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SCC 03-25-04 CUPEIQ1NO SENIOR CITIZENS COMMISSION AGENDA March 25, 2004, 2 p.m. Cupertino Senior Center - Bay Room 21251 Stevens Creek Boulevard Cupertino, CA 95014 408-777-3150 1. 2. CALL TO ORDER PLEDGE OF ALLEGIANCE 3. 4. ROLL CALL ORAL COMMUNICATIONS This portion of the meeting is reserved for persons wishing to address the commission on any matter not on the agenda. Speakers are limited to three (3) minutes a person. In most cases, state law will prohibit the commission from making any decisions with respect to a matter not listed on the agenda. 5. WRITTEN COMMUNICATIONS 6. NEW BUSINESS A. Review the Case Management Program and make recommendation to City Council 7. MISCELLANEOUS - NO ACTION REQUIRED A) Commissioner reports 8. ADJOURNMENT A) Adjourn to June 24, 2 p.m., Cupertino Senior Center, Bay Room In compliance with the Americans with Disabilities Act (ADA), the City of Cupertino will make reasonable efforts to accommodate persons with qualified disabilities. If you require special assistance, please contact the Parks and Recreation office at 777- 3110 at least 48 hours in advance of the meeting. Parking is limited and restricted at the Cupertino Senior Center - a parking pass may be requested at the Senior Center reception counter. DRAFT Senior Citizens Commission City Of Cupertino Regular Meeting Thursday, February 18, 2004 I. CALL TO ORDER Kimberly Smith, City Clerk, called the meeting to order at 2:05 p.m. She also introduced present staff to commissioners. 2. PLEDGE OF ALLEGIANCE 3. ROLL CALL Commissioners present: Linda Walker, Frank Yap, Estelle Incociati, Mavis Smith, Christine Pierce None Julia Lamy, Supervisor; Dave Knapp, City Manager; Therese Ambrosi Smith, Director; Kimberly Smith, City Clerk; Rick Kitson, Public Information Officer; Marie Preston, Administrative Secretary Commissioners absent: Staff present: 4. ORAL COMMUNICATIONS A. Mike Mahoney, Stafford Drive, spoke in favor of filling the Case Manager position at the Senior Center. He reported that this position is ajoint, professional position paid partially by the County of Santa Clara. He also stated that the position is a needed service for the senior citizens in Cupertino for bereavement and caregiver support. B. Jack Peters, Linda Vista Drive, requested that the issue ofre-establishing the Case Manager position be put on an upcoming agenda of the Commission. He asked the Commission to consider recreating a portion of this position, perhaps 50 percent, and also consider collaborating with other cities to share in the cost for the management program. C. Dave Knapp, Scenic Boulevard, City Manager, congratulated the new commissioners and wished them well in their endeavors. 5. WRITTEN COMMUNICATIONS A. Suggestion from Don N. Otto: City Clerk Smith suggested the Commission not take action on this item as the description in the posted agenda may not Senior Citizens Commission February 18,2004 Page 2 of3 have been sufficient enough to allow interested members of the community can speak to it. Part of the suggestion included comments that may be better addressed with the Public Safety Commission. City Clerk Smith stated that staff would communicate to Mr. Otto that his suggestion regarding a crosswalk will be given to Public Safety Commission. 6. NEW BUSINESS A. Each Commissioner introducted themselves. B. ACTION: C. ACTION: D. Selection of Chair for 2004: Commissioner Walker nominated Commissioner Yap and Commissioner Pierce nominated Commissioner Smith as Chair. A motion was made and seconded to appoint Commissioner Yap as the 2004 Chair. The motion passed 4 in favor, 1 against. Selection of Vice-Chair for 2004: Commissioner Pierce nominated Commissioner Smith. A motion was made, seconded and passed unanimously to appoint Commissioner Smith as the 2004 Vice-Chair. Selection of quarterly meeting cycle: Commission agreed to meet quarterly per Resolution 03-188. A motion was made and seconded to hold their regular quarterly meetings on the 4th Thursday of March, June, September, and December. Staff Comments Regarding when to have their next meeting to discuss the vacant Case Manager position, City Manager Knapp recommended voting for another meeting. He gave them the background on the City's current budget situation and the looming State budget problems. He recommended that the Commission look at the budget for the Senior Center and senior issues and make their recommendation to Council in time for the Council's budgetary review in April/May. ACTION: ACTION: ACTION: A motion was made for the Commission to meet, Wednesday, March 10, to discuss the vacant Case Manager position. This motion was withdrawn. A motion was made for the Commission to hold a March regular meeting on the third Thursday of March. This motion was withdrawn. A motion made, seconded, and passed unanimously to select Thursday, March 25, at 2 p.m., as the first quarter-cycled meeting. Senior Citizens Commission February 18,2004 Page 3 of 3 PRESENTATIONS A. City Clerk, Kim Smith, highlighted the requirements of the Brown Act, which is a State law that requires public agencies to have their meetings in public. She also distributed a Western City Magazine article about parliamentary procedures. Public Information Officer, Rick Kitson, discussed the responsibilities of representing the voice of the people, and how to keep clear on their role as a commissioner when approached by the media. Parks and Recreation Director, Therese Smith, discussed the role of a commissioner. She recommended they work closely with Supervisor Lamy to develop a work program. She reviewed the City Council goals and explained how many of the goals involve commissions' input. Parks and Recreation Supervisor, Julia Lamy, discussed Senior Center programs, mission statement, accomplishments in 2003, funding of programs, and current budget reductions. She stated that she would be working with the Council on Aging to figure out a way of getting some services to needy individuals via the Senior Center. ACTION: 7. B. C. D. 8. 9. A motion was made, seconded and passed unanimously for the Commission to meet quarterly thereafter on the fourth Thursday of June, and September. Public Comment Joseph Walton, Bicycle/Pedestrian Commissioner, congratulated the new commissioners. He stated that a lot of what his commission does is to promote walking and bicycling, and this is done in conjunction with other commissions, so they can expect to hear from this commission in the near future. ATTENDING MAYOR'S BREAKFAST A. Chairman Yap agreed to attend the first mayor's breakfast, which is held the third Tuesday of each month, at 7 a.m., at Hobee's Restaurant ADJOURNMENT A. Chairman Yap adjourned the meeting at 4 p.m. Respectfully submitted Marie Preston, Administrative Secretary , 2004, regular meeting. Minutes approved at the CITY OF CUPEIQ1NO P~rh ~nrl R~cr~~tion n~p~rtm~nt STAFF REPORT TO SENIOR CITIZENS COMMISSION Agenda Date: March 25, 2004 ITEM: Review the Case Management Program and make recommendation to City Council ISSUE: In January, the City Council reviewed the status of the budget at mid-year. Faced with revenue shortfalls, they looked at potential savings citywide. A number of staff positions were vacant including the position of case manager. The city council chose to leave the position vacant through the end of the fiscal year to apply the salary savings to the budget defect. The Senior Center Manager has submitted a budget asking to have the position funded. BACKGROUND: Case Manager: The Case Manager informs seniors and their caregivers of resources available to delay/prevent institutionalization of frail elders. The Case Manager is also a referral resource for seniors concerned about a friend or relative. The case management program objectives are accomplished through coordinating with a variety of community services such as home delivered meals, Outreach, In Home Support Services, Health Insurance Counseling, Senior Adult Legal Assistance, and Adult Protective Services. In addition, the Case Manager provides education about aging and support for seniors grappling with the aging process. The Case Manager's job description is to perform professional social work with senior citizens and/or families to obtain health, financial and social services and provide assessments and develops and implements case management plan. The minimum qualifications for the case manager are the knowledge of principles and practices of social work as applied to senior populations. The case manager must have the ability to plan, develop, and implement case treatment plans. For experience and training, the case manager should be in the possession of a Bachelor's Degree with major course work in social work, psychology, counseling, sociology, nursing or gerontology and three years of social service experience, one year of which has been with senior citizens. The equivalent to a Master's Degree with major course work in social work, psychology, counseling, sociology, nursing or gerontology and one year of professional case management experience involving senior citizens and related geriatric issues is also acceptable. Pnnted on Recycled Pape, March 25, 2004 Page 2 of3 Program: In 1978 amendments to the Older Americans Act were passed, and the Santa Clara Council on Aging (COA) designated Cupertino Senior Center as one of the original 10 sites in the county to receive funding to provide case management services. The first COA Title III Grant (in 1980) was funded at $21,000 with a requirement ofa 10% match from the City of Cupertino. In 2003, the City of Cupertino participated in the Council On Aging's competitive bid process and was chosen as the designated service provider for Title III Funds for the next 3 years. The Cupertino Senior Center is now one of only 12 community service area sites in the county for receipt of these funds. ANALYSIS: Cost: From 1980 to 1994 a contract employee filled the Senior Center's Case Manager position. The Case Manager became a part-time City employee (with only retirement benefits) between 1995 and 1999. In 1997 Congress reduced funding for the Title III Grant by 2.5%. Beginning in 2000 the Case Manager became a full-time City employee with full benefits and additional support from the City of Cupertino. Here is the program funding history over the last ten years: Year Title III City Funds Total Case Funds Manal!;ement Fund '94-'95 $23,110 $17,205 $40,315 '95-'96 $19,490 $23,348 $42,838 '96-'97 $20,250 $31,700 $51,950 '97-'98 $19,745 $17,723 $37,468 '98-'99 $19,745 $24,860 $44,605 '99-'00 $19,750 $24,200 $43,950 '00-'01 $19,750 $51,130 $70,880 '01-'02 $19,750 $54,957 $74,707 '02.'03 $19,750 $66,350 $86,102 Benefits: Annually the case manager has 120 homebound senior clients and 200 in-office appointments. On average the case manager spends about 9.5 hours per homebound clients to provide service annually. This excerpt of a monthly report from 2002 demonstrates the scope of the case management program: This month, there were 69 relatively homebound elders served by the Cupertino Senior Center case management program. Of these 69 homebound clients, 19 live alone. The total reflects 18 couples, at least one of who is frail, and in all of which there are aging and caregiving issues. There are 10 multigenerational couples, where frail elder parents are caring for a disable adult child or an adult child is caring for a parent. There were March 25, 2004 Page 3 of3 three deaths this month. Two clients are in the process of being conserved by the Probate Court due to financial abuse. While this unhappy outcome is necessary for the protection of the elder, it is very bad for the elder as well, and in these cases may impact the Senior Center population somewhat, as both are active here and unhappy with the process. I share social work with Adult Protective Services with a total of 5 clients. Financial abuse and self- and caregiver neglect are the issues. FISCAL IMPACT OF RECOMMENDATION: For the full time Case Management program to be reinstated, the Senior Center could use the funds from the COA grant, $19,750 and the city council would have to approve funds from the General Fund in the amount $52,530 for a total in Fiscal 2004-2005 of $72,280. This is less than last year. The reduction in cost is due to elimination of the case management intern program and conference expense for the case manager. COMMISSION ACTION: Recommend, or not, that the City Council consider the reinstatement of the Case Management Program before funding any new programs for seniors in the 2004-2005 Budget. mp g:\parks and recreation admin\sr citizen commlreportslscc 032504.doc Case Management Program Senior Citizens Commission March 25, 2004 Goal . Review the Case Management Program . Make recommenda- tion to City Council .. CUPEtlJlNO The case management program objectives are accomplished through coordinating with a variety of community services such as home delivered meals, Outreach, In Home Support Services, Health Insurance Counseling, Senior Adult Legal Assistance, and Adult Protective Services. The Job Description The Case Manager's job description is to perform professional social work with senior citizens and/or families to obtain health, financial and social services, and provide assessments, and develop and implement case management plans. 2 12 Service Areas in County for Case Management In 2003, the City of Cupertino participated in the Council On Aging's Competitive bid process and was chosen as the designated service provider for Title III Funds for the next 3 years, The Cupertino Senior Center is now one of only 12 community service area sites in the county for receipt of these funds. Analysis - Cost Year Title III City Total Case Funds Funds Management Fund '94.'95 $23,110 $17,205 $40,315 '95-'96 $19,490 $23,348 $42,838 '96.,.7 $20,250 $31,700 $51,950 '97-'98 $19,745 $17,723 $37,468 '98-'99 $19,745 $24,860 $44,605 '99.'00 $19,750 $24,200 $43,950 '00-'01 $19,750 $51,130 $70,880 '01-'02 $19,750 $54,957 $74,707 '02-'03 $19,750 $66,350 $86,102 3 Analysis - Benefits . Annually the case manager has 120 homebound senior clients and 200 in- office appointments. On average the case manager spends about 9.5 hours per homebound clients to provide service annually. Commission Action . Recommend, or not, that the City Council consider the reinstatement of the Case Management Program before funding any new programs for seniors in the 2004-2005 Budget. 4