SAN FRANCISCO HUMAN SERVICES COMMISSION
 SPECIAL MEETING OF THURSDAY, MAY 13,  2004 AT 9:30 a.m.

Ronald H. Born Auditorium – 170 Otis Street

DISABILITY ACCESS

The Commission’s meeting room, Ronald H. Born Auditorium, on the first floor at 170 Otis Street has accessible seating for persons with disabilities (including those using wheelchairs).  The closest accessible BART Station is at 16^th and Mission Streets.  Accessible MUNI Lines are the 14-Mission, 49-Mission/VanNess, 26-Valencia and 9-San Bruno.  All the MUNI Metro Lines are accessible.  Accessible curb-side parking has been designated at points on the 100 block of Otis Street. To obtain a disability-related modification or accommodation, including auxiliary aids or services to participate in the meeting, please contact the Commission Secretary at 557-6431 at least two business days before the meeting.  In order to assist the City’s efforts to accommodate persons with severe allergies, environmental illnesses multiple chemical sensitivity or related disabilities, attendees at public meetings are reminded that other attendees may be sensitive to various chemical-based products.  Please help the City accommodate these individuals.

TRANSLATION SERVICES

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SUBMITTING WRITTEN PUBLIC COMMENT TO THE COMMISSION

Persons who are unable to attend the public meeting may submit to the Commission, by the time the proceedings begin, written comments regarding the subject of the meeting.  These comments will be made a part of the official public record, and brought to the attention of the Human Services Commission and the Department of Human Services.  Written comments should be submitted to the Commission Secretary, Post Office Box 7988,  San Francisco, CA  94120..

ORAL PUBLIC COMMENT TO THE COMMISSION

Public comment will be taken on each item being considered by the Commission prior to the Commission’s vote.

EXPLANATORY DOCUMENTS RELATED TO AGENDA ITEMS

Copies of explanatory documents are available through the Commission Secretary (415 557-6431) during normal business hours. They may be faxed or mailed to you upon request.

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The ringing of and use of cell phones, pagers and similar sound-producing electronic devices are prohibited at this meeting.  Please be advised that the Chair may order the removal from the meeting room of any person(s) responsible for the ringing or use of a cell phone, pager, or other similar sound-producing electronic devices.

A G E N D A

Posted 5.7.2004

MEMORANDUM

The Department of Human Services requests authorization to enter into a new contract with Cypress Security LLC for the provision of security services for departmental facilities.  The contract will begin July 1, 2004 and end June 30, 2006 for an amount not to exceed $5,994,779.

Background and Service Description

The purpose of this contract is to provide a safe environment for the Department’s clients, employees and members of the public.  Services will consist of providing assistance and information; maintaining order; deterring intrusion, disputes, theft, and vandalism; and responding to emergencies.

Cypress Security will absorb and re-train many of the guards from the former contractor, Black Bear Security.  Cypress Security will conduct the transition over the next month and a half.  Cypress will conduct site surveys to assess the risks and needs of all Departmental buildings.  Cypress will prepare training materials and staffing profiles for all facilities.  Cypress will also facilitate the installation of new technology: card readers and critic alert system.  The card readers will limit access at certain doors to authorized personnel in order to free up resources that are currently used for controlling traffic through these doors.  The critic alert system will allow for quick and accurate communication with all or selected groups of DHS personnel in an emergency situation.  Cypress also utilizes the latest GPS based two-way communications to track each and every officer’s location in order to more quickly dispatch officers when incidents arise.  Cypress will develop and maintain public access control plans for all sites, a 24-hour emergency response plan, a cultural competence plan, and an employee training plan.  The Contractor will also continue the implementation of the client employment training program for six full-time Department clients.

Contractor Selection

Contractor was selected through the competitive bid process.  Request for Proposals (RFP) # 265 was issued in January 2004.  The Department received eleven proposals and nine were accepted.  The two proposals not accepted were considered not responsive because neither provided financial statements that were less than eighteen months old at the time of the submission, as required by the RFP.  Of the nine accepted proposals, five scored in the acceptable range and were invited to an oral presentation/interview.  Interviews were conducted on Tuesday, April 20, 2004 and Contractor received the highest combined written and oral score of all respondents.  Contractor has been providing security services since 1996.  Contractor’s experience includes providing security services for PG&E, Yerba Buena Gardens, Yerba Buena Center for the Arts, and the San Ramon Valley Conference Center.

Budget

The contract is administered on a unit cost of service basis (hourly rate).  Please see Appendix B for detailed information on the breakdown of the rates for each fiscal year.

Funding

The contract is funded by a combination of County general funds (48%), State funds (25%) and Federal Funds (27%).

Attachments

Request for Authorization

Appendix A
Appendix B
Appendix C

MEMORANDUM

The Department of Human Services requests authorization to renew the contract with the In-Home Supportive Services Consortium to provide In-Home Supportive Services (IHSS).  The contract is for the period from July 1, 2004 to June 30, 2005 for an amount not to exceed $16,085,136.

Background

The In-Home Supportive Services (IHSS) Program is a Federal/State and County funded program that assists eligible aged, blind, and/or disabled individuals to remain safely in their own homes when they are no longer able to fully care for themselves or handle routine household tasks.  IHSS pays for a wide variety of services – household chores and personal care – enabling the individual to live safely in his/her own home, while encouraging independence and rehabilitation where possible.  IHSS is an alternative to out-of-home care/institutional placement.  IHSS is provided through either an independent provider (IP) or an agency provider.  Clients who utilize independent providers contract directly with the IP’s.  Some clients, however, are unable to find and/or supervise their own IP’s.  The Department contracts with agencies to provide a safety net for these clients.  Currently, there are approximately 15,000 IHSS clients, of whom 1,200 are utilizing contract agency providers.

Services

This contract will provide IHSS services with supervision.  The Contractor will provide orientation, on-going training, and mentoring to the providers as needed.  The field supervisors will have frequent contacts with the clients (minimum four home visits a year), with the providers, and with DHS social workers.  The contract also provides for regular monitoring of contract activities through monthly reports to the Department and twice a month meetings with Department staff.  The Contractor will conduct quarterly surveys of clients and solicit feedback from Department staff to measure Contractor’s performance.

Contractor Selection

This contractor was selected through two separate RFP processes.  This service was previously divided into two contracts, one that provided regular supervision and one that provided intensive supervision.  The Department issued two RFP’s (RFP 198 for clients who need IHSS with regular supervision and RFP 199 for clients who need IHSS with intensive supervision) in February 2001.  The Contractor won both RFP’s.  However, another bidder, Addus Healthcare, challenged the results of RFP 198.  In response to the challenge, the Department reissued the regular supervision RFP as RFP 208 in October 2001.  The Contractor won the reissued RFP and the results of this RFP were upheld.  The Contractor began the contract to provide intensive supervision in July 2001.  The regular supervision portion was added to the original contract in February 2002.  The Department is now requesting to renew the contract for IHSS with both regular and intensive supervision for one year.

Contractor Performace

The Contractor has served over 99% of the hours authorized by the Department when the clients have been available.  Contractor consistently meets the needs of the Department when emergency or urgent IHSS is requested.  Contractor has worked closely with the Department to ensure that those clients who are the most difficult to serve are provided the services needed for them to remain safely in their homes.  Please see the monitoring report for more detail.

Budget

The Department is changing the invoicing method for this contract from a unit rate to reimbursement of actual costs.  The previous contract utilized the unit rate method for invoicing because it has historically been the method for claiming expenses from the State.  However, unit rate invoicing does not precisely match the actual costs incurred and therefore, an adjustment is required after each year.  This adjustment for the current year is reflected in the budget of the new contract as additional revenues of $275,000 on the budget summary page (page five) of Appendix B.  This amount may change, however, based on the actual cost discrepancy, as determined at the end of the current contract.  Changing to actual cost reimbursement will eliminate the need for these adjustments in the future.

Funding

The funding for this contract will be from a mix of County (24%), State (32%), and Federal (44%) funds available for IHSS.

Attachments                                                                                   

Request for Authorization                                                                  

Monitoring Report
Appendix A – Services to be Provided by Contractor  
Appendix B – Calculation of Charges   
Appendix C – Method of Payment

MEMORANDUM

The Department of Human Services requests authorization to renew the contract with Edgewood Center for Children and Families for the provision of kinship support services.  The contract will begin 7/1/04 and end 6/30/07 for a total contract amount not to exceed $1,863,777.

Background

State law mandates the Department to provide the least restrictive placement for children involved with Child Protective Services.  Placement with relative caregivers is often the least restrictive placement.  However, many relative caregivers need supportive services in order to safely and properly provide for the children in their care.  In 1995, the Department contracted with Edgewood to provide case-managed supportive services to relative caregivers caring for dependent children.  In subsequent years, the Department has expanded the contract to include relative caregivers of non-dependent children to support these caregivers and reduce the risk of abuse and/or neglect.  Edgewood’s program has evolved to include a wide-ranging menu of services and it has been recognized nationally as an innovative model for supporting relative caregivers. 

Description of Services

Edgewood Center for Children and Families provides a comprehensive program of supportive services for relative caregivers and the children in their care.  These services include the following:

• Assessment
• case management
• support groups
• peer counseling
• workshops
• recreational activities
• Grandparents Who Care
• Independent Living Skills
• Junior Enrichment Program
• CHDP monitoring
• child-care
• respite
• age-specific programs for children
• transportation services.

Additionally, Edgewood has formal and informal collaborative agreements with several agencies to provide medical, legal, housing, education, advocacy, additional recreation, mental health, safety and community services to its clients.  The relative caregivers may be referred by the Department or by other service agencies.  They are informed by Edgewood staff of the services available and work together with staff to develop written service plans at intake.  Edgewood maintains close communications with the Department’s Child Welfare Workers for children who are DHS-linked, in order to coordinate the services provided.

Performance

The performance for the past year has been rated “commendable/exceeds standards.”  Edgewood has exceeded most of the service objectives, serving a greater number of clients and providing a higher volume of services than targeted.  Contractor has also exceeded the outcome objectives, demonstrating the effectiveness of the services delivered.  Please see the attached Monitoring Report for details.

Changes to objectives

The new 2004-2007 contract specifies the percentage of DHS support for the service objectives.  Outside of this contract, Edgewood receives other funding for the Kinship program through TANF, state grants, the Department of Children, Youth and their Families, Older Americans Act funds and the San Francisco Children and Families Commission, which provide grants to promote, support and improve early childhood development. Through Kinship and Targeted Case Management (TCM) funds, DHS supports 55% of the larger $1,300,000 Kinship program. In developing the contract, DHS is trying to develop more meaningful objectives for services paid by DHS. Therefore, the new contract specifies the overall program objectives but also reflects the percentage that DHS funds of that component.

The objectives are also being changed from “duplicated” numbers of clients to units of service to better reflect not only the actual performance of the contractor but to capture the amount of unduplicated clients served and the hours of services they receive.

Selection of Contractor

The contract was competitively bid through RFP #264 in March 2004.  Edgewood Center was the sole respondent and the proposal was highly rated by the evaluation panel.

Funding

This contract is funded through County general funds and State Kinship Support Services Program (KSSP) funds.

Edgewood also participates in Targeted Case Management (TCM).  This draws in additional MediCal funds that can be used to support the program.  The TCM portion is not included in this  request as TCM rates are not established by the state until late in the fiscal year.  The Department will request modification for TCM when the rate is known, usually around March of the fiscal year.

Attachments

·        Authorization Request

·        Monitoring Report

·        Appendix A

·        Appendix B

MEMORANDUM

The Department of Human Services (DHS) requests authorization to enter into a new agreement with Family Support Services of the Bay Area (FSSBA) for the provision of family preservation services.  The contract will begin July 1, 2004 and end June 30, 2007 for an amount not to exceed $2,019,357.

FSSBA also participates in Targeted Case Management (TCM).  This draws in additional MediCal funds that can be used to support the program.  The TCM portion is not included in this authorization request as TCM rates are not established by the state until late in the fiscal year.  The Department will request modification for TCM when the rates are established, usually around March of the fiscal year.

Services Provided

The Family Preservation Program under this contract serves children at imminent risk of being removed from their homes because of child abuse or neglect.  Intensive family preservation services decrease risk to the children and improve the family’s ability to care for and protect their children.

FSSBA has been providing such home-based services to families referred by DHS since 1991.  Services are individualized to meet each family's needs.  Social workers carry small caseloads in order to meet regularly with each family.  A typical family is served for an average of five months.  Services provided include: teaching/modeling, case management, supportive services/resources, counseling, and service referral and collaboration.  Families are connected to substance abuse, mental health, domestic violence and other services as appropriate.

This contract with FSSBA is one of three family preservation in-home services contracts monitored by DHS.  The other two contracts are with Mt. Saint Joseph-St. Elizabeth, focusing on families with substance-exposed infants and young children ages zero to three; and Asian Perinatal Advocates which the Asian/Pacific Islander Community. 

Performance

FSSBA has provided high quality services to families and children.  Child welfare staff has rated the services highly.  The only concern is that there is a client waiting list because the contract has a limited capacity. 

Last year, FSSBA began to participate in Targeted Case Management (TCM).  They put in place the procedures and documentation required by MediCal in order to receive TCM funding.  Based on a DHS audit, FSSBA has easily met all TCM requirements. 

Selection of Contractor

The Family Preservation Program was competitively bid in February 2004 through an RFP process.  Family Support Services of the Bay Area, the incumbent contractor, was one of three respondents and received an average score of 95 from the review panel.  Due to FSSBA's strong performance on previous contracts, it is with great confidence that DHS recommends renewing this contract for a three-year period.

Attachments

Request for Authorization
Monitoring Summary
Appendix A
Appendix B

MEMORANDUM

The Department requests authorization to renew the contract with Mission Housing Development Corporation (MHDC) for the period of July 1, 2004 through June 30, 2007, in an amount not to exceed $227,577.  The purpose of this program is to promote housing stabilization, and preventing homelessness by providing on-site services to formerly homeless, low-income residents at the two South Park Residence Hotels: The Park View and the Madrid.   This program is funded entirely by the City’s General Fund.

CONTRACTOR SELECTION

MHDC was named as a sole source provider to this contract because it owns and rents out the units at the Park View and Madrid Hotels. 

SCOPE OF SERVICES

The contractor provides on-site support staff to implement a variety of programs to serve tenants of the 84 SRO rental units of the Madrid and Park View hotels.  The mission of this program is to achieve stabilization by fostering development and growth of a supportive community environment.

Residents are encouraged to participate in activities and utilize services and referrals provided by on-site staff.  Contractor provides services in the following areas:

·        Economic and Vocational Development

·        Mental and Physical Health

·        Education and Outreach

·        Tenant Empowerment and Social Integration

Services are provided on-site where staff is available from 8:00 A.M. to 8:00 P.M., Mondays through Saturday.  Security personnel are provided from 6:00 P.M. to 8:00 A.M, Mondays through Fridays and on weekends. 

Appendix A (attached), Scope of Services, provides additional information on the services.

PERFORMANCE

During the past year, the Contractor has met or exceeded all of its service and outcome objectives. The contractor has an outstanding track record of housing retention for program participants.  The attached monitoring report provides additional information on the Contractor’s performance over the past year.  The Department is pleased with the Contractor’s performance and recommends renewal of this contract.

BUDGET

The attached annual budget reflects the current annual budget carried over for three years without any changes.

Attachments

Contract Monitoring Report
Request for Authorization
Appendix A, Scope of Services
Appendix B, Budget

MEMORANDUM

The Department requests authorization to renew the contract with Chinatown Community Development Center (CCDC) for the period of July 1, 2004 through June 30, 2007, in an amount not to exceed $518,190.  This program is funded by the City’s general fund. This contract will fund the voluntary support services to the tenants at the Cambridge and Hamlin Hotels. 

BACKGROUND AND SCOPE OF SERVICES

Since 1994, CCDC has provided services at the Cambridge and Hamlin Hotels where the residents live.

The Cambridge Hotel is a 61-unit Single Room Occupancy (SRO) facility located at 473 Ellis Street in San Francisco.  The Hamlin Hotel is a 69-unit SRO facility located at 385 Eddy Street in San Francisco.  At each site, the Contractor provides services in the following areas:

• Housing and rent advocacy
• Referral services
• Educational and social activities
• Support groups
• Vocational services
• Case management

On-site supportive services enable tenants to maintain their housing and obtain employment opportunities. Tenants are offered other services, including, but not limited to, Baker Places Case Management, Tom Waddell’s medical clinic, substance abuse treatment, and mental health services. A vocational specialist is available to assist tenants in resume writing, obtaining work with a stipend attached, short-term or long-term employment, or enrolling in vocational training.  Through the existence of supportive and vocational services, tenants are guided toward the larger goal of self-sufficiency and long-term housing.

Appendix A (attached) describes in detail the services to be provided, goals and objectives for both programs.

PERFORMANCE

The contractor has met or exceeded their performance objectives during the contract period. CCDC continues to excel in maintaining high housing retention rates and vocational/employment rates for both hotels. The attached monitoring report shows performance in greater detail.

BUDGET

The proposed budget represents a combination of the Cambridge and Hamlin hotel programs.  The attached annual budget reflects the current annual budget carried over for three years without any additional changes.

Attachments

Monitoring Report
Request for Authorization
Appendix A (Services to be provided)
Appendix B (Budget)

MEMORANDUM

The Department requests authorization to renew a contract with Housing Service Affiliates of the Bernal Heights Neighborhood Center for the provision of supportive housing services at the Bernal Gateway Apartments. The contract is for the period of July 1, 2004, through June 30, 2007, in an amount not to exceed $587,160.  This Program is funded 100% by County dollars.

BACKGROUND AND SERVICES TO BE PROVIDED

Bernal Gateway Apartments has 55 residential units, with one unit set aside for the property manager.  The delivery of services at Bernal Gateway follows the community-building model where families and individuals are assessed to identify needs. Services are then coordinated according to the needs assessment.  Teen and senior programs managed by the Bernal Heights Neighborhood Center (BHNC) provide services for these two populations at Bernal Gateway Apartments.  The Contractor subcontracts with Lutheran Social Services to provide additional support services, including case management, eviction prevention, and parent workshops/activities.  The Contractor provides information and referrals for services not directly provided by either the Contractor or the subcontractor.

Additional information regarding services to be provided is detailed in the attached Appendix A, Scope of Services.

PERFORMANCE

The Contractor has met or exceeded most of their service and outcome objectives, including outreach to all 54 households requesting services. 

·        80% of the families completed a community needs assessment, exceeding the 75% objective. 

·        89% of adults have participated in activities, exceeding the 50% objective. 

·        96% of residents remained in housing for at least one year, exceeding the 65% objective.

·        83% of residents developed an individualized service plan, exceeding the 50% objective.

Additional information regarding program performance can be found in the attached Monitoring Report.

BUDGET

The proposed total contract amount of $587,160 ($195,720 per year) is funded by County General Fund dollars.  The budget is unchanged from the current fiscal year.  Information regarding program budget allocation is provided in the attached Appendix B.

Attachments

Monitoring Report
Request for Authorization
Appendix A, Scope of Services
Appendix B, Budget

MEMORANDUM

The Department requests authorization to renew the contract with Catholic Charities for the transitional housing program at Guerrero House.  The period of the renewal will be from July 1, 2004 through June 30, 2007 in an amount not to exceed $689,157 to be funded 100% with County dollars.  The purpose of this contract is to provide transitional housing and support services to homeless youth aged 18 through 23.  

BACKGROUND

Guerrero House is a comprehensive, twenty-bed transitional living program serving young men and women ages 18 to 23 who are homeless or at risk of becoming homeless.  Located in a 97-year-old mansion in the Mission-Liberty Hill section of San Francisco, Guerrero House began as a National Demonstration Project in 1990, serving as a model for other human service providers. The program's primary objective is to empower

its residents to modify the behaviors that have put them at risk of homelessness, chronic unemployment, HIV/AIDS, and other problems through attentive case management, job development, residential counseling, and aftercare.

Unlike homeless shelters that provide only a bed for the night, transitional living programs such as Guerrero House can provide residents with the opportunity to end the cycle of homelessness. At Guerrero House, a case manager works with each resident to develop an individual action plan that addresses the underlying causes of their

homelessness.  These action plans cover education, employment, mental health, and life-skills needs.

SERVICES TO BE PROVIDED

Guerrero House provides transitional housing to as many as 20 homeless men and women, ages 18 to 23, at one time, and offers them comprehensive psycho-social, educational, vocational and employment opportunities to assist them to transition to an independent living situation.  The facility is located at 899 Guerrero Street.

Services include housing for up to 18 months, three meals per day plus snacks, comprehensive case management, and life-skills training in cooking, cleaning, personal hygiene, money management, conflict resolution, and interpersonal relationships.  Case managers, in collaboration with a part-time nurse, will ensure that those clients who

have mental health issues take their prescribed medications regularly and attend all mandatory appointments.  The job-readiness component covers resume preparation, job searches, interview techniques, job-retention skills, and the use of the Internet for job and career information.

PERFORMANCE

Guerrero House provides a valuable service to a vulnerable young population. This program has enabled many young people to turn their lives around.  The contractor exceeded the majority of the outcome objectives during  FY 2001-2004.  DHS staff feel that this program is a very important resource for this age group and would like to see it continued.  The attached monitoring report shows performance in greater detail.

BUDGET

Attachments
Monitoring Report
Request for authorization
Appendix A – Services to be provided
Appendix B - Budget

MEMORANDUM

The Department of Human Services requests authorization to renew the contracts with Ella Hill Hutch Community Center (Ella Hill Hutch), Providence Foundation of San Francisco (Providence) and St. Boniface Community Center (St. Boniface) to provide emergency shelter beds from July 1, 2004 to June 30, 2005.

BACKGROUND

Ella Hill Hutch, Providence, and St. Boniface have provided shelter beds for the Department’s winter shelter program since 2001. The program, operating only during winter months, was annualized in 2002 due to an increase in client demand.  

PERFORMANCE

Ella Hill Hutch

A number of operational improvements have been made over the last year at the Ella Hill Hutch shelter.  These include holding weekly meetings for all shelter staff, instituting a standard protocol to ensure that all complaints made by clients are addressed on all levels, improving lighting outside the shelter, and working with the Police Department to establish regular support and a schedule of monitoring of the area outside the shelter.

Providence

The Providence shelter staff continue to work hard to provide a clean, welcoming and safe environment for clients. Providence was involved in a pilot of the Department’s Homeless Management Information System (CHANGES) and the staff proved to be extremely valuable throughout the evaluation process. Providence staff continue to be involved in the Department’s ongoing efforts to maintain and improve the CHANGES system and we rely upon their in-depth understanding of the system and thoughtful feedback.  Staff attend bimonthly meetings to discuss CHANGES, report updates, and resolve issues. 

St. Boniface

In the past year, St Boniface staff have worked to further develop the shelter program. The staff have recruited volunteers from the community to provide support groups for the clients, including AA meetings, harm reduction, and non-violence training groups.  Additionally, St. Boniface has fostered excellent working relationships with St. Anthony’s Foundation, which is located directly across the street from the shelter.  St. Boniface clients are encouraged to access the full array of support services offered at St. Anthony’s.

All of the contractors provided the required emergency shelter spaces during the past year.  The attached monitoring reports provide additional information regarding each program’s performance.  The Department recommends renewing these contracts for the upcoming year.

SERVICES TO BE PROVIDED

Ella Hill Hutch Community Center provides sleeping facilities for 70 individuals (men and women).  Approximately 15% of the clients served by Ella Hill Hutch are women.  The shelter facilities will be at the Ella Hill Hutch Community Center located at 1050 McAllister Street in San Francisco. 

Providence Foundation provides sleeping facilities for seventy-five (75) individuals that may consist of men, women and families. The shelter is located at the Providence Baptist Church located at 1601 McKinnon Ave., San Francisco.

St. Boniface Neighborhood Center provides sleeping facilities for 80 men. Shelter facilities are located at 160 Golden Gate Avenue in San Francisco.

Operating hours for all three shelters will be from 10:00 p.m. to 7:00 a.m., seven days per week.

The Appendix A, Scope of Services, is included to provide additional information regarding each program’s operation and services.

BUDGET

These contracts are 100% funded through the County General Fund. Appendix B, Budget, is included to provide additional information regarding the program costs to operate the emergency shelters.

Attachments

Ella Hill Hutch Community Center

Monitoring Report, page  4

Request for Authorization, page 6
Appendix A, Scope of Services, page  7
Appendix B, Budget, page  10
Providence Foundation

Monitoring Report, page 13

Request for Authorization, page 15
Appendix A, Scope of Services, page 16
Appendix B, Budget, page 19

St. Boniface Neighborhood Center

Monitoring Report, page  24
Request for Authorization, page 26
Appendix A, Scope of Services, page 27
Appendix B, Budget, page  30

MEMORANDUM

The Department of Human Services requests authorization to renew the contract with Central City Hospitality House to operate their shelter program located at 146 Leavenworth Street.  This contract will continue to provide emergency shelter and supportive services to adult homeless men. This contract is funded 100% with county dollars.

BACKGROUND

Since 1971, Central City Hospitality House’s Case Management Shelter Program has been operating 365 days a year, Monday – Friday, 4:00pm - 8:00am, and 24-hours a day on weekends. To augment case management services provided on site at the shelter, residents may access services in Central City Hospitality House’s three other programs, which provide a myriad services and opportunities, including employment, substance abuse counseling, housing and benefits counseling, and creative access to a fine arts studio and creative writing workshops.

SERVICES PROVIDED

Central City Hospitality House provides shelter and case management services to 30 homeless males per night. Of the 30 spaces at the shelter, 15 will be used for the CAAP Benefit Package (CBP) program. Under CBP, homeless CAAP clients are offered housing or shelter and meals as a portion of their cash benefit package.  Shelter reservations are made directly by CAAP workers for the duration of time up to the client’s next CAAP appointment, which is generally 30 to 45 days.

The shelter’s small size is ideal for clients who do not function well in the City’s larger shelter programs. Central City Hospitality House’s peer-based approach to services has proved particularly successful in the shelter. Staff who have experienced homelessness are able to understand the experiences of homeless participants at a far deeper level than those who have not been homeless, thereby enabling them to connect successfully with residents and engage them in their care. In addition, the presence of formerly homeless staff provides residents with models of success and renewed belief that they can transition from their present difficult circumstances. 

The shelter also provides linkages to a network of supportive services. The supportive services available to clients include on-site mental health specialists, substance abuse help, and vocational assistance.  The attached Appendix A describes the services to be provided in greater detail.

PERFORMANCE

During the past contract year 2003-2004, the contractor had difficulty meeting some of the outcome objectives due to a vacancy in the case management position. However, a new case manager was hired and transitioned into her position.

  DHS has worked with the Contractor in revising the outcome objectives to reflect changes under the CAAP Benefit Package program. Details regarding the Contractor’s performance goals are contained in the attached monitoring report.

BUDGET

The attached Appendix B, Budget provides budget information in detail. 

Attachments

Monitoring Report
Request for Authorization
Appendix A (Services to be provided)
Appendix  B (Budget)

MEMORANDUM

The Department requests authorization to modify St. Vincent de Paul Society of San Francisco’s (St. Vincent) contract for the period from May 14, 2004 through June 30, 2004.  This modification will add $117,145 to St. Vincent’s existing contract to operate Multi-Service Center South’s (MSC South) shelter services on a 24-hour basis.  The total contract amount will not exceed $5,742,001.

BACKGROUND AND SERVICES TO BE PROVIDED

Currently, MSC-South serves 380 homeless men and women.  Clients may access the shelter through the resource centers where 44 spaces are available for seven-night reservations.  50 beds are held for clients coming from referring agencies.  216 beds are held for CAAP clients under the new CAAP Benefit Package (CBP) referral system.  70 spaces are reserved for CAAP clients with pending applications.  CAAP clients will receive a 30 to 45-night reservation as determined by their CAAP case worker.  To receive shelter services, clients begin check in at 4:30 pm. and must leave the bed area at 6:00 am.  Drop-in services are available from 9:00 am. to 4:30 pm.

There are numerous support groups and activities offered on-site to engage and assist shelter residents.  Services provided include housing workshops, harm reduction groups, and men and women’s mental health groups.  Support group services are offered seven times per week in addition to health related services, which are provided off-site at various facilities like UCSF and the SOMA Health Clinic.

Beginning on May 14^th, MSC-South will start a pilot program to operate the shelter services on a 24-hour basis.  This will allow clients using the shelter to have respite from the streets and access to beds, showers, and laundry facilities throughout the day. The health and case management services that are already provided will benefit from having the clients on site during the daytime hours.    Additional program aides will be available to assist clients during the day.  A revised Appendix A, Scope of Services, is attached with additional information regarding the 24-hour pilot program.

BUDGET

The attached Appendix B, Budget, provides the budget details for the pilot program, which will run through this fiscal year.  In addition to increasing program aides and janitorial staff for the 24-hour coverage, this modification also includes a $70,000 one-time budget augmentation to cover St. Vincent’s increased health insurance and worker’s compensation insurance costs that took effect beginning January 2004.

Attachments:

Request for Authorization
Appendix A, Scope of Services
Appendix B, Budget