO BUILD A NEW BACKGROUND CHECK
SYSTEM. THE RESOURCES PROVIDED
IN THIS BUDGET CHANGE PROPOSAL
WILL HELP US COMMENCE WORK ON
THAT STAGE TO ANALYSIS. AND
PROVIDE A VEHICLE TO WORK
THROUGH THE COULD THIS QUESTION
. I'M HAPPY TO ANSWER ANY
QUESTIONS. PERSONAL TURN TO DEAL
FNLA OFFER ANY COMMENTS. DIANA
DOMINGUEZ DEPARTMENT OF FINANCE
NO COMMENTS AT THIS TIME- THANK
YOU AGAIN ANGELES SHORT WITH THE
L. A. O. AS DESCRIBED IN YOUR
AGENDA OTHER GUARDIAN SYSTEM IS
EXPERIENCING QUITE A NOTABLE
BACKLOG IN CASE PROCESSING
TIMES- AS WELL AS SOME OTHER
SYSTEM CHALLENGES I THINK YOU
MAY HEAR. MORE ABOUT THIS FROM
FROM SOME STAKEHOLDERS- AFTER
THIS AS WELL- ULTIMATELY- WE TO
RECOGNIZE THESE BACKLOGS ARE
HAVING QUITE A SIGNIFICANT
IMPACT ON INDIVIDUALS SEEKING
CLEARANCES AS WELL AS THE
FACILITIES WHO ARE LOOKING TO
EMPLOY THEM. AND THEN ULTIMATELY
THE POPULATION SERVED BY THESE
FACILITIES- SO CLEARLY IT DOES
SEEM THERE IS A NEED FOR SOME
LEVEL OF INTERVENTION AND
ADDITIONAL RESOURCES HERE. A IN
TERMS OF THE DEPARTMENT SPECIFIC
REQUEST- IT'S REALLY TWO PARTS
AS WAS JUST DESCRIBED THERE'S
SOME FUNDING TO- FOR SOME LONGER
TERM PLANNING TO DETERMINE- WHAT
AN APPROPRIATE REPLACEMENT
SYSTEM FOR GUARDIAN MAY BE. THEN
THERE'S A THREE HUNDRED THOUSAND
DOLLARS ANNUALLY OVER THREE
YEARS AS AN INTERIM MEASURE TO
REALLY- HELP BOOST GUARDIANS OF
PERFORMANCE IN THE INTERIM. IN
TERMS OF THAT THREE HUNDRED
THOUSAND DOLLARS PER YEAR- WE
WERE JUST SUCH AS THE
LEGISLATURE MAY WISH TO ASK THE
DEPARTMENT- TO PROVIDE SOME
ADDITIONAL INFORMATION IN TERMS
OF WHAT SPECIFIC IMPROVEMENTS OR
RESULTS. OF THE LEGISLATURE
COULD EXPECT AS A RESULT OF THAT
FUNDING FOR EXAMPLE IS THE
EXPECTATION THAT WITH THE
REQUESTED RESOURCE SAYS THE
DEPARTMENT WILL BE ABLE TO
REDUCE THE BACKLOG BY X.
PERCENT. OF REDUCE CALL WAIT
TIMES FOR USERS BY BY A CERTAIN
NUMBER OF HOURS AT CETERA AND WE
THINK KNOWING THIS COULD REALLY
HELP THE LEGISLATURE CLARIFY
EXPECTATIONS AROUND WHAT WE
SHOULD EXPECT TO SEE IN TERMS OF
SHORT TERM IMPROVEMENTS FOR THE
SYSTEM. THANK YOU. I'M I WOULD
AGREE WITH THAT IT WAS GOING TO
PICK UP WITH THAT YOU KNOW SOME
BENCHMARKS WOULD BE REALLY
HELPFUL IN GETTING THE SPECIFIC
TIMELINE OF WHEN WE ANTICIPATE-
THESE DELAYS TO GO AWAY WOULD BE
REALLY HELPFUL SEND YOU TO NO
END DATE IT'S DIFFICULT FOR US-
I AT LEAST FOR ME I DON'T SPEAK
FOR MY COLLEAGUES- BECAUSE OF
THE CONCERNS WERE HEARING FROM
STAKEHOLDERS PEOPLE WITHOUT
CRIMINAL. HISTORIES ARE STILL
BEING DELAYED SO WE WANT TO MAKE
SURE THERE IS- A FINISH LINE FOR
STAKEHOLDERS IN FOR US TO LOOK
AT- SO THAT WOULD BE HELPFUL.
I'M AND THEN I ALSO WANT TO YOU
KNOW. ACTUALLY THAT WAS ALL MY
COMMENTS I MENTIONED TO MY
COLLEAGUE SENATOR ROTH. I GATHER
THIS THE SYSTEM THAT YOU
CURRENTLY HAVE IT DOESN'T MAKE
IT POSSIBLE. TO DEVELOP A
TIMELINE. TO TRY TO IDENTIFY.
LOGJAMS IN THE PROCESS AND HOME
TO I GUESS I'M TALKING TO YOU
SIR. ONE OF MY QUESTIONS WOULD
BE FOR EXAMPLE I COULDN'T TELL
FROM OUR MATERIAL IT'S PROBABLY
BECAUSE- YOU KNOW I MOLD IN MY
BRAIN DOESN'T WORK. BUT THE
LENGTH OF TIME. FROM THE POINT
WHERE THE APPLICANT STARTS OR
INITIATES THE PROCESS. TO THE
TIME DOJ COMPLETES ITS WORK TO
THE TIME. YOU GET THE PACKAGE TO
THE TIME. IT WINDS UP AT THE END
OF THE LINE IS THAT CORRECT. YES
AND WE'D BE HAPPY TO PROVIDE
FOLLOW UP INFORMATION ON IN
WRITING WHAT THAT PROCESS LOOKS
LIKE IN TERMS OF TIMES BUT
WHENEVER YOU HAVE TIME YOU HAVE
YOU CAN TELL FOR EXAMPLE. THE
AVERAGE LENGTH OF TIME BETWEEN
THE POINT WHERE THE APPLICANT
INITIATES THE PROCESS AND I
DON'T KNOW WHAT THAT ENTAILS
BUT- I ASSUME IT'S SUBMITTING
SOMETHING YOU'RE A CERTAINLY
SUBMITTING OF. FINGERPRINT DATA
TO THE DEPARTMENT OF JUSTICE. TO
THE TIME THE DEPARTMENT JUSTICE
GETS FINISHED WITH IT YOU HAVE
THOSE TIME LIKE US SO THE
PROCESS. IN A NUTSHELL IS. AN
INDIVIDUAL BE OFFERED A POSITION
IN THE FACILITY AND THEY'LL BE
THEY'LL GO TO A LIVE SCAN VENDOR
AND GET PRINTED. AND THAT GOES
TO THE DEPARTMENT OF JUSTICE WHO
BY STATUTE HAS FOURTEEN DAYS. TO
PROCESS THAT INFORMATION WHEN
THEY DO THAT IT THEN GOES INTO
OUR GUARDIAN SYSTEM WHERE WE
PICK IT UP. AND THAT'S WHERE THE
TOP THAT'S WHERE OUR PROCESSING
TIME FRAMES COME IN- THAT'S WHEN
WE CONSIDERED WE'RE ON THE CLOCK
ONCE WE GET IT FROM- JUSTICE.
AND SO FOR AND THEN THERE'S
VARIETIES OF THE OF EXEMPTIONS
CORRECT SO. IF IT COMES THROUGH
THE DEPARTMENT OF JUSTICE WITH
NO CRIMINAL RECORD INFORMATION.
THEN WE WOULD CONSIDER THAT AN
AUTOMATIC CLEARANCE WITHIN THE
SYSTEM AND THOSE ARE PROCESSED
WITHIN ROUGHLY FIVE DAYS SO THEN
IT WOULD ESSENTIALLY BE TWENTY
DAYS ARE UP OR OR UNDER. FROM
START TO FINISH FOR A NO
CRIMINAL HISTORY CASE CORRECT
NOT BAD FOR STATE WERE NOT NOT
BAD AND ONE THING THAT THE
SYSTEM DOES AS WELL- FOR A
SIMPLE FOR SOMEONE WITH- FOR
INSTANCE FIVE MISDEMEANOR OR
NONVIOLENT. VIOLATIONS OR ONE
FELONY NONVIOLENT- VIOLATION
WITH- GREATER THAN TEN YEARS-
THAT WOULD BE CONSIDERED A
SIMPLIFIED EXEMPTION. AND SO THE
SAME THING. DOJ GOES INTO
GUARDIAN. AND THEN WE CAN DO THE
RESEARCH AND ANALYSIS ON WHETHER
THAT- LIKE IN THE CASE OF AB
SEVEN TWENTY SEVENTEEN TWENTY.
DOES THAT MEET THOSE
REQUIREMENTS NOW THAT IT'S
CONSIDERED A SIMPLIFIED RATHER
THAN A STANDARD EXEMPTION. WE
ESSENTIALLY PROMISE- TO PROCESS
THOSE SIMPLIFIED EXEMPTIONS
WITHIN THIRTY DAYS ONCE THEY GET
TO US. SO THAT'S THE SIMPLIFIED
TIMELINE. A STANDARD EXEMPTION
WOULD BE- CRIMINAL PAST THAT
DOESN'T MEET THE SIMPLIFIED
REQUIREMENTS THAT'S MORE
SIGNIFICANT IT'S GOING TO
REQUIRE- ACQUISITION OF POLICE
REPORTS. COURT RECORDS ANY
VARIETY OF REPORTS- THAT RIGHT
NOW IS AVERAGING A LITTLE OVER A
HUNDRED AND FIFTY DAYS THAT'S
THE BIG ONE- THE GOOD NEWS I
SHOULDN'T SAY THE GOOD NEWS BUT
THOSE ARE A- RELATIVELY SMALLER
AMOUNT OF THE TWO HUNDRED
THOUSAND CASES THAT WE PROCESS
ON AN ANNUAL BASIS. SO AUTO
CLEARANCE. ROUGHLY FIVE DAYS
SIMPLIFIED LESS THAN THIRTY DAYS
AND WE'RE ACTUALLY MAKING REALLY
GOOD PROGRESS AS A RESULT OF THE
LEGISLATION WE'RE SEEING A LOT
MORE SIMPLE FIGHTS WHICH IS
GREAT FOR THE APPLICANTS. AND
IT'S GREAT FOR OUR STAFF WHO CAN
FOCUS MORE TIME ON THE STANDARD
EXEMPTIONS WHICH ARE TAKING. A
LITTLE OVER A HUNDRED AND FIFTY
DAYS YOU KNOW THE CHAIR OF THE
STATE OF THE CHAIR IN THE STAFF
MAY HAVE THAT BUT- CERTAINLY A
SPREADSHEET WOULD BE HELPFUL
BECAUSE THAT WOULD. LET WOULD
LET US DETERMINE WHETHER WE
SHOULD BE CONCERNED- I'M MUCH
LESS CONCERNED BASED ON YOUR
TESTIMONY. BECAUSE WE DO
RECOGNIZE THAT IF YOU HAVE TO GO
OUT FOR POLICE REPORTS YOU HAVE
TO DO YOU HAVE TO GO FOR COURT
RECORDS. IN THIS STATE THERE'S
NO CENTRAL REPOSITORY FOR THOSE
AND IT'S A FIFTY EIGHT COUNTY
OPERATION AND THAT TAKES TIME.
AND THAT'S VERY USEFUL
INFORMATION SO TO THE EXTENT YOU
HAVE A SPREADSHEET AND THEY
MIGHT CHAIR AND STAFF DON'T HAVE
IT THAT WOULD BE HELPFUL. YES
THANK YOU FOR THE RESPONSE WE
CAN PROVIDE THAT AS A FOLLOW. MR
LEAVE ACTUALLY HAD ANOTHER
QUESTION- REGARDING YOUR
RESPONSE TO QUESTION NUMBER TWO
ONE SHORT TERM IT- ITEMS THAT
YOU'RE- YOU PICKED UP TO ADDRESS
THIS ISSUE. HE SPOKE ABOUT OVER
TIME YOU SPOKE ABOUT TEMPORARY
POSITIONS- CAN YOU SPEAK A
LITTLE BIT MORE ABOUT. THE
ABILITY WERE YOU ABLE TO BRING
ON TEMPORARY- INDIVIDUALS AND
THE IMPACT THAT MADE. ON
CLEARING THESE DELAYS- THAT I
THINK THAT'S MORE FUTURE GOOD
NEWS- BECAUSE WE MADE AN
INTERNAL DECISION TO BRING ON
TWELVE TEMPORARY STAFF TO HELP
WITH CASE PROCESSING. WE'VE
HIRED SEVEN OF THE STAFF. IT
TAKES TIME TO TRAIN THE STAFF IT
TOOK TIME TO HIRE THEM AND THEN
IT TAKES TIME TO TRAIN THEM AND
TEACH THEM. HOW TO USE THE
SYSTEM AND HOW TO CONDUCT THE
CASE PROCESSING. SO A LOT OF THE
RESULTS THAT WE'VE SEEN TO DATE
HAVE REALLY BEEN BECAUSE OF OUR-
OTHER INTERNAL RE DIRECTIONS-
AND OVERTIME. SO AND AB
SEVENTEEN TWENTY WHICH HAS MADE
A SIGNIFICANT DIFFERENCE ON US.
MOVING STANDARDS TO SIMPLIFY
ITS- I THINK WE'LL START SEEING
MORE GOOD NEWS ONCE THOSE STAFF
TO BECOME. MATURE IN THEIR
ABILITY TO PROCESS CASES AND
THAT'S SOMETHING THAT WE'RE ON A
MONTHLY BASIS WERE REALLY
INTERESTED IN FOLLOWING AND- YOU
KNOW GETTING THAT DATA PICTURE
OF HOP OF THE KIND OF PROGRESS
THAT WE'RE MAKING IN. ON ON
REDUCING THE BACKLOG HELLO THE
TEMPORARY POSITIONS FOR- THE I
MEAN THERE'S LIMITED TERM BUT
THERE I WOULD CALL THEM DATE AND
DETERMINE AND AT THIS POINT WE
WANT TO KEEP ON THOSE RESOURCES
UNTIL WE'VE- SOLVED ARE SYSTEM
PROBLEMS- IDENTIFIED A NEW
SYSTEM AND ARE IN A BETTER PLACE
THAT WE'RE- WE'RE NOT. YOU WITH
THE KIND OF BACKLOG THAT WE HAVE
RIGHT NOW THANK YOU THANK YOU SO
MUCH WAS REALLY ROUGH. YOU ALSO
WRITTEN RELATED TO THIS B. C. P.
WE DO HAVE A STAKEHOLDER BUDGET
PROPOSAL I WILL NOW ASK- TYLER
RINDE WITH THE CALIFORNIA
ALLIANCE FOR CHILDREN AND FAMILY
SERVICES. TO PRESENT THEIR
STAKEHOLDER PROPOSAL.
GOOD AFTERNOON CHAIRMAN OF OUR
AND MEMBERS OF THE SENATE BUDGET
SOME SUB COMMITTEE TYLER IN THE
ON BEHALF OF THE CALIFORNIA
ALLIANCE A CHILD AND FAMILY
SERVICES. I'M ALSO HERE ON
BEHALF OF PER BROAD COALITION OF
TEN ORGANIZATIONS THAT
REPRESENTS THE LICENSEES UNDER
CCL INCLUDING CHILD CARE CENTERS
HEAD START PROGRAMS HOME HEALTH
PROGRAMS. RESOURCE FAMILIES THAT
ARE RECRUITED THREE OR FOSTER
FAMILY AGENCIES- CHILD WELFARE
PROVIDER STAFF SOCIAL
REHABILITATION PROGRAMS ADULT
MENTAL HEALTH AND REGIONAL
CENTER PROGRAMS AN ASSISTED
LIVING PROGRAMS- AS WE'VE HEARD
TODAY- CDSS IMPLEMENTED GUARDIAN
AND JANUARY TWENTY TWENTY ONE.
AND SINCE THEN CHALLENGES
ASSOCIATED WITH TIMELY
CLEARANCES HAVE GROUND GUARDIAN
WHILE DESIGNED TO PROTECT
VULNERABLE ADULTS AND CHILDREN
THROUGH A COMPREHENSIVE CRIMINAL
AND ADMINISTRATIVE BACKGROUND
CHECK PROCESS. IS LEADING TO
SERIOUS DELAYS AND HIRING STAFF
AND ALL SETTINGS LICENSE BY CCL
THE DELAYS HAVE NOT JUST
IMPACTED CRIMINAL RECORD
EXEMPTIONS. BUT IN OUR
EXPERIENCE IT IS IMPACTED ALL
CLEARANCES THAT HAVE GONE
THROUGH- OUR COLLECTIVE
MEMBERSHIPS HAVE BEEN
SIGNIFICANTLY IMPACTED WITHIN
TWO DIFFERENT- IMMENSE
DIFFICULTY. IN RECRUITING AND
HIRING OF CRITICAL SOCIAL
SERVICES STAFF- IN OUR
EXPERIENCE EMPLOYEES DO NOT-
CANNOT WAIT WEEKS AND SOMETIMES
MONTHS BEFORE BACKGROUND CHECK
TO COME BACK IN NEED A TIMELY
PAYCHECK AND THEN EMPLOYERS
CANNOT WAIT THAT SAME TIME WHILE
THEY'RE RESPONSIBLE FOR
DELIVERING CRITICAL SOCIAL
SERVICES AND HEALTH SERVICES-
INABILITY TO RETAIN STAFF HAS
LED. TO ONE- TYPE OF OUR MEMBER
PROGRAM SHORT TERM RESIDENTIAL
THERAPEUTIC PROGRAMS TO BE
UNABLE TO OPERATE AT FULL CENSUS
IT AND SOME OF THEM DO HAVE WAIT
LIST RIGHT NOW- THESE PROGRAMS
ASSIST CHILD WELFARE AND SPECIAL
EDUCATION TO YOUTH. THAT HAVE
SEVERE MENTAL HEALTH ISSUES AND
NEED A TWENTY FOUR SEVEN
THERAPEUTIC ENVIRONMENT. ANOTHER
. SITUATION THAT CAME UP IN THE
FALL AND I DO HAVE TO SAY THE
DEPARTMENT WAS VERY HELPFUL THE
VERY SHORT RUN AN INTERVENING.
BY A GUARDIAN MISHAP IN IT HI
ON. CLEARANCE TRANSFER BETWEEN
TWO ADOPTIVE AGENCIES LED TO- TO
A SITUATION WHERE- ONE OF OUR-
KIDS THREE KIDS SORRY IN AN
ADOPTIVE PLACEMENT WERE REMOVED
FROM THEIR- I'M FOREVER HOME AND
ADOPTIVE PLACEMENT. ON THESE
KIDS HAD ALREADY EXPERIENCED
TRAUMA FROM BEING SEPARATED FROM
THEIR FAMILIES FOR THE
BIOLOGICAL FAMILY AND HAD BEEN
PLACED INTO IN A YOU KNOW AN
ADOPTIVE PLACEMENT- AND SO IT
WAS UNNECESSARY RE TRAUMATIZED
AVIATION. OVER A GUARDIAN MISS
HAPPEN AND I'M HERE CRADDOCK
ISSUE- YOU HAVE TO SAY THAT
APARTMENT STEPPED IN AS SOON AS
THEY HEARD ABOUT IT AND THEY
WERE VERY HELPFUL BUT IT SHOULD
HAVE NEVER HAPPENED. BOB WE HAVE
BEEN WORKING COLLABORATIVELY AND
VERY CLOSELY WITH THE DEPARTMENT
OF SOCIAL SERVICES STAFF TO SPOT
WHY AND IDENTIFY ISSUES WITHIN
GUARDIAN. AND THEY DO ENGAGE
CLOSELY WITH US ON A MONTHLY
BASIS TO AND WAYS TO IMPROVE
GUARDIAN. WE ARE SUPPORTIVE OF
THE DEPARTMENT'S BUDGET CHANGE
PROPOSAL FOR FUNDING TO GO
THROUGH THE PROJECT APPROVAL
LIFECYCLE- AFTER LEARNING ABOUT-
YOU KNOW THE SUBSTANTIAL ISSUES
OUTLINED IN THE P. C. P.
INCLUDING THE BACKLOG OF TWENTY
FIVE THOUSAND APPLICANTS. WE
WOULD REQUEST HOWEVER THAT IN
THIS PROCESS THAT THE DEPARTMENT
ENGAGE EARLY AND OFTEN WITH US
TO ENSURE THAT THE NEW SYSTEM IS
BUILT. AND WORKS FOR THE END
USER AND FOR THE APPLICANTS
THEMSELVES. I'M FOR EXAMPLE- ONE
OF OUR MEMBER TYPES IT GUARDIAN
CURRENTLY DOESN'T DISTINGUISH
BETWEEN DIFFERENT USERS AND IT
DOESN'T OFFER THE MAXIMUM
FUNCTIONALITY THAT- OUR FOSTER
FAMILY AGENCIES NEED.
ADDITIONALLY IN THE INTERIM
WHILE THAT DEPARTMENT GOES
THROUGH THE PROJECT APPROVAL
LIFECYCLE. WE ARE ASKING FOR TWO
MILLION DOLLARS ANNUALLY STATE
GENERAL FUND FOR FOUR YEARS FOR
TWELVE ADDITIONAL STATE
POSITIONS THE PROCESS BACKGROUND
CHECKS THIS HAS BEEN UPDATED
FROM THE NUMBER IN THE AGENDA.
BASED ON REVISED NUMBER FOR HOW
MUCH THE COST OF THE STAFFING
WOULD BE- WE VIEW THIS AS A
COMPLEMENTARY SMALL INVESTMENT
ON BEHALF OF THE STATE. TO
PROCESS CLEARANCES MORE TIMELY.
STAFF THE CALL CENTER- EXTEND
THOSE HOURS REVIEW APPLICATIONS
THAT HAVE HEIRS. AND REVIEW
APPLICATIONS WITH CRIMINAL
RECORDS HEADS- WITHOUT A
SUFFICIENT AND CAPABLE WORKFORCE
AREN'T TIMELY BACKGROUND CHECKS-
WE FEEL THAT OUR MEMBERS CANNOT
SUCCEED IN DELIVERING CARE FOR
VULNERABLE CALIFORNIANS. THANK
YOU FOR THE OPPORTUNITY TO
TESTIFY AND WE RESPECTFULLY
REQUEST YOUR SUPPORT ON THIS
BUDGET REQUEST. AND THEY'RE
HAPPY TO ANSWER ANY QUESTIONS.
THANK YOU FIRST WHAT'S TO L.
DEAL F. FOR ANY. HI THANK YOU
DINA DOMINGUEZ WITH DEPARTMENT
OF FINANCE- WE- CAN TAKE THIS
INTO CONSIDERATION BUT THIS IS-
NO PROPOSAL TO US THANK YOU.
HELLO NO COMMENTS FOR THIS
PROPOSAL OKAY. YOU KNOW I JUST
AM ECHOING WHAT I SAID BEFORE
AND I YOU KNOW I DO APPRECIATE
THE DEPARTMENT'S QUICK RESPONSE
TO THIS AND I DON'T KNOW WE JUST
HEARD HERE BUT YOU KNOW THESE
ARE KIND OF THINGS THAT WE
REALLY WANT TO PREVENT SO AGAIN
WHEN THE ECHO WHAT I SAID- I
REITERATE WHAT I SAID EARLIER.
THE BENCHMARKS ARE GONNA BE
REALLY IMPORTANT THE TIMELINE IS
TO GET THIS UP AND GOING IT'S
GONNA BE REALLY IMPORTANT FOR
US- TO SEE THAT YOU KNOW THIS
THESE BONDS ARE GOING TO BE
UTILIZED- WITH GOALS IN MIND.
CENTER OFF. I THINK YOU WERE
GONNA BOTH HOPE WE'RE GONNA HOLD
BOTH ITEMS OPEN AND MOVE ON TO
ISSUE NUMBER EIGHT PREVENTING
TRAUMA DURING FACILITY CLOSURE.
THANK YOU KEVIN GAINES A SOCIAL
SERVICES- QUICK OVERVIEW ON THIS
PROPOSAL- THE IT INCLUDES ONE
POSITION- AN ANALYST AND AN
ACCESS TO ABOUT FIVE POINT ONE
MILLION DOLLARS IN- GENERAL
FUND. ON AN ONGOING BASIS TO- TO
PLACE TEMPORARY MANAGERS AT-
RESIDENTIAL CARE FACILITIES FOR
THE ELDERLY AND ADULT
RESIDENTIAL FACILITIES WHERE
IT'S BEEN DETERMINED THAT- THAT
WE NEED TO TEMPORARILY SUSPEND A
LICENSE. AS AN ALTERNATIVE TO
MOVING RESIDENTS OUT AND
TRAUMATIZING THEM WE WOULD
RATHER MOVE IN A CONTRACTED-
CERTIFIED ADMINISTRATOR TO. RUN
THE FACILITY UNTIL IT'S- THE US
STABILIZE THEM OR OTHERWISE
DISPOSED- I'LL TAKE YOUR
QUESTIONS ON ON THAT PORTION OF
THE PROPOSAL. I'M DOES THE
PERMANENT SEVEN COMMENTS. DIANA
DOMINGUEZ DEPARTMENT OF FINANCE
NO COMMENTS BUT WE CAN ALSO
ANSWER ANY QUESTIONS RIGHT AWAY-
ANY COMMENTS. THANK YOU JUST TO
SAY OF THE WE HAVE REVIEWED THE
PC PC WORKLOAD SEEMS JUSTIFIED
AND WE DON'T HAVE ANY CONCERNS
TO RACE AT THIS TIME. THANK YOU-
MISTER GAINES QUICK QUESTION IS
THIS IS FOR MY INFORMATION AS
THEY LEARN MORE I'M IS THIS
RELATED TO THE INSPECTIONS THAT
YOU ARE DOING AND THIS IS WHAT'S
COMING OUT OF THAT. YOU KNOW
WHAT OF THAT MAYBE IT FACILITIES
GOING TO LOSE ITS LICENSE AND
THIS IS HOW YOU RESPOND TO THAT-
MORE OFTEN GENERATED BY
COMPLAINTS AND ONGOING.
ENFORCEMENT ISSUES- INVOLVING-
INVOLVING FACILITIES- LESS ON
THE- THE INSPECTION IT- WE OVER
FIVE YEARS WE'VE AVERAGED IN THE
DOUBLE SENIOR CARE PROGRAMS-
SEVEN- TEMPORARY- SUSPENSIONS.
MORE PER YEAR. AND SO RELATIVELY
A LOW VOLUME THERE BUT- AGAIN-
TO RESIDENTS AND THOSE
FACILITIES WHO MAY HAVE TO-
RELOCATE- AS OPPOSED TO BRING
INTO A MANAGER TO RUN THOSE
WHILE WE- MAKE OTHER
ARRANGEMENTS- IT'S A- IT'S A
MONEY WELL SPENT. THANK YOU
SENATE ROTH. WE'RE GONNA HOLD
EITHER OPEN IN MOVE ON TO NINE
VETERAN FOSTER SUPPORT RELATE TO
AB TWENTY ONE NINE. AND I JUST
WANNA KNOW- I BELIEVE THIS IS
THE FIRST EVER ALL VETERAN LED
SUBCOMMITTEE- WE ARE ALL
VETERANS HERE WHAT. TO OF US ARE
HERE TO THE FOR WE HAVE THE
UNITED STATES MARINE CORPS
REPRESENTED HERE- THE U. S.
ARMY. CENTER JUST A GENERAL HERE
AS WELL SO JUST YOU KNOW I HAD.
THANK YOU FOR YOUR SERVICE-
KEVIN GAS PERMITTED- THE EDGE-
OUTLINE THIS- THIS PROPOSAL
FAIRLY WELL JUST WANT TO MAKE A
COUPLE OF QUICK POINTS-
EXPANSION OF THE DEPARTMENT OF
VETERANS AFFAIRS- FOSTER HOMES
PROGRAM IN THE CALIFORNIA WE'RE
REALLY REALLY EXCITED TO DO IT-
AND THIS CREATES A NEW LICENSING
CATEGORY OF FOR US. AND GETS US
GOING TO- TO ESTABLISH A SET OF-
OF NEW HOMES NO SOONER DID TO
BEGIN AROUND- JUNE OF TWENTY
TWENTY FOUR- WE THINK IT'S
IMPORTANT FOR THE REASONS THAT
YOU THAT YOU LAID OUT- BUT-
SPECIFICALLY- VETERANS WITH
DISABILITIES- RECEIVING
HEALTHCARE- FROM THE FEDERAL VA
WHILE LIVING IN THE HOME OF THE
CARE GIVER. WE THINK IT'S A
GREAT MODEL- WE'RE SEEKING EIGHT
POSITIONS- TO ADMINISTER THE
PROGRAM IN COLLABORATION WITH
THE FEDERAL DEPARTMENT OF
VETERANS AFFAIRS- YOU KNOW THE
ROUTINE- PROGRAM INITIATION-
STARTING WRITTEN DIRECTIVES-
DEVELOPING REGULATIONS
DEVELOPING- INSPECTION AND
COMPLAINT AND MANAGEMENT
PROTOCOLS- FAIRLY
STRAIGHTFORWARD- WE- I'M- HERE
TO TAKE ANY QUESTIONS THAT YOU
HAVE. DEPARTMENT FINANCE ANY
COMMENTS. DIANA TO MAKE HIS
DEPARTMENT OF FINANCE NO
COMMENTS AT THIS TIME L. A. O.
ANY COMMENTS. UP TO SAY AGAIN
THE WORK LOAD HERE SEEMS
JUSTIFIED AND WE DON'T HAVE ANY
CONCERNS WITH THIS PROPOSAL.
MISTER GRANT I DON'T KNOW THIS
PROGRAM EXISTS IN CALIFORNIA- SO
JUST FOR MY INFORMATION I HAVE A
COUPLE QUESTIONS FOR YOU- YOU
KNOW GIVE AND YOU KNOW YOU
MENTIONED YOU KNOW OF VETERANS
FALLS BE A FALLS UNDER FEDERAL
JURISDICTION YES SO WHO'S GOING
TO HAVE MORE JURISDICTION IN
STOPPAGE IN THIS PROGRAM THE
STATE OR- FEDS. SO WE'RE
FOLLOWING THE MODEL THAT WAS
CREATED BY FEDERAL VETERANS
AFFAIRS- CONDUCTED IN OTHER
STATES- WE'RE EXCITED TO BRING
IN THE END- WITH THIS LAST
LEGISLATIVE CYCLE- CSS WOULD BE
THE LEAD AGENCY AND WE WOULD-
PROVIDE- GENERAL OVERSIGHT IN
CONJUNCTION WITH- WITH VETERANS
AFFAIRS HOWEVER VETERANS AFFAIRS
WILL HAVE A ROLE IN- CASE
MANAGEMENT ONSITE CASE
MANAGEMENT ON A REGULAR BASIS
WITH- THOSE PARTICIPANTS IN THE
PROGRAM. SO IT'S A COLLABORATIVE
VENTURE GREAT VERY EXCITED ABOUT
THIS PROGRAM REALLY YEAH CAN
HELP A LOT OF OUR PEERS WE'RE
GOING TO HOLD THAT ITEM OPEN AND
MOVE ON TO ISSUE NUMBER TEN- IN
OUR LAST ISSUE ON SAFE USE OF
OUTER PLACE BASIS AS IT RELATES
. TO AB TWENTY EIGHT TWENTY
SEVEN. THANK YOU SO MUCH CHAIR
MANAGE OF OUR SENATOR WRAPPED
AND STAFF- THE AGENDA WAS VERY
THOROUGH AND SO THANK YOU FOR
THAT AS WELL. THIS POSITION WILL
HELP WITH THE REQUIREMENT THAT
CDSS REVISED OUR LICENSING
REGULATIONS. TO ALLOW CHILDREN
WITH EXCEPTIONAL NEEDS. TO USE
OUTDOOR PLAY SPACES
SIMULTANEOUSLY WITH NON DISABLED
CHILDREN. CURRENTLY YOU NEED TO
REQUEST A WAIVER AND THAT'S BEEN
AN ADMINISTRATIVE BARRIER AND SO
THIS WILL EFFECTIVELY REMOVE
THAT ADMINISTRATIVE BARRIER. THE
POSITION WILL ENGAGE
STAKEHOLDERS LICENSEES IN OUR
EXPERTS TO HELP US DEVELOP
REGULATIONS THAT. ARE CREATE THE
INCLUSIVE ENVIRONMENT WE WANT
FOR OUR CHILDREN AND STILL
MAINTAIN SAFETY. ANY QUESTIONS
ABOUT THIS POSITION OR THE
PROPOSAL. M. M. DEPARTMENT
FINANCE ANY COMMENTS. NO
COMMENTS THANKS LEONE COMMONS NO
CONCERNS WITH THIS PROPOSAL
THANK YOU. THIS IS A GREAT ITEM
TEN DONE RIGHT DEFINITELY FEEL
GOOD US SENATE A ROCK AND A
QUESTION. I'M WITHOUT WE'RE
GOING TO HOLD THE ITEM OPEN AND
BE DONE WITH B. C. PIEPER OF
PRESENTATIONS- THANK YOU SO
MUCH. THANK YOU. WE WILL NOW
MOVE ON TO ANYONE WANTING TO
PROVIDE PUBLIC COMMENT AS A
REMINDER TODAY'S PARTICIPANT
NUMBER IS. EIGHT SEVEN SEVEN.
TWO TWO SIX EIGHTY ONE SIXTY
THREE WITH AN ACCESS CODE OF
FOUR THREE NINE. EIGHTY THREE
EIGHTEEN BEFORE WE GO TO PHONE
WE'RE GOING TO BEGIN WITH WHEN
HE SAID WITNESSES HERE IN ROME.
TWELVE HUNDRED. HELLO TO ME
EITHER MADAM CHAIR MEMBERS BACK
AGAIN- THIS TIME I JUST WANT TO
PUT IN SOME SUPPORT FOR THE
PROPOSAL TO INCREASE ADMIN
FUNDING FOR I. HSS- WE ALSO
REPRESENT COUNTY WORKERS IN THIS
SPACE AND SO MAKING SURE THAT
THEY ARE ADEQUATELY FUNDED TO
CONTINUE THAT MINISTRATION OF
RIGHTEOUSNESS PROGRAM. IS SUPER
HELPFUL THANK YOU SO MUCH. GOOD
AFTERNOON WENT AWAY WITH WESTERN
CENTER ON LAW AND POVERTY PLEASE
STEP LIFT THE CALIFORNIA FOR SSI
COALITION'S BUDGET REQUEST WHICH
INCLUDES THREE COMPONENTS ALL OF
WHICH WE SUPPORT BUT WILL FOCUS
ON. THE NEED TO RAISE THE SIS II
GRANT 21100% OF THE FEDERAL
POVERTY LEVEL WE APPRECIATE THE
ADMINISTRATION AND LEGISLATURE'S
RECENT INVESTMENTS INCLUDING THE
GOVERNOR'S PROPOSED. INCREASE
GRANT INCREASE THAT MUST BE
PROTECTED AND BUILT UPON. SSI
RECIPIENTS. ARE NOW JUST
BEGINNING TO RECOVER FROM THE
TWO THOUSAND AND EIGHT CUTS AND
RISING COSTS THE BASIC
NECESSITIES LIKE FOOD UTILITIES
AND RENT. THEREFORE WE REQUEST
RAISING THE GRANT AMOUNT FROM
THE CURRENT 93% OF THE FEDERAL
POVERTY LEVEL 2100% THIS WOULD
REQUIRE AN EIGHTY ONE DOLLAR
INCREASE VERSUS THE NINETEEN
DOLLAR. ON THAT THE GOVERNOR
PROPOSED AND COULD BE DONE OVER
THREE YEARS I WOULD NOTE THAT
THE FEDERAL POVERTY LEVEL IS AN
ANTIQUATED AND INADEQUATE
MEASURE OF WHAT IT ACTUALLY
COSTS TO LIVE IN CALIFORNIA. SO
AT A MINIMUM THE STATE SHOULD
ENSURE THAT OUR SENIORS AND
PERSONS WITH DISABILITY DO NOT
FALL BELOW THE POVERTY LINE. I
WOULD ALSO LIKE TO SUPPORT A
CHIRLA IMMIGRANT AGING WITH
DIGNITY PROPOSAL WHICH WOULD
EXPAND CAPPY TO ALL IMMIGRANTS
THANK YOU THANK YOU SO MUCH.
THANK HI JERRY MA'AM JABBAR IN
MEMBERS MY NAME IS GABBY
DAVIDSON POLICY ADVOCATE WITH
THE CALIFORNIA ASSOCIATION OF
FOOD BANKS AND A MEMBER OF THE
CALIFORNIA FOR SSI COALITION. I
AM HERE TO DISCUSS THE BUDGET
REQUEST REGARDING SUPPLEMENTAL
AND TRANSITIONAL NUTRITION
BENEFITS. WE ARE THANKFUL FOR
CALIFORNIANS CALFRESH EXPANSION
FOR SSI RECIPIENTS AND THE STATE
PREVENTING HARM TO SPECIFIC
HOUSEHOLDS BY CREATING S. N. B.
N. T. N. B. CALFRESH
PARTICIPANTS RECEIVED AN
INCREASE IN BENEFITS IN TWENTY
TWENTY ONE. DUE TO THE THRIFTY
FOOD PLAN UPDATE NOW WE MUST
ENSURE THAT HOUSEHOLDS RECEIVING
SNB ANTEON BE RECEIVING
EQUIVALENT INCREASE IN BENEFITS
AND STREAMLINE PROCESSES TO
PREVENT FUTURE INEQUITY BETWEEN
SMB IN TEAM BE BENEFITS. AND THE
CALFRESH BENEFITS THEY'RE MEANT
TO REPLACE. CALIFORNIA MUST
REMAIN COMMITTED TO ENSURING
THAT SSI RECIPIENTS DO NOT
STRUGGLE WITH THE TOXIC STRESS
THE POVERTY. AND HUNGER BUT CAN
LIVE THEIR LIVES WITH DIGNITY
PEACE OF MIND AND NOURISHMENT
THANK YOU. THANK YOU. HI REBECCA
HI- HELLO MADAM CHAIR MEMBERS MY
NAME IS REBECCA GONZALEZ AND I
REPRESENT THE NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER I'M HERE TO
OUTLINE IT BUDGET REQUEST FROM
THE CALIFORNIANS FRANCIS I
COALITION. OR COALITION OF OVER
TWO HUNDRED GROUPS IS REQUESTING
THE LEGISLATURE TO REINSTATE THE
SPECIAL CIRCUMSTANCES PROGRAM
FOR SSI RECIPIENTS WHICH EXISTED
FROM NINETEEN SEVENTY THREE TO
NINETEEN NINETY TWO. AND WAS
REVIVED IN NINETEEN NINETY EIGHT
SINCE PEOPLE ON SSI ARE NOT
ALLOWED TO HAVE MORE THAN TWO
THOUSAND DOLLARS IN SAVINGS IT
MAKES IT DIFFICULT FOR THEM WHEN
SPECIAL CIRCUMSTANCES ARISE.
THIS PROGRAM COULD SUPPORT SSI
RECIPIENTS WITH EMERGENCY
EXPENSES ESPECIALLY THOSE THAT
COULD RESULT IN HUNGER OR
HOMELESSNESS BY FUNDING THE
PURCHASE REPAIR AND REPLACEMENT
OF ESSENTIAL HOUSEHOLD FURNITURE
AND EQUIPMENT. SUCH AS
REFRIGERATORS AND STOVES UNMET
SHELTER NEEDS NECESSARY MOVING
EXPENSES REQUIRED HOUSING
REPAIRS AND CLOTHING SUBJECT TO
LIMIT SEPT BY THE DEPARTMENT. IN
THE PROTECT OUR PROGRESS BUDGET
PLAN PUT OUT BY THE STATE SENATE
THERE WAS A MANDATE TO DEVELOP
OPTIONS FOR MAKING MORE PROGRESS
ONCE THE ECONOMY REBOUNDS THE
SPECIAL CIRCUMSTANCES PROGRAM IS
A WORTHY PROGRAM TO REVIVE. AND
WE ESTIMATE THAT TEN MILLION AND
THE NATIONAL FUNDING WOULD BE
REQUIRED TO RESTART THE PROGRAM
ADMINISTRATIVELY AND BEGAN
FUNDING SERVICES. CALIFORNIANS
MUST REMAIN COMMITTED TO
ENSURING SS I RECIPIENTS HAVE
THE ECONOMIC SECURITY TO LIVE IN
SAFE ENVIRONMENTS NOW IS THE
TIME TO CONTINUE THE WORK AND
BRING US A NEW INCLUSIVE NORMAL
THAT PROVIDES DIGNITY FOR ALL
THANK YOU. THANK YOU. GOOD
AFTERNOON MADAM CHAIR SENATOR
ROTH YES MEAN COLLIDE WITH
JUSTICE IN AGING UNDER THE
DEPARTMENT OF AGING ISSUE FIVE
HOME AND COMMUNITY BASED
SERVICES. CALIFORNIA'S H. C. B.
S. SPENDING PLAN HAS THE
POTENTIAL TO MAKE INVESTMENTS IN
CALIFORNIA'S HOME AND COMMUNITY
BASED SERVICES WITH TWO IN FIVE
OLDER CALIFORNIANS. WHO REPORT
NEEDING HELP AT HOME ARE EITHER
RECEIVING NO HELP OR NOT ENOUGH
AND BLACK OLDER ADULTS REPORT
THE HIGHEST LEVEL OF UNMET
NEEDS. H. C. B. S. INVESTMENTS
THROUGH THE SPENDING PLAN CAN BE
USED TO INCREASE ACCESS TO
SERVICES AN INTEGRATED COMMUNITY
SETTINGS AND CARE OPTIONS FOR
OLDER ADULTS AND ADULTS WITH
DISABILITIES. WE WOULD ENCOURAGE
THE LEGISLATURE TO CONTINUE
SEEKING OPPORTUNITIES TO FURTHER
INVEST IN THE STATE'S H. CBS
SYSTEM BEYOND THE SCHEDULE THE
SCHEDULED SPEND DOWN. UNDER TO
THE DEPARTMENT OF SOCIAL
SERVICES ISSUE. ISSUE ONE I HSS
WE SUPPORT THE MEDICAID
EXPANSION TO UNDOCUMENTED ADULTS
OVER AGE FIFTY AND THE
GOVERNOR'S INCREASED BUDGET
ALLOCATION PROVIDING I. HSS
FUNDING FOR THIS POPULATION. WE
ALSO ALSO SUPPORT THE CREATION
OF THE I. HSS BACKUP PROVIDER
SYSTEM WHICH MAY BE NECESSARY
FOR THE HEALTH AND SAFETY OF HSS
RECIPIENTS EXPERIENCING
DISRUPTION IN THEIR CARE. WE
ALSO BELIEVE THAT THERE SHOULD
BE OVERSIGHT AND MONITORING OF
THE SYSTEM IN ORDER TO ENSURE
PEOPLE ARE ACTUALLY ENROLLING
AND ACCESSING THIS BACKUP
SYSTEM. UNDER ISSUE THREE SS I
SS P. LIKE MY COLLEAGUES BEFORE
WE SUPPORT THE CALIFORNIANS FOR
SSI COALITION'S PROPOSAL TO
PROTECT THE INCREASES TO THE SS
I SS P. GRANT SET IN THE JANUARY
PROPOSED BUDGET. AND CONTINUING
TO INVEST IN THEM TO BRING
INDIVIDUALS UP TO THE FEDERAL
POVERTY LEVEL REVIVING THE
SPECIAL CIRCUMSTANCES PROGRAM
AND UPDATING S. AND B. AND T. N.
B. ALLOTMENTS TO HAVE THEIR
PARITY WITH CALFRESH. INVESTING
SSI IS VITAL TO ENSURING THE
STATE'S LOW INCOME OLDER ADULTS
AND PEOPLE WITH DISABILITIES
REMAIN HOUSED AND HEALTHY.
CHALLENGES IN ACCESSING SUPPORT
AND SOCIAL SAFETY NET PROGRAMS
FOR OLDER ADULTS AND IT ADEQUATE
BENEFIT AMOUNTS ARE DRIVING
FACTORS IN INCREASING OLDER
ADULT HOMELESSNESS IN THE STATE.
ENSURING THAT AN SSI BENEFIT CAN
MEET THEIR BASIC NEEDS CAN
DIRECTLY MITIGATE THIS ISSUE.
UNDER ISSUE FOR A PS WE
APPRECIATE THAT THE GOVERNOR AND
LEGISLATURES PRIOR INVESTMENT IN
THE APS TRAINING PROGRAM TO
ENSURE THAT THE APS WORKFORCE.
REMAINS PREPARED TO MEET THE-
NEEDS OF CALIFORNIA'S GROWING
AGING AND DISABLED POPULATIONS.
AND FINALLY UNDER ISSUE NINE THE
VETERANS FOSTER HOME SUPPORT
SUPPORT THE DEPARTMENT'S
INVESTMENT AND IMPLEMENTATION IN
THIS PROGRAM THANK YOU THANK YOU
SO MUCH. GOOD AFTERNOON ERIN
WE'VE I REPRESENT IN THE
CALIFORNIA ASSISTED LIVING
ASSOCIATION- HERE IN STRONG
SUPPORT FOR DSS SAYS IBCP
REGARDING GUARDIAN. AND VERY
STRONG SUPPORT FOR THE ADVOCATES
PROPOSAL FOR TWELVE LIMITED TERM
POSITION THANK YOU. THANK YOU.
GOOD AFTERNOON MADAM CHAIRMAN
SENATOR ROTH I'M ROXY AND GOLD
REPRESENTING SIXPENCE IS AN
ASSOCIATION OF RESIDENTIAL CARE
FACILITIES FOR THE ELDERLY AND
DEVELOPMENTALLY DISABLED SIX
BEDS OR FEWER THEIR SMALL FAMILY
TYPE SETTINGS. BASICALLY A ME TO
DO IT MOSTLY I SAID WE SUPPORT
WHAT THE DEPARTMENT IS DOING IT
WITH REGARD TO GUARDIAN WE
STRONGLY SUPPORT WITH MR MINDY
PROPOSED IN TERMS OF HAVING
SUPPLEMENTAL STAFF. TO HELP WITH
GETTING SOME OF THE BACKLOG
TAKEN CARE OF WHILE THAT PROCESS
IN PLACE THANK YOU THANK YOU FOR
. GOOD AFTERNOON CHEN MEMBERS.
ARE AND SENATOR ACTUALLY- ADRIN
MOHAMMED WITH THE UNITED
DOMESTIC WORKERS- I JUST WANTED
TO QUICKLY- ALIGN MYSELF WITH
THE COMMENTS OF TIFFANY IN THE
PANEL- I WON'T BELABOR THE POINT
ON THE- CAREER PATHWAYS PROGRAM.
OBVIOUSLY SOMETHING THAT IS VERY
INTEGRAL THAT'S SOMETHING THAT'S
INCREDIBLY NECESSARY. AND IT'S
SOMETHING THAT IS GOING TO HELP
US SUSTAIN AND CONTINUE TO GROW
OUR WORKFORCE SPECIFICALLY IN
THE SPACE AND- I DON'T NEED TO
TELL YOU ALL HOW INTIMATE ABOUT
JOB THIS IS- AND HOW. IT I
BELIEVE THE DIRECTOR OF DSS TOLD
US HOW EXCITED THESE NUMBERS ARE
RIGHT HAVING A HUNDRED THOUSAND
HITS PER EACH MESSAGES QUITE THE
NUMBER RIGHT- SO WE ARE-
EARNESTLY ASKING AN ABSOLUTELY
HERE TO HELP IN ANY WAY
POSSIBLE. BUT WE BELIEVE THE
EXTENSION OF THIS PATHWAY IS AB
SORRY THE PATHWAY PROGRAM IS
INCREDIBLY. IT'S NECESSARY IT'S
IMPERATIVE THAT WE DO THIS AND
ALLOW THE PROGRAM THE TIME THAT
IT NEEDS TO ACTUALLY- CREATE
THIS GROWTH RIGHT FOR PEOPLE TO
REALLY GET IN AND UTILIZE THE
SERVICES AND- IF WE CUT IT OFF.
PREMATURELY IT'S ONLY GOING TO
FURTHER HAMPER OUR WORK FORCE
AND- WE'RE STILL APPROACHING
THIS CARE CLEF RIGHT SO.
EVERYTHING THAT WE CAN DO TO
FURTHER IN FRANCHISE AND SUPPORT
OUR I JUST AS PROVIDERS IS- ONLY
TO THE BENEFIT OF CALIFORNIANS
AT LARGE. COM THANK YOU THANK
YOU SO MUCH. GOOD AFTERNOON. AS
SENATOR CHAIR SENATOR MY NAME IS
RITA MEDINA I AM THE DEPUTY
DIRECTOR OF POLICY AND ADVOCACY
AT COALITION FOR HUMANE
IMMIGRANT RIGHTS CHEERED LAST.
SHE BEING ABLE TO SHARE SOME
COMMENTS TODAY I WILL AS CHIRLA
WE HAVE SUPPORTED EXPANSION OF
MEDICARE ALL TO OLDER ADULTS
FIFTY PLUS WERE ALSO IN SUPPORT
OF. FOOD FOR ALL FOR THE FIFTY
FIVE AND OVER POPULATION AND
WE'RE GLAD TO. BE HERE TODAY FOR
THE CONVERSATION AROUND THE
MASTER PLAN ON EIGHTEEN- TO
REALLY LISTEN TO THE FOCUS
POINTS ON OUR IMMIGRANT
POPULATION BUT THE FACT STILL
REMAINS THAT THERE ARE STILL
QUITE A FEW- OPPORTUNITIES AND
PROGRAMS THAT UNDOCUMENTED
IMMIGRANTS IN PARTICULAR. ARE
LEFT OUT OF- WHEN WE THINK ABOUT
WHAT IT MEANS TO BE AGING AND
UNDOCUMENTED IN CALIFORNIA IN
TWENTY NINETEEN SNAPSHOT OF
NUMBERS FROM THE AMERICAN
COMMUNITY SURVEY. ESTIMATED
THERE WERE NEARLY SEVENTEEN
THOUSAND INDIVIDUAL SIXTY FIVE
AND OVER IN THE STATE OF
CALIFORNIA WE'RE HOME TO THE
LARGEST POPULATION OF
UNDOCUMENTED SENIORS- SO WHAT
THIS MEANS FOR US IS HOW DO WE
FIND PATHWAYS FOR OUR COMMUNITY
TO AGE WITH DIGNITY. FOR SOME
PEOPLE THEY'VE BEEN LIVING IN
THIS COUNTRY FOR DECADES THERE'S
NO ACCESS TO RETIREMENT DESPITE
HAVING WORKED IN- THE STATE IN
THIS COUNTRY AND ONE OF THE WAYS
THAT WE SEE AS A FIRST STEP
FORWARD- THAT WE'RE HOPING TO
BRING TO YOUR ATTENTION FOR
SUPPORT. IS THE EXPANSION OF THE
CASH ASSISTANCE PROGRAM FOR
IMMIGRANTS CAPPY- OPENING THIS
PROGRAM UP FOR OUR MOST
VULNERABLE SENIORS SIXTY FIVE
AND OVER- OR THOSE WHO ARE
DISABLED SO THAT THEY CAN HAVE A
CHANCE TO ACCESS BENEFITS THAT
THEY'RE ESSENTIALLY PAYING INTO-
IN ADDITION TO THIS THAT WE HOPE
THAT WE WILL SEE MORE FROM THE
MASTER PLAN. ON EIGHTEEN TO
INCLUDE NOT JUST THE MENTION OF
IMMIGRANTS BUT SPECIFICALLY
UNDOCUMENTED IMMIGRANTS THIS
INCLUDES IN- IN PLACES LIKE
HOUSING PROGRAMS MAKING SURE
THAT THEY HAVE ACCESS TO NEEDED.
HOUSING SUPPORT- IN ADDITION TO
ALL THE OTHER IMPORTANT PIECES
AB LIKE RETIREMENT AND WHAT IT
MEANS TO EACH WITH DIGNITY. AND
WITH THAT CLOSE THANK YOU THANK
YOU SO MUCH READING. ADAM CHAIR
SENATOR ROTH PETER CALLOUSED ON
BEHALF OF THE CALIFORNIA
ASSOCIATION FOR HEALTH SERVICES
AT HOME. TRIPLETS HOME HEALTH
HOME CARE AND HOSPICE PROVIDERS.
WE'RE HERE IN SUPPORT OF THE
COALITION PROPOSAL TO ADD TWELVE
SUPPLEMENTAL PRINCE POSITIONS.
TO EXPEDITE BACKGROUND CHECKS
THANK YOU THANK YOU SO MUCH.
FURTHERMORE COPELAND MEMBER THE
CA PRESS THAT COALITION AND
SACRAMENTO HOMELESS OR DELAYED
COMMITTEE. WELL ABOVE. WHAT WE
NEED TO RAISE THEIR FOR FLACCO
MOUNT TO LEAST A BETTER POVERTY
LEVEL. BECAUSE OF PEOPLE IN THIS
. ARE STRUGGLING PAY THE RENT.
BROUGH HOW. HEALTH CARE BECAUSE
- YOU. AND COULD YOU COME UP
WITH UP. SO MUCH SIR. SEE NO
MORE IN PERSON COMMENTS PUBLIC
COMMENTS MODERATOR IF YOU WOULD
PLEASE PUMP INDIVIDUALS WAITING
TO PROVIDE PUBLIC COMMENT WE
WILL BEGIN. THANK YOU. LADIES
AND GENTLEMEN OF THE PHONE LINES
IF YOU WISH TO MAKE PUBLIC
COMMENT ON TODAY'S CONFERENCE
PLEASE PRESS ONE FOLLOWED BY
ZERO ONE FILED BY ZERO AT THIS
TIME FOR PUBLIC COMMENT WILL
BEGIN TODAY WITH A LINE THIRTY
NINE PLEASE GO AHEAD. WHAT A
MODERATOR BEFORE TO GIVE ME A
TOTAL NUMBER OF PEOPLE WAITING
TO TESTIFY. AFTER THAT WE HAD.
RIGHT AROUND TEN OR ELEVEN THANK
YOU SO MUCH SIR LET'S GO AHEAD
YEAH. ONE THIRTY NINE YEAR OPEN
. THANK YOU MADAM CHAIR AND
SENATOR IN BREAKING RELATING H.
CALIFORNIA REPRESENTING
NONPROFIT PROVIDERS SERVING THE
BOOKING OF CARE FOR OLDER ADULTS
INCLUDING AFFORDABLE HOUSING.
RCSD FRANKLIN COMMUNITIES SO
THERE ARE THESE MEANING- I'M
HEALTH AND HOSPICE CARE REPORT
THE VEHICLE THAT YOU'RE PROPOSAL
TO SUPPORT THE CURRENT GUARDIANS
DEFENSE AND TO REPLACE THEM WITH
THE MARKET ONE. IN ADDITION WE
SUPPORT THE STAKEHOLDER. TO FIND
AN ADDITIONAL TWELVE LIMITED
TERM POSITION INDIA THANK.
WORKFORCE CHALLENGE IS THE
NUMBER ONE ISSUE OUR MEMBERS
RIGHT NOW ACROSS THE CONTINUUM
HOWEVER IN OUR SEE IF THE IF THE
DELAY IN BACKGROUND CHECKS IS
COMPOUNDING THE ISSUE. THE
PHYSICIAN FUNDING IN VITAL TO
GROWING THE WORKFORCE IN THE
COMMUNITY. THANK YOU THANK YOU.
ANNEX WILL GO LINE THIRTY FIVE
YOUR- I YES HELLO MY NAME KATIE
CRUEL. AND I AM ADMINISTRATOR OF
HIM FOR AND DOG CARE CENTER. FOR
AND FOREMOST LEGAL GERMAN WOULD
LIKE TO THANK YOU FOR THE BEACH
STREET. THIS PROGRAM. I COLLUDED
SIXTY ONE POINT MILLION. DOLLARS
FOR ONCE TO PAY CARE FOR THE
DETAILS CENTER. YEAH BOB A
PROGRAM SUCH AS BOXES. IN TWENTY
TWENTY TO BUDGET. SO WE ASK YOU
PLEASE PUT A THAT. THANK YOU.
ASCENTIAL HIGH IT WILL BE IN.
WITH COMPLEX AND BE HERE. HEALTH
NEEDS- AND- IT STAY TO STAY OUT
COMMUNITY AND ALL BECOME.
BECAUSE A MAJOR MAJOR WHO
NATION'S. WHICH RECORDED CREATE
A COUPLE OF KEY. THE WHO ARE
PEOPLE WHO HAVE THE BIG HERO
MENTAL HEALTH YEAR. ARE VERY
HIGH RES. SCHOOL. AND BEING
THERE ARE. HOMELESS BECAUSE THEY
BEHAVIOR SEVERAL HARD TO COME
UNLESS THEY ACCOUNT AND ALL THE
CALIFORNIA T. WHEN YOU'RE COULD
FOR. AND OTHER WHO ARE ARE. COOL
IT'S A LIMITATION.
NOT SURE IF IT'S WAS WEARING
GREAT HELP FROM THE SENIOR
CENTER THEY- MCCANN THEIR
INDEPENDENCE NOT END UP IN A
HOSPITAL OR NURSING HOME HOWEVER
WE WOULD LIKE TO HEAR. YOU THERE
PROGRAM FOR COULD BE AND CAN IN
THE SAN. OF ALLOWING MORE THAN
FROM PEOPLE BECAUSE THE UTILITY
. IN A WRITTEN REPLY BECAUSE
IT'S LOOKED JEFF SOUTH OF THE
PROGRAM'S IT'S ALL ON THE. YOU
LIKE IT ALLOWED PROGRAMS WILL IN
HELLO AND- THANK YOU OF IN
EUROPE SO WHO CANNOT ACCOUNT THE
CENTER FOR. GEARED OF TIME HUGE
HELP INDUSTRY WHICH IS. AND
ANOTHER PROBLEM AND RELATED TO
CALL THE ROLL IT'S A GREAT PLACE
WE ARE SUPER EXCITED T THE
CAN. PROVIDE TRAINING TO OUR
VERY CARE WORKFORCE. MEDDLING IN
THE- IN FILTER FONG FOR THE
FUNDING FOR A LITTLE BIT TERM
BECAUSE- DEFINING COULD FONG
MARCH FOR AND IT'S NOT YEAH
THREE LAND IN YOUR. TO IT FOR
WAR CANNONS OTHER.
THE NUMBER OF HOURS WE ARE
LOOKING FOR THE PHONE ROOM WOULD
BE OLD ARM. YOU THANK YOU THANK
YOU SO MUCH FOR YOUR TIME THANK
YOU. I FORTY TWO YOU ARE OPEN.
HELLO CHAIRWOMAN AND- NUMBER MY
NAME IS JUDY JACKSON. REPRESENTS
CALIFORNIA LINE YOU'RE AMERICAN
AND WOMEN REMEMBER CAL. FOR OUR
- BECAUSE I'M A SEVEN SAID. ZERO
THREE AT THAT ARE. I TO TRY
CATCH SIR THEIR AND- THANK YOU
ALLOWED NIGHT HAS CHOSEN SHIELD
P. D. AND HELP I. A LOT MORE
WORK. TO BE. HI ASIAWEEK GET
THEM ANGRY EXPECT AND- GRANT.
H. SIX COLOR. THANK YOU ONE
FORTY THREE PLEASE GO AHEAD.
HELLO DEAR MINIBAR AND MEMBERS
MANY DAN GONZALEZ ANIMAL POLICY
ADVOCATE WITH THE LOS ANGELES
LGBT CENTER AND A MEMBER OF THE
CALIFORNIANS PRACTICE I
COALITION. I'M CALLING IN
SUPPORT OF PROVIDING THE
SPECIFIC AND BROKE AND UPDATING
S. AND P. AND CAN BE APARTMENT
PROTECTING TO AS HIGH AS KERN.
JANUARY BY AND CONTINUE TO THE
PASSAGE BY MUCH AS KEY YA
INCREASE IN THE BY. WHAT ONE
MILLION TO HELP WITH ON S. YOU
MUST ISSUE IS IF YOU DO NOT GO
HUNGRY AND CAN LIVE WITH DIGNITY
INVESTING IN SF AND AS A BRING
YOUR UP TO THE FEDERAL LEVEL
THANK YOU. THANK NEXT CALLER.
ACTUALLY LOOK WE'LL GO TO OUR
LINE FORTY FOR YOU OPENED THEIR
FOUR PLEASE GO AHEAD. MY NAME IS
RANDY HIXSON NUMBER CALIFORNIA'S
JUST TO BUILD YOUR AND I HAD
SOME COMMENTS HERE ONE ABOUT
HOME. IF THAT THEY'RE TALKING OF
THE WHOLE ON THE PROGRAMS AT THE
ALKALINE BUT NOT USED TO HAPPY
VOEPEL WITH SACRAMENTO
CALIFORNIA AND I HAVE OF MINE HE
SAID YOU NEED TO MONTHS AGO. IN
THE SAME AS TO GET OUT. ROUTE
YOU KNOW NO CAN STAY IN A JOB
PROPOSED CAN'T IN A JOB WITH
THREE ONE RECOUP OR NOT IT SO I
TO CHANGE THAT BUT WE NEED TO
WORK WITH THIS AND COUNTY ISSUE
YOU GUYS TALK ABOUT THE- AND-
BUT THE PROBLEM BUDGET THE CITY
FROM THE COUNTY. ALWAYS BOB HOPE
AND FIVE TO STAY IS DOING. OF
THE BEING NATIVE BY OUT- WE NEED
TO RAISE THE AFTER I GUESS FEW
GRAY I'M IN THE SOCIETY HE- FOR
SHIPPING CAN'T THERE. ARE A DONE
TO PROTECT PUT THEIR AT THE
STATE AND SHE DIRECTOR TEACHING
THE- WELCOME ONE TO THREE
PANDEMIC- WE ARE BARELY GETTING
BY. NOW REALLY GETTING WORSE NOW
BECAUSE IN PLACE IS GOING UP
SOME SO IN YOU CAN DO TO THE TO
RAISE THE EXERCISES PEAK WOULD
BE. AND MY FINAL ONE IN OUT BACK
THAT YOU JUST OF CARE. YOU HAVE
TO GO COULD YOU TRACK CHECK THEY
DON'T GET PAID.
SO LIKE YOU DID THIRTY DAYS THEY
WOULD GET PAID SO I PROPOSE THAT
WE SHOULD LOOK INTO THANK YOU
VERY MUCH THANK YOU SO MUCH NEXT
NEXT COLOR. OUR NEXT COURT A
QUESTIONER IS FLYING FORTY
PLEASE GO AHEAD. I'M FORTY YOU
ARE OPEN CAN YEARS. LOOK. YOUR
LINE IS OPEN. THANK YOU GOOD
AFTERNOON THANK YOU CHAIR IN A
ROCKET COMMITTEE MEMBERS MONEY
MARKET AND YOU KNOW WHAT
CALIFORNIA. I THAT ATHLETIC
NAVIGATE IF YEAR'S BUDGET THAT
WE CONTINUE TO SAFEGUARD BOTH
PRINT. AND- THE NET AND
COMPLIMENTARY SYSTEM THAT
SERVICE PACK TO RESOURCE LIKE
YOU ONE WAY TO PROTECT OUR MOST
NOTABLE. I TWO ONE ACROSS
PROVIDE INDIVIDUALS ACROSS THE
STATE WITH NEXT ACTIVE AND OPEN
YOUR HEALTH RELATED SERVICES AND
PROGRAMS SUCH AS HOUSING RENTAL
ASSISTANCE ACCESS TO VACCINE
APPOINTMENT AND TRANSPORTATION
RECOGNITION. DELIVERY CRISTINA
AND MUCH MORE RESPECTFULLY URGES
COMMITTEE TO PROTECT AND SUPPORT
CRITICAL THAT'S THE OUTLINED
TODAY AN EXISTING FIGHT TO ONCE
AND FOR THAT WE MAXIMIZE THE
REACH OF THESE LIFE CHANGING
PROGRAMS WE HOPE THAT THE
COMMITTEE WILL LOOK AT. LIKE TO
INCLUDE THAT INVEST IN WHAT WE
WORKS BEST MEETING PEOPLE WHERE
ARE AND HELPING THEM SYSTEMS OF
CARE SUCCESS THANK YOU THANK YOU
SO MUCH MEXICO. WE WILL FOR ONE
YOUR OPEN. NEWS HERE AND WE
MEDIA FOR ONE WE CALL HERE A.
YOU HEAR ME NOW YES THANK YOU.
AFTER CHEERING COMMITTEE BEHALF
OF HELP. THE THREE BY ACCUSING
THE PROGRAM. OF ALL CARE FOR
ELDERLY ON DEPARTMENT OF ISSUE
ONE. WE HAVE BEEN TO WITH APART
ROLLOUT OF THE MASS PLAN KEEPING
THEIR PARTNERSHIP COMMUNITY
BASED- PLAY. THESE PROVIDE WHO
WERE TO KEEP LOW INCOME. FRAIL
ELDERLY CAL LIVING SO AND AT
HOME. WELL COPY INCORPORATES ALL
HELL FOR PEOPLE TO A OTHER. WE
CURRENTLY IN A WALL OF OVER
EIGHTEEN PEOPLE. COMPARED MANY
K. ADMITTED CAL WHO OVER THE AGE
FIFTY FIVE. EKWALL FOR OUR LOVE
OF CARE. C. H. UNDER HOW
DIFFERENT EATING SERVER LINK IT
BECAUSE TOGETHER. AND WE'RE
REALLY EXCITED TO REALIZE THE
NPA VISION TOGETHER WITH THEM
WHAT CAN I TELL FOR COMING HOME
AND COMMUNITY. BASED SERVICE GAP
ANALYSIS. ALSO WE ARE CITY IS
ROLLOUT OF THE RICK FROM FROM
LAST YEAR'S BUDGET. WHICH WILL
HELP BRING ALL CAL. BACK INTO.
MORE SAFELY IN A POST THAT MAKE
. HELP EMERGENCY WORLD THANK YOU
VERY MUCH THANK YOU SO MUCH NEXT
CALLER. EXCELLENT FORTY FIVE
PLEASE GO AHEAD. HELLO THURMOND
OF OUR AND MEMBERS MY NAME IS
BUSY NOW WITH JEWISH FAMILY
SERVICE LA AND A MEMBER OF THE
CALIFORNIANS PRESENT BY
COLLISION. I'M CALLING IN
SUPPORT OF REVIVING THE SPECIAL
CIRCUMSTANCES PROGRAM UPDATING
SNV AND CNV ELOPEMENT TO HAVE
PARITY WITH HOW FRESH.
PROTECTING THE INCREASES FASTER
I AT YOU GROUND THAT AND THE
JANUARY PROPOSAL AND CONTINUING
TO INVEST IN THEM TO BRING
INDIVIDUALS UP THE FEDERAL
POVERTY LEVEL. ONE IN SIX
SENIORS LIVE IN THE POT AND
POVERTY AND OLDER ADULTS ARE THE
FASTEST GROWING DEMOGRAPHICS OF
PEOPLE WHO EXPERIENCED
HOMELESSNESS. INVESTING IN OUR
SOCIETY IS VITAL TO ENSURING THE
STATE'S LOW INCOME OLDER ADULTS
AND PEOPLE WITH DISABILITIES
REMAIN. HOUSED AND HEALTHY THANK
YOU. THANK YOU SO NEXT COLOR. I
AM FIFTEEN PLEASE GO AHEAD.
THERE ARE GOOD AFTERNOON AND
THANK YOU SO VERY MUCH FOR THE
OPPORTUNITY CHAIRMAN BACK.
WRITING ABOUT THE BIG COMMITTEE
MY NAME IS DEBBIE TELLS AND I'M
THE PRESIDENT AND CEO TREATMENT
AGING. AND I HAVE SOMEBODY ELSE
GONNA CALLING TO TALK DIFFICULT
ABOUT OUR PROGRAMS AND HOW
THEY'RE IMPACTED UNDER THE
CALIFORNIA DEPARTMENT OF AGING
PEOPLE OF THAT HEARING BACK I
FELT COMPELLED TO CALL BECAUSE I
AM. SO IMPRESSED AND SO GRATEFUL
AND THANKFUL QUESTIONS DIALOGUE
THE COMMITTEE ARE INCREDIBLE AND
AS THE DAUGHTER AND MOTHER OF
VETERANS I WANT TO THANK YOU ALL
FOR YOUR SERVICE. I ALSO WANT TO
COMMENT ON THAT CALIFORNIA
DEPARTMENT OF AGING AND FIRST
AND FOREMOST TO NOTE THAT THE
LEADERSHIP AND STAFF AT CDA ARE
FAR NINE. COULDN'T BE MORE
THRILLED TO WATCH THE AGENCY
LEAD MASTER PLAN FOR AGING PROP
THAT GROWTH DEPARTMENTS NEAR THE
GROWTH IN OUR AGING POPULATION
AND PARTNER WITH THOSE OF US ON
THE GROUNDS WERE DELIVERING
COMMUNITY BATES HEALTH AND
SOCIAL SERVICES THE OLDER ADULT
AND ADULT. THAT WOULD BE EARNED
IDEAL THANK THAT AT THE- OF
HEALTH COME AND I. THINK WE GET
ON ONE. WE HAVE TO DIFFERENT
PROGRAMS THAT ARE FUNDED WE ARE
ONE OF THE ORIGINAL PILOT LIGHT
THE ULTIMATE CARE RESTART CENTER
. AND THE TIME FOR. REDUCE IT
DOWN TO A YEAR OF THEM. EFFORT
IS REALLY PROBLEM IN FINDING.
GAINFUL FUNDING FOR PROGRAM WE
CANNOT LET ALL THAT LEFT LEARNED
GO TO WASTE SO NEED THE- TIME IF
IT IS THAT I POSSIBLE CAN. THE
WORK IN THE NEXT YEAR TO ENSURE
THAT WE HAVE. STAINED FUNDING
FOR THAT PROGRAM AND I WILL LET
MY COLLEAGUES TALK ABOUT SOME OF
THE OTHER ISSUES THANK YOU SO
MUCH. FOR YOUR COMMITMENT TO
THIS WORK. THANK YOUR NEXT
CALLER. IT'S SOBRE LINE FORTY SO
YOU ARE. GOOD AFTERNOON MY NAME
IS CHRISTY FOR WHATEVER IT WITH
. AFTER AND MEMBER ORG. THAT
THAT CALIFORNIA'S ACCESS
COALITION. I'M CALLING IN
SUPPORT OF PROVIDE. FOR EXAMPLE
PROGRAM AT AT THE END CAN BE A
LOT THAT PARITY WITH. RIGHT BACK
INCREASE ACCESS I AM PEAK THAT
AND AGAIN YOU PROPOSED. AND
CONTINUE TO AND IN THEM TO BRING
A- AFTER FEDERAL. LEVEL ONE
POINT ONE NINE. CALIFORNIA RELY
ON AT THAT. WE MET ENSURE A
FIFTY DO NOT CALL HOW AND CAN
LIVE WITH DIGNITY I. IN AT BY P.
THANK YOU VERY MUCH. THANK YOU
NEXT COLOR. ONE SIXTEEN YEAR ARE
OPEN. GET OUT. CHAIRMAN OF OUR
MEMBER OF THE CAN FELLOW CAN
MEMBER MY NAME GLORIA BY. OF
DEVELOPMENT HERE AT CHOICE IN A
WORTH SEVENTY FOUR YEAR OLD NON.
PROVIDER OF LONG TERM IMPORTANCE
SERVICES AND ARE EXTREMELY
GRATEFUL TO BE AMONG THE
PROVIDERS AWARDED CAL GROWTH AND
CAL COMPASS FUNDING. DUE TO OUR
BEING THE ORIGINAL COHORT OF
ALZHEIMER'S DAY CARE RESOURCES
CENTER IN THE NINETEEN EIGHTIES
ENDING THE SIXTEEN LICENSE
PROVIDER OF ADULT DAY HEALTHCARE
IN CALIFORNIA. WE ARE DEFINITELY
WITH WORK FORCE ISSUES AND HAVE
WAIT LISTS FOR R. C. BAST. MSF
P. AND C. P. T. PROGRAM AND ARE
ASKING FOR YOUR SUPPORT IN THE
FOLLOWING AREAS. WE NEED TO
ENSURE THAT HE BASS BRIDGE TO
RECOVERY FUNDS ARE PROTECTED AND
DISTRIBUTED EXPEDITIOUSLY TO
PROVIDERS CAN HELP MAINTAIN OUR
PROGRAM INFRASTRUCTURE. WE HAVE
BEEN HIT WITH EVERY KIND OF
CHALLENGE TO KEEP OUR DOORS OPEN
AND HAVE BEEN RELYING ON THE
PROMISE OF THE SUN. WE NEED TO
HAVE FLEXIBILITY AND SUPPORT IN
FEEDBACK PROGRAM DELIVERY DUE TO
SAFETY PRECAUTIONS AND THE
CONTINUAL SPREAD OF CODE WHICH
FORCES PROGRAM SHUT DOWN. WHEN
NURSES KEITH GAP OR PARTICIPANT
HAS POSITIVE. WE MUST FIND A WAY
TO CREATE SUSTAINABILITY AND OUR
CAL COMPASS PROGRAM. AND TAKES
TIME ONE YEAR IS NOT ENOUGH TO
CREATE NEW FUNDING STREAMS TO
SUSTAIN THE WORK. IF IT IS
POSSIBLE TO EXTEND HER CMF
ALLOWANCES WE WOULD ASK YOU TO
PLEASE SUPPORT THIS. THIS IS
SIMILARLY TRUE WITH CAL GROW. WE
HAVE SO MUCH TO OFFER BUT NEED
THE TIME TO REALLY CREATE THE
BEST TRAINING AND OPPORTUNITIES
FOR ALL DIRECT WORKFORCE MEMBERS
. WE'RE THRILLED TO PARTNER WITH
CDA AND REALIZING THE MASTER
PLAN FOR AGING CREATING A
CALIFORNIA THAT IS TRULY FOR
ALL. AND DEEPLY APPRECIATE YOUR
LEADERSHIP AND ALSO THE NEED.
THE ADDITIONAL TIME IN
GUARANTEED INVESTMENT IN YOUR
SUPPORT TO CONTINUE OUR WORK IN
GUARANTEED SUSTAINABILITY. THANK
YOU FOR YOUR TIME AND YOUR
COMMITMENT TO THIS WORK. THANK
YOU NEXT COLOR. THANK YOU WILL
GIVE A FINAL REMINDER ONE FALL
BY ZERO IF YOU WOULD LIKE TO
COMMENT ON TODAY'S. HEARING AND
LINE NINETEEN YOU ARE OPEN
PLEASE GO AHEAD NINETEENTH. CAN
YOU HEAR ME. YES. I'M GONNA
HITCHCOCK EXECUTIVE DIRECTOR AND
CEO OF ONE ONE CALIFORNIA. AN
AGENCY THAT REPRESENTS ALL AND
B. TWO ONE ONE AND SERVICE
PROVIDERS. IN CALIFORNIA I'M
THINKING INTO FOUR AND- AN
EIGHTEEN PARENT BROWN GENERAL
FUND. AND WE SUPPORT EACH. NEXT
AND- THE ANYTHING THE COLOR.
PASS OR LOW AGENT PROGRAM.
FAMILY CARE GIVER SUPPORT.
REPORTS. YOU CAN. WELL WE- I
WANTED TO IN OF SUPPORT ON THE
BASIS.
NEED AN EXTRAORDINARY RANGE OF
HEALTH AND SOCIAL SERVICES. ONE
PROVIDERS ACROSS THE STATE HAVE
CREWS WORKING WITH HEART RATE IN
HERE HE CONTINUED CARE IN
COORDINATION WITH. THE PROVIDE
DIRECTOR INCLUDING ROLLING. AND
THEN AND MUCH MORE BERMAN HARPER
ASKS THE COMMITTEE TO CAN.
SUPPORT IN ALL OF THESE COULD
RESOURCES AND I'VE HE REMEMBERS
THE IMPORTANT OF THE KEY
INFRASTRUCTURE THAT. THE
FOURTEENTH. INCLUDING THE ONE IN
AND NETWORK TO PROVIDE. ONE ALL
FISHING DURING- COMMITTEE.
CRITICAL RESOURCE I THANK GOD HE
CAN. FOR
ANOTHER FAMILY THINKING PROGRAMS
AND FAMILY CAN COUNTY TWO ONE
ONE SERVICE PROVIDER FOR THE SAN
JOAQUIN COUNTY UNTIL ONE SOLE
PURPOSE IS TO IMPROVE ACCESS TO
HELP TWO MEN AND DISASTER
RECOVERY DISASTER RECOVERY
SERVICES WE HOPE YOU ALL THAT
INTO ONE ONE TO PROTECT OUR MOST
VULNERABLE COMMUNITIES. WILL NOT
CONNECT AN INDIVIDUAL TO THE
SERVICES THEY NEED. I SERVICE IS
WHEN THEY NEED THEM SUCH A IN
UTAH OF THE DURING AND THAT
IMAGE OF THE COLORS TWO ONE ONE
I'M LOOKING COUNTY WERE SENIORS
ARE CONNECTED TO A SENSE OF
COMMUNITY AND HEALTH. REPORT AND
BOTH MENTIONED. I REQUEST
LEADERS COMMITTEE TO PROTECT AND
SUPPORT CRITICAL INVESTMENTS IN
SYSTEMS LIKE TWO ONE ONE THE
FUNDING TO ENSURE WE MAXIMISE
THE REACH OF LIFE CHANGING
PROGRAM. OFFERED BY THE
DEPARTMENT OF SOCIAL SERVICES.
THE COMMITTEE ONE THINGS TWO ONE
ONE. HELLO DECISION TO SUPPORT
THE ONE ON WHILE OUR- TO
CONTINUE FROM FUND AND PREVENT
AND CENTER FROM THE HOMELESS AND
HOPE WHO ARE HOMELESS. AT THE
SERVICES THAT THEY NEED. ON THE
WALL TO ANSWER TO ONE YOU'RE
FIRST AND- RESIDENTS AND
FLOODING READ STORM DAMAGE AND
WHY. THANK YOU FOR YOUR CAN
SERVICE AND LEADERSHIP THESE
CURRENT ISSUE. THANK YOUR NEXT
CALLER. I'M THIRTY TO PLEASE GO
AHEAD. I AM. THIRTY TWO. ON
MARCH TRYLINE THIRTY TWO. C.
HELLO. PLEASE GO AHEAD. HI AM
AUTUMN MCCURRY LEGISLATIVE
MANAGER AT CALIFORNIA COUNCIL
COMMUNITY BEHAVIORAL HEALTH
AGENCY PBJ. OUR MEMBERS PROVIDE
BEHAVIORAL HEALTH SERVICES TO
ALL POPULATIONS ACROSS THE STATE
INCLUDING OLDER ADULTS. WHAT
COMIC MECHANISM IN THE BAR AND
GARY'S PANELISTS AND ARE
COMMITTED TO PARTNERING THE
DEPARTMENT OF SISTERS DIDN'T
ALLOWED ORGANIZATIONS AND SURE.
YOUR HELP OLDER ADULTS REMAIN
THE PRIORITY THANK YOU VERY MUCH
. FOR EVERYTHING. THANK YOU NEXT
COLOR. MET MADAM CHAIR HAVE X.
THE QUEUE TO SEE NO MORE BECAUSE
I'M PUBLIC COMMENTS- AND NO
FURTHER QUESTIONS FROM MY
COLLEAGUE MYSELF. THANK YOU FOR
EVERYONE WHO STAYED IN FOR THE
PATIENTS UP FOR A LITTLE OVER
FIVE HOURS COMMITTEE HEARING
TODAY- IF YOU WERE UNABLE TO
TESTIFY AS A REMINDER YOU CAN
STILL DO SO I THROUGH WRITING TO
THE BUDGET AND FISCAL REVIEW
COMMITTEE OR VISIT OUR WEBSITE.
AGAIN THANK YOU FOR YOUR
PARTICIPATION- WE HAVE CONCLUDED
THE AGENDA FOR TODAY'S HEARING.
NICE HERE THANK YOU THANK YOU.