. >> chair mar: we're live? good morning. we'll come to order. welcome to the thursday, january 27, 2022 meeting of the public safety and neighborhood services committee. i'm gordon mar, the chair of this committee, and i'm joined by supervisors catherine stefani and matt haney. madam clerk, do you have any

announcements? >> clerk: yes. comments and opportunities to speak during public comment period are available via phone by calling 415-655-0001. again, 415-655-0001. the meeting i.d. is 2481-775-8861, then press pound and then press pound again. when connected, you will hear the meeting discussion but will be in listening mode only. when you hear the item called you want to comment on, press star, nine. best practices are to speak slowly and clearly and turn down your television or radio.

alternatively, you may submit written comments to alisa.somero@sfg.org or you can sent your written comments to city hall, room 204, carlton b. goodlett place, san francisco, california, 94102. finally, items on today's agenda are expected to appear on the board of supervisors agenda of february 8, 2022 unless otherwise stated. mr. chair? >> chair mar: thank you. i'm going to call item 2 out of order at the request of the district attorney.

madam clerk? >> clerk: yes. item 2 is an ordinance amending the administrative code to require the police department and the district attorney to submit quarterly reports to the board of supervisors, the mayor, and various city departments regarding the number of cases of domestic violence and cases involving certain types of abuse against minors, and to require the district attorney to submit quarterly reports to the board of supervisors, the mayor, and various city departments. members of the public who wish to submit public comment press star, three to enter the queue, and wait until the system indicates you have been unmuted before you begin your comments. mr. chair? >> chair mar: yes. this item was continued from

the last meeting because there were amendments, and the amendments were substantive. supervisor stefani, as the original sponsor of the item, do you have any other remarks? >> supervisor stefani: thank you, chair mar. i believe we've accommodated this item several times on our calendar, and i believe we need to just take a vote at this time. >> chair mar: madam clerk, why don't we take public comment on this item? >> clerk: yes, mr. chair. d.t. is checking to see if there are any callers in the queue. for those wishing to speak on

this item, call 415-655-0001, enter the meeting i.d. 2481-715-8861, press pound and pound again. press star, three to enter the queue and wait until the system indicates you have been unmuted, and that will be the cue to begin your comments. operations, can we please have the first commenter? it appears we have no callers in the queue. >> chair mar: okay. public comment is closed. i want to move we send this item to the full board with a positive recommendation. madam clerk? >> clerk: yes. on the motion to recommend item number 2 to the full board with a positive recommendation [roll call]

>> clerk: there are three ayes. >> chair mar: thank you, madam clerk, and thanks again, miss sani, for being here and for your work. madam clerk, can you please call item 1? >> clerk: yes. i'd 1 is a hearing on the continuum of housing needs of the growing senior population and the city's strategies to comprehensively plan for and provide this housing across the spectrum, and requesting that the department of disability and aging services, planning department, and mayor's office of housing and community development, department of homelessness and supportive housing, and department of public health to report. members of the public who wish to comment should call 415-655-0001 and enter the meeting i.d. of 2481-775-8861.

press pound and pound again, and then press star, three to raise your hand. please wait until the system has been unmuted before you begin your comments. mr. chair? >> chair mar: thank you, madam clerk. colleagues, i called for this hearing to look at the first steps at how our city is going to meet our housing service needs. this hearing request and follow up work that i'm really committed to doing on this important issue comes from several different places for me that i just wanted to highlight. first, i think most of us are aware that the state of california recently created and

finalized a new master plan for aging, so it's a really important step forward on our state level how we can support our aging population comprehensively. and one of the key goals in the california master plan for aging is -- and it's really the first goal, i think, in the master plan, is housing for all ages and stages. so that was just released last year, and i've been reviewing that, and i've done a lot of thinking about the need to use this really important framework that the state has just created and really using the resources that the state has made available to plan and meet the needs of their aging

population. secondly, i've been working with the planning department over the past year on a community based planning process in district 4 call sunset forward, where we've been engaging with the neighborhood about this, and i'm really committed to prioritizing affordable housing for seniors and people with disabilities, particularly in the sunset district, but also citywide. and then, finally, on a personal level, my -- just in dealing with and supporting my mother as she was aging and really supporting her to meet her changing housing and service needs as her service

needs and dementia became more acute, myself and my family grappled a lot with housing and supportive service needs. my mother lived in sacramento and lived out her needs there, but she was able to move from the single-family home that we lived in for decades first to an independent living or active senior apartment building, and then moved to an assisted care facility and then to a care home facility all in the same neighborhood, and they were affordable, too, and these are all market rate facilities that she moved to, but they were all

still relatively affordable for a working class senior like her, and she could even move to a skilled nursing facility in our neighborhood if she needed that, so that also got me to be thinking about here in san francisco, and even in the sunset, how we're going to deal with our aging population. some of the goals from this hearing are to understand the future projection and demographic analysis of our older adult and people with

disability in san francisco, and then, also to understand the spectrum of housing needs of older adults and people with disabilities and really start to identify what the key gaps are in our city, and then, also, really hearing from the department on what their existing plans and planning processes are to address this important issue. so be for -- for the hearing today, i want to thank the five departments who worked with us and will be presenting. so that's the planning department, department of homelessness and supportive housing, the mayor's office of housing and community development, the department of public health, and the department of aging services, so looking forward to the

presentations. colleagues, i just wanted to see if you had any comments before we head into the presentations. okay, seeing no comments, i think we're going to go first to the planning department, and we have maya smalls, who's the community services and equity planning strategy manager for the department. maya. >> good morning, everyone. going to share my screen. hoping you can see presentation? >> chair mar: yes, we can see it. >> okay. great. hopefully i've got a slide show here. good morning, supervisors, and thank you for the opportunity to speak here. my name is maya small and i am the manager of the community

service division of the planning department, and i'm going to kick off the presentation. seniors makeup almost 16% of the population in san francisco, and this is expected to increase to 19% in 2030. about half of seniors are very low-income, compared to a quarter of san franciscans. senior renters, are very cost burdened, including 70% in lowest income groups. about half of those are disabilities are seniors, and we have about 70,000 households who are headed by or include someone with a disability who are disproportionately burdened by low-income and a higher rent burden. the majority of housing available for these populations

are privately finances with or without organized services. accessory dwelling units, which are rental units added to new or existing housing are available to family members or affordable scaled units, which are smaller housing units. cohousing and coliving, called group housing under the code, can be a solution of those with similar needs.

the planning department is currently completing the update to the housing element. it's first centered on racial and social equity, around housing services and health, including those in this participation. the pandemic has further emphasized the critical review between public and affordable housing. under current planning regulations, the department recognizes two specific definitions of note: senior housing, which is a residential

use, and residential care facility, defined as an institutional use. the senior housing definition includes design provisions, including on-site provisional units and a housing restriction. it can double the typical housing density in our residential neighborhoods. the state also allows for a double bonus under the state density housing program, but the two cannot be combined. often since those are both affordable, they often qualify for s.b. 95 or ministerial funding. as san francisco continues to face a housing affordability process, we know this

disproportionately affects several communities. we need to make sure we the housing we support will meet the needs of the city's diverse housing population, including life stages. policy 27, in the second draft of the housing element policies, just released two weeks ago and available on the planning department website and will be available at the planning commission this afternoon, focusing on supporting both housing types: affordable housing and aging in place. the proposed actions emphasize more permanently housing actions for seniors, protecting

residential care, and finding ways to make changes to existing residential homes. as noted previously by supervisor mar, we've piloted an affordable a.d.u. program. policy 27 does not stand-alone, and many policies include access for seniors and those are disabilities or context for them. for example, housing programs, programs for those who can afford to add units to their own homes, as well as closely integrating housing and services in neighborhoods.

the final housing element document will provide framework for specific groups or issues essentially creating a focus plan within it. thank you for your time today, and the chance to highlight on going work in the department to address these needs. i will hand off to the department of homelessness and supportive housing. >> good morning, chair mar, good morning, supervisors. this is emily cohen with the department of homelessness and supportive housing. my colleague is going to share our slides. >> good morning, all. i don't have access at the moment. >> clerk: who is trying to -- bryn? >> bryn, thank you. >> clerk: there you go. >> thank you for including h.s.h. in this important discussion today. housing for older adults experiencing homelessness is a

really important and growing need that we are seeing within the community of people experiencing homelessness. nationally, we are seeing that population over the age of 65 is one of the fastest growing cohorts of homeless nationally. while our homeless response systems has unique responses for full time youth, children with special needs, and adults, they have not been called out specifically, although we know they do have programatic needs, and as we go into our program needs this year, we anticipate

on having a much greater focus on this population. over 780 units are specifically designated for older adults, and that includes 143 units opening this year. one of our newest units includes specific units for older adults leaving homelessness behind, and we're really excited about the addition of these services. in addition to the project-based permit supportive housing that we operate, the department has also recently made 300 flexible housing

subsidy slots. these are rental vouchers -- vocally funded rental vouchers or subsidies, making these available for people 65 years of age or older, and, you know, we have -- while we do have a significant portfolio for housing for people experiencing homelessness, not all is designated for older adults. over the last two years, 45% of adults that we have placed in permanent supportive housing have been over the age of 55. we are focused also on

providing homelessness prevention for this population by developing partnerships with daas, really trying to target flexible financial assistance for adults at risk of becoming homeless. additionally, we've enhanced services to support tenants and clients in this age range, helping them to stay in place and age in place in their own housing. we are also working closely with the department of public health to enhance behavioral and physical health services through a new loading services model, and this program will specifically service tenants of

permanent -- serve tenants of permanent supportive housing with physical complex behavioral health needs. we also look forward to continuing to work with daas on annual reporting and making sure that the home owning response program is working going forward. thank you very much for your response, and i will hand it over to the next presenter. >> chair mar: i believe that's mohcd. >> this is sheela with mohcd, and i don't have share capacity. >> clerk: you should have it now. >> i have it now. good morning.

>> chair mar: good morning. >> there we go. so i'm sheela, and i want to start with just an overview of our housing strategies. creating permanent affordable housing, preserving affordable housing, improving access to affordable housing, promoting self-sufficiency for all, and promoting healthy housing in neighborhoods, senior housing, and all other projects and programs. so a quick snapshot of senior serve mohcd. there are more than 12,000 units, and of those, more than 10,000 are senior units. mohcd total housing portfolio now has 24,000 units. 58% of our portfolio of units are occupied by seniors and people with disabilities, only

34% are actually designated for these types of households. i want to go deeper into some of the programs. we offer a suite of programs for seniors in problematic areas, and these are a snapshot of some of the things we provide. there's coordinated entry with h.s.h. that prioritizes and matches people with housing opportunities. we provide rental housing and grantees that provide rental counseling citywide. there's self-help for the elderly, bayview-hunters point multipurpose senior services. our self-help for the elderly focuses on housing eviction and

housing strategy. under our home ownership and b.m.r. bucket, there's emergency home repair programs. these are emergency loans for unforeseen and costly repairs. there's hope -- home rehab loan programs, as well, to meet housing standards and remediate lead based paint hazards and to provide accessibility and modifications. these loans are for low-income homeowners who are unable to secure conventional financing. we want to highlight the dream keeper senior rehab program. it offers up to $50,000 in forgivable loan to make repairs to roofs, hvac, and accessibility loan improvements. the loan will be forgiven as long as the homeowner attends a state workshop, and mohcd is currently working with a partner agency to connect

people with licensed contractors. under our new development portfolio, mohcd is available to produce these units due to long time commitments in our pipeline to senior projects, evidenced by local subsidies, such as the local subsidy operating program and local senior subsidy. we were able to produce 510 permanently affordable units for seniors in 19-20, and we have almost 100 units in ten pipeline projects that will be coming. and you'd asked us to talk about some of the limitations that we have in being able to produce affordable housing, and there's two significant ones that we want to point out. one is that we've lost two significant federal funding sources. one is h.u.d. section 202

program which provided capital funding as well as housing to the very low-income elderly, and the other is the vouchers that the federal housing authority has been able to issue in recent years. at the state level, we are severely limited by cuts in two important funding sources. [indiscernible] in san francisco to be funded at all. and second, senior housing projects are ineligible for certain housing funding sources like housing stability and the cap-and-trade program. so looking ahead, as mentioned, we are expanding the home ownership program to the dream keeper program. we are expanding the senior operating subsidy program in partnership with daas, and lastly, mohcd will be committed to new construction of senior

housing and looking for new sites for units so that we're continuing to meet the needs. to support the goals of the department of homelessness and housing services, we are setting aside 20% of housing units in building units for seniors. lastly, we want to highlight our work with digital services

to understand how the design of our dahlia, san francisco housing portal, can be improved and allow seniors to more easily look at units and complete the housing application, so we work with them to make sure that that is there. that is it from mohcd, and we look forward to your questions. thank you. >> chair mar: thank you. who's up next? i think dph. yes. annette? >> yes. good morning, chair mar and members of the committee. are slides up? i'm not able to see. >> chair mar: yeah, we can see them. >> great, thank you, and thank you so much for the opportunity to participate in this important hearing this morning. i'm hallie [indiscernible], director of ambulatory care of

san francisco public healthnet work department of public health. i'm joined today by my colleague, louise calderon, special service project coordinator, who's available to answer questions after all the presentations. okay. this slide provides an overview of our department of public health services san francisco public healthnet work services. just as it's hard to say where we serve people experiencing homelessness in the department of public health, we provide care in all areas of integrated care. it's hard to show exactly where we serve adults in our system, but as shown in this summary slide, we take care of a large number of older adults in our hospitals and throughout all of our clinics and programs.

older adults are a large population we serve. they tend to have more visits, use our services more than younger adults and children, so whether you look at overall encounters or the number of people served, we take care of a large number of these san franciscans, and like all health systems, our programs are impacted by the growing number of older adults in our community and the aging population.

we take care of older adults in our system of care, and many programs are tailored to older adults who are particularly vulnerable. these are some of the specific programs throughout our clinics and hospitals which serve older adults specifically. please note also as i go

through this presentation, as i noted, that there isn't a standard definition of senior or older adult that is used consistently. some of our programs, especially those serving people experiencing homelessness, have a cutoff of over 55, for example, as the target population they serve. i want to call out specifically serve our programs at the san francisco general, which is a growing service at san francisco general. it served approximately 1800 patients over the last year, we also have partnerships with community organizations in the neighborhood that serve older adults. one that i'm particularly proud of is senior health services that runs our senior center

which provides services for 1200 older adults, many of which are living in supportive housing or experiencing homelessness. next slide, please. so again, to reiterate, behavioral health services serves older adults throughout our neighborhood. please note, for example, that across all our residential programs with behavioral health, for people with behavioral health needs, almost 50% of people served are older adults over the age of 60. one particular impact to know and which has been mentioned

before and is a major challenge that we're trying to address, particularly through mental health san francisco, san francisco's lost approximately 27 board and care facilities over the last five years, which provided 163 beds in total. 67 of those beds we lost were in our c.f.d.s or board and care specifically for older adults. next slide. we also wanted to highlight which the department of public health is.

we work with s.n.f.s, and with other senior housing sites to help bring covid related services directly to those sites in order to prevent covid transmission and keep people safe during the pandemic. in addition, as you can see on the slide, we provided medical and nursing and places to set up for people experiencing homelessness to shelter who were at risk of developing the virus if they were infected. so our work during the covid-19 pandemic has given us look, and

when we look to the future, it's how we'll be able to enhance our services for people with disabilities, people -- and older adults and others who face barriers when trying to access our brick-and-mortar services. next slide. so we have been working across public agencies and across public health divisions to address the gaps which you've heard about this morning. with an aging population and a growing number of older adults with significant medical, cognitive, and socioeconomic challenges, we are excited what we have planned, what we see on the horizon, some of which are

mentioned on this slide, but really making a dent in this issue of an aging population, many of whom have significant multifactor. should slide highlights the services to san francisco aging adult population. finally, we have budget to expand board and care homes by about 73 beds. we are actively looking for new board and care facilities, and we already know that that is a key investment that the city

needs to make in order to keep adults with behavioral health challenges safe and to enhance their well-being. we're also excited to expand health care services to people transitioning into new supportive housing; and we are looking forward to seeing new supportive housing units come on afford and partnering with the department of homelessness and supportive housing, making sure we support people in housing already and also as they transition into housing. we are also looking to implement an age friendly health system initiative, which will impact all of our

ambulatory care services, so training for people who service older adults, making sure that we have accommodations and that they can access the services when they look for our system. we also know that dementia care is a big issue for older adults, especially for the older people we serve in our system and those experiencing homelessness and in supportive housing, so looking to really expand our dementia care services and tailoring care to people who may be challenges to come into our clinics and hospitals but that we can serve in their homes in our street-based and clinical-based

services. so i think i'll stop there, and i'll pass it onto the next department to present, which is the department of aging and adult services. thank yo again for the opportunity to present this morning. >> good morning. >> chair mar: good morning. >> [indiscernible] may i please have screen sharing abilities? >> clerk: there you go. >> chair mar and supervisors, thank you so much for this opportunity. i'm kelley dearman. i'm the executive director of the department of disability and aging services, and i really thank you for taking some time to hear about everything that's going on. so next slide, please. so while ddas is not the

department that provides services, we do provide housing to older people and people with disabilities. we also bring policy and strategy to conversations about homelessness. we fund a variety of services that support housing for seniors and people are disabilities. there are three ways our department supports senior housing. we have two rental subsidy programs for older people and adults with disabilities. one program helps stabilize people at imminent risk of eviction if they're unable to pay rent. the other is providing assistance to people to pay their rent.

we serve about 430 people a year through these two locally funded programs. while these programs serve a relatively small number, they are very impactful for those served. we also service publicly managed housing cited managed by mohcd and veterans housing site. question know these are san franciscans who would have a really hard time staying in this city if they lost their affordable housing. finally, ddas provides serves serves -- services that helps people

stay in the community, providing financial goods and services that can help people stay in the community instead of in an institutional setting. d.a.s. also provides case management for benefits appeals, case management, immigration services, and much more. this offers older people and people with disabilities a bit of stability, but they don't necessarily provide a physical place to live. next slide, please. in terms of our challenges and limitations, we face several of them in addressing housing issues in our capacity as a social services agency, serving older adults and people with disabilities. our resources for addressing housing are really limited. our department's charge is social services, so our goal

here is around supportive services. as a city, we face a significant resource limitation. there is currently a finite limit of affordable housing, and we are struggling to build more. there is a significant need for affordable facility based care options that serve low-income people with high level of care needs. the shortage of affordable care centers such as assisted living facilities and skilled nursing homes is a major source of housing instability for low-income and moderate income people who need round-the-clock care. these facilities also face operational challenges just to keep their doors open, given the rising costs. through a coordination lens,

this is a resource that multiple departments draw on despite historically being a private pay service. coordinating assisted living doesn't live within any one department charge, yet there is an interdepartmental need for expanded capacity. finally, an on going challenge has been to work together as a coordinated system to keep addressing needs and new needs as they emerge. older adults access multiple systems that all have the power to impact their stability and housing. our departments and programs are big and have complex rules. while each department holds expertise in different parts of the universe, we don't necessarily have a holistic picture, and we don't have a streamlined system of information sharing, and it's important that we continue working together to understand each resource going into housing so we can improve cross departmental planning and

better serve the community. next slide, please. so in terms of our continued growth, d.a.s. has a continued practice of conducting regular strategic planning. one of these is our dignity planning funding cycle. we use this to identify service gaps and unmet needs every four years. based on the needs assessment, we develop a service and allocation fund to outline how the service will be used to meet needs. we are currently in the middle of a needs assessment, and we also maintain on going assessments, community needs, and continuous planning and evaluation efforts. we conduct regular data analysis and program evaluation to track our progress and

interdepartmental goals and understanding the impact of our services. and finally, we participate in advocacy and contribute to the broader state and federal conversations around large scale interventions and follows to support the expansion of senior services, which includes senior housing. for example, many aspects of the state's master plan on aging were based on san francisco programs that were modelled in the state plan. one of the key goals was the master plan that older adults are stably housed. next slide. so d.a.s. supports several on going cross departmental initiatives and efforts to work together multiple expertise to improve service provision and outcomes for older adults and adults with disabilities in san francisco. in addition to many of our other regular collaborative reports and assessments, i'm

just going to highlight two significant projects as of late. the first example of where we are participating in the broader conversation and collaborating with both the city and community stakeholders. it's the san francisco aging friendly stability initiative through which we staffed the group. we launched a three-year aging and disability friendly action plan which provided 24 recommendations. the a.d.f. implementation work group is working on developing the next action plan 2022 through 2025, to be license

number -- to be published in the spring, bringing together respective, diverse, and concerned community voices. the second -- in december 2020, the board of supervisors passed an ordinance that requires d.a.s. to bring -- provide new reports but bring in several departments to enhance senior community housing. we released the first report in october 2021 and are actively working on the needs report with our city partners for release in october 2022. it has already been an illuminating experience with input from d.p.h. and mohcd. both the a.d.f. and affordable housing report exemplifies some

of our larger scale housing efforts, creating an opportunity for community voice to inform our strategic planning. for example, the a.d.f. task force has held 16 community forums and the initiative task force includes both community members, task force members, and community partners. so i think i will stop there and take your questions. thank you again. >> chair mar: thank you so much, director dearman, and actuall to everyone for your presentations. and yeah, it's really -- very helpful to hear the overview to how the different departments are addressing the housing and service needs of our aging population and people with disabilities, and really helpful to kind of hear it all concisely together in one comprehensive presentation, so thanks so much. colleagues, i'd like to go to

public comment right now, because i know we have some community advocates who actually we've been working with on these issues in preparation for the hearing, as well, who wanted to share their remarks. so madam clerk, why don't we go to public comment. >> clerk: all right. mr. chair, operations is checking to see if there are any callers in the queue. for those who wish to speak on this item, call 415-655-0001, meeting i.d. 2481-775-8161, then press pound and pound again. once entered, please press star, three to enter the queue and wait until the system indicates you have been unmuted to begin your comments. it appears we have eight listening and four in the queue. mr. baltazar, if you could please put the first caller

through. >> eileen bocun with speak, commenting on our behalf. [indiscernible] i ask this because district 4 has the highest percentage of seniors. that being said, when the notice of funding availability went out for both 4200 geary and 2550 irving on the same [indiscernible], it would be logical to believe that the 2550 irving would be the senior housing project, but it wasn't. 4200 geary is the senior housing project. tndc was the sole bidder. not only on 2550 irving and 4200 geary but on 2550 stannion. i asked why that wasn't a senior housing project.

the person responded that they didn't want two senior housing facilities on the west side. he went onto state that 4200 geary would be a senior housing project, so 2550 geary would be the multifamily housing project. if supervisor fewer advocated for senior housing at 4200 geary, was 2550 irving not only an after thought but also a more challenging project to build? 2550 irving is a large project being shoe horned into a small site, a site which also has p.c.e. contamination issues. it has a high unit cost of almost $1 million per unit. it has a high land acquisition cost compared to 2100 sloat. thank you.

>> clerk: thank you, miss bocum, for joining us today. can we have the next caller today? >> yes, thank you very much. my name is john lang. i'm 75 years old. i'm a low-income senior. i've lived in an apartment for 20 years. my apartment is undervalued, so my landlord has motive to want me to leave the apartment. i've lost my employment. i worked in moscone center. i joined the covid-19 pandemic, and i was on unemployment. i had no more unemployment. i fell behind on the rent. i paid my rent up till october. i entered the state covid-19 rent relief program. rent relief is paying the rent very late. i feel that i am vulnerable to being evicted because of habitual paying rent rate lifted three times in the one year will soon be mine, and my landlord has a perhaps method

to evict me because i am not aware of any protections for people in my situation who have taken pandemic aid, and this actually could lead to my eviction not now but six months from now, seven months from now, so i'm asking for the board of supervisors to look at this issue to immunize people paying rent late because of the state program, and they should be immunized from being evicted under habitually paying rent late cause of action that is in the san francisco rent board ordinance. in addition, i want to say that dalia does not give me any opportunities -- i've been in the dalia and getting e-mails from them. my income is too low.

i can't meet the bar to get any of those low-income housing units despite the fact that i'm paying for rent than that now, so i think that that department and that program is a failure. and i also think -- am i done? >> clerk: yes, your time is expired. thank you for your comments. can we have the next caller, please? >> yeah. my name is francisco dacosta, and i heard very intently the presentations made by each presenter. the previous caller really described the problems of

seniors. let me give you some empirical data. we have a population of about 840,000, and as one of the presenters said, 16% are seniors. i would say 22% are seniors. now, when we have all these projects meant for seniors, as much as you enroll, like, say, dalia, you don't get in. the previous caller has explained to you, and i don't want to repeat that. the seniors who live in san francisco, most of them have

contributed to society, and they are on fixed income. so unless they get help, it's very, very difficult to pay the rent. they are very, very tired, and most of them are exhausted. >> clerk: that's your time. thank you for your comments. >> thank you. my name is ash lynn peterson. i supervise the access program at [indiscernible]. the vast majority of our clients make under 20% of the area median income, which

disqualifies them from most b.m.r.s listed on dahlia. the vast majority of our housing successes in the past year have depended on housing subsidies, however, that's a solution that relies on an accessible market that's also willing to accept tenants who have extremely low-income and very limited credit. thank you. >> clerk: thank you four your comments. may we have the next caller, please? >> good morning, supervisors. this is patrick monette shaw. as you'll see from the written testimony, clerk -- the committee clerk has posted today's jaent item.

mohcds published report -- agenda item. mohcd's publish report shows that 2015 inflates the number of housing units inflated by the bonds by adding on units that are receiving only predevelopment funding and not actual units that are produced. there's a lack of equity in bond funded senior housing production in all supervisorial

districts. only four districts -- d-1, d-3, d-7, and d-9 -- have received senior housing funding. i ask this board go back to the board of supervisors and ask about actual housing units versus predevelopment housing opportunities for production like that for the future from other funding sources so that we have a clear idea of what is actually being built. i note with interest that during mohcds presentation today they mentioned nothing about -- about the bonds. you should ask them why not. >> clerk: can we have the next caller, please?

>>. >> hello. my name is betty trainer, and i'm with senior and disability action, but i'm also speaking as a private person too, here. i'm reiterating what has been said by a few of the people that spoke before me. we need more housing for seniors and people with disabilities who have very low-income. i have sent people to the dahlia site or given them printed information, and they come back to me and say, we can't afford it. they require an income of 2,000 to $2500 a month, and they make less than 1,000 a month if they're only on social security. we also have people coming to senior and disability action with the same problem. they can't afford it, and i certainly agree with the prior

person, ashley, who said the 100% subsidizing is necessary, but we also have to look at all these senior housing buildings that we have, but people cannot afford them, so what can we do? we need more funding at all levels to build the housing that is available for everyone, not just those who have higher amounts of social security and pensions that they have gotten, because so many people do not have that type of income, so that's my main plea. please find solutions for this and find more money for subsidized housing, also. thank you so much. >> clerk: thank you for your comment. can we have the next caller, please. >> good morning, supervisors. this is annie chong from

self-help for the elderly. chairman gordon, thank you for shining light on this really important issue. self-help for the elderly, for the past 55 years, have really been addressing these issues. and unfortunately, even though we work so hard, i think betty and i have gone to many public hearings, talking about the needs of extremely low-income seniors, seniors that are making, as betty said, between 1,000 and 2,000 a month, not seniors that are making 60% of a.m.i., but 20 to 30% of a.m.i. so i'm here to support all of your work, but i hope that the presenters will shine light on exact numbers of housing that are built for extremely

low-income seniors and seniors with disabilities. please come back to the board of supervisors to ask them to find some financing mechanism to fund both subsidies for seniors with disabilities and persons with disabilities. as the presenter from city planning pointed out, however you look at the number, there's an extremely high number that is facing homelessness, and these are seniors who might be evicted because they could no longer afford to pay their rent or they could not find any affordable housing that meets income criteria. so i urge the supervisors to look at both affordable housing for extremely low-income seniors as well as residential care facilities for low-income seniors because right now those residential care beds are disappearing fast, and we need to keep our seniors in san francisco, not send them far away outside of san francisco.

we'll be working with you, and we'll be submitting more statements. >> clerk: we appreciate you being with us here today. may we have the next caller, please? >> hello. this is jessica layman with senior and disability action. thank you so much to supervisor mar for holding this hearing today. as you've heard loud and clear from other speakers and in the reports themselves, we desperately need deeply affordable housing for seniors and people with disabilities in san francisco; that what is called affordable is not affordable to the vast majority to seniors and people with disabilities in our city, and it's almost insultable to people trying to find housing. i'd really urge you all to look at these communities together because we have so much in common in terms of housing

challenges. we need more senior operating subsidies. it's been a wonderful program, very effective from anyone who's had anything to do with it, but we need to increase it dramatically, and we need some kind of disability operating subsidy program. we also need to make sure that people with stay where they are and get rental subsidy as needed. the portable rental subsidy for people with disabilities is very effective. we need more of these things, we need to fund them adequately. we need behavioral health services and other services that people can get wherever they are and not have to move to a facility, not have to get one of these hard to get permanent supportive housing spots. i would urge the city to push

the state and the federal levels to reinstate a lot of critical funding for vouchers and other senior and disability housing that has been lost. again, thank you. we look forward to working on this. the community sees what's missing, and we have creating amazing programs together that can meet this need. >> clerk: we have two callers left in the queue. mr. baltazar, if we could have the next caller, please. >> hi. good afternoon, everyone, or good morning. my to the supervisors. my name is ariel, and i am the supervisor at c.l.f., community living fund through the institutes on aging, and i'm really echoing what everybody else said. i think at this with the, we all know the issues that

seniors face, and there are times that seniors have to wait longer because there's nothing available. so i believe it's urgent that we begin to do something about this and not just keep collecting data. thank you, everyone. >> thank you for your comments. can we have the next caller, please. >> thank you very much for the opportunity to speak.

i'm margaret graf. [indiscernible] i have two points. i want to give you a personal story from one of them. they were a couple, they were elderly, they were homeless. they were actually sleeping on cots in the shelters. the gentleman part of that duo, had severe arthritis. he couldn't unbend himself enough to get a good night's sleep on those cots. they found housing, but while they could manage the first month's rent, they could not manage the first and lost month's rent. they were out of luck and still back sleeping on cots. the second i want to talk about is follow up on supervisor mar's comments about lack of

skilled nursing facilities for the elderly here in san francisco, and this is personal. my husband is alzheimer's disease, and as he progressed through it, the need for care became very obvious, but there were no beds, nothing that was affordable here in san francisco where we have lived over 50 years, and with no beds, no available housing for him, it would have meant having to leave san francisco, go out of the city to find a place for him. i ended up caring for him at home for six years as he progressed all the way through all of the stages. that isn't an option a lot of people can do, and surely, we can do better for our elderly. thank you. >> clerk: thank you for your

comments. can we have the next caller, please? >> hello. my name -- hello. can you hear me? >> clerk: yes, we can. please proceed. >> hello. my name is yessy [indiscernible], and i'm a housing coordinator with senior and disability action, and we need housing assistance. we have two people living on s.s.i., and people need more money for housing and to live and thrive, and we need more rental service, rentals and subsidies. and also affordability that is safe for people's income. thank you for having us.

>> clerk: thank you for your comments. mr. baltazar, do we have any other callers? >> operator: there's zero callers remaining in the queue. mr. chair? >> chair mar: thank you. i want to thank all of the callers that called in and shared your stories during public comment on these really important issues, and i do have a number of questions, but colleagues, i just wanted to see if any of you might have questions or remarks first? yep, supervisor stefani? great, well, i can kick it off. so -- well, first of all, i think the presentations and

also the comments that we heard from the callers really touch on so many important issues, and we can have a hearing on any of these matching issues. i'm going to keep my questions around the bigger questions, so my first questions are arpd how we're sort of quantity -- are around how we're quantifying the problem and solving the problem of housing for aging

people with disabilities. so i guess maybe my first question to the planning department is my -- i think in your presentation, you know, you showed some initial demographic data of older adults or seniors in san francisco, and i noticed there was a -- there was a discrepancy from some of the figures i've seen from d.a.s., and, like, for example, i think your figure of the senior population by 2030 was -- yeah, so i think d.a.s. had a figure of 16% by 2030, and you had a figure of 19%, so i wonder if you could just describe the

discrepancy. >> i was wondering if maybe it was kind of a different level of age cutoff? >> chair mar: sure, and do you have info on the number of people with disabilities in the city currently and what the trend has been around that population? >> well, i have the data. and it's around 87,000, which would be around 10%. >> chair mar: and then, using the senior and disability action number, what would that be? >> let me look up what the 16% of 870,000 would be.

i actually have a more complete projection. let me look in there. >> chair mar: a lot of callers focused on the growing senior population and data. do you have any population on unhoused seniors? >> yeah, so i'm looking at the information. 38,000 people would be over 55. and then, we have 48% of seniors are very low-income, or

is that just 27% of all residents of san francisco, so obviously, it's disproportionately high. >> chair mar: mm-hmm, yeah. got it. so roughly 40% of the 138,000 -- >> exactly, exactly. >> chair mar: yeah. and then, for the seniors of disabilities, the 87,000, do you have a number of what would be very low-income? >> let me see if i can find the number here. 75% of households headed by a person with a disability are low-income, so a fairly big chunk, but in terms of either extremely low or very, let's see, i don't have that, but i'm happy to follow up with that.

>> chair mar: mm-hmm. >> see if there's any other -- yeah, i don't have that broken-down further. i know we have it in the needs assessment, and if people want that, i'm happy to provide that. >> yeah, thanks for that. just a little bit more clarification of the data and the definition of the population that we're talking about here. i would have questions to the departments now about this, like, how you're -- you are sort of quantifying, you know, the problem or who -- in terms of the programs that you're offering for housing for

seniors. you know, i appreciate all the work that mohcd has been doing to create affordable housing for seniors, so i would just wonder if you can talk about how mohcd has a goal -- a quantifiable goal in terms of a number of housing units that are looking to be produced here in our city to meet the current and future needs of low-income seniors? did you say there's 898 units in the pipeline? there's ten projects over the next four years or two years?

that's all important, but i'm just wondering if mohcd has a goal of the number of units that need to be produced to meet the needs of senior populations now, and that's certainly going to be growing in the coming years. >> yes, we recognize that need for sure. so much in the way of what we're able to produce on-sites doesn't always align with our factors, but i have sit i can't here who can speak to that

more. >> my apologies, supervisors. would you mind restating the question? i was actually on another call at the moment. so sorry. >> chair mar: yes. we heard from sheela's presentation that mohcd has 898 units specifically designated for low-income seniors in the pipeline through 2029, and that's great, but my question is does mohcd have an actual goal in terms of housing for low-income seniors that need to be produced and a housing or strategy to meet that goal? >> so we do not have a specific target number for senior

housing developments. most of the sites that we look at come to us through development agreements or surplus lands and how many can be accommodated, so unfortunately, we don't have the luxury to be able to program the exact number of units. and we also have had, in the last year, and into the next couple of years, we're going to have challenges in sacramento having our project funded by bond allocation or tax credits

or what's going to be necessary to get these projects to construction. some [indiscernible] and it's going to guide some of the funding for sites going forward so we can be more competitive in funding. so we unfortunately are not going to be as descriptive as we would like in establishing goals for each of the

populations. >> chair mar: yeah, thampgz for that population. again, i really appreciate mohcd doing everything it can to identify sites and secure funding to help low-income seniors. it just seems to me that it would be important to actually be able to quantify what the need it, you know, and to have that as a goal and to have a real strategy and plan to create the housing that's needed for our most vulnerable there's roughly 138,000 in our city that are 65 or older, and 65% of those are low-income. and of those that are low-income and even moderate income, you know, would have trouble finding affordable housing in our city. >> certainly, supervisor. as you know, as well as anybody, the need for family -- we cannot make a dent in needs for family housing, homeless

housing, as there are many, many folks that we are trying to serve as evidenced by the many thousands of people that apply whenever new units are available. we feel what is possible in today's funding environment is possible for seniors, but it's going to be a struggle given the funding in sacramento and the lack of federal support, so we are left on our own in the city to backfill the funding and the cap cal funds that the feds used to provide.

>> chair mar: yeah, got it. well, thanks for that. and i had some other questions around -- or questions around more of the group -- sort of group housing that's needed for seniors who are unable to live independently in their homes, which i understand most folks prefer to do. i certainly understood that from my mom's situation, but at the same point, many seniors need more care that's not able to be provided living independently, so i think there's many -- yeah, and many highlighted, we've actually

seen a decline or a loss in these facilities or beds, so yeah, maybe just starting with rcfes, and i know there's -- maybe the d.p.h. presentation has done work to address the loss in board and care homes with prop c money. but i guess my question to -- i'm not sure to which department it would be is do we have a strategy and a plan to address the loss of existing residential care facilities for the elderly that are not connected to the behavioral health system and to expand beds and facilities and ensure that the care is high quality

because i know that in a lot of these facilities that are operated by private operators, that they have a very tight margin, so the care tends to suffer from that? director dearman? >> i can just -- thank you. i can just say that we anticipate that the california department of social services is going to issue an announcement probably in early february, soliciting applications for funding that can be utilized to purchase or renovate assistive living or residential care for the elderly, and our department is

prepared to respond with the goal of increasing the number of rcfe beds that are available to low-income adults through the expansion funding. depends on how much funding we get, but that is one point currently. >> chair mar, i'll just add that the department of public health and our team working to implement the department of public health legislation is very focused on expansion of and specifically to rcfes, the -- we have funding to expand to 73 new rcfe beds. and just to let you know that

there's a focus in that one for people who have behavioral health challenges because it's through mental health san francisco, so we are looking at new possibilities, new funding. it's very challenging, as you know. mental health san francisco, the bed expansion treatment program and other residential treatment programs that we are working to locate the fund to build, and we're opened about over 80 of those beds with more on the launching pad, but yeah,

the rcfe beds are a significant portion of those. >> chair mar: yeah, yeah, thanks for that important work -- or the update on that important work. would those new beds that are being created and that you described, you know, through mental health s.f. or the prop c funding be -- would -- would a senior with alzheimer's or dementia, could they be housed or supported there? i guess that would require -- yeah, i guess that's my question because i think there's a need -- i mean, i think there's a need for the rcfes for the behavioral health system, but how does that

intersect for the rcfes needed in the older adult and aging adult population? >> sure, that's a tremendous need that we see, including medical and cognitive challenges, as well. these beds, funded through mental health san francisco, are for people with behavioral health challenges, so somebody who only have cognitive decline or dementia, this isn't what these beds are for, but certainly agree that we need to expand our supportive housing options for people with cognitive decline dementia. >> chair mar: thank you. and i guess i have a similar

question for rcfes to my question around affordable housing for seniors -- low-income seniors, and do we have a -- like, a quantify -- have we quantified the need for r.f.e. -- rcfe beds in facilities and particularly for seniors maybe who -- and who don't necessarily qualify for the ones that you describe, the rcfes in facilities that you described as coming on-line through the behavioral health system? >> i think that's a great can he -- great question, supervisor mar. i'm also going to hope that my colleagues from planning and h.s.a. and mohcd can help with that. i think this is an area where we should be working across

city departments, doing some modelling so that we can anticipate what the needs are coming down the pike for people -- seniors and people with disabilities who -- who will need both assisted -- assisted living, so rcfe beds as well as supportive how's -- you know, supportive housing as well as bed supports while they're in with behavioral support challenges, as well. i think you're highlighting really something that we should be working across city departments to look at.

>> and chair mar, we just feel that the data is outdated, and right now, it's difficult to catch up on that particular issue. so that's on our radar and something that we're trying to prepare in our work program, something that we're trying to prepare for with a reduced work staffing capacity. >> chair mar: really appreciate this discussion, and i think to me it does highlight the need for more cross department cooperation and collaboration

and also the need to have -- and the owner put it on the market and is trying to sell it as a single-family home, but -- so that would be a loss. so i'd really like to see how we can work with the

department -- d.p.h. and maybe mohcd on preserving that board and care home and actually finding a nonprofit operator for it. so i think that just highlighted -- this highlights the need, i feel like, to have a clearer picture of what the need is and a clearer strategy to preserve and expand these other types.

i understand from the mohcd presentation, mohcd has different types of programs to support seniors, and then, we've been working with the planning department on supporting particularly senior homeowners to add accessory dwelling units and expand their homes to meet their changing needs but also to free up housing for new families. yeah, i guess my question is -- i guess my question is, well, i've been thinking about this. my home in the sunset, there are a lot of people moving out, people are living by themselves or couples, and there would be

interest in down sizing, and -- but there's few options for them to do it certainly in the sunset district and in the city, but to affordable, yeah, downsized option, and i'm just thinking, referring to my mom's situation, she moved out of a single-family home to an independent living or a market rate apartment, and it allowed her -- so that was a positive on that, as well. so i was just wondering if the planning department or any of the departments are looking at this -- this issue because it

would allow seniors to have their home for a new family. >> that's a great question. the housing element draft is really focused on -- it's one of the sort of backbone principles, kind of the sort of middle and western portions of the city, and a lot of lower density areas of the city, we have better access to services. we want to help people live in the places that they've lived for a long time, so in a situation where you might be overhoused, you want to have those housing choices, so we're looking at ways to diversefy that scale of housing by allowing for more units. we anticipate that to be an on going conversation. obviously, there are several

forms of legislation, even currently being proposed, that would allow for that. a.d.u.s are a great option in my opinion. my mom actually lives in an a.d.u., not in my house, but in another person's house, and it's a great option in your community. the goal is to diversefy and be a little bit more mobile. we end up with a lot of single-family housing and we end up with a lot of dense and mid scale high-rise housing, but to find that nice balance of the small multifamily housing, the market doesn't naturally produce that in some of these neighborhoods. that's what we're trying to

create and incentivize in the housing impact draft policy. >> chair mar: well, thanks, and yeah, looking forward to working with you and other the the -- others in the planning department on new strategies and really, with a lot of senior homeowners that i think could be supported to expand their homes to meet their needs and multigenerational families or down sizing, too, to other multifamily housing that we can create, and, yeah, thanks. you know, i'm going to leave it at that. i think -- >> clerk: mr. chair, there were a few callers that wanted to make public comment, trying to

get in, but were having issues. did you want to open up public comment? >> chair mar: yeah, why don't we reopen public comment. >> clerk: for those that have already called in 415-655-0001, and entered the meeting i.d. 2481-775-8861 and pressed pound and pound again, to get into the speaker line, you need to press star, three. when you hit star, three, you will hear a prompt that says that you have entered the queue. please wait to hear until you have been unmuted. we currently have two callers who are in the queue.

we may have a few other callers who are in the line -- in the queue to listen and are having trouble getting in line, so please press star, three to lineup to speak. mr. baltazar, could you please put forward the first caller? >> thank you very much. i made a previous comment. i wanted to ask a question of the supervisors -- >> clerk: i'm sorry. i'm so sorry. this is not a discussion or a questioning time -- question-and-answer time. if you've already provided your public comment, you've already used your time. if you would like to provide additional comments, you can go ahead and e-mail those to memory. it's

a-l-i-s-a-.-s-o-m-e-r-a@s-f-g.o -r-g. mr. baltazar, can we go ahead and have the next callers. hello, caller, are you there? hello, caller, this is your opportunity. they are muted, but it does appear to be a silent line. we are trying to provide them a few more opportunities. hello, caller? >> hello? >> clerk: yes, please proceed. >> sorry about that. hello, supervisors. my name is [indiscernible] and

i'm with self-help for the elderly and senior and disability action and submitted a letter, and i wanted to briefly summarize that letter. and i think the first point is the department of aging and adult services report revealed, it's very clear, the affordable housing in san francisco will remain unaffordable to a majority of senior tenants and persons with disabilities unless the city's policy systems change. in a nutshell, senior tenants and persons with disability are below 50% a.m.i., so until affordable housing is below 50% of a.m.i., it's just not going

to reach a majority of seniors and persons with disabilities. and furthermore, there's a path to solve that issue and with respect to seniors. there was a program, but it was only a pilot. according to the d.a.s. report, mohcd only planned a total of 150 new [indiscernible] units over the next five years, that's only 17% of the new senior units affordable to a majority of senior tenants or persons with disabilities, so that is a fundamental challenge and flaw within the current system. we should also note that with respect to accessible units, we build physically accessible

units, but we have no system to make those accessible to seniors and persons with disabilities. so i think the idea is great, but we need to build -- >> clerk: thank you for your comments. can we have the next caller, please? hello, caller, you're on the line. hello, caller? >> hello? >> clerk: yes, please proceed with your comment. >> oh, oh, oh, okay. thanks for taking my call. my name is sylvia, and i'm with the s.d.a.

i've been living in san francisco for a total of 27 years. right now, i don't need any housing help yet, but if my living arrangement change, it will be drastic situation change for me. i don't want to spend 1,000 a month, and food costs are going up and, you know, right now, you see i have these digital service bills every month, which in my parents' time, never heard of the digital, you know, phone bill. and so -- but then, which, i mean, is going on, and in five or ten years, i might need public assistance in the housing. and every time when the luxury development is going up in my community, i fear for my

future. public official put more focus into this housing issue because home is where, especially senior, have to keep health, well, not to get sick. even if they come for any procedure, they have to come back home to recuperate, okay? thanks for taking my call. >> clerk: thank you for your comment. mr. baltazar, do we have any callers in the queue? >> operator: there are zero callers in the queue. >> clerk: mr. chair? >> chair mar: public comment is closed again, and yeah, i think as we move to wrap up this

really informative and important hearing and important discussion, actually, colleagues, i just wanted to see if you might have any closing remarks. >> supervisor stefani: chair mar, i just want to thank you for this hearing. i look forward to working with you in the future on all of the issues that we heard about from the presenters, and thank you for hearing from them, as well. this is so important, and knowing what you went through with your mom, and what we've all gone through with our families, dealing with my dad regarding dementia, we care deeply about this in making sure we take care of our seniors, so again, thank you so much. >> chair mar: thank you, supervisor stefani, and also,

just thank you for your courage in sharing and speaking out about these issues and sharing your family's story. so, yeah, colleagues, i think we can move to wrap up this hearing. i want to thank all the presenters and also departments for all of your important work on these issues. you know, there's -- i think as this hearing highlights, there clearly are major gaps in how we are planning to meet the spectrum of services and housing needs for our aging population and people with disabilities, and especially the most vulnerable, the very low-income and unhoused seniors and people with disabilities population. and really, i think the hearing also highlighted that we lack a comprehensive strategy, which i believe is needed to ensure that san francisco is a place where people of all ages and stages can live and retire in dignity and remain in the community they are a part of

and really have helped to create, so i'm very committed to listening to the public comment today, and my colleagues, and especially you, supervisor stefani, to work on housing for seniors and people with disabilities and create a public housing master plan for people around these issues. the budget plan is an opportunity for us to take some further steps around this and address the urgent gap in housing for seniors and people with disabilities, and this is going to be a priority for me, and i certainly am committed to some of the things that were touched on in public comment about the need to, for example, to make the senior operating

subsidy operating program and look at making the senior subsidy operating program. and finally, i wanted to mention that i did ask the budget and legislative analyst's office to conduct analysis on the gaps in housing for seniors and people with disabilities and to look at how other cities around the country and globally have addressed this important issue so that we can draw from their experiences and identify promising strategy and programs that we can consider here in san francisco, so thanks again, everyone, for this very informative and productive and important discussion today. so i'd like to move that we continue this hearing to call of the chair, and i'm interested in having another hearing once the b.l.a. analysis is complete. madam clerk, can you please call roll. >> clerk: yes, on the motion to continue item 1 to the call of the chair -- [roll call]

>> clerk: there are two ayes. >> chair mar: thank you. madam clerk, is there any further business? >> clerk: that concludes our business for today. >> chair mar: great. we are adjourned. >> clerk: great. thank you.

>> welcome to the first -- let me take my mask off. so you guys can see who we're talking about. my name is aaron. i'm the executive director of the northern california martin luther king, jr. community foundation and we're elated to