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Full text of "Meeting minutes"

San Francisco Public Library 

Government Information Center 
San Francisco Public Library 
100 Larkin Street, 5th Floor 
San Francisco, CA 94102 

REFERENCE BOOK 

Not to be taken from the Library 



f-if 7 v o ( $ 



A 




City and County ofjSan Francisco 

Meeting Agenda 

Public Health and Environment Committee 



City Hall 
1 Dr. Carlton B. Goodlett Place 
San Francisco, CA 94102-4689 



*/ 



Members: Supervisors 
Clerk: Deborah Muccino 



Thursday, January 11, 2001 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



)0.& 



11/0 



Note: Each item on the Consent or Regular agenda may include the following documents: 

1) Legislation 

2) Budget Analyst report 

3) Legislative Analyst report 

4) Department or Agency cover letter and/or report 

5) Public correspondence 

These items will be available for review at City Hall, Room 244, Reception Desk. 



Each member of the public will be allotted the same maximum number of minutes to speak as set by 
the Chair at the beginning of each item, excluding City representatives. 



AGENDA CHANGES 



REGULAR AGENDA 






DOCUMENTS DEPT. 
JAN - 9 20fl| 

SAN FRANCISCO 
P UBLIC LIBRARY 



1. 001538 [Grant funds for a technical assistance and capacity development demonstration project] 

Supervisor Newsom 

Resolution authorizing the Department of Public Health, Population Health and Prevention, HIV 
Health Services, to accept retroactively and expend first year grant funds of $993,917 from the DHHS 
Office of Minority Health for the technical assistance and capacity development demonstration 
program for HIV/AIDS related services in highly impacted minority communities, and to enter into an 
agreement for the use of these funds; providing for ratification of action previously taken. (Public 
Health Department) 

12/5/00. RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be 
scheduled for consideration at the December 28, 2000 meeting. 



002146 [Grant to develop a green building tool kit and support green building practices through 
training workshops] 
Supervisors Leno, Newsom 

Resolution authorizing the Department of the Environment to accept and expend a grant in the amount 
of $72,450 from the California Integrated Waste Management Board. (Environment) 

12/6/00. RECEIVED AND ASSIGNED to Public Health and Environment Committee. 



> 



City and County of San Francisco 



Printed at 3:19 PM on 1/3/01 



Public Health and Environment Committee 



Meeting Agenda 



Thursday, January 11, 2001 



3. 002213 (Federal grant funds for strategic planning to reduce community and youth violence in Bayview 

Hunters Point and the Mission Districts] 
Supervisors Leno, Newsom 

Resolution authorizing the Department of Public Health, Community Health Promotion and 
Prevention, to accept retroactively and expend first year grant funds of $195,900 from the Substance 
Abuse and Mental Health Services Administration (SAMHSA) for the Community Youth Mental 
Health Promotion project and to enter into an agreement which includes a rights in data clause for the 
use of these funds; providing for ratification of action previously taken. (Public Health Department) 

12/20/00. RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be 
calendared at the January 11. 2001 meeting. 



002214 [Federal grant for a mobile methadone program] 
Supervisors Leno, Newsom 

Resolution authorizing the Department of Public Health, Population Health and Prevention, 
Community Substance Abuse Services, to accept retroactively and expend first year grant funds of 
$235,000 from the Substance Abuse and Mental Health Services (SAMHSA) and the Center for 
Substance Abuse Treatment (CSAT) for the mobile methadone maintenance program and to enter into 
an agreement which includes a rights in data clause for the use of these funds; providing for 
ratification of action previously taken. (Public Health Department) 

12/20/00. RECEIVED AND ASSIGNED to Public Health and Environment Committee. 



002215 [Federal grant to reduce indoor environmental triggers for asthma] 
Supervisors Leno, Newsom 

Resolution authorizing the Department of Public Health, Community Health and Safety Services, 
Environmental Health Services, to accept and expend grant funds of $98,399 from the U.S. 
Environmental Protection Agency (EPA) for the Healthy Homes for Healthy Airways program. 
(Public Health Department) 

12/20/00, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 



002216 [Federal grant for a residential substance abuse program for pregnant and postpartum women] 
Supervisors Leno, Newsom 

Resolution authorizing the Department of Public Health, Population Health and Prevention, 
Community Substance Abuse Services, to accept retroactively and expend first year grant funds of 
$800,000 from the Substance Abuse and Mental Health Services Administration (SAMHSA) and the 
Center for Substance Abuse Treatment (CSAT) to expand the number of residential beds available to 
pregnant and postpartum women and to enter into an agreement which includes a rights in data clause 
for the use of these funds; providing for ratification of action previously taken. (Public Health 
Department) 

12/20/00, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 



ADJOURNMENT 



City and County of San Francisco 



Printed at 3:19 PM on 1/3/01 



3 1223 06447 1460 



Public Health and Environment Committee 



Meeting Agenda 



Thursday, January 11, 2001 






IMPORTANT INFORMATION 

NOTE: Persons unable to attend the meeting may submit to the City, by the time the proceedings 
begin, written comments regarding the agenda items above. These comments will be made apart of 
the official public record and shall be brought to the attention of the Board of Supervisors. Any 
written comments should be sent to: Committee Clerk of the Public Health and Environment 
Committee, San Francisco Board of Supervisors, 1 Dr. Carlton B. Goodlett Place, Room 244, San 
Francisco, CA 94102 by 5:00 p.m. on the day prior to the hearing. Comments which cannot be 
delivered to the committee clerk by that time may be taken directly to the hearing at the location 
above. 



LEGISLATION UNDER THE 30-DAY RULE 



(Not to be considered at this meeting) 

Rule 5.42 provides that when an ordinance or resolution is introduced which would CREATE OR 
REVISE MAJOR CITY POLICY, the committee to which the legislation is assigned shall not consider 
the legislation until at least thirty days after the date of introduction. The provisions of this rule shall 
not apply to the routine operations of the departments of the City or when a legal time limit controls 
the hearing timing. In general, the rule shall not apply to hearings to consider subject matter when 
no legislation has been presented, nor shall the rule apply to resolutions which simply URGE action 
to be taken. 



There are no items currently pending under the 30 day rule 



City and County of San Francisco 



Printed at 3:19 PM on 1/3/01 



Public Health and Environment Committee Meeting Agenda Thursday, January 11, 2001 

Meeting Procedures 

The Board of Supervisors is the Legislative Body of the City and County of San Francisco. The Board has 

several standing Committees where ordinances and resolutions are the subject of hearings at which members of 

the public are urged to testify. The full Board does not hold a second public hearing on measures which have 

been heard in committee. 

Board procedures do not permit persons in the audience at a Committee meeting to vocally express support or 

opposition to statements by Supervisors or by other persons testifying. Thus applause and booing are both 

contrary to Board requirements. The Board does not permit signs to be brought into the meeting or displayed in 

the room. 

Citizens are encouraged to testify at Committee meetings and to write letters to the Clerk of a Committee or to 

its members, City Hall, 1 Dr. Carlton B. Goodlett Place, Room 244, San Francisco, CA 94102. 

Asenda are available on the internet at www.ci.sf.ca.us/bdsupvrs.bos.htm. 

THE AGENDA PACKET IS AVAILABLE FOR REVIEW AT CITY HALL, ROOM 244, RECEPTION DESK. 

Board meetings are televised on channel 26. For video tape copies and scheduling call (415) 557-4293. 

Requests for foreign language translation at a meeting must be received by the Clerk of the Board of 

Supervisors at least 48 hours before the meeting. For meetings on a Monday or a Tuesday, the request must be 

made by noon of the last business day of the preceding week. 

Disability Access 

Both the Committee Room (Room 263) and the Legislative Chamber are wheelchair accessible. The closest 

accessible BART Station is Civic Center, three blocks from City Hall. Accessible MUNI lines serving this 

location are: #42 Downtown Loop, and the #71 Haight/Noriega and the F Line to Market and Van Ness and the 

Metro stations at Van Ness and Market and at Civic Center. For more information about MUNI accessible 

services, call 923-6142. 

There is accessible parking in the vicinity of City Hall at Civic Center Plaza and adjacent to Davies Hall and the 

War Memorial Complex. 

The following services are available when requests are made by 4:00 p.m. of the Friday before the Board 

meeting: 

For American Sign Language interpreters, use of a reader during a meeting, or sound enhancement system, 
contact Violeta Mosuela at (415) 554-7704. 

For a large print copy of agenda or minutes in alternative formats, contact Annette Lonich at (415) 554-7706. 
In order to accommodate persons with severe allergies, environmental illness, 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 to accommodate these individuals. 

Know Your Rights Under the Sunshine Ordinance 

Government's duty is to serve the public, reaching its decisions in full view of the public. Commissions, boards, 
councils and other agencies of the City and County exist to conduct the people's business. The Sunshine 
Ordinance assures that deliberations are conducted before the people and that City operations are open to the 
people's review. For more information on your rights under the Sunshine Ordinance (Chapter 67 of the San 
Francisco Administrative Code) or to report a violation of the ordinance, contact Donna Hall; by mail to Clerk 
of the Board of Supervisors, 1 Dr. Carlton B. Goodlett Place, Room 244, by phone at (415) 554-7724, by fax at 
(415) 554-5784 or by email at Donna_Hall@ci.sf.ca.us 

Citizens interested in obtaining a free copy of the Sunshine Ordinance can request a copy from Ms. Hall or by 
printing Chapter 67 of the San Francisco Administrative Code on the Internet, at 
http://www.ci.sf.ca.us/bdsupvrs/sunshine.htm 



City and County of San Francisco 4 Printed at 3:19 PM on 1/3/01 



PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 
S.F. BOARD OF SUPERVISORS 

CITY HALL, ROOM 244 

1 DR. CARLTON B. GOODLETT PLACE 

SAN FRANCISCO, CA 94102-4689 

IMPORTANT HEARING NOTICE!!! 



41 Library 

100 Larkin Street Govt Information Center 









f 

W.80 
•/ 

Ih/oI 



BOARD of SI PERVISORS 




City Hall 

Dr. Carlton B. Goodlett Place, Room 244 

San Francisco 94102-4689 

Tel. No. 554-5184 

Fax No. 554-5163 

TDD/TTY No. 544-5227 



^NOTICE OF CANCELLED MEETING 



'■&/ 



PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 
^SAN FRANCISCO j^OARD OF SUPERVISORS 



NOTICE IS HEREBY GIVEN that the meeting of the Public Health and Environment 
Committee scheduled for Thursday, Jgpdary 1 1 , 2001 at 1 :00 pm at 1 Dr. Carlton B. 
Goodlett Place, Room 263, City Hall, San Francisco, California, has been cancelled. 



Gloria L. Young, Clerk of the Board 



01-. 



DOCUMENTS DEPT 
JAM ~ 8 2001 

SAN FRANCIS' 
°UBL/C LIBRA- 



Cancelled Meeting Notice/Ad 



1/21/00 



PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 
S.F. BOARD OF SUPERVISORS 

CITY HALL, ROOM 244 

I DR. CARLTON B GOODLETT PLACE 

SAN FRANCISCO. CA 94102-46S9 

IMPORTANT HEARING NOTICE!!! 



41 Library 

100 Larkin Street Govt Information Center 







$\ City Hall 

Dr. Carlton B. Goodlett Place, Room 244 

:# San Francisco 94102-4689 

Tel. No. 554-5184 

Fax No. 554-5163 

TDD/TTY No. 544-5227 



\SO 



<p 



OTICE OF CANCELLED MEETING 



^°' ^PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 



£.<jlic« /'-tA jy 



C-l> 



AN FRANCISCO BOARD OF SUPERVISORS 



SAN FRANCISCO Bp 



NOTICE IS HEREBY GIVEN that the meeting of the Public Health and Environment 
Committee scheduled for Thursday, January 25, 2001 at 1:00 p.m. at 1 Dr. Carlton B. 
Goodlett Place, Room 263, City Hall, San Francisco, California, has been cancelled. 



Gloria L. Young, Clerk of the Board 



documents dept. 

Jan 1 9 :::) , , 

SAN FRANCISCO 
PUBLIC LIBRARY 



Cancelled Meeting Notice/Ad 1/21/00 



PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 
S.F. BOARD OF SUPERVISORS 

•CITY HALL. ROOM 244 
1 DR. CARLTON B. GOODLETT PLACE 
SAN FRANCISCO. CA 94102-4689 

IMPORTANT HEARING NOTICE!!! 



41 Library 

100 Larkin Street Govt Information Center 



8.80 




City and County of San Francisco 



City Hall 



Meeting Minutes ... QQC i 

[All Committees] cortinn 

jPublic Health and Environment C( Gove rnment Document becuon 



Members: Supervisors Sophie Maxwell, Leland Yee a Mgin Library 



V 



Clerk: Deborah Muccino 






Tuesday, February 13, 2001 



"4/ 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



Meeting Convened 



010001 



The meeting convened at 10:06 a.m. 



[Contract funds to assist in a study of social movements and HIV/AIDS in Brazil] 

Resolution authorizing the Department of Public Health (Subgrantee) to enter retroactively into an agreement in 
the amount of $16,43 1 with the Trustees of Columbia University (CU) for Charles H. Klein as Co-Principal 
Investigator and Subgrantee employee to assist in coordination, developing data collection instruments, 
maintaining data quality assurance, and coordinating data analysis for a study of social movements and 
HIV/AIDS in Brazil; retroactively to March 1, 2000. (Public Health Department) 
12/27/00, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Debra Newman, Budget Analyst's office; Lucille Burlew Lorwlor, Department 

of Public Health; Ted Lakey, Deputy City Attorney; Dr. Klein, Department of Public Health. 

2/13/01 Amended on page 1 line 6, after "Investigator", change "and" to "a". On page 2, delete the last 

"Further Resolved" paragraph. 

AMENDED. 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



010002 [Contract funds from YMCA of San Francisco to provide health services to OMI/Excelsior 
Neighborhood Beacon Center participants] 

Resolution authorizing the Department of Public Health, Balboa Teen Health Center (the "Contractor"), to 
enter retroactively into an independent contractor services agreement in the amount of $19,302 with the 
OMI/Excelsior Neighborhood Beacon Center/Urban Services YMCA of San Francisco (the "Client") to 
provide health services to Beacon Center participants; retroactive to July 1, 2000. (Public Health Department) 
12/29/00, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Debra Newman, Budget Analyst's office; Michael Baxter, Department of 
Public Health. 

2/13/01 Amended on page 1 line 19, after "available", delete the word "grant". 
AMENDED. 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



DOCUMENTS DEPT. 

FEB 1 6 2C:i 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 9:00 AM on 2/15/01 



Public Health and Environment Committee Meeting Minutes February 13, 2001 



010049 [Grant funds from the Bay Area Air Quality Management District for the purpose of supporting efforts 
to improve air quality] 

Resolution authorizing the City Administrator and the Director of the Department of the Environment to accept 
and expend $900,000 from the Bay Area Quality Management District's Transportation Fund for Clean Air and 
authorizing the City Administrator and the Director of the Department of the Environment to execute 
agreements with the Bay Area Air Quality Management District, whereby, the City would indemnify the 
District from claims resulting from the City's performance of said agreements. (City Administrator) 
1/9/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Debra Newman, Budget Analyst's office; Tom Adams, Clean Air Program, 
Department of the Environment. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 

The meeting adjourned at 10:48 a.m. 



City and County of Sjm Francisco 2 Printed at 9:00 AM on 2/15/01 



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BUDGET ANALYST 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 DOCUMENTS DEPT. 



February 8, 2001 



public Health & Environment Committee 
^Budget Analyst 



FEB - 9 200! 

SAN FRANCISCO 
PUBLIC LIBRARY 



SUBJECT: February 13, 2001 Public Health & Environment Committee Meeting 

V 

Item 1 - File 01-0001 



Department: 
Item: 



Source of Funds: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
(Subgrantee) to enter retroactively into a grant agreement 
in the amount of $16,431 with the Trustees of Columbia 
University (CU) for Charles H. Klein as Co-Principal 
Investigator, a Subgrantee employee, to assist in 
coordination, developing data collection instruments, 
maintaining data quality assurance, and coordinating 
data analysis for a study of social movements and 
HIV/AIDS in Brazil; retroactive to March 1, 2000. 

Trustees of Columbia University 
National Science Foundation 



Grant Amount: 
Grant Period: 

Required Match: 



$16,431 

March 1, 2000 through February 28, 2001 (one year) (See 
Comment 2) 

None 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

Indirect Costs: $2,266 (16% of total modified direct costs, which are 

salary and fringe benefits) 

Description: The proposed resolution would authorize the DPH to 

enter into a grant agreement with the Trustees of 
Columbia University (CU) and to accept grant funds in 
the amount of $16,431 to assist CU in a study of social 
movements and HIV/AIDS in Brazil. According to Dr. 
Charles Klein from the DPH's HIV Prevention Unit, the 
DPH chose to allow Dr. Klein to participate in the 
proposed project in Brazil because it promotes 
partnerships and exchange of knowledge related to HIV 
prevention among individuals and organizations studying 
HIV and AIDS (see Comment 1). 

Dr. Klein advises that the proposed project is a joint effort 
between CU and the DPH to conduct an ethnographic and 
historical investigation of the social movement that has 
emerged around AIDS-related issues in Brazil over the 
past fifteen years. Dr. Klein advises that he is the sole 
DPH staff member involved in the proposed project and 
would spend 20 percent (0.2 FTE) of his time working on 
the proposed project. Dr. Klein further advises that his 
work efforts would include working in Brazil to (1) 
conduct interviews with health policy makers, HIV 
service providers, people living with HIV/AIDS, and AIDS 
activists; (2) conduct archival research on the history of 
HIV/AIDS movements and community in Brazil; and, (3) 
make observations of AIDS-related social movements at 
health departments, clinics and community-based 
organizations. Data analysis would occur in San 
Francisco. According to Dr. Klein, the data obtained 
under the proposed project would increase the 
understanding of AIDS related mobilization and will 
serve as a case study to assess the role of AIDS 
movements in controlling the HIV/AIDS epidemic in 
Brazil and elsewhere. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

Budget: The budget for the subject grant funds for the proposed 

project is as follows: 

Salary (0.2 FTE) $ 11,505 

Fringe Benefits (23% of salaries) 2,660 

Subtotal DPH $14,165 

Indirect Costs (16% of salaries and fringe benefits) 2,266 

Subtotal $ 2,266 

Total $16,431 

According to Dr. Klein, CU would pay for his travel and 
material expenses. 

Comments: 1. According to Dr. Klein, CU and Dr. Klein (the 

Subgrantee) submitted a joint proposal to the National 
Science Foundation to study social movements and 
HIV/AIDS in Brazil prior to Dr. Klein's employment with 
the DPH. The National Science Foundation selected the 
joint proposal for funding after Dr. Klein began to work 
for the DPH. As noted above, the DPH agreed to allow 
Dr. Klein to work on the proposed project because the 
grant promotes partnerships and the exchange of 
knowledge related to HIV prevention between those that 
study HIV and AIDS, which then necessitated the subject 
grant agreement between CU and the DPH. Dr. Klein 
notes that other scientists in the HIV Prevention Unit 
have also been involved in international research and 
consulting projects, and that his participation in the 
proposed project would be fully reimbursed by the subject 
grant funds. 

2. Dr. Klein advises that the National Science Foundation 
awarded the subject grant to CU and Dr. Klein on 
September 30, 1999 and the proposed project was 
scheduled to begin on March 1, 2000. However, delays in 
the release of the grant monies to CU by the National 
Science Foundation and the time spent on contract 
negotiations between CU and the DPH has held up the 
release of funds to the DPH and the commencement of the 
proposed project. According to Dr. Klein, no money has 
been accepted from CU and the proposed project has not 
yet begun. Dr. Klein states that he hopes to begin the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

project in early February after approval from the Board of 
Supervisors. Dr. Klein advises that he would be able to 
complete the proposed project despite the late start date 
because he anticipates a second year of funding from the 
National Science Foundation via CU and that the costs 
savings from year one would be carried forward to year 
two (see Comment 3). 

3. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with CU if the grant recurs or is renewed 
without seeking subsequent approval from the Board of 
Supervisors for each renewal. Dr. Klein advises that the 
National Science Foundation indicated that they are 
likely to fund the proposed joint project between CU and 
Dr. Klein for a total of two years and that the subject 
grant in the amount of $16,431 is for the first year of the 
proposed project. According to Dr. Klein, the grant 
amount for year two should be approximately the same 
amount as year one, or $16,431, for a total of 
approximately $32,862 over the two-year period. Dr. 
Klein advises that the funding in year two would be used 
to continue the proposed project. Dr. Klein does note that 
while the funding for year two is likely, there is no 
absolute guarantee from the National Science Foundation 
that the subject grant would be renewed for a second year. 

4. Page one, line six, of the proposed resolution incorrectly 
states, "Charles H. Klein as Co-Principal Investigator and 
Subgrantee employee" when it should read, "Charles H. 
Klein as Co-Principal Investigator a Subgrantee 
employee," because Dr. Klein is the sole DPH staff 
member working on the proposed project. Therefore, the 
proposed resolution should be amended to revise this 
wording. 

5. The Attachment is the Department of Public Health's 
Grant Application Information Form, which includes the 
Disability Access Checklist. 

Recommendations: 1. Amend the proposed resolution to correct an error on 

page one, line six, of the resolution, which states, "Charles 
H. Klein as Co-Principal Investigator and Subgrantee 
employee" to read, "Charles H. Klein as Co-Principal 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

Investigator, a Subgrantee employee," in accordance with 
Comment 4 above. 

2. Approval of the proposed resolution, as amended is a 
policy matter for the Board of Supervisors since this 
resolution authorizes the Director of Health to enter into 
future agreements, similar to the subject grant agreement 
with CU, if the grant recurs or is renewed, without 
obtaining subsequent approval by the Board of 
Supervisors, and as noted above, in Comment No. 3, the 
National Science Foundation intends to continue funding 
the subject grant for an additional year, for a total grant 
amount of $32,862 over the two-year period. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

5 



Page 1 of 2 



File Number: 

(Provided by Clerk of Board of Supervisors) 



Grant Information Form 

(Effective January 2000) 



Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: Social Movements and HIV/AIDS in Brazil 

2. Department: San Francisco Department of Public Health, Population Health and Prevention Division, 

Community Health Promotion and Prevention, HIV Prevention 

3. Contact Person: Charles Klein Telephone: 554-9006 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $16,431 

6a. Matching Funds Required: $0.00 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: The Trustees of Columbia University 
b. Grant Pass-Through Agency (if applicable): National Science Foundation CFDA# 47.075 

8. Proposed Grant Project Summary: This project is an ethnographic and historical investigation of the 
social movement that has emerged around AIDS-related issues in Brazil over the past fifteen years. The study 
seeks to answer four closely related questions: (1) how have pre-existing social movements intersected with 
and affected the development of the Brazilian AIDS movement? (2) how the emergence of a distinct AIDS 
movement influenced broader social responses to the epidemic?; (3) how has the Brazilian AIDS movement 
shaped AIDS-related state policies and programs?; and (4) how has this AIDS movement affected the shape of 
the HIV/AIDS epidemic in Brazil? The data obtained will increase our understanding of contemporary social 
movements and AIDS related mobilization and will serve as a case-study to assess the role of AIDS 
movements in controlling the HIV/AIDS epidemic in Brazil and elsewhere. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: March 1 , 2000 End-Date: February 28, 2001 

10. Number of new positions created and funded: 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? N/A 
12a. Amount budgeted for contractual services: $0.00 

b. Will contractual services be put out to bid?N/A 



Page 2 of 2 

c. if so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? N/A 

13a. Does the budget include indirect costs? [x] Yes []No 

b1 . If yes, how much? $2,266 

b2. How was the amount calculated? 16% of Total Modified Direct Costs 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ j Other (please explain): 

14. Any other significant grant requirements or comments: 



"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[ ] Existing Site(s) [ ] Existing Structure(s) [ ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[x] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal and 
concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and all 
other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 



Comments: 



Departmental or Mayor's Office of Disability Reviewe 



r: ^An~~y<\ 




Norman Nickens 
Date Reviewed: /3-A*/** * 

Department Approval: 




fitchell Katz, M.D. ^ Director of Public Health 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 



Item 2 - File 01-0002 

Department: 

Item: 



Contract Amount: 



Contract Period: 



Project: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Pub He Health, 
Balboa Teen Health Center, to enter retroactively into an 
independent contractor services agreement in the amount 
of $19,302 with the Excelsior Neighborhood Beacon 
Center/Urban Services YMCA of San Francisco to provide 
expanded health services to Beacon Center participants; 
retroactive to July 1, 2000. 

$19,302 

July 1, 2000 through June 30, 2001 (one year) 

Excelsior Neighborhood Beacon Center/Urban Services 
YMCA of San Francisco 

The Excelsior Neighborhood Beacon Center, a non-profit 
organization, is a community center that has provided 
activities appealing to middle school and high school age 
youth, while at the same time providing health and 
substance abuse counseling for its patrons, since 1999. 
The Beacon Center also provides access to physical exams 
and other medical services through referrals to the Balboa 
Teen Health Center, a part of DPH, which is located 
across the street from the Beacon Center. The proposed 
resolution would allow the Beacon Center to enter into an 
agreement with DPH, which would allow additional staff 
time at the Balboa Teen Health Center for the provision 
of physical exams and other medical services directly for 
Beacon Center patrons. Since July 1, 2000, the Balboa 
Teen Health Center, through its collaboration with the 
Beacon Center, has provided services per the terms of the 
subject proposed agreement to approximately 30 Beacon 
Center patrons per month (see Comment No. 2). Prior to 
increasing staff time per the terms of the proposed 
agreement, the Balboa Teen Health Center saw 
approximately five Beacon Center patrons per month, or 
25 less Beacon Center patrons per month than are 
currently served. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 






Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

Approval of the proposed resolution would retroactively 
authorize DPH to enter into a $19,302 agreement with 
Excelsior Neighborhood Beacon Center/Urban Services 
YMCA of San Francisco to expand the amount of service 
currently available to Beacon Center patrons at the 
Balboa Teen Health Center. Expansion of these services 
would consist of budgeting additional time for current 
Balboa Teen Health Center staff to better meet the 
physical exam and medical service needs of Beacon 
Center patrons. 



Positions Affected: 



Budget: 



The proposed resolution would authorize an increase in 
the FTE of three existing positions: increasing a Health 
Worker II (2586) by 0.06 FTE, increasing a Nurse 
Practitioner (2328) by 0.08 FTE, and increasing a 
Registered Nurse (2320) by 0.125 FTE, for a total of an 
additional 0.265 FTE positions. However, Mr. Michael 
Baxter of the DPH states that the Department has been 
providing these expanded services to Beacon Center 
patrons at the Balboa Teen Health Center according to 
the terms of the proposed agreement since July 1, 2000 
using existing personnel (see Comment No. 2). 

The budget for the proposed personal services contract is 
as follows: 



Salaries 

0.06 FTE 2586 Health Worker II 
0.08 FTE 2328 Nurse Practitioner 
0.125 FTE 2320 Registered Nurse 
Salaries Total 

Fringe Benefits (15% of salaries) 
Total 


120 hrs. @ 16.86/hr. 
160 hrs. @ 40.81/hr. 
260 hrs. @ 31.66/hr. 


$2,024 
6,530 
8,232 

16,786 

2,516 
$19,302 



Comments: 



1. The proposed resolution would authorize the 
Director of Health, without subsequent approval by the 
Board of Supervisors, to enter into similar agreements 
with Excelsior Neighborhood Beacon Center/Urban 
Services YMCA of San Francisco if the agreement recurs 
or is renewed. According to Mr. Baxter, the Department 
expects the proposed agreement to be renewed annually. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

9 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

2. According to Mr. Baxter, the proposed resolution to 
enter into the subject personal services agreement is 
retroactive because DPH has been providing these 
expanded health services at the Balboa Teen Health 
Center since July 1, 2000. 

According to Mr. Baxter, DPH has not yet accepted these 
funds, but has provided the services detailed in the 
proposed personal services agreement "on good faith" 
since July 1, 2000. Mr. Baxter states that DPH was not 
able to gain Board of Supervisors approval prior to July 1, 
2000 because complying with the City's administrative 
requirements took longer than expected. In addition, Mr. 
Baxter advises that, the process was delayed because (1) 
the YMCA changed its contracting forms, which 
necessitated re-negotiation, and (2) the primary person 
handling the contract negotiations for the YMCA went on 
maternity leave. 

3. The proposed resolution incorrectly states "...the 
Contractor proposes to maximize use of available grant 
funds...". As the proposed agreement is a contract and 
not a grant, the proposed resolution should be amended to 
delete the word "grant" from Page one, line nineteen of 
the proposed resolution. 

Recommendations: 1. Amend the proposed resolution to delete a reference to 

the proposed agreement as a grant (see Comment No. 3). 

2. Approval of the proposed resolution, as amended, is a 
policy matter for the Board of Supervisors, because the 
proposed resolution would authorize the Director of 
Health to enter into similar agreements with Excelsior 
Neighborhood Beacon Center/Urban Services YMCA of 
San Francisco, without first obtaining Board of 
Supervisors approval. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

10 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

Item 3 - File 01-0049 



Department: 
Item: 



Source of Funds: 
Grant Amount: 
Grant Period: 

Required Match: 
Indirect Costs: 

Description: 



Department of the Environment (DOE) 

Resolution authorizing the City Administrator and the 
Director of the Department of the Environment to accept 
and expend $900,000 from the Bay Area Air Quality 
Management District's Transportation Fund for Clean Air 
and authorizing the City Administrator and the Director 
of the Department of the Environment to execute 
agreements with the Bay Area Air Quality Management 
District (BAAQMD), whereby, the City would indemnify 
the District from claims resulting from the City's 
performance of said agreements. The purpose of the 
grant is to subsidize the incremental costs of purchasing 
natural gas refuse transfer trucks instead of diesel refuse 
transfer trucks. 

Bay Area Air Quality Management District (BAAQMD) 

$900,000 

December 1, 2000 through November 1, 2002 
(approximately two years) (see Comment 1) 

$1,675,400 (see Budget) 

The DOE requests that indirect costs be waived so that all 
the grant funds can be applied to direct program costs. 

The proposed resolution would authorize the DOE to 
accept and expend the subject grant in the amount of 
$900,000 to subsidize the purchase of 18 new natural gas 
powered heavy-duty refuse transfer trucks. The purpose 
of the proposed natural gas transfer truck procurement 
project is to reduce harmful emissions from 18 diesel- 
powered heavy-duty refuse transfer trucks currently 
operated by Norcal Waste Systems, Inc. (operated within 
the jurisdiction of the City and County of San Francisco) 
by replacing the 18 diesel-powered heavy-duty refuse 
transfer trucks with 18 natural gas refuse transfer trucks. 
Norcal Waste Systems, Inc. (Norcal) is the parent 
corporation of Sunset Scavenger Company and Golden 
Gate Disposal and Recycling Company, two companies 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

11 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

which, together, provide all refuse collection and disposal 
services within the City and County of San Francisco. 
The proposed procurement project is the final phase of an 
on-going project to replace a fleet of 32 diesel-powered 
transfer trucks operated by Norcal. The BAAQMD 
funded the incremental cost differences for 14 natural gas 
transfer trucks in approximately November of 1999 (File 
00-0279). 

The natural gas heavy-duty refuse transfer trucks are 
manufactured by Peterbuilt and will have a Power 
Systems Associates/Caterpillar engine. The estimated life 
span of the natural gas refuse transfer trucks is 10 years. 

Budget: The subject grant funds of $900,000 and Norcal's 

matching funds of $1,675,400, for a total of $2,575,400 
would be used to purchase 18 natural gas transfer trucks. 
According to Mr. Ruvolo, diesel-powered trucks cost 
approximately $91,800 each while natural gas trucks cost 
approximately $141,778 each for an incremental cost 
difference of approximately $49,978 per truck. Mr. 
Ruvolo advises that the subject grant in the amount of 
$900,000 would subsidize the total incremental cost 
difference of $899,604 ($49,978 per truck times 18 trucks) 
between the diesel-powered trucks and the natural gas 
trucks. Norcal's matching funds in the amount of 
$1,675,400 would cover the remaining estimated project 
costs of $1,652,004, which is $23,396 less than the 
available matching funds. Mr. Ruvolo reports that the 
$1,675,400 in matching funds has already been budgeted 
by Norcal for the acquisition of 18 new diesel-powered 
transfer trucks. 

Comments: 1. According to Mr. Rick Ruvolo from the DOE, although 

the grant period is from December 1, 2000 through 
November 1, 2002, the DOE has neither accepted nor 
received the subject award and, therefore, does not need 
retroactive authorization. Mr. Ruvolo states that the 
proposed project would still be completed by November 1, 
2002 despite the late start date on the proposed project. 

2. As a condition of the grant agreement, Norcal Waste 
Systems, Inc. must operate the 18 transfer trucks 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

12 



Memo to Public Health and Environment Committee 

February 13, 2001 Public Health and Environment Committee Meeting 

procured with this grant within the San Francisco Bay 
Area Air Basin for a minimum often years. 

3. The proposed resolution contains an indemnification 
and hold harmless clause in which the City would 
indemnify and hold harmless the Bay Area Air Quality 
Management District from any claims or actions resulting 
from the performance by the City of its duties under the 
agreement. According to Ms. Alison Stewart Cocotis of 
the City Attorney's Office, the indemnification and hold 
harmless clause is reasonable. 

4. The Attachment is the Department of the 
Environment's Grant Application Information Form, 
which includes the Disability Access Checklist. 

5. According to Mr. Ruvolo, the Grant Application 
Information Form incorrectly states that the BAAQMD 
(the grantor) does not permit the inclusion of indirect 
costs. Mr. Ruvolo advises that in the prior phase of the 
natural gas procurement project, the BAAQMD did not 
allow indirect costs to be included in the grant budget, 
however, indirect costs are currently allowable. Mr. 
Ruvolov further advises that BAAQMD limits BAAQMD 
grant support to no more than $50,000 per refuse transfer 
truck. As discussed above, an estimated $49,978 per truck 
would be required to pay for the incremental cost 
differences from the subject BAAQMD grant. Given that 
nearly all of this money is needed by Norcal to cover the 
incremental costs of the transfer trucks, in the subject 
resolution the DOE requests to waive the inclusion of the 
indirect costs in order to maximize the number of natural 
gas transfer trucks that can be purchased. 



Recommendation: Approve the proposed resolution 




arvey M. Rose 



■r-K 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

13 



t%L. i_c±L;juuienu 



File Number: Page 1 ot 2 

' (Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Norcal Natural Gas Trucks-Phase 3 

2. Department: Environment 

3. Contact Person: Rick Ruvolo Telephone: 554-6184 

4. Grant Approval Status (check one): 

[ x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $900,000 

6a. Matching Funds Required: $ 1,675,400 
b. Source(s) of matching funds (if applicable): Norcal Waste Systems Capital budget 

7a. Grant Source Agency: Bay Area Air Quality Management District 

b. Grant Pass-Through Agency (if applicable): (Passing through the City and County of SF to Norcal Waste 
Systems, Inc. 

8. Proposed Grant Project Summary: 

Grant funds will subsidize the purchase of 18 new natural gas powered heavy duty vehicles. 



9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: End-Date: 

December 1 ,2000 November 1 , 2002 

10. Number of new positions created and funded: 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? 

12a. Amount budgeted for contractual services: 

b. Will contractual services be put out to bid? 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? 



14 



I •<!. Is this likely to be a one-time or ongoing request for contracting out? 



Attachment: 
Page 2 ol 2 



13a. Does the budget include indirect costs? 

b1. If yes, how much? S 

b2. How was the amount calculated? 



[]Yes 



UNO 



c. If no, why are indirect costs not included? 

[x ] Not allowed by granting agency [ x] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 



"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 



[ ] Existing Site(s) 

[] Rehabilitated Site(s) 

[]NewSite(s) 



[ ] Existing Structure(s) 

[] Rehabilitated. Structure(s) 

[ ] New Structure(s) 



[x ] Existing Program(s) or Service(s) 
[ ] New Program(s) or Service(s) 



16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 

This grant funds the purchase of new natural gas powered heavy duty vehicles to operate as transfer trucks for 
Norcal Waste Systems, Inc. The replacement of similar diesel vehicles will result in improved air quality 
throughout the SF Bay Area. 



Departmental or Mayor's Office of ^ Disabili ty Reviewer: 
Date Reviewed: j£_d f - '"2M-0 
Department Approval: 



/pjyJ— , M*>h 




15 







City and County of $an Franc^™ 

Meeting Minutes ^^Dooument Section 

^Public Health and Environment G ^ ain Library 

Members: Supervisors Sophie Maxwell, Lelancl Yee i 



Clerk: Deborah Muccino 



Tuesday, February 27, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED 



The meeting convened at 10:06 a.m. 



010163 [Clean Ferries] 

Supervisors Newsom, Gonzalez 

Resolution urging the Golden Gate National Recreation Area (GGNRA) and all other ferry operators to pursue 
cleaner marine technologies, adopt diesel emissions reduction strategies, and develop alternative fuel and ferry 
design demonstration projects; further urging the Bay Area Water Transit Authority (BAWTA) to establish a 
cleaner marine technology committee to seek financing for and develop a natural gas demonstration vessel and 
an alternative fuel ferry plan. 
1/29/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Supervisor Newsom; Veronica Sanchez, Manager, Governmental Affairs, Port 
of San Francisco; Francesco Vietor, Department of the Environment; David Clark; Russell Long; Tom 
Burdkin, Program Director, SF Water Transit Authority; Jeff Potter, SF Bay keeper; Teri Shore, Earth Island 
Institute; Captain Pip Elles. 

Supervisors Leno and Maxwell requested to be added as co-sponsors. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



DOCUMENTS DEPT 



FEB28 






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PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 8:24 AM on 2/28/01 



Public Health and Environment Committee Meeting Minutes February 27, 2001 



010191 [Internet Server Farms] 
Supervisor Maxwell 

Hearing to discuss the proliferation of internet server farms; and power demands and potential environmental 
and health impacts from internet server farms. 

1/29/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Sponsor requests this item be scheduled for 
consideration at the February 27. 2001 meeting. 

Heard in committee. Speakers: Elaine Warren, Legislative Analyst; John De Kassier; Gerald Green, 
Planning Department; Hilary Gitelman, Planning Department; Francesca Vietor, Department of the 
Environment; Frank Wong, Assessor's office; Cal Brumhein, Department of the Environment; Li Chou, 
Assessor's office; Bob Hambrecht, President, Apollo Media; Brett Gladstone; Clinton Fein; Bill Deboisbac; 
Tyrone Netters, Real World Consulting; Gloria Channon, Gray Panthers; Manuel Fishman, Building Owners 
and Managers Assoc; Rev. Arnold G. Townsend; Derek Gaskin; Anthony Ross; Luis Gitlandos; Eric 
Quezada; Calvin Welch; J. Michael Silva, Enertech Consultants; Marie Harrison; Joe Boss; Ena Aguirre; 
Dave Crise. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



ADJOURNMENT 



The meeting adjourned at 12:59 p.m. 



City and County of San Francisco 2 Printed at 8:24 AM on 2/28/01 



tfc&c 




City and County of ^an Francisco atyHaii 

.Meeting Minutes £" Committees] 
* y Government Document Section 

Public Health and Environment < 



Members: Supervisors Sophie Maxwell, Leland Ye 
Clerk: Deborah Muccino 



Main Library 



Tuesday, March 13, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED 

The meeting convened at 10:01 am. 

010374 [Emergency Work, John Muir Drive] 

Resolution declaring a public emergency at John Muir Drive as a result of the unstable conditions caused by 
heavy rains and directing and authorizing the Director of the Department of Public Works to take necessary 
measures in the most expeditious manner to prevent or mitigate loss of or damage to the sewer transport system 
at John Muir Drive between Skyline Boulevard and Lake Merced Boulevard. (Public Works Department) 
2/26/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Patrick Riveria, Department of 
Public Works; Ted La key, Deputy City Attorney. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 



The meeting adjourned at 10:18 am. 



DOCUMENTS DEPT, 
MAR 1 1, 2oo, 

P( JBUC LIBRARY 



City and County of San Francisco 



Printed at 3:09 PM on 3/13/01 



I 

31C.BC 
3 



lB udget Analyst Report] 

Susan Horn Section 

Main Library-Govt. uoc 




TO: 
FROM: 



CITY AND COUNTY IStoifcWffllJffl OF SAN FRANCISCO 

J^OARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7 

FAX (415) 252-0461 

March 8, 2001 
^Public Health & Environment Committee 
^Budget Analyst 



%>CUMENTS DEPT 
MAR I 2 2001 

SAN FRANCISCO 
p UBUC LIBRARY 



SUBJECT: March 13, 2001 Public Health & Environment Committee Meeting 



Item 1 - File 01-0374 

Department: 

Items: 



Amount: 



Source of Funds: 



Description: 



Department of Public Works (DPW) 

Resolution declaring a public emergency at John Muir Drive 
as a result of unstable conditions caused by heavy rains, and 
directing and authorizing the Director of the Department of 
Public Works to take necessary measures in the most 
expeditious manner to prevent or mitigate loss of or damage 
to the sewer transport system at John Muir Drive, between 
Skyline Boulevard and Lake Merced Boulevard. 

$350,000 

1987 Park Bond funds, which are available for projects at 
Lake Merced. 

According to Mr. Patrick Rivera of the Department of Public 
Works (DPW), on January 25, 2001, unusually heavy rains 
caused water running through the Vista Grande Canal, 
which is located within the city limits of Daly City, to run 
over its embankment into San Francisco and onto John Muir 
Drive. The Canal's overflow resulted in erosion of three 
areas of the shoreline between John Muir Drive and Lake 
Merced Boulevard. This erosion, according to Mr. Rivera, 



Memo to Public Health and Environment Committee 

March 13, 2001 Meeting of Public Health and Environment Committee 

threatens to undermine the sewer lines and roadway along a 
100-foot area of John Muir Drive. 

On February 23, 2001 pursuant to Section 6.60 of the 
Administrative Code, DPW notified the Controller that it 
would be conducting repairs to provide an emergency 
temporary solution to the erosion problem. That same day, 
A. Ruiz Construction Company, Inc. filled the most severely 
affected area with packed sand. According to Mr. Rivera, 
these measures taken by DPW provide only a temporary 
solution to the erosion problem, and a permanent solution is 
needed immediately to prevent further damage. Mr. Rivera 
states that the Department has employed a geotechnical 
consultant to determine the most appropriate permanent 
solution to the current problem. The Department expects to 
receive a number of alternative long-term solutions to the 
erosion problem from their geotechnical consultant on or 
about March 20, 2001. As of the writing of this report, DPW 
has not closed off any part of John Muir Drive to street 
traffic. 

The proposed resolution would declare the existence of an 
emergency and authorize the DPW to proceed in the most 
expeditious manner to perform work necessary to 
permanently stabilize and repair the roadway and adjacent 
shoreline areas of John Muir Drive. Pursuant to Section 6.60 
of the Administrative Code, the Department would not be 
required to undertake a competitive process for selection of a 
contractor to do the emergency repair work. According to Mr. 
Rivera, DPW expects to select A. Ruiz Construction 
Company, Inc. to construct the permanent solution to the 
current erosion problem, the same company used to construct 
the temporary repairs on February 23, 2001 and the 
ostensible long-term repair in 1998. Mr. Rivera notes that A. 
Ruiz Construction Company, Inc. is one of the contractors on 
DPW's "List of Emergency Contractors." 

Budget: $350,000 (see Comment No. 1) 

Comments: 1. According to Mr. Rivera, the contractor that completed 

the temporary work has not yet submitted a statement of 
costs to DPW. Consequently, according to Mr. Rivera, the 
Department does not at this time know the cost of 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

March 13, 2001 Meeting of Public Health and Environment Committee 

temporarily repairing the damage to the shoreline along 
John Muir Drive. 

Further, according to Mr. Rivera the DPW geo-technical 
consultant has not yet determined which long term solution 
would be most appropriate for preventing future erosion 
along John Muir Drive. As such, the Department does not 
currently have an estimate for the cost of such permanent 
repairs, according to Mr. Rivera. Mr. Rivera states that the 
$350,000 listed on the subject resolution is based solely on 
the cost of repairs conducted in 1998. 

2. According to Mr. Rivera, this is the second time in three 
years that the Department has requested the Board of 
Supervisors to declare an emergency at John Muir Drive. 
Mr. Rivera states that in 1998, the same shoreline area along 
John Muir Drive suffered severe erosion due to overflow from 
the Vista Grande Canal. According to Mr. Rivera, the 
repairs conducted at that time, which cost approximately 
$350,000 were expected to fully support the roadway such 
that no further repairs would be required for approximately 
50 years. Mr. Rivera states that unusually severe weather 
caused the subject additional erosion problem in the same 
area that was repaired in 1998. 

3. According to Mr. Jonathan Lee of the City Attorney's 
Office, in January of 2001, the City filed a lawsuit against 
Daly City authorities for the recovery of the approximately 
$350,000 in costs associated with the repairs at John Muir 
Drive in 1998. Mr. Lee further states that a second lawsuit 
will be filed within the next six months to recover the costs of 
the proposed emergency repair work. 

Recommendation: Approve the proposed resolution 




Harvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

3 



F 

ID. 0<>^ 




2 



*■"!*/ Hall 



City and County of;San ^ j! Committees] 

Meeting Minut ffi™JJ D °^ent Section 
^Public Health and Environn 

Members^upervisors Sophie Maxwell, Le 

Clerk: Deborah Muccino 



^ih\ 



Tuesday, March 27, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED 

The meeting convened at 10:03 am. 

010438 [State grant to promote healthy eating at the local and regional levels] 

Resolution authorizing the Department of Public Health, Community Health Services, to accept retroactively 
and expend grant funds of $25,000, from the California Department of Health Services for a Project LEAN 
Nutrition Network project and to enter into an agreement for the use of these funds; providing for ratification of 
action previously taken. (Public Health Department) 
3/7/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Speakers: None. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



010439 [Grant from the State Office of AIDS for a survey of young men residing in low-income neighborhoods] 

Resolution authorizing the Department of Public Health, AIDS Office, to accept retroactively and expend grant 

funds of $50,000 from the State Office of AIDS for a survey of young low-income men and to enter into an 

agreement for the use of these funds; providing for ratification of action previously taken. (Public Health 

Department) 

3/7/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Speakers: None. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee DOCUMENTS DEPT, 



MAR 3 2GC1 
SAN FRANCISCO 

P' ir»i \r 



City and County of San Francisco 



Printed at 2:58 PM on 3/28/01 



Public Health and Environment Committee Meeting Minutes March 27, 2001 



010429 (Agreement, HIV Vaccine Clinical Trials] 

Resolution authorizing the San Francisco Department of Public Health, (SFDPH), subcontractor, to enter into 

an agreement in the amount of $247,970 with Public Health Foundation Enterprises, Inc. (PHFE), primary 

contractor, to fund the SFDPH portion for "San Francisco HIV Vaccine Clinical Trials", a unit of the HIV 

Vaccine Trials Network (HVTN); retroactive to June 1, 2000. (Public Health Department) 

3/6/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at the 
March 27. 2001 meeting. 

Speakers: None. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



010449 [Contract, DPH - University of California, San Francisco] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH), subcontractor, to enter into an 
agreement in the amount of $387,775.84 with the University of California, San Francisco (UCSF), primary 
contractor, for the "Behavioral, Basic and Clinical Studies of Post-Exposure Prophylaxis (PEP)" project for the 
period of September 30, 2000 to August 31, 2004. (Public Health Department) 

3/12/01. RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 
the March 27, 200 1 meeting. 

Speakers: None. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



City and County of San Francisco 2 Printed at 2:58 PM on 3/28/01 



Public Health and Environment Committee 



Meeting Minutes 



March 27, 2001 






001861 [Amendment to the India Basin Industrial Park Redevelopment Plan to modify use restrictions and 
parking and loading requirements] 
Supervisor Katz 

Ordinance approving and adopting an amendment to the Redevelopment Plan for the India Basin Industrial 
Park Development Project Area (Ordinance No. 26-69, amended by Ordinance Nos. 474-86, 141-87 and 416- 
94) to modify the land use provisions and reduce the parking and loading requirements for Lot 23 of Assessor's 
Block 5203 within the Redevelopment Plan Area; adopting findings pursuant to the California Environmental 
Quality Act; adopting findings that the Redevelopment Plan Amendment is consistent with the City's General 
Plan and Eight Priority Policies of City Planning Code Section 101.1; adopting other findings pursuant to the 
California Community Redevelopment Law. 






(Final Negative Declaration issued on October 18, 2000; Redevelopment Agency report dated October 2000 to 

the Board of Supervisors for the India Basin Industrial Park Redevelopment Plan Amendment.) 

10/23/00. ASSIGNED UNDER 30 DAY RULE to Transportation and Land Use Committee, expires on 1 1/22/2000. Sponsor: Supervisor 

Katz 

12/4/00, SUBSTITUTED. Supervisor Katz submitted a substitute ordinance, approved as to form, bearing new title. Sponsor requests 

this item be scheduled for consideration at the December 14, 2000 meeting. 

12/4/00, ASSIGNED to Transportation and Land Use Committee. 

12/14/00, CONTINUED. Heard in Committee. Speaker: Stanley Muraoka. Continued to January 23, 2001. 

12/18/00, CONTINUED ON FIRST READING. At the request of the San Francisco Redevelopment Agency, this matter was continued to 

January 29, 2001. 

1/29/01, CONTINUED ON FIRST READING. Supervisor Maxwell moved to continue consideration to February 26, 2001. 

2/1/01, TRANSFERRED to Housing, Transportation and Land Use Committee. New committee structure. 

2/8/01, TRANSFERRED to Public Health and Environment Committee. Transferred at the direction of the President. 

2/26/01, CONTINUED ON FIRST READING Supervisor Maxwell requested that this matter be continued to April 2, 2001. 

Speakers: None. Continued to May 8th meeting. 
CONTINUED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



010234 [Hunters Point Shipyard Environmental Clean-up] 

Supervisors Maxwell, Ammiano, Daly, Gonzalez, Hall, Leno, McGoldrick, Newsom, Peskin, Sandoval, 
Yee 

Hearing on the implementation of Proposition P: Declaration of Policy Supporting Environmental Clean-up to 
Residential Levels for the Hunters Point Shipyard. 

2/5/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Sponsor requests this item be scheduled for 
consideration at the March 27, 2001 meeting. 

Heard in committee. Speakers: Ted Lakey, Deputy City Attorney; Saul Bloom, ARC Ecology; Jesse Blout, 
Mayor's Department of Economic Development; Michael Cohen, Deputy City Attorney; Marie Avery, Base 
Closure Manager, Navy: Paul Yaroschak, Director of Environmental Compliance, Navy; Daniel Meer, 
Environmental Protection Agency; Tony Landis, State Department on Toxic and Substance Control; Curtis 
Scott, California Regional Water Quality Control Board; Dr. Bhathia, Department of Public Health; Elaine 
Warren, City Attorney's Office; Richard Mock, Navy; Olin Webb, Bayview Hunters Point Community 
Advocates; Jill Fox, RAB; Marie Harrison, RAB; Elouise Westbrook; Essie Webb; David Gavrich; Dwayne 
Jones; Helen Jackson; Willie Ralclijf; Maurice Campbell; Female Speaker; Keith Tisdell; Lynne Brown; 
Betsy Blom-Stallinger; Jesse Mason; Male Speaker; Christine Shirley; Ena Aguirre; Charlette D. Beauford. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



City and County of San Francisco 



Printed at 2:58 PM on 3/28/01 



Public Health and Environment Committee Meeting Minutes March 27, 2001 



ADJOURNMENT 



The meeting adjourned at 1:17 pm. 



City and County of San Francisco 4 Printed at 2:58 PM on 3/28/01 



[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



yio. so 

3 
5/27/0/ 



CITY AND COUNTY 




OF SAN FRANCISCO 



SAN 



BOARD OF SUPERVISORS 



BUDGET ANALYST 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 

DOCUMENTS DEPT. 



March 22, 2001 
TO: ^ Public Health & Environment Committee 

FROM: y Budget Analyst 
SUBJECT: March 27, 2001 Public Health & Environment Committee Meeting 

Iteml-File 04038 



MAR 2 6 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



Department: 



Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 
Description: 



Department of Public Health, Community Health 
Services 

Resolution authorizing the Department of Public Health, 
Community Health Services, to accept retroactively and 
expend grant funds of $25,000, from the California 
Department of Health Services for a Project LEAN 
Nutrition Network project and to enter into an agreement 
for the use of these funds; providing for ratification of 
action previously taken. 

$25,000 

October 1, 2000 through September 30, 2001 (one year-see 
Comment No. 1) 

United States Department of Agriculture (USD A) through 
the State of California Department of Health Services 
(DHS) 

The subject grant would authorize the Department of 
Public Health (DPH), Community Health Services (CHS) 
branch, to accept retroactively and expend a $25,000 
grant from the State DHS. It would also authorize DPH to 



Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 

enter into a contract with the State DHS retroactive to 
October 1, 2000. 

The subject grant would fund activities of Project LEAN, 
the lead agency for community outreach for the California 
Nutrition Network. The California Nutrition Network is a 
coalition of State agencies, public entities, nonprofit 
organizations, media outlets, and business and industry 
partners that attempt to improve the health of low-income 
. Californians through education about healthy eating and 
lifestyles. Project LEAN represents the public relations 
portion of the Nutrition Network. The subject grant would 
support DPH employees in providing public relations 
activities within San Francisco to the California Nutrition 
Network. 

According to Ms. Maria Le Clair of DPH, the target 
population for the subject grant would be San Francisco 
households with incomes less than $20,000 per year. In 
particular, she advises the target population would be 
food stamp recipients. She further advises that the 
subject grant would focus on media campaigns to promote 
increased consumption of fruits and vegetables among the 
target population. 

According to Ms. LeClair, the subject grant would support 
the following three goals: (1) support California Nutrition 
Network activities (through cultivation of media contacts 
in the Bay Area, participation in workshops and providing 
input for placement of State produced educational 
materials), (2) implement a community-based marketing 
plan, and (3) build and maintain California Project LEAN 
leadership and infrastructure. 

Budget: . Salary 0.20 FTE 2846 Nutritionist $11,563 

Fringe Benefits 3,238 

Operating Expenses 1,319 

Travel and Per Diem 1,500 

Other Costs (See Attachment I 5,900 

for details) 

Subtotal-Direct Cost $23,520 

Indirect Costs (10% of Personnel 

Expenses) 1.480 

TOTAL PROJECT COST $25,000 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 






Required Match: 



Attachment I, provided by the DPH Community Health 
Services, contains details to support the summary budget 
above. 

None 



Indirect Costs: 



Comments: 



$1,480 (10% of Personnel Expenses) 

1. As noted above, the grant period is from October 1, 
2000 through September 30, 2001. Ms. LeClair notes that 
DPH has already entered into a contract with the State 
DHS to accept the subject funds. Therefore, the proposed 
resolution provides for retroactive acceptance of the 
subject grant. 

Ms. LeClair advises that no grant funds have been 
expended to date. Ms. LeClair further advises that while 
DPH submitted its application for these grant funds in 
August of 2000, DPH did not receive State approval of the 
grant funds until mid- February of 2001 and thus could 
not submit the proposed resolution to the Board of 
Supervisors sooner. 

2. Ms. LeClair advises that the subject grant will fund a 
0.20 FTE 2846 Nutritionist, which is an existing DPH 
employee whose position is already "G" coded through a 
Federal grant from the Women, Infants and Children 
(WIC) program for breastfeeding education. Ms. LeClair 
advises that if the Project LEAN grant is not awarded in 
subsequent years, this position would again be funded 
through the WIC grant. 

3. Ms. LeClair advises that while this is the first year the 
grant has been awarded, she anticipates that it may be 
awarded in subsequent years due to the past success of 
the California Nutrition Network. Such a continuation of 
the proposed grant would require DPH to reapply to the 
State, and would be subject to separate approval to accept 
and expend such funds by the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 






Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 

4. Attachment II is a copy of the Grant Application 
Information Form, as provided by DPH, which includes 
the Disability Access Checklist. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



ATTACHMENT I 

Page 1 of 2 

Contractor Name: Citv & Countv of San Francisco Department of Public Health 

Contract Number: 00-91351 



California Project Lean 
Network Award 
BUDGET JUSTIFICATION 

October 1,2000 through September 30, 2001 

Personnel Salaries: 

Title Salary Range % of Time or Total 

or Hourly Rate # of hours Personnel 

Salaries 

1. Nutritionist S27.69 8 hrs/wk $ 11.563 

♦Based on 26.1 pay periods. Total Personnel 511,563 

POSITION DESCRIPTION: 

Nutritionist: Will plan, organize, conduct and oversee all activities related to the City & County 
of San Francisco California Project Lean Promotes, implements, coordinates, and evaluates 
nutrition programs; plans, organizes, and supervises the work of professional and support staff in 
the preparation and presentation of nutrition education plans and activities. Collaborates with 
community based organization in order to promote the Network Program goals and objectives. 
Provides consultation to Health Department staff and to other departments concerned with 
nutrition; may provide consultation, assistance, and nutrition education to other facilities related 
to nutrition and physical activity. Provides liaison to public and private health care providers to 
promote referrals to the local California Nutrition Network activities. Coordinates and assigns 
work to subordinate staff based on technical qualifications. Assists in the anrmal completion of 
nutrition grant and contract reapplication forms; attends nutrition related meetings and 
conferences; prepares reports and correspondence. 



Fringe Benefits: 53,238 



'a 



Operating Expenses: 51,3.19 

Postage and Office supplies. Printing and duplication of nutrition and physical activity health 
education pamphlets/handouts that the Bay Area Region Region Project Lean Coalition may 
develop. 

Postage: S 50 Office supplies: $ 320 Printing & duplication: $ 950 

09/15/00 



•ATTACHMENT I 



Page 2 of 2 



Equipment Expenses: S 



Travel and Per Diem: $1,500 

Travel to CA Nutrition Network Social Marketing Conference, Communication Training 
Workshops, Regional Communication Network Trainings and Channel Specific Workshops. 
Travel expenses for Project Director and project Nutritionist. Local mileage. Mileage is 
reimbursed at .3 1 cents per mile. 



Subcontracts: SO 



Other Costs: S5,900 

Purchase of food for demonstration classes for local partners, media and local events. Training 
of local staff to support continuing education and skill development Purchase of promotional 
nutrition related items to include but not limited to: magnets, aprons, cookbooks/brochures that 
will include a nutrition education message. Purchase of nutrition education videos or brochures. 

Food: $700 Brochures: $ 500 Training: S700 

Promotional Items: S 4,000 



Indirect Costs: @ 10% of total personnel expenses Sl,4'80 

To cover business and financial services such as accounting, human resources, payroll, auditing, 
computing and network support, custodial, and utilities for local Project Lean grant staff. 



Total Expenses S25.000 



09/15/00 



He Number 61-0937 ATTACHMENT II 

(Provided by Clerk of Board of Supervisors) 

Page 1 of 2 

Grant Information Form 

(Effective January 2000) 

urpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
xpend grant funds. 

he following describes the grant referred to in the accompanying resolution: 

. Grant Title: California Project Lean 

. Department: Public Health, Community Health Services, Nutrition Services 

. Contact Person: Maria LeClair Telephone: 557-9906 

. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

. Amount of Grant Funding Approved or Applied for: $25 ,000 

a. Matching Funds Required: 50 

b. Source(s) of matching funds (if applicable): 

3. Grant Source Agency: California Department of Health 
3. Grant Pass-Through Agency (if applicable): DHSr 

Proposed Grant Project Summary: This funding will be used locally to support California Nutrition Network 
activities and to implement and evaluate a Community-Based Social Marketing plan that will promote 
healthy eating at the regional level. It is designed to implement community interventions that are driven by 
the target customer and involve regional coalitions in the decision making process to plan community 
interventions. 

Activities include media-related projects; collecting evaluation data; implementing a community-based 
social marketing plan, which includes support for the Bay Area Project Lean Coalition; developing 
educational materials; intervention and evaluation; participating in statewide regional meetings; conference 
calls; attending the Nutrition Network annual Social Marketing Conference; and preparing and submitting 
progress reports. 

I Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 10/1/00 End-Date: 9/30/01 



R Number of new positions created and funded: None 

If new positions are created, explain the disposition of employees once the grant ends? : N/A 



i 



r ... 

ATTACHMENT II 

Page 2 of 2 
12a. Amount budgeted for contractual services: None 

b. Will contractual services be put out to bid? : N/A 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? : N/A 

13a. Does the budget include indirect costs? [ X] Yes [ ] No 

b1. If yes, how much? $1,480 

b2. How was the amount calculated? : 10% of total personnel expenses 

c. If no, why are indirect costs not included? : N/A 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 
••Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

; X] Existing Site(s) [ X] Existing Structure(s) [ X] Existing Program(s) or Service(s) 

X] Rehabilitated Site(s) [ X] Rehabilitated Structure(s) [ X] New Program(s) or Service(s) 

X] New Site(s) [ X] New Structure(s) 

1 6. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
ill other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
Usabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 



)epartmental or Mayor's Office of Disability Reviewer Norman Nickens Deputy Directnr 

(Name) (Title) 

'ate Reviewed: 3. /*•'/<>' 7^^, 7^£ ■ 

(Signature) 

epartment Approval: Mitchell Kat.z. MP Director of Health 

(Name) (Title) 



iiwt^/ yc^ ^ ^ 



(Signatufe) 




Memo to Public Health and Environment Committee 

March 27, 2000 Public Health and Environment Committee Meeting 



Item 2 - File 01-0439 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Project: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
AIDS Office, to accept retroactively and expend a grant in 
the amount of $50,000 from the State Office of AIDS for a 
survey of young low-income men and to enter into an 
agreement for the use of these funds; providing for 
ratification of action previously taken. 

$50,000 

October 15, 2000 through June 30, 2001 (eight and one- 
half months) 



State Office of AIDS 

Survey of Young 
Neighborhoods 



Men Residing in Low-income 



The California State Office of AIDS has funded a 
population-based study involving the Counties of San 
Francisco, San Mateo, Alameda, Contra Costa, and San 
Joaquin, to determine the prevalence of HIV and other 
sexually transmitted diseases among young men residing 
in low-income neighborhoods. The proposed resolution 
would authorize the Department of Public Health (DPH), 
AIDS Office to accept retroactively and expend a grant in 
the amount of $50,000 from the State Office of AIDS to 
fund a survey of young men residing in low-income 
neighborhoods in San Francisco. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

9 



Memo to Public Health and Environment Committee 

March 27, 2000 Public Health and Environment Committee Meeting 



Budget: 



A summary budget for the proposed project, as authorized 
by the granting agency, the California Office of AIDS, is 
as follows: 









Item 


Cost 


Salaries 




0.5 FTE 2808 Senior Disease Control Investigator (Step 5) (8 months) 


$17,774 


0.5 FTE 2585 Health Worker I (Step 2) (8 months) 


10,510 


0.25 FTE 2585 Health Worker I (Step 2) (8 months) 


5,255 


COLA - 3% of Salaries 


1,006 


Approximate 5% Step increase for the two 2585 positions 


786 


Total Salaries 


35,331 


Fringe Benefits 


8,386 


Travel 


1,283 


Client Incentives 


5,000 


Project Total 


$50,000 



Required Match: 
Indirect Costs: 

Comments: 



None. 

The proposed resolution provides for a waiver of indirect 
costs because such costs are not allowed by the granting 
agency. 

1. Mr. Giuliano Nieri of DPH states that the three 
proposed grant positions are existing part-time grant- 
funded staff working on a related project, the Asian 
Counseling and Testing Study funded by the Center for 
Disease Control (CDC). According to Mr. Nieri, some 
overlap in work exists between the proposed project and 
the current CDC project. Mr. Nieri states that, because 
this overlap provided an opportunity to be extremely 
efficient, DPH commenced with the proposed project on 
November 1, 2000 in anticipation of a reimbursement 
from the subject grant funds, following approval by the 
Board of Supervisors. Since DPH staff have been working 
on the subject grant since November 1, 2000, the proposed 
resolution would provide for ratification of action 
previously taken. Mr. Nieri, advises that the Department 
funded the work on the subject project conducted since 
November 1, 2000 with monies from the related CDC 
Project. According to Mr. Nieri, these CDC funds would 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

10 



Memo to Public Health and Environment Committee 

March 27, 2000 Public Health and Environment Committee Meeting 

be reimbursed back to the CDC Project upon approval of 
the proposed resolution by the Board of Supervisors. 

2. According to Mr. Nieri, each of the existing three 
positions that would be partially funded by the proposed 
grant are currently coded "G" for grant-funded. Mr. Nieri 
states that each of these positions would either be shifted 
to another grant, or would be terminated when the 
subject grant expires. 

3. According to Mr. Nieri, the subject grant is only 
coming before the Board of Supervisors now, 
approximately five and one -half months after the start of 
the grant period, because the subject grant is an 
amendment to an umbrella agreement between the State 
Office of AIDS and DPH. As such, according to Mr. Nieri, 
the subject grant required a more lengthy approval 
process by the granting agency, the State Office of AIDS. 
Mr. Nieri reports that, despite the fact that the grant 
period began on October 15, 2000, DPH did not receive a 
final executed copy of the subject grant agreement until 
late February, 2001. 

4. Mr. Nieri states that the terms of the proposed grant 
require that all grant funds be expended prior to the 
expiration of the grant period on June 30, 2001. 
According to Mr. Nieri, DPH anticipates expending all of 
the proposed grant funds prior to this expiration date. 

5. According to Mr. Nieri, the proposed Project is 
expected to extend up to three years in length, depending 
on the rate at which DPH is able to contact and interview 
an appropriate sample of subjects. As such, according to 
Mr. Nieri, the Department anticipates the proposed grant 
would be renewed for one year beginning July 1, 2001 in 
the amount of $150,000 and that, if needed, a second one- 
year renewal for $150,000 would be expected, beginning 
July 1, 2002. As such, the proposed resolution contains a 
provision that authorizes the Director of Public Health to 
enter into other future agreements, similar to the subject 
agreement with the State Office of AIDS if the grant 
recurs or is renewed, without obtaining prior approval 
from the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

11 



Memo to Public Health and Environment Committee 

March 27, 2000 Public Health and Environment Committee Meeting 

6. The Attachment, provided by DPH is the Grant 
Application Information Form, which includes a 
Disability Checklist. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Public Health to enter into other future 
agreements, similar to the subject agreement, with the 
State Office of AIDS if the grant recurs or is renewed, 
without obtaining subsequent approval by the Board of 
Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

12 



Page 1 of 2 
z \le Number: 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
=xpend grant funds. 

I*he following describes the grant referred to in the accompanying resolution: 

ft Grant Title: Survey of Young Men Residing in Low-Income Neighborhoods 

2. Department: San Francisco Department of Public Health, AIDS Office, 

Seroepidemiology and Surveillance Section 

3. Contact Person: Guiliano Nieri Telephone: 554-9130 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $50,000 

3a. Matching Funds Required: $0.00 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: State Office of AIDS 
b. Grant Pass-Through Agency (if applicable): N/A 

3. Proposed Grant Project Summary: The Survey of Low Income Men will be a single-stage, cluster 

sample, population based, door-to-door, cross sectional survey designed to measure the prevalence of HIV, 
sexually transmitted disease (STD), hepatitis, and related risk behaviors. 

3. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: October 15, 2000 End-Date: June 30, 2001 

10. Number of new positions created and funded: 0, they are existing positions 

11. If new positions are created, explain the disposition of employees once the grant ends? N/A 
2a. Amount budgeted for contractual services: $0.00 

b. Will contractual services be put out to bid?N/A 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? N/A 



13 



Attachment ■ 
Page 2 ot 2" 
13a. Does the budget include indirect costs? [ ] Yes [x ] No 

b1. If yes, how much? $0 

b2. How was the amount calculated? N/A 

c. If no, why are indirect costs not included? 

[x] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 



"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[x ] Existing Site(s) [x ] Existing Structure(s) [ x] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal and 
concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and all 
other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 



Comments: 



Departmental or Mayor's Office of Disability Reviewer: 



>^^^*-^A i Jis" 



Norman Nickens Deputy Director 

Date Reviewed: ^1 " /° I 

Department Approval: 

/2d^A^lL\ 

Mitchell KatzVlvl.D. — ' Director of Public Health 



\k 



Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 



Item 3- File 01-0429 

Department: 

Item: 



Subcontract Amount 
Payable to DPH from 
Public Health 
Foundation 
Enterprises, Inc.: 

Subcontract Period: 



Source of Funds: 
Matching Funds: 
Indirect Costs: 



Budget: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
subcontractor, to enter into an agreement in the amount 
of $247,970 with the Public Health Foundation 
Enterprises, Inc., primary contractor, to fund the DPH 
portion for "San Francisco HIV Vaccine Clinical Trials," a 
unit of the HIV Vaccine Trials Network (HVTN); 
retroactive to June 1, 2000. 



$247,970 

June 1, 2000-May 31, 2001 (One-year-see Comment No. 
1.) 

Public Health Foundation Enterprises, Inc. 

None 

$32,951 (16% of direct costs) 

The summary budget for the subject grant is as follows: 

Salaries 

0.30 FTE 2233 Sr. Physician Specialist $36,864 

1.00 FTE 2230 Physician Specialist 57,505 

0.50 FTE 2593 Health Program 34,452 

Coordinator III 

0.25 FTE 1003 IS Operator Senior 11,836 

0.25 FTE 1004 IS Operator Senio r 11.269 

2.30 TOTAL FTEs $151,926 

Increases 

STEP (5%) (for 2233 Sr. Physician $2,407 

Specialist and 1004 IS Operator Senior) 

COLA (3%) (for all personnel; includes 4.630 

STEP Increases) 7,037 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

15 



Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 






Fringe Benefits 


$37,982 


Participant Stipends 
SUBTOTAL-(Direct Costs- 
Excluding UCSF Contract) 


9,000 
$205,945 


Indirect Costs (16% of 

Direct Costs) 


32,951 


UCSF-Subcontract 


9,074 



TOTAL PROJECT COST $247,970 



Description: The subject grant would fund DPH's portion of the study 

of the safety and effectiveness of potential HIV vaccines 
through the San Francisco HIV Vaccine Trials Unit 
(SFHVTU). According to Mr. Billy Pick of DPH, the 
SFHVTU is a part of a network formed by National 
Institutes of Health to develop and test preventive HIV 
vaccines in 20 domestic and international sites. Mr. Pick 
explains that DPH participated in a similar five-year 
National Institute of Allergy and Infectious Diseases 
(NIAID)- funded research study in the past. 

According to Mr. Pick, the Public Health Foundation 
Enterprises, Inc. (PHFE), a nonprofit organization that 
promotes good health practices through research and 
development, has received a $1,270,283 grant from the 
NIAID to conduct the HIV vaccine research project. 
Under the subject agreement, PHFE will subcontract with 
the DPH to assist PHFE in completing the work. The 
proposed resolution would authorize DPH to enter into 
this subcontract retroactive to June 1, 2000 with the 
PHFE for DPH to provide HIV vaccine research services 
for PHFE. 

Mr. Pick explains that the subject grant would fund 
Phases I, II, IIB, and III, of the HIV vaccine trials. Mr. 
Pick adds that Phase I involves (1) studying the side 
effects to ensure that the vaccine is safe, (2) determining 
whether the vaccine can elicit a response from the 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

16 



Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 

dosage and vaccination schedule. Mr. Pick estimates that 
there would be 8-10 Phase I participants per trial. He 
explains that Phases II and IIB would take the most 
promising vaccines from Phase I and administer them to 
a larger group of people to collect additional data on 
possible side effects and the effects on the immune 
system. He estimates that there would be 15-30 Phase II 
and IIB participants per trial. Mr. Pick explains that 
Phase III would test the protective benefits of a vaccine in 
500-700 people per trial. 

Comments: 1. The $9,074 contract with UCSF for services would be 

awarded to Dr. Larry Pieperl, a physician who will be 
heading the Phase I committee for the SFHVTU. 
According to Mr. Pick, DPH awarded the contract on a 
sole source basis because of Dr. Pieperl's specialized 
experience in HIV vaccine research. 

2. As shown in the budget for the subject $247,970, 2.30 
FTEs would provide direct services to the project. 
According to Mr. Pick, these are existing DPH 
employees whose positions are funded by a collection of 
grants and are already coded "G" for grant-funded. Mr. 
Pick advises that these positions would terminate when 
these subcontract funds expire. 

3. The subject subcontract is for the five-year period from 
June 1, 2000 through May 31, 2005. However, this 
subcontract stipulates that $247,970 is for the one-year 
period from June 1, 2000 through May 31, 2001. The 
subject subcontract does not specify an amount to be 
expended for the subsequent four-year period from June 
1, 2001 through May 31, 2005. The proposed resolution 
stipulates that $247,970 is for the period starting June 1, 
2000. However, the proposed resolution does not specify 
an ending date for the expenditure of these funds. 
Therefore, to be consistent with the underlying 
subcontract between DPH and PHFE, the proposed 
resolution should be amended to designate the 
subcontract period as June 1, 2000 through May 31, 2001 
and the subcontract amount as $247,970. If the subject 
subcontract is amended to increase the amount of funding 
to be received by the DPH from PHFE in future years or 
to extend the subcontract, then DPH should request 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

17 



Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 

Board of Supervisors approval of such subsequent 
changes at that time. 

4. The subcontract between DPH and PHFE includes a 
mutual indemnification clause. Ms. Nancy Johnston- 
Bellard of the City's Risk Management Office approved 
the indemnification clause. Ms. Virginia Dario Elizondo of 
the City Attorney's Office states that, given that the City's 
Risk Management Office approved the indemnification 
clause in accordance with Administrative Code Section 
1.24, it was not necessary to include such a clause in the 
language of the proposed resolution. Therefore, the 
proposed resolution does not include any such mutual 
indemnification clause. 

5. Mr. Pick states that DPH has incurred expenses on this 
project since June 1, 2000 and estimates expenses of 
$238,671 through March 31, 2001. According to Mr. Pick, 
these expenses were for preparatory work including 
logistical details of establishing screening and monitoring 
sites for participants and staff salaries. Therefore, the 
proposed resolution requests retroactive approval to June 
1, 2000. Mr. Pick notes that the reason for the substantial 
delay in bringing the proposed resolution to the Board of 
Supervisors was because DPH was awaiting receipt of a 
Cooperative Project Assurance from the Federal Office of 
Human Research Protections and did not receive such 
assurance until November 27, 2000. The NIAID would not 
release the funds to PHFE without such assurance. 

6. The proposed resolution inaccurately lists Phases I, II, 
and IIB (Roman Numerals) of the vaccine research trials 
as Phases 1, 11, and 11B. Therefore, the proposed 
resolution should be amended to correct this 
typographical error. 

7. The Attachment to this report is a copy of the Grant 
Information Form, as provided by DPH, which includes 
the Disability Access Checklist. The explanation of how 
the indirect costs were calculated should show $205,945 
as the basis for the Direct Costs as shown in the Budget 
section above. The DPH considers Total Modified Direct 
Costs to include all direct costs except for contractual 
services. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

18 



Memo to Public Health and Environment Committee 

March 27, 2001 Meeting of Public Health and Environment Committee 

Recommendations: 1. Amend the proposed resolution to specify June 1, 2000 

through May 31, 2001 as the term for the subject 
subcontract for $247,970 and to require DPH to obtain 
Board of Supervisors approval for receipt of any 
subsequent subcontract funds through the PHFE 
subcontract or to renew or extend the subject subcontract, 
in accordance with Comment No. 3 above. 

2. Amend the proposed resolution to correct a 
typographical error that shows Phases I, II, and IIB 
(Roman Numerals) as Phases 1, 11, 11B, in accordance 
with Comment No. 6 above. 

3. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

19 



File Number: 0i '- 0^2^ ATTACHMENT 

(Provided by Clerk of Board of Supervisors) 

Page 1 of 2 
Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: San Francisco HIV Vaccine Clinical Trials (HVTN) 

2. Department: Dept. of Public Health, 

Population Health and Prevention Division, 
HIV Research Section 

3. Contact Person: Billy Pick Telephone: 554-9048 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $247,970 

6a. Matching Funds Required: $0.00 

b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: National Institutes of Health 

b. Grant Pass-Through Agency (if applicable): Public Health Foundation Enterprises, Inc. 

8. Proposed Grant Project Summary: 

The San Francisco HIV Vaccine Trials Unit (SFHVTU) brings together leaders in the fields of virology, 
immunology, epidemiology, and behavioral science to refine and implement a comprehensive agenda for 
evaluating safety, immunogenicity, and efficacy of candidate vaccine products in clinical trials. The specific 
goals of the Department will be to: 1) provide scientific expertise and leadership in planning, implementation, 
and analysis of Phase l-lll trials and laboratory support, 2) assist other sites in development of community 
outreach, 3) conduct Phase I, II, I IB, and III HIV vaccine trials in San Francisco, and 4) maximize capacity to 
enroll high-risk participants in Northern California for efficacy trials. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 6/01/00 End-Date: 5/31/01 

The total award from NIH to Public Health Foundation Enterprises, Inc. was $1,270,283 for the HVTN grant 
from the period of 6/1/2000 - 5/31/01. The Notice of Grant Award from NIH providing provisional support in 
the amount of $200,000 was made to PHFE with the balance to be awarded upon the fulfillment of certain 
conditions, the most important of which the acquisition of a Cooperative Project Assurance from the Office of 
Human Research Protections. This CPA did not take effect until 1 1/20/00 and the letter was not sent to Dr. 
Mitch Katz until 11/27/00. At that point, the NIH released the additional funds to PHFE, which make up the 
amount of the HVTN grant to SFCC. 



20 



ATTACHMENT 

10. Number of new positions created and funded: Page 2 of 2 

11. If new positions are created, explain the disposition of employees once the grant ends? 
12a. Amount budgeted for contractual services: $9,074 

b. Will contractual services be put out to bid? No, Sole-source 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? On-going for five years 

13a. Does the budget include indirect costs? [x] Yes [ ] No 

b1 . If yes, how much? $32,951 

b2. How was the amount calculated? 16% of Total Modified Direct Costs ($31 3,91 9) 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 
"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[ x] Existing Site(s) [x] Existing Structure(s) [x] Existing Program (s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [] New Program (s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 

Departmental or Mayor's Office of Disability Reviewer: Norman Nickens Deputy Director 

(Name) (Title) 



Date Reviewed: Q /' / ° ' f^An^ YjL^ 



(Signature) 



Department Approval: Mitchell Katz. M.D . Director of Public Health 

(Name) , (Title) 




\Avufi ( 



(Signature) ^ 

21 



Memo to Public Health and Environment Committee 

March 27, 2001 Public Health and Environment Committee Meeting 



Item 4 -File 01-0449 

Department: 

Item: 



Source of Funds: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health, subcontractor, to enter into an agreement 
in the amount of $387,775.84 with the University of 
California, San Francisco, primary contractor, for the 
"Behavioral, Basic and Clinical Studies of Post-Exposure 
Prophylaxis (PEP)" project for the period of September 30, 
2000 to August 31, 2004. 

University of California, San Francisco (UCSF) 



Subcontract Amount 

Payable by UCSF 

to DPH: $387,775.84 (see Comment 1) 



Subcontract Period: 

Required Match: 
Indirect Costs: 

Description: 



31, 2004 



September 30, 2000 through August 
(approximately four years) (See Comment 1) 

None 



$47,560.60 (20% of salaries, excluding fringe benefits) 
(See Comment 6) 

The proposed resolution would authorize the DPH's 
Population Health and Prevention, Sexually Transmitted 
Disease Prevention and Control Services to enter into an 
agreement with UCSF to participate in the "Behavioral, 
Basic and Clinical Studies of Post-Exposure Prophylaxis 
(PEP)" project for the approximate four-year period. Post- 
exposure prophylaxis is a medical treatment and 
counseling intervention that is offered to individuals 
within 72 hours of a confirmed or possible exposure to the 
human immunodeficiency virus (HIV) to reduce the risk of 
viral acquisition following exposure to HIV and prevent 
future exposure to HIV. The DPH had a similar 
agreement with UCSF to participate in a PEP project 
from December 1, 1997 through November 30, 1998 (File 
98-402), which was extended an additional year through 
November 30, 1999 (File 98-1962). 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

22 



Memo to Public Health and Environment Committee 

March 27, 2001 Public Health and Environment Committee Meeting 

The proposed PEP project will fund a randomized trial 
among 300 individuals recently exposed to HIV to 
determine whether five sessions of counseling ("enhanced 
risk reduction") and medical treatment are more effective 
than two sessions of counseling ("standard risk 
reduction") and medical treatment at reducing sexually- 
transmitted diseases, self-reported risk behaviors and 
adherence to PEP medications. According to Ms. Wendy 
Wolf from DPH, the goal of the proposed PEP project is to 
determine the most effective way to reduce risk behaviors 
that lead to exposure to HIV and increase adherence to 
medial treatment post-exposure to HIV. 

As the subcontractor, the DPH's duties would include: 

(1) recruiting 300 study participants for the PEP project; 

(2) testing 300 study participants for sexually transmitted 
diseases (STDs) 1 (3) providing clinical management of 
diagnosed STDs, appropriate counseling and risk 
reduction services; and, (4) assisting in the analysis, 
interpretation, publication and dissemination of research 
findings. The proposed PEP project would create a 1.0 
FTE Nurse Practitioner (see Comment 3) and a 0.10 FTE 
Project Director (see Comment 4). 

According to Ms. Wolf, UCSF has hired three Counselors 
and one Supervisor to participate in the proposed PEP 
project. Ms. Wolf advises that the UCSF counselors will 
conduct their counseling shifts at the DPH City Clinic 
located at 356 7 th Street but will use office space, along 
with their Supervisor, at DPH's rented office space 
located at 1360 Mission Street, to conduct data entry and 
general research efforts on the proposed PEP project. Ms. 
Wolf further advises that the DPH Nurse Practitioner and 
the DPH Project Director will also use office space at 1360 
Mission Street for work affiliated with the subject project. 

Budget: The summary budget for the eleven months of the 

proposed PEP project is as follows: 



1 Ms. Wolf advises that the DPH would cover the costs of the STD tests since such tests are covered 
by the DPH under standard risk reduction services. However, UCSF would cover the costs of HIV 
tests and all related HIV medications administered under the proposed PEP. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

23 






Memo to Public Health and Environment Committee 

March 27, 2001 Public Health and Environment Committee Meeting 

Salary - 1.0 FTE 2328 Nurse Practitioner $69,782.00 

Fringe Benefits ' 17,446.00 

Space Rental 23,563.16 

Total Direct Costs $110,791.16 

Indirect Costs (20% of Salaries) 13,956.40 

TOTAL $124,747.56 

Attachment I, provided by DPH, contains budget details 
for the anticipated funding of $124,747.56 from UCSF for 
the first eleven months of the project. In addition, 
Attachment I shows the total anticipated $387,775.84 of 
funding for the approximate four-year period of the 
proposed PEP project. 

Comments: 1. According to Ms. Wolf, UCSF has received a grant from 

the National Institute of Health (NIH) to conduct the PEP 
project. Under the subject agreement, UCSF will 
subcontract with the DPH to assist UCSF in collecting 
and tracking data from the 300 PEP participants. The 
subject agreement is for $124,747.56 for the eleven-month 
period from September 30, 2000 through August 31, 2001, 
with the option to extend the agreement. However, as 
noted above, the subject resolution is for a total of 
$387,775.84 or $263,028.28 more than the actual 
agreement of $124,747.56 between the DPH and UCSF. 
In addition, the subject resolution is for the approximate 
four-year period extending from September 30, 2000 
through August 31, 2004, or approximately three years 
more than the actual agreement between the DPH and 
UCSF. Therefore, the Budget Analyst recommends that 
the proposed resolution should be amended to designate 
the agreement period as September 30, 2000 through 
August 31, 2001 and the agreement amount as 
$124,747.56. If the subject agreement is amended to 
extend the agreement period or change the amount of 
funding to be received by the DPH from UCSF, then DPH 
should come back to the Board of Supervisors for approval 
of such changes at that time. 

Despite the fact that the proposed agreement amount is 
$124,747.56 and the agreement specifically states, "this 
amount shall not be exceeded nor shall any portion be 
carried forward to future years without the University's 
Principal Investigator's authorization and subsequent 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

24 



Memo to Public Health and Environment Committee 

March 27, 2001 Public Health and Environment Committee Meeting 

formal amendment of this Agreement," Mr. Rick 
Sheinfield from the City Attorney's Office, states that the 
subject agreement is for an eleven-month period for 
$124,747.56, renewable through a continuation 
application for three additional years for an additional 
amount of $263,028.28 or a total approximate four-year 
amount of $387,775.84. Mr. Sheinfield, therefore, 
recommends that the subject resolution be amended to 
reflect that the DPH is seeking approval for an eleven- 
month grant-period for $124,747.56 and three additional 
years for a total additional amount of $263,028.28, with 
those three additional years contingent upon renewal of 
the agreement between the DPH and UCSF through a 
continuation application without subsequent additional 
approval by the Board of Supervisors. The Budget 
Analyst disagrees with Mr. Sheinfield and notes that the 
subject agreement specifically references $124,747.56 and 
notes that the subject agreement states that the 
agreement term begins on September 30, 2000 and shall 
not extend beyond August 31, 2001, unless agreed to in 
writing by both parties. Therefore, the Budget Analyst 
continues to recommend that the proposed resolution be 
amended to reflect the actual agreement date and amount 
quoted in the subject agreement and that the DPH seek 
approval from the Board of Supervisors for any 
amendments to the subject agreement. 

2. According to Ms. Wolf, the subject agreement should be 
retroactive to September 30, 2000 because, even though 
no money has been received by the DPH, the DPH has 
conducted prep-work for the subject PEP project and 
allocated office space for staff, and has therefore been 
incurring costs on this project. Ms. Wolf advises that 
UCSF has agreed to reimburse the DPH for any 
expenditures incurred between September 30, 2000 and 
the approval of the subject agreement. Ms. Wolf states 
that the NIH did not release the grant funds to UCSF 
until January of 2001, which resulted in the DPH's delay 
in submitting the subject resolution to the Board of 
Supervisors for approval. The Budget Analyst 

recommends that the subject resolution be amended for 
retroactivity. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

25 



Memo to Public Health and Environment Committee 

March 27, 2001 Public Health and Environment Committee Meeting 

3. The subject grant agreement would fund the work of 
1.0 FTE 2328 Nurse Practitioner. The Nurse Practitioner 
would: (1) provide clinical assessments for patients when 
they arrive at the DPH Clinic to recruit patients for the 
proposed PEP; (2) ensure that referrals to social services, 
psychiatric services and counseling services are prompt 
and efficient; and, (3) develop quality control procedures 
for patient assessment and ease of providing services. 
According to Ms. Wolf, the subject Nurse Practitioner 
position is an existing DPH position which is funded with 
General Fund monies. Ms. Wolf advises that if the 
subject agreement is approved, the grant monies would be 
used to reimburse the General Fund expenditures to date 
for this position. Ms. Wolf advises that the one Nurse 
Practitioner position would terminate when the grant 
expires if the Department is unable to secure additional 
funds. Therefore, the Budget Analyst recommends that 
the proposed resolution be amended to designate the 1.0 
Nurse Practitioner position, as a "G" or grant-funded 
position. 

4. According to Ms. Wolf, the subject agreement 
designates Dr. Jeffrey Klausner from the DPH as the PEP 
Project Director at 0.10 FTE. Dr. Klausner would be 
responsible for the technical and administrative conduct 
of the proposed PEP project. Ms. Wolf states that Dr. 
Klausner's salary and benefits would not be funded under 
the proposed agreement and would instead be an in-kind 
contribution of an estimated $12,833, included in the 
DPH budget, for the eleven-month agreement between 
DPH and UCSF. Such an in-kind contribution is not 
required by the subject agreement. 

5. The agreement between DPH and UCSF includes a 
mutual indemnification clause. Mr. Sheinfield states that 
it is not necessary to include such a clause in the 
language of the resolution or secure the approval of the 
City's Risk Manager since the Board of Supervisors has 
previously passed an on-going resolution approving such 
indemnification agreements with UCSF. 

6. Attachment II is DPH's Grant Application Information 
Form, which includes the Disability Access Checklist. 
The indirect costs as shown in Attachment II, should read 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

26 









Memo to Public Health and Environment Committee 

March 27, 2001 Public Health and Environment Committee Meeting 

$13,956.40, not $47,560.60 to reflect the actual indirect 
costs. Additionally, the grant period shown in 
Attachment II, should read September 30, 2000 to August 
31, 2001, not September 30, 2000 to August 31, 2004, to 
reflect the actual agreement period. 



Recommendations: 



1. Amend the proposed resolution to make the subject 
agreement retroactive to September 30, 2000, in 
accordance with Comment 2 above. 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 



2. Amend the proposed resolution to urge the Controller 
to designate the 1.0 FTE Nurse Practitioner position 
created under the proposed grant as a "G", or grant- 
funded position, which would terminate if the grant is not 
renewed, in accordance with Comment 3 above. 

3. Amend the proposed resolution to reflect the actual 
agreement period of September 30, 2000 through August 
31, 2001 and amend the agreement amount to reflect the 
actual agreement amount of $124,747.56 for the eleven- 
month period. 

4. Approve the proposed resolution, as amended. 




A/ 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

27 



Attachment I 



STD Program - PEP Project 
4 Year Budget 



Yearl 



Year2 Year3 



Year4 



Totals 



Personnel 












Salary (2328 - 100%) 
Fringe Benefits 


$69,782 
$17,446 


$79,268 
$19,817 


$ 80,058 
$ 20,015 






$229,108.00 
$ 57,278.00 


TOTAL PERSONNEL 


$87,228 


$99,085 


$100,073 





$286,386.00 


Travel 


















Equipment 

Supplies 

Other 

Rental Space $ 23,563.16 $ 11,536.44 $ 9,532.64 $10,936 $ 55,568.24 

Total Direct Costs $110,791.16 $110,621.44 $109,605.64 $10,936 $341,954.24 



Indirect Costs 

(20% of Salaries) 

Total Budget 



$ 13,956.40 $ 15,853.60 $ 16,011.60 $ 45,821.60 
$124,747.56 $126,475.04 $ 125,617.24 $10,936 $387,775.84 



28 



..'**■ ' Attachment II 

j'.FiIeNjumber: Page I ot 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: Behavioral, Basic and Clinical Studies of Post Exposure Prophylaxis (PEP) 

2. Department: Department of Public Health, Population Health and Prevention, Sexually Transmitted 
Disease (STD) Prevention and Control Services 

3. Contact Person: Wendy Wolf Telephone: 487-5501 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $387,775.84 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable):N/A 

7a. Grant Source Agency: National Institute of Mental Health (NIMH) 
b. Grant Pass-Through Agency (if applicable):University of California, SF 

8. Proposed Grant Project Summary: The project funds a randomized trial among 300 individuals who were 
recently exposed to HIV to determine whether enhanced (multi-session) risk reduction and adherence 
counseling is equivalent to standard (2 session) risk reduction and adherence counseling in reducing self- 
reported risk behaviors, documented STDs and adherence to PEP medications. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 9.30/2000 End-Date: 8/31/2004 

10. Number of new positions created and funded: 1 .0 FTE 

11. If new positions are created, explain the disposition of employees once the grant ends.: Staff will be told 
that the position is for a limited period of time and will only be refunded if additional funding is identified. All 
isfforts will be made to transition interested and qualified staff into vacancies of similar positions once funding 
is exhausted. 

12a. Amount budgeted for contractual services: $0 



29 



Attachment II 
Page 2 of 2 



b. Will contractual sen/ices be put out to bid? : N/A 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? : N/A 

1 3a. Does the budget include indirect costs? [X ] Yes [ ] No 

b1. If yes, how much? $47,560.60 

b2. How was the amount calculated? : 20% of Salaries 



c. If no, why are indirect costs not included? 
• [ ] Not allowed by granting agency 
[ ] Other (please explain): 



[ ] To maximize use of grant funds on direct services 



14. Any other significant grant requirements or comments: No 
"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 



[X ] Existing Site(s) 
[ ] Rehabilitated Site(s) 
[ ] New Site(s) 



[X ] Existing Structure(s) 
[ ] Rehabilitated Structure(s) 
[ ] New Structure(s) 



[ ] Existing Program(s) or Service(s) 
[ ] New Program(s) or Service(s) 



16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 



Comments: 

Departmental or Mayor's Office of Disability Reviewer: Norman Nick ens 



(Name) 



DeDUtv Pi rPrtnr 




(Title) 



(Signature) 
Date Reviewed: "^ " ^ ' ° < 



Department Approval: Mitchell Katz, M.D 



Director nf Hpalth 



(Name) 



/b^/tutui'l 



(Title) 



(Signature) 



30 




)^o 



I 

SO. 80 



ho/c\ 




City and County of £an Francisco 

Meeting Minutes 

Public Health and Environment Committee 

Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Tuesday, April 10, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED 

The meeting convened at 10:05 am. 

010449 [Contract, DPH - University of California, San Francisco] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH), subcontractor, to enter into an 
agreement in the amount of $387,775.84 with the University of California, San Francisco (UCSF), primary 
contractor, for the "Behavioral, Basic and Clinical Studies of Post-Exposure Prophylaxis (PEP)" project for the 
period of September 30, 2000 to August 31, 2004. (Public Health Department) 

3/12/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 

the March 27, 2001 meeting. 

3/27/01, CONTINUED TO CALL OF THE CHAIR. Speakers: None. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Wendy Wolf Department of 
Public Health; Michael Petrelis. 

4/10/01 Amend the title on page one , line four, after "to" insert "retroactively" and change the amount of 
"$387, 775.84" to "$124, 747.56"; on page one, delete lines 17 through 20; on page one, line seven, change 
"2004" to "2001"; on page one, line sixteen, delete the phrase "for year one"; and replace the phrase "four 
year" with "eleven-month"; on page two in the first whereas clause, after "to" insert "retroactively"; on page 
two in the first resolved clause, change the amount of "$387, 775.84" to " $124, 747.56"; on page two in the 
second whereas clause, change the indirect costs from $47,560.60 to $13,956.40; on page two, add a final 
"Further Resolved" clause, urging the Controller to designate the 1.0 FTE Nurse Practitioner position created 
under the proposed grant as a "G" funded position, which would terminate if the grant is not renewed. 
AMENDED. 

Resolution authorizing the San Francisco Department of Public Health (SFDPH), subcontractor, to 
retroactively enter into an agreement in the amount of $124,747.56 with the University of California, San 
Francisco (UCSF), primary contractor, for the "Behavioral, Basic and Clinical Studies of Post-Exposure 
Prophylaxis (PEP)" project for the period of September 30, 2000 to August 31, 2001. (Public Health 
Department) 

RECOMMENDED AS AMENDED by the following vote: DOCUMENTS DEPT. 

Ayes: 3 - Maxwell, Yee, Leno 



APR 1 6 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 8:00 AM on 4/12/01 



Public Health and Environment Committee 



Meeting Minutes 



April 10, 2001 



010429 [Agreement, HIV Vaccine Clinical Trials) 

Resolution authorizing the San Francisco Department of Public Health, (SFDPH), subcontractor, to enter into 
an agreement in the amount of $247,970 with Public Health Foundation Enterprises, Inc. (PHFE), primary 
contractor, to fund the SFDPH portion for "San Francisco HIV Vaccine Clinical Trials", a unit of the HIV 
Vaccine Trials Network (HVTN); retroactive to June 1, 2000. (Public Health Department) 

3/6/01. RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at the 

March 27. 2001 meeting. 

3/27/01, CONTINUED TO CALL OF THE CHAIR. Speakers: None. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Billy Pick, Department of Public 
Health; Michael Petrelis. 

4/10/01 Amend the title on page one, line eight, after "(HVTN)"; delete "retroactive to June 1, 2000. " and 
replace with "retroactively from the period of June 1, 2000 to May 31, 2001. "; on page one, line sixteen, 
delete the numerals 1, 11, and 1 IB and add Roman numerals I, II, and I1B; on page two in the first resolved 
clause, delete "retroactive to June 1, 2000. " and replace with "retroactively from the period of June 1, 2000 to 
May 31, 2001, subject to Board of Supervisors approval for any new funding or extension of the subcontract 
agreement. " 
AMENDED. 

Resolution authorizing the San Francisco Department of Public Health, (SFDPH), subcontractor, to enter into 
an agreement in the amount of $247,970 with Public Health Foundation Enterprises, Inc. (PHFE), primary 
contractor, to fund the SFDPH portion for "San Francisco HIV Vaccine Clinical Trials", a unit of the HIV 
Vaccine Trials Network (HVTN); retroactively from the period June 1, 2000 to May 31, 2001. (Public Health 
Department) 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



010438 [State grant to promote healthy eating at the local and regional levelsj 

Resolution authorizing the Department of Public Health, Community Health Services, to accept retroactively 

and expend grant funds of $25,000, from the California Department of Health Services for a Project LEAN 

Nutrition Network project and to enter into an agreement for the use of these funds; providing for ratification of 

action previously taken. (Public Health Department) 

3/7/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

3/27/01, CONTINUED TO CALL OF THE CHAIR. Speakers: None. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Laura Brainin-Rodriguez, 
Department of Public Health; Dennis Lawler. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



010439 [Grant from the State Office of AIDS for a survey of young men residing in low-income neighborhoods] 

Resolution authorizing the Department of Public Health, AIDS Office, to accept retroactively and expend grant 

funds of $50,000 from the State Office of AIDS for a survey of young low-income men and to enter into an 

agreement for the use of these funds; providing for ratification of action previously taken. (Public Health 

Department) 

3/7/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

3/27/01, CONTINUED TO CALL OF THE CHAIR. Speakers: None. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Willie McFarland, Department 
of Public Health, Aids Office; Michael Petrelis. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



City and County of San Francisco 



Printed at 8:00 AM on 4/12/01 



Public Health and Environment Committee 



Meeting Minutes 



April 10, 2001 



010128 (Resource Conservation Ordinance] 
Supervisor Daly 

Hearing to study the effectiveness and implementation of the Resource Conservation Ordinance. 
1/22/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Speakers: None 

CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 



The meeting adjourned at 11:10 am. 



City and County of San Francisco 



Printed at 8:00 AM on 4/12/01 



/Vol 



CITY AND COUNTY [^jmmJs O 




[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



JPOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025,^^ Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 

DOCUMENTS DEPT. 

April 5, 2001 

APR - 9 2001 

TO: JPublic Health & Environment Committee ■ 

* SAN FRANCISCO 

FROM: ^Budget Analyst PUBLIC LIBRARY 

SUBJECT: April 10, 2001 Public Health & Environment Committee Meeting 

Item 1- File 01-0449 

Note: This item was continued by the Public Health and Environment Committee 
at its meeting of March 27, 2001. 

Department: Department of Public Health (DPH) 

Item: Resolution authorizing the San Francisco Department of 

Public Health, subcontractor, to enter into an agreement 
in the amount of $387,775.84 with the University of 
California, San Francisco, primary contractor, for the 
"Behavioral, Basic and Clinical Studies of Post-Exposure 
Prophylaxis (PEP)" project for the period of September 30, 
2000 to August 31, 2004. 

Source of Funds: University of California, San Francisco (UCSF) 

Subcontract Amount 

Payable by UCSF 

to DPH: $387,775.84 (see Comment 1) 

Subcontract Period: September 30, 2000 through August 31, 2004 

(approximately four years) (See Comment 1) 

Required Match: None 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 

Indirect Costs: $47,560.60 (20% of salaries, excluding fringe benefits) 

(See Comment 6) 

Description: The proposed resolution would authorize the DPH's 

Population Health and Prevention, Sexually Transmitted 
Disease Prevention and Control Services to enter into an 
agreement with UCSF to participate in the "Behavioral, 
Basic and Clinical Studies of Post-Exposure Prophylaxis 
(PEP)" project for the approximate four-year period. Post- 
exposure prophylaxis is a medical treatment and 
counseling intervention that is offered to individuals 
_ within 72 hours of a confirmed or possible exposure to the 
human immunodeficiency virus (HIV) to reduce the risk of 
viral acquisition following exposure to HIV and prevent 
future exposure to HIV. The DPH had a similar 
agreement with UCSF to participate in a PEP project 
from December 1, 1997 through November 30, 1998 (File 
98-402), which was extended an additional year through 
November 30, 1999 (File 98-1962). 

The proposed PEP project will fund a randomized trial 
among 300 individuals recently exposed to HIV to 
determine whether five sessions of counseling ("enhanced 
risk reduction") and medical treatment are more effective 
than two sessions of counseling ("standard risk 
reduction") and medical treatment at reducing sexually 
transmitted diseases, self-reported risk behaviors and 
adherence to PEP medications. According to Ms. Wendy 
Wolf from DPH, the goal of the proposed PEP project is to 
determine the most effective way to reduce risk behaviors 
that lead to exposure to HIV and increase adherence to 
medial treatment post-exposure to HIV. 

As the subcontractor, the DPH's duties would include: 

(1) recruiting 300 study participants for the PEP project; 

(2) testing 300 study participants for sexually transmitted 
diseases (STDs) 1 (3) providing clinical management of 
diagnosed STDs, appropriate counseling and risk 
reduction services; and, (4) assisting in the analysis, 
interpretation, publication and dissemination of research 



1 Ms. Wolf advises that the DPH would cover the costs of the STD tests since such tests are covered 
by the DPH under standard risk reduction services. However, UCSF would cover the costs of HIV 
tests and all related HIV medications administered under the proposed PEP. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 

findings. The proposed PEP project would create a 1.0 
FTE Nurse Practitioner (see Comment 3) and a 0.10 FTE 
Project Director (see Comment 4). 

According to Ms. Wolf, UCSF has hired three Counselors 
and one Supervisor to participate in the proposed PEP 
project. Ms. Wolf advises that the UCSF counselors will 
conduct their counseling shifts at the DPH City Clinic 
located at 356 7 th Street but will use office space, along 
with their Supervisor, at DPH's rented office space 
located at 1360 Mission Street, to conduct data entry and 
general research efforts on the proposed PEP project. Ms. 
Wolf further advises that the DPH Nurse Practitioner and 
the DPH Project Director will also use office space at 1360 
Mission Street for work affiliated with the subject project. 



Budget: 



The summary budget for the eleven months of the 
proposed PEP project is as follows: 



Salary - 1.0 FTE 2328 Nurse Practitioner 
Fringe Benefits 
Space Rental 
Total Direct Costs 
Indirect Costs (20% of Salaries) 
TOTAL 



$69,782.00 
17,446.00 
23,563.16 

$110,791.16 
13,956.40 

$124,747.56 



Comments: 



Attachment I, provided by DPH, contains budget details 
for the anticipated funding of $124,747.56 from UCSF for 
the first eleven months of the project. In addition, 
Attachment I shows the total anticipated $387,775.84 of 
funding for the approximate four-year period of the 
proposed PEP project. 

1. According to Ms. Wolf, UCSF has received a grant from 
the National Institute of Health (NIH) to conduct the PEP 
project. Under the subject agreement, UCSF will 
subcontract with the DPH to assist UCSF in collecting 
and tracking data from the 300 PEP participants. The 
subject agreement is for $124,747.56 for the eleven-month 
period from September 30, 2000 through August 31, 2001, 
with the option to extend the agreement. However, as 
noted above, the subject resolution is for a total of 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 

$387,775.84 or $263,028.28 more than the actual 
agreement of $124,747.56 between the DPH and UCSF. 
In addition, the subject resolution is for the approximate 
four-year period extending from September 30, 2000 
through August 31, 2004, or approximately three years 
more than the actual agreement between the DPH and 
UCSF. Therefore, the Budget Analyst recommends that 
the proposed resolution should be amended to designate 
the agreement period as September 30, 2000 through 
August 31, 2001 and the agreement amount as 
$124,747.56. If the subject agreement is amended to 
extend the agreement period or change the amount of 
- funding to be received by the DPH from UCSF, then DPH 
should come back to the Board of Supervisors for approval 
of such changes at that time. 

Despite the fact that the proposed agreement amount is 
$124,747.56 and the agreement specifically states, "this 
amount shall not be exceeded nor shall any portion be 
carried forward to future years without the University's 
Principal Investigator's authorization and subsequent 
formal amendment of this Agreement," Mr. Rick 
Sheinfield from the City Attorney's Office, states that the 
subject agreement is for an eleven-month period for 
$124,747.56, renewable through a continuation 
application for three additional years for an additional 
amount of $263,028.28 or a total approximate four-year 
amount of $387,775.84. Mr. Sheinfield, therefore, 
recommends that the subject resolution be amended to 
reflect that the DPH is seeking approval for an eleven- 
month grant-period for $124,747.56 and three additional 
years for a total additional amount of $263,028.28, with 
those three additional years contingent upon renewal of 
the agreement between the DPH and UCSF through a 
continuation application without subsequent additional 
approval by the Board of Supervisors. The Budget 
Analyst disagrees with Mr. Sheinfield and notes that the 
subject agreement specifically references $124,747.56 and 
notes that the subject agreement states that the 
agreement term begins on September 30, 2000 and shall 
not extend beyond August 31, 2001, unless agreed to in 
writing by both parties. Therefore, the Budget Analyst 
continues to recommend that the proposed resolution be 
amended to reflect the actual agreement date and amount 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 

quoted in the subject agreement and that the DPH seek 
approval from the Board of Supervisors for any 
amendments to the subject agreement. 

2. According to Ms. Wolf, the subject agreement should be 
retroactive to September 30, 2000 because, even though 
no money has been received by the DPH, the DPH has 
conducted prep-work for the subject PEP project and 
allocated office space for staff, and has therefore been 
incurring costs on this project. Ms. Wolf advises that 
UCSF has agreed to reimburse the DPH for any 
expenditures incurred between September 30, 2000 and 
the approval of the subject agreement. Ms. Wolf states 
that the NIH did not release the grant funds to UCSF 
until January of 2001, which resulted in the DPH's delay 
in submitting the subject resolution to the Board of 
Supervisors for approval. The Budget Analyst 
recommends that the subject resolution be amended for 
retroactivity. 

3. The subject grant agreement would fund the work of 
1.0 FTE 2328 Nurse Practitioner. The Nurse Practitioner 
would: (1) provide clinical assessments for patients when 
they arrive at the DPH Clinic to recruit patients for the 
proposed PEP; (2) ensure that referrals to social services, 
psychiatric services and counseling services are prompt 
and efficient; and, (3) develop quality control procedures 
for patient assessment and ease of providing services. 
According to Ms. Wolf, the subject Nurse Practitioner 
position is an existing DPH position which is funded with 
General Fund monies. Ms. Wolf advises that if the 
subject agreement is approved, the grant monies would be 
used to reimburse the General Fund expenditures to date 
for this position. Ms. Wolf advises that the one Nurse 
Practitioner position would terminate when the grant 
expires if the Department is unable to secure additional 
funds. Therefore, the Budget Analyst recommends that 
the proposed resolution be amended to designate the 1.0 
Nurse Practitioner position, as a "G" or grant-funded 
position. 

4. According to Ms. Wolf, the subject agreement 
designates Dr. Jeffrey Klausner from the DPH as the PEP 
Project Director at 0.10 FTE. Dr. Klausner would be 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

5 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 

responsible for the technical and administrative conduct 
of the proposed PEP project. Ms. Wolf states that Dr. 
Klausner's salary and benefits would not be funded under 
the proposed agreement and would instead be an in-kind 
contribution of an estimated $12,833, included in the 
DPH budget, for the eleven-month agreement between 
DPH and UCSF. Such an in-kind contribution is not 
required by the subject agreement. 

5. The agreement between DPH and UCSF includes a 
mutual indemnification clause. Mr. Sheinfield states that 
it is not necessary to include such a clause in the 

- language of the resolution or secure the approval of the 
City's Risk Manager since the Board of Supervisors has 
previously, passed an on- going resolution approving such 
indemnification agreements with UCSF. 

6. Page two of the proposed resolution states that the 
subcontract budget includes a provision for indirect costs 
of $47,560.60. However, the indirect costs for the eleven- 
month period are $13,956.40 under the subject 
agreement. Therefore, the proposed resolution should be 
amended to change the indirect costs from $47,560.60 to 
$13,956.40. 

7. Attachment II is DPH's Grant Application Information 
Form, which includes the Disability Access Checklist. 
The indirect costs as shown in Attachment II, should read 
$13,956.40, not $47,560.60 to reflect the actual indirect 
costs. Additionally, the grant period shown in 
Attachment II, should read September 30, 2000 to August 
31, 2001, not September 30, 2000 to August 31, 2004, to 
reflect the actual agreement period. 

Recommendations: 1. Amend the proposed resolution to make the subject 

agreement retroactive to September 30, 2000 by adding 
the word "retroactively" in the title on page one, line four, 
and on page two in the first "Whereas" clause, in 
accordance with Comment 2 above. 

2. Amend the proposed resolution by adding a final 
"Further Resolved" clause to page two of the proposed 
resolution urging the Controller to designate the 1.0 FTE 
Nurse Practitioner position created under the proposed 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

6 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 

grant as a "G", or grant-funded position, which would 
terminate if the grant is not renewed, in accordance with 
Comment 3 above. 

3. Amend the proposed resolution to reflect the actual 
agreement period of September 30, 2000 through August 
31, 2001 and amend the agreement amount to reflect the 
actual agreement amount of $124,747.56 for the eleven- 
month period in accordance with Comment 1 above by 
(a) deleting lines 17 through 20 on page one; (b) replacing 
"$387,775.84" with "$124,747.56" on page one, line four 
and page two, of the first "Resolved" clause; (c) replacing 

_ "2004" with "2001" on page one line seven; (d) deleting the 
phrase, "for year one" on page one, line sixteen; and (e) 
replacing the phrase, "four year" with "eleven-month" on 
page one, line sixteen. 

4. Amend page two, in the second "Whereas" clause of the 
proposed resolution to change the indirect costs from 
$47,560.60 to $13,956.40 in accordance with Comment 6 
above. 

5. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

7 



STD Program - PEP Project 
4 Year Budget 



Attachment I 



Year! 



Year2 Year3 



Year4 



Totals 



Personnel 












Salary (2328 - 100%) 
Fringe Benefits 


$69,782 
$17,446 


$79,268 
$19,817 


$ 80,058 
$ 20,015 






$229,108.00 
$ 57,278.00 


TOTAL PERSONNEL 


$87,228 


$99,085 


$100,073 





$286,386.00 


Travel 


















Equipment 

Supplies 

Other 

Rental Space $ 23,563.16 $ 11,536.44 $ 9,532.64 $10,936 $ 55,568.24 

Total Direct Costs $110,791.16 $110,621.44 $109,605.64 $10,936 $341,954.24 

Indirect Costs 

(20% of Salaries) $ 13,956.40 $ 15,853.60 $ 16,011.60 $ 45,821.60 



Total Budget 



$124,747.56 $126,475.04 $ 125,617.24 $10,936 $387,775.84 



■• • Attachment II 

File'Number: Page 1 of 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: Behavioral, Basic and Clinical Studies of Post Exposure Prophylaxis (PEP) 

2. Department: Department of Public Health, Population Health and Prevention, Sexually Transmitted 
Disease (STD) Prevention and Control Services 

3. Contact Person: Wendy Wolf Telephone: 487-5501 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $387,775.84 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable):N/A 

7a. Grant Source Agency: National Institute of Mental Health (NIMH) 
b. Grant Pass-Through Agency (if applicab!e):University of California, SF 

8. Proposed Grant Project Summary: The project funds a randomized trial among 300 individuals who were 
recently exposed to HIV to determine whether enhanced (multi-session) risk reduction and adherence 
counseling is equivalent to standard (2 session) risk reduction and adherence counseling in reducing self- 
reported risk behaviors, documented STDs and adherence to PEP medications. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 9.30/2000 End-Date: 8/31/2004 

10. Number of new positions created and funded: 1.0 FTE 

11. If new positions are created, explain the disposition of employees once the grant ends.: Staff will be told 
that the position is for a limited period of time and will only be refunded if additional funding is identified. All 
efforts will be made to transition interested and qualified staff into vacancies of similar positions once funding 
is exhausted. 

12a. Amount budgeted for contractual services: $0 



Attachment II 
Page 2 of 2 



b. Will contractual services be put out to bid? : N/A 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? : N/A 

1 3a. Does the budget include indirect costs? [X ] Yes [ ] No 

b1. If yes, how much? $47,560.60 

b2. How was the amount calculated? : 20% of Salaries 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: No 
**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X ] Existing Site(s) [X ] Existing Structure(s) [ ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 

Departmental or Mayor's Office of Disability Reviewer: Norman Nickens Deputy Director 

(Name) (Title) 






& 



(Signature) 
Date Reviewed: -* -^ " ° t 



Department Approval: Mitchell Katz, M.D. Director nf Health 

(Name) /O (Title) 



//%/Uud 



(Signature) 




/<T-? 



10 



Memo to Public Health and Environment Committee 

April 10, 2001 Meeting of Public Health and Environment Committee 

Item 2- File 01-0429 

Note: This item was continued by the Public Health and Environment Committee 
at its meeting of March 27, 2001. 



Department: 
Item: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
subcontractor, to enter into an agreement in the amount 
of $247,970 with the Public Health Foundation 
Enterprises, Inc., primary contractor, to fund the DPH 
portion for "San Francisco HIV Vaccine Clinical Trials," a 
unit of the HIV Vaccine Trials Network (HVTN); 
retroactive to June 1, 2000. 



Subcontract Amount 
Payable to DPH from 
Public Health 
Foundation 
Enterprises, Inc.: 

Subcontract Period: 



Source of Funds: 



Matching Funds: 



Indirect Costs: 



Budget: 



$247,970 

June 1, 2000-May 31, 2001 (One-year-see Comment No. 
1.) 

Public Health Foundation Enterprises, Inc. 

None 

$32,951 (16% of direct costs) 

The summary budget for the subject grant is as follows: 

Salaries 

0.30 FTE 2233 Sr. Physician Specialist $36,864 

1.00 FTE 2230 Physician Specialist 57,505 

0.50 FTE 2593 Health Program 34,452 

Coordinator III 

0.25 FTE 1003 IS Operator Senior 11,836 

0.25 FTE 1004 IS Operator Senio r 11,269 

2.30 TOTAL FTEs $151,926 

Increases 

STEP (5%) (for 2233 Sr. Physician $2,407 

Specialist and 1004 IS Operator Senior) 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

11 



Memo to Public Health and Environment Committee 

April 10, 2001 Meeting of Public Health and Environment Committee 

COLA (3%) (for all personnel; includes 4,630 

STEP Increases) 7,037 

Fringe Benefits $37,982 

Participant Stipends 9,000 
SUBTOTAL-(Direct Costs- 
Excluding UCSF Contract) $205,945 

Indirect Costs (16% of 

Direct Costs) 32,951 

- UCSF-Subcontract 9.074 

TOTAL PROJECT COST $247,970 



Description: The subject grant would fund DPH's portion of the study 

of the safety and effectiveness of potential HIV vaccines 
through the San Francisco HIV Vaccine Trials Unit 
(SFHVTU). According to Mr. Billy Pick of DPH, the 
SFHVTU is a part of a network formed by National 
Institutes of Health to develop and test preventive HIV 
vaccines in 20 domestic and international sites. Mr. Pick 
explains that DPH participated in a similar five-year 
National Institute of Allergy and Infectious Diseases 
(NIAID)-funded research study in the past. 

According to Mr. Pick, the Public Health Foundation 
Enterprises, Inc. (PHFE), a nonprofit organization that 
promotes good health practices through research and 
development, has received a $1,270,283 grant from the 
NIAID to conduct the HIV vaccine research project. 
Under the subject agreement, PHFE will subcontract with 
the DPH to assist PHFE in completing the work. The 
proposed resolution would authorize DPH to enter into 
this subcontract retroactive to June 1, 2000 with the 
PHFE for DPH to provide HIV vaccine research services 
for PHFE. ■ 

Mr. Pick explains that the subject grant would fund 
Phases I, II, IIB, and III, of the HIV vaccine trials. Mr. 
Pick adds that Phase I involves (1) studying the side 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

12 






Memo to Public Health and Environment Committee 

April 10, 2001 Meeting of Public Health and Environment Committee 

effects to ensure that the vaccine is safe, (2) determining 
whether the vaccine can elicit a response from the 
immune system and (3) determining the most effective 
dosage and vaccination schedule. Mr. Pick estimates that 
there would be 8-10 Phase I participants per trial. He 
explains that Phases II and IIB would take the most 
promising vaccines from Phase I and administer them to 
a larger group of people to collect additional data on 
possible side effects and the effects on the immune 
system. He estimates that there would be 15-30 Phase II 
and IIB participants per trial. Mr. Pick explains that 
Phase III would test the protective benefits of a vaccine in 
_ 500-700 people per trial. 

Comments: 1. The $9,074 contract with UCSF for services would be 

awarded to Dr. Larry Pieperl, a physician who will be 
heading the Phase I committee for the SFHVTU. 
According to Mr. Pick, DPH awarded the contract on a 
sole source basis because of Dr. Pieperl's specialized 
experience in HIV vaccine research. 

2. As shown in the budget for the subject $247,970, 2.30 
FTEs would provide direct services to the project. 
According to Mr. Pick, these are existing DPH 
employees whose positions are funded by a collection of 
grants and are already coded "G" for grant-funded. Mr. 
Pick advises that these positions would terminate when 
these subcontract funds expire. 

3. The subject subcontract is for the five-year period from 
June 1, 2000 through May 31, 2005. However, this 
siibcontract stipulates that $247,970 is for the one-year 
period from June 1, 2000 to May 31, 2001. The subject 
subcontract does not specify an amount to be expended for 
the subsequent four-year period June 1, 2001 to May 31, 
2005. The proposed resolution stipulates that $247,970 is 
for the period retroactive to June 1, 2000. However, the 
proposed resolution does not specify an ending date for 
the expenditure of these funds. Therefore, to be consistent 
with the underlying subcontract between DPH and 
PHFE, the proposed resolution should be amended to 
designate the subcontract as retroactive for the period 
from June 1, 2000 to May 31, 2001 and the subcontract 
amount as $247,970. If the subject subcontract is 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

13 



Memo to Public Health and Environment Committee 

April 10, 2001 Meeting of Public Health and Environment Committee 

amended to increase the amount of funding to be received 
by the DPH from PHFE in future years or to extend the 
subcontract, then DPH should request Board of 
Supervisors approval of such subsequent changes at that 
time. 

4. The subcontract between DPH and PHFE includes a 
mutual indemnification clause. Ms. Nancy Johnston- 
Bellard of the City's Risk Management Office approved 
the indemnification clause. Ms. Virginia Dario Elizondo of 
the City Attorney's Office states that, given that the City's 
Risk Management Office approved the indemnification 

- clause in accordance with Administrative Code Section 
1.24, it was not necessary to include such a clause in the 
language of the proposed resolution. Therefore, the 
proposed resolution does not include any such mutual 
indemnification clause. 

5. Mr. Pick states that DPH has incurred expenses on this 
project since June 1, 2000 and estimates expenses of 
$238,671 through March 31, 2001. According to Mr. Pick, 
these expenses were for preparatory work including 
logistical details of establishing screening and monitoring 
sites for participants and staff salaries. Therefore, the 
proposed resolution requests retroactive approval to June 
1, 2000. Mr. Pick notes that the reason for the substantial 
delay in bringing the proposed resolution to the Board of 
Supervisors was because DPH was awaiting receipt of a 
Cooperative Project Assurance from the Federal Office of 
Human Research Protections and did not receive such 
assurance until November 27, 2000. The NIAID would not 
release the funds to PHFE without such assurance. 

6. The proposed resolution inaccurately lists Phases I, II, 
and IIB (Roman Numerals) of the vaccine research trials 
as Phases 1, 11, and 11B. Therefore, the proposed 
resolution should be amended to correct this 
typographical error. 

7. The Attachment to this report is a copy of the Grant 
Information Form, as provided by DPH, which includes 
the Disability Access Checklist. The explanation of how 
the indirect costs were calculated should show $205,945 
as the basis for the Direct Costs as shown in the Budget 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

14 



Memo to Public Health, and Environment Committee 

April 10, 2001 Meeting of Public Health, and Environment Committee 

section above. The DPH considers Total Modified Direct 
Costs to include all direct costs except for contractual 
services. 

Recommendations: 1. Amend the proposed resolution as follows: 

(a) on page 1, line 8 in the title add retroactive "for the 
period from June 1, 2000 to May 31, 2001" in 
accordance with Comment No. 3; 

(b) on page 1, line 16, delete the numerals 1,11, and 11B 
and add Roman numerals 1,11, and IIB in accordance 
with Comment No. 6; 

(c) on page 2, in the first "Resolved" clause add retroactive 
"for the period from June 1, 2000 to May 31, 2001, 
subject to Board of Supervisors approval for any new 
funding or extension of the subcontract agreement" in 
accordance with Comment No. 3. 

2. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

15 



r . ..FKfe Number: 01^0^29 

- . (Provided by Clerk of Board of Supervisors) ATTACHMENT 



Page 1 of 2 
Grant information Form 
(Effective January 2000) 



eTnd^nt Zd a s nieS ^^ ^ ° f ***** ^^ «"** a Department to accept and 
The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: San Francisco HIV Vaccine Clinical Trials (HVTN) 

2. Department: Dept. of Public Health, 

Population Health and Prevention Division, 
HIV Research Section 

3. Contact Person: Billy Pick - Telephone: 554-9048 

4. Grant Approval Status (check one): 

M Approved by funding agency r } Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $247,970 

6a. Matching Funds Required: $0.00 

b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: National Institutes of Health 
b. Grant Pass-Through Agency (if applicable): Public Health Foundation Enterprises, Inc. 

8. Proposed Grant Project Summary: 

The San Francisco HIV Vaccine Trials Unit (SFHVTU) brings together leaders in tho r u * • , 
immunology epidemiology, and behavioral science to refine and fmp.ement coll!? 8 V ' r ,° l0y ' 
evaluating safety, immunogenic^, and efficacy of candidate vaccine products 12^^ * 
goals of the Department will be to: 1) provide scientific expertise and leadership in ^olanninn J T^ 

enroll high-Lk pa^at^ F ™- ™« * «»*"*■ '» 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: ' 

Start-Date: 6/01/00 End-Date: 5/31/01 

The total award from NIH to Public Health Foundation Enterprises, Inc. was $1,270 283 for the HVTN nr~nt 
rom the period or 6/1/2000 - 5/31/01. The Notice of Grant Award from NIH providing orov s on^- * 
the amount of S200.000 was made to PHFE with the balance to be awarded uwn the Kmpnf PP " ! 
conditions, the most important of which the acquisition of a Coope^M^^S^ 1 n-" 
Human Research Protections. This CPA did not take effect until 1 1/20/00 and £ ?St ° m the ° niCe 

Mrtch Katz until 1 1/27/00. At that point, the NIH f^S^M^^^T^ T* '° ?' 
amount of the HVTN grant to SFCC. aaoiuonai Tunas to PHFE, which make up the 



16 



\ • ATTACHMENT 

• .*'■ <• > 
-10. "Number of new positions created and funded: Pa^e 2 of 2 

11. If new positions are created, explain the disposition of employees once the grant ends? 

12a. Amount budgeted for contractual services: $9,074 

b. Will contractual services be put out to bid? No, Sole-source 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? On-going for five years 

13a. Does the budget include indirect costs? [x] Yes [ ] No 

b1. If yes, how much? $32,951 

b2. How was the amount calcuteted? 16% of Total Modified Direct Costs ($313,919) 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 
"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[ x] Existing Site(s) [x] Existing Structure(s) [x] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

i Comments: 

Departmental or Mayor's Office of Disability Reviewer: Norman Nickens Deputy Director 



(Name) (Title) 

Date Reviewed: ^ A/ c t ~¥ ^/gn^-< //^ 






(Signature) 
Department Approval: Mitchell Katz. M.D . Director of Public Health 



(Name) , (Title) 



/hA^i 



(Signature) 



17 



Memo to Public Health and Environment Committee 

April 10, 2001 Meeting of Public Health and Environment Committee 

Item 3-File 01-0438 

Note: This item was continued by the Public Health and Environment Committee 
at its meeting of March 27, 2001. 



Department: 



Department of Public Health, Community Health 
Services 



Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 
Description: 



Resolution authorizing the Department of Public Health, 
Community Health Services, to accept retroactively and 
expend grant funds of $25,000, from the California 
Department of Health Services for a Project LEAN 
Nutrition Network project and to enter into an agreement 
for the use of these funds; providing for ratification of 
action previously taken. 

$25,000 

October 1, 2000 through September 30, 2001 (one year-see 
Comment No. 1) 

United States Department of Agriculture (USDA) through 
the State of California Department of Health Services 
(DHS) 

The proposed resolution would authorize the Department 
of Public Health (DPH), Community Health Services 
(CHS) branch, to accept and expend a $25,000 grant from 
the State DHS. It would also authorize DPH to enter into 
a contract with the State DHS retroactive to October 1, 
2000. 

The subject grant would fund activities of ProjectLEAN, 
the lead agency for community outreach for the California 
Nutrition Network. The California Nutrition Network is a 
coalition of State agencies, public entities, nonprofit 
organizations, media outlets, and business and industry 
partners that attempt to improve the health of low-income 
Californians through education about healthy eating and 
lifestyles: ProjectLEAN represents the public relations 
portion of the Nutrition Network. The subject grant would 
support DPH employees in providing public relations 
activities within San Francisco to the California Nutrition 
Network. 



18 



Memo to Public Health and Environment Committee 

April 10, 2001 Meeting of Public Health and Environment Committee 



According to Ms. Maria LeClair of DPH, the target 
population for the subject grant would be San Francisco 
households with incomes less than $20,000 per year. In 
particular, she advises the target population would be 
food stamp recipients. She further advises that the 
subject grant would focus on media campaigns to promote 
increased consumption of fruits and vegetables among the 
target population. 

According to Ms. LeClair, the subject grant would support 
the following three goals: (1) support California Nutrition 
Network activities (through cultivation of media contacts 
in the Bay Area, participation in workshops and providing 
input for placement of State produced educational 
materials), (2) implement a community-based marketing 
plan, and (3) build and maintain California ProjectLEAN 
leadership and infrastructure. 



Budget: 



Salary 0.20 FTE 2846 Nutritionist 
Fringe Benefits 
Operating Expenses 
Travel and Per Diem 
Promotional Items and Training 
Subtotal-Direct Cost 

Indirect Costs (10% of Direct Costs) 
TOTAL PROJECT COST 



$11,563 
3,238 
1,319 
1,500 
5.900 

$23,520 

1.480 
$25,000 



Attachment I, provided by the DPH Community Health 
Services, contains details to support the summary budget 
above. 



Required Match: 



None 



Indirect Costs: 
Comments: 



$1,480 (10% of Personnel Expenses) 

1. As noted above, the grant period is from October 1, 
2000 through September 30, 2001. Ms. LeClair notes that 
DPH has already entered into a contract with the State 
DHS to accept the subject funds. Therefore, the proposed 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

19 



Memo to Public Health, and Environment Committee 

April 10, 2001 Meeting of Public Health and Environment Committee 

resolution provides for retroactive acceptance of the 
subject grant. 

Ms. LeClair advises that no grant funds have been 
expended to date. Ms. LeClair further advises that while 
DPH submitted its application for these grant funds in 
August of 2000, DPH did not receive State approval of the 
grant funds until mid-February of 2001 and thus could 
not submit the proposed resolution to the Board of 
Supervisors sooner. 

2. Ms. LeClair advises that the subject grant will fund a 
0.20 FTE 2846 Nutritionist, which is an existing DPH 
employee whose position is already "G" coded through a 
Federal grant from the Women, Infants and Children 
(WIC) program for breastfeeding education. Ms. LeClair 
advises that if the ProjectLEAN grant is not awarded in 
subsequent years, this position would again be funded 
through the WIC grant. 

3. Ms. LeClair advises that while this is the first year the 
grant has been awarded, she anticipates that it may be 
awarded in subsequent years due to the past success of 
the California Nutrition Network. Such a continuation of 
the proposed grant would require DPH to reapply to the 
State, and would be subject to separate approval to accept 
and expend such funds by the Board of Supervisors. 

4. Attachment II is a copy of the Grant Application 
Information Form, as provided by DPH, which includes 
the Disability Access Checklist. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

20 



ATTACHMENT I 



Contractor Name: Citv & County of .9 



Page 1 of 2 

Contract Number: 00-91351 



California Project Lean 

■r^r^ Network Award 

BUDGET JUSTIFICATION 

October 1,2000 through September 30, 2001 
Personnel Salaries: 



Title 



1- Nutrition tV 



Salary Range 
or Hourly Rate 



% of Time or 
n 5 of hours 



Total 

Personnel 

Salaries 



*Based on 26.1 pay periods. 
POSITION DESCRIPTION: 



S27.69 _8hrs/wk 

Total Personnel 




Nutritionist: WiU plan, organize, conduct and oversee aU activities related tn n, n- . 

of San Franctsco Caiifornia Project Lean Promotes, implements coo^e ^H *, & ^"^ 

nutrmon programs; pians, organizes, and supervises the work of profetfoSCd J * ~ 

dae preparanon and presentation of nunition education plans and acS C Sl a bT f ^ * 

communuy based organization in order to promote the Network Prosr^oSfanH k ^ 

Provtdes consultation to Health Department staff and to other ta2 fef ° b J ecnv «- 

nutauon; may provide consultation, assistance, and „XZS te ot ^M ^ 

to nutrmon and physical activity. Provides liaison to public and^vate he^Tef * ?** 

promote referrals to the local California Nutrition Network activities CoordL, T^ * 

work to subordinate staff based on technical oualmcations "s L in Zl f ^ "*** 

^r n f s^ar:r^r p d licadon fo r ar ^ --- --"S ™ on ° f 

"v-^-a, prepares reports and correspondence. 



Fringe Benefits: 



S3JZ38 



Operating Expenses: 

Postage and Ofnce supplies. Printing and duolicauon of nutrition and Dnvsic*!^ ■ - , L 
eaucauon pamphlets/handouts that the Bay Area Region Re.ion P^S! "^ 



develop. 
Postage: S 50 

09/15/00 



Omce supplies: S 520 



Printing & duplication: S 950 



21 



' ATTACHMENT I 
Page 2 of 2 

Equipment Expenses: S 



Travel and Per Diem: $1,500 

Travel to CA Nutrition Network Social Marketing Conference, Communication Training 
"Workshops, Regional Communication Network Trainings and Channel Specific Workshops. 
Travel expenses for Project Director and project Nutritionist. Local mileage. Mileage is * 
reimbursed at .3 1 cents per mile. 



Subcontracts: SO 



Other Costs: S5,900 

Purchase of food for demonstration classes for local partners, media and local events. Training 
of local staff to support continuing education and skill development. Purchase of promotional 
nutrition related items to include but not limited to: magnets, aprons, cookbooks/brochures that 
will include a nutrition education message. Purchase of nutrition education videos or brochures. 

Food: S700 Brochures: S 500 Training: S700 

Promotional Items: S 4,000 



Indirect Costs: @ 10% of total personnel expenses Sl,4'80 

To cover business and financial services such as accounting, human resources, payroll, auditing 
computing and network support, custodial, and utilities for local Project Lean grant staff. 

Total Expenses S25.Q00 



09/15/00 

6 22 



EifeKumfaer Cl-o^ ATTACHMENT II 

(Provided by Clerk of Board of Supervisors) 

Page 1 of 2 
Grant Information Form 

(Effecave January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to ac-=ot and 
expend grant funds. ' a °" H 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: California Project Lean 

I. Department: Public Health, Community Health Services, Nutrition Services 

3. Contact Person: Maria LeCIair Telephone: 557-9906 

4. Grant Approval Status (check one): 

[ x l Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for S25 , 000 

5a. Matching Funds Required: 50 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: California Department of Health 
b. Grant Pass-Through Agency (if applicable): DHS^- 

8. Proposed Grant Project Summary: This funding will be used locally to support California Nutrition Network 
activities and to implement and evaluate a Community-Based Social Marketing plan that will promote 
healthy eating at the regional level. It is designed to implement community interventions that are driven by 
the target customer and involve regional coalitions in the decision making process to plan communitv 
interventions. y 

Activities include media-related projects; collecting evaluation data; implementing a community-based 
social marketing plan, which includes support for the Bay Area Project Lean Coalition; developing 
educational materials; intervention and evaluation; participating in statewide regional meetings- conference 
calls; attending the Nutrition Network annual Social Marketing Conference; and preparing and submittina 
progress reports. a y 

?. Grant Project Schedule, as allowed in approval documents, or as proposed: 
Start-Date: 10/1/00 End-Date: 9/30/01 

0. Number of new positions created and funded: None 

1. It new positions are created, explain the disposition of employees once the grant ends? ■ N/A 



23 



ATTACHMENT II 
12a. Amount budgeted for contractual services: None Pa§e 2 ° f 2 

b. Will contractual services be put out to bid? : N/A 

d. (s this likely to be a one-time or ongoing request for contracting out? : N/A 

1 3a. Does the budget include indirect costs? r xi Yes 

1 J C5> [ ] No 

b1. If yes, how much? 31,480 

b2. How was the amount calculated? : 10% of total personnel expenses 
c If no, why are indirect costs-riot included? : N/A 

1 1 ES^SS a9enCy [ J T ° ^^^ ^ ° f *™ *- - *« services 

14. Any other significant grant requirements or comments: 
"-Disability Access Checklist— 

15. This Grant is intended for activities at (check all that apply): 
[ X] Existing Sitefs) r vi r- • .. 

[X] Rehabilitated Site (s ) v F^h-Mit! Z^l ,, [ * Bdstln 9 P ™gram<s) or Serviced 

[ X] New Site( s) < S > f * ^^p"*' ' * New Programs, ( J s ^« 

d.sabtas. cr w,ll requ.re unreasonable hardship exceptions, as descriLd^ the com ' p"'?" °' P ^° nS Wit " 

" c *~ u <nments section: 
Comments: 



Departmental or Mayor's Office of Disability Reviewer Hormn Mck-ns n e . „ 

Date Reviewed: ~'*~l/ot .-v<7 // • 




Department Acorovai- 



Mi ' r ' no1 1 '<*r 7 Mn Director of Health 

(Name) ' 



(Signature) 
of H 

(Title) 




(Signature) 



24 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 



Item 4 -File 01-0439 
Note: 

Department: 
Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 
Project: 

Description: 



This item was continued by the Public Health and 
Environment Committee at its meeting of March 27, 
2001. 

Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
AIDS Office, to accept retroactively and expend a grant in 
the amount of $50,000 from the State Office of AIDS for a 
survey of young low-income men and to enter into an 
agreement for the use of these funds; providing for 
ratification of action previously taken. 

$50,000 

October 15, 2000 through June 30, 2001 (eight and one- 
half months) 



State Office of AIDS 

Survey of Young 
Neighborhoods 



Men Residing in Low-income 



The California State Office of AIDS has funded a 
population-based study involving the Counties of San 
Francisco, San Mateo, Alameda, Contra Costa, and San 
Joaquin, to determine the prevalence of HIV and other 
sexually transmitted diseases among young men residing 
in low-income neighborhoods. The proposed resolution 
would authorize the Department of Public Health (DPH), 
AIDS Office to accept retroactively and expend a grant in 
the amount of $50,000 from the State Office of AIDS to 
fund a survey of young men residing in low-income 
neighborhoods in San Francisco. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

25 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 



Budget: 



A summary budget for the proposed project, as authorized 
by the granting agency, the California Office of AIDS, is 
as follows: 



Item 
Salaries 

0.5 FTE 2808 Senior Disease Control Investigator (Step 5) (8 months) 

0.5 FTE 2585 Health Worker I (Step 2) (8 months) 

0.25 FTE 2585 Health Worker I (Step 2) (8 months) 

COLA - 3% of Salaries 

Approximate 5% Step increase for the two 2585 positions 
Total Salaries - 

Fringe Benefits 

Travel 

Client Incentives 

Project Total 



Cost 

$17,774 

10,510 

5,255 

1,006 

786 

35,331 

8,386 
1,283 
5.000 

$50,000 



Required Match: 
Indirect Costs: 

Comments: 



None. 

The proposed resolution provides for a waiver of indirect 
costs because such costs are not allowed by the granting 
agency. 

1. Mr. Giuliano Nieri of DPH states that the three 
proposed grant positions are existing part-time grant- 
funded staff working on a related project, the Asian 
Counseling and Testing Study funded by the Center for 
Disease Control (CDC). According to Mr. Nieri, some 
overlap in work exists between the proposed project and 
the current CDC project. Mr. Nieri states that, because 
this overlap provided an opportunity to be extremely 
efficient, DPH commenced with the proposed project on 
November 1, 2000 in anticipation of a reimbursement 
from the subject grant funds, following approval by the 
Board of Supervisors. Since DPH staff have been working 
on the subject grant since November 1, 2000, the proposed 
resolution would provide for ratification of action 
previously taken. Mr. Nieri, advises that the Department 
funded the work on the subject project conducted since 
November 1, 2000 with monies from the related CDC 
Project. According to Mr. Nieri, these CDC funds would 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

26 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 

be reimbursed back to the CDC Project upon approval of 
the proposed resolution by the Board of Supervisors. 

2. According to Mr. Nieri, each of the existing three 
positions that would be partially funded by the proposed 
grant are currently coded "G" for grant-funded. Mr. Nieri 
states that each of these positions would either be shifted 
to another grant, or would be terminated when the 
subject grant expires. 

3. According to Mr. Nieri, the subject grant is only 
coming before the Board of Supervisors now, nearly six 
months after the start of the grant period, because the 
subject grant is an amendment to an umbrella agreement 
between the State Office of AIDS and DPH. As such, 
according to Mr. Nieri, the subject grant required a more 
lengthy approval process by the granting agency, the 
State Office of AIDS. Mr. Nieri reports that, despite the 
fact that the grant period began on October 15, 2000, 
DPH did not receive a final executed copy of the subject 
grant agreement until late February, 2001. 

4. Mr. Nieri states that the terms of the proposed grant 
require that all grant funds be expended prior to the 
expiration of the grant period on June 30, 2001. 
According to Mr. Nieri, DPH anticipates expending all of 
the proposed grant funds prior to this expiration date. 

5. According to Mr. Nieri, the proposed Project is 
expected to extend up to three years in length, depending 
on the rate at which DPH is able to contact and interview 
an appropriate sample of subjects. As such, according to 
Mr. Nieri, the Department anticipates the proposed grant 
would be renewed for one year beginning July 1, 2001 in 
the amount of $150,000 and that, if needed, a second one- 
year renewal for $150,000 would be expected, beginning 
July 1, 2002. 

6. The Attachment, provided by DPH is the Grant 
Application Information Form, which includes a 
Disability Checklist. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

27 



Memo to Public Health and Environment Committee 

April 10, 2001 Public Health and Environment Committee Meeting 



[arvey M. Rose 

cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 




BOARD OF SUPERVISORS 
BUDGET ANALYST 

28 






Attachment 
'.''"• ' Page 1 of 2 

File Number: 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: Survey of Young Men Residing in Low-Income Neighborhoods 

2. Department: San Francisco Department of Public Health, AIDS Office, 

Seroepidemiology and Surveillance Section 

3. Contact Person: Guiliano Nieri Telephone: 554-9130' 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $50,000 

6a. Matching Funds Required: $0.00 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: State Office of AIDS 
b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: The Survey of Low Income Men will be a single-stage, cluster 
sample, population based, door-to-door, cross sectional survey designed to measure the prevalence of HIV, 
sexually transmitted disease (STD), hepatitis, and related risk behaviors. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: October 15, 2000 End-Date: June 30, 2001 

10. Number of new positions created and funded: 0, they are existing positions 

11. If new positions are created, explain the disposition of employees once the grant ends? N/A 
12a. Amount budgeted for contractual services: $0.00 

b. Will contractual services be put out to bid?N/A 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? N/A 



29 



Attachment 
■ • Page 2 of 2 

13a. Does the budget include indirect costs? [ ] Yes [x ] No 

b1. If yes, how much? $0 

b2. How was the amount calculated? N/A 

c. If no, why are indirect costs not included? 

[x] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 



**DisabiIity Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[x ] Existing Site(s) [x ] Existing Structure(s) [ x] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal « 
concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and all 
other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 



Comments: 



Departmental or Mayor's Office of Disability Reviewer, 



'"X^l^*-?-*-^ i Uy'' 



Norman Nickens Deputy Director 

Date Reviewed: 2 -/'^/ f 



Department Approval: 

Mitchell Katz/lvl.D. — J Director of Public Health 



30 



to. go 




City and County of San Fra f A " Committees] 

Meeting Minutes m°J™J D ° CUmenl Section 



Public Health and Environment 

Members: Supervisors Sophie Maxwell, Leland 1 



Clerk: Deborah Muccino 



Tuesday, April 24, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED 

The meeting convened at 10:05 am. 

010269 [Nuisance Code Revision] 
Supervisor Newsom 

Ordinance amending Sections 37, 92, 283, 585, 596, 598, 599, 600, 605, 607, 608, and 1604; adding Sections 
580, 581, 582, 614, 615, and 616; and deleting Sections 93 to 97.6, inclusive and 606 of the San Francisco 
Health Code consolidating various provisions that set forth conditions that constitute a public nuisance and to 
declare the presence of mold and mildew and lead hazards as public nuisances; clarifying the requirements 
regarding the maintenance of small animals, poultry and game birds in residential districts; and establishing an 
administrative enforcement process for the abatement of nuisances; and increasing the minimum criminal 
penalties from $25 to $100 and the maximum criminal penalties from $250 to $1000 for non-compliance with a 
Director's Order. 
2/12/01, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 3/14/2001 . 

Speakers: None. 

Continued to the meeting of May 8, 2001. 

CONTINUED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



DOCUMENTS DEPT. 

APR 2 6 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 9:21 AM on 4/25/01 



Public Health and Environment Committee Meeting Minutes April 24, 2001 



010545 [Potrero Hill Power Plant] 

Supervisors Maxwell, Ammiano, Leno 

Hearing to consider briefing and policy recommendations from the Board's Potrero Hill Power Plant Task 
Force and to examine its broader energy policy, including the proposed power plant at the Airport, the Hunters 
Point Power Plant, public power, and a broader City energy plan. 

3/26/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Sponsor requests this item be scheduled for 
consideration at the April 24, 2001 meeting. 

Heard in committee. Speakers: John Borg, Potrero Hill Power Plant Task Force; Marc Pryor, California 
Energy Commission; Theresa Mueller, City Attorney's Office; Laurie Park, Public Utilities Commission; Mark 
Westfield, Department of the Environment; William Deboiseblanc, Bay Area Air Quality Management District; 
Rajiv Bhatia, Department of Public Health; Mark Hera, Mirrent Corporation; Veronica Shirzato, representing 
State Assembly Member Carole Migden; Dick Millet, Potrero Boosters; Dana Lanza, Literacy for 
Environmental Justice; Dr. Michael Drennan, Director, Potrero Hill Health Center; Claude Wilson, Executive 
Director, SAGE; Shandra Miller, Environmental Law & Justice Committee; Dee Epps-Miller, SF Asthma Task 
Force; Jackie Williams; Sarah Ames; Male Speaker; Will Rostov, Staff Attorney, Communities for a Better 
Environment; Arthur Feinstein, Golden Gate Audubon Society; Gloria Channon; Malik Looper; Bob Boileau; 
Michael Strausz; Joe Boss; Heather Surland, Presidio Valley Neighbors. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



ADJOURNMENT 

The meeting adjourned at 1:48 pm. 



City and County of San-Francisco 2 Printed at 9:21 AM on 4/25/01 



City and County of San Francisco « G 'i yI ? a " 

J <l 1 TV Par tnn 



1 Dr. Carlton B. 



Meeting Minutes Goodiettpiace 

San Francisco, CA 



?£• 60 r&miMiffl£ Public Health and Environment Committee 

X^s^jc^x Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 



94102-4689 



'»/*/ 



Clerk: Deborah Muccino 



Tuesday, May 08, 2001 10:00 AM City Hall, Room 263 

Regular Meeting 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED 

The meeting convened at 10:07 am. 

010269 [Nuisance Code Revision] 
Supervisor Newsom 

Ordinance amending Sections 37, 92, 283, 585, 596, 598, 599, 600, 605, 607, 608, and 1604; adding Sections 

580, 581, 582, 614, 615, and 616; and deleting Sections 93 to 97.6, inclusive and 606 of the San Francisco 

Health Code consolidating various provisions that set forth conditions that constitute a public nuisance and to 

declare the presence of mold and mildew and lead hazards as public nuisances; clarifying the requirements 

regarding the maintenance of small animals, poultry and game birds in residential districts; authorizing the 

Department of Public Health to recover administrative costs incurred in pursuing an abatement action as 

authorized by Government Code Section 25845; and establishing an administrative enforcement process for the 

abatement of nuisances; and increasing the minimum criminal penalties from $25 to $100 and the maximum 

criminal penalties from $250 to $1000 for non-compliance with a Director's Order. 

2/12/01, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 3/14/2001. 

4/24/01, CONTINUED. Speakers: None. 

Continued to the meeting of May 8, 2001. 

4/30/01, SUBSTITUTED. Supervisor Newsom submitted a substitute ordinance bearing new title. 

4/30/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 5/2/01 from President Ammiano, waiving the 30 

day rule. 

Heard in committee. Speakers: Supervisor Newsom; Carol Roos, Legislative Analyst; Frank Chin, Director, 
Department of Building Inspection; Patrick McKenzie, Department of Building Inspection; Rahiv Bhatia, 
Department of Public Health; Scott Nakamura, Department of Public Health; Neil Gendel, Healthy Children's 
Organizing Project; Jerry Rogers, SF Community Clinic Consortium; Michelle Horneff Lead CAC member; 
Maria Luz Torre; Dorothy Peterson; Shirley Bierly; Emily Rogers; Ena Aguirre; Mark Weslin, Department of 
the Environment; Female Speaker; Bess Syke; Male Speaker; Louise Vaughn; Roger Bazeley. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 

DOCUMENTS DEPT. 






MAY 1 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 1 Printed at 8:38 AM on 5/9/01 



Public Health and Environment Committee Meeting Minutes May 8, 2001 



001861 [Amendment to the India Basin Industrial Park Redevelopment Plan to modify use restrictions and 
parking and loading requirements] 
Supervisor Katz 

Ordinance approving and adopting an amendment to the Redevelopment Plan for the India Basin Industrial 
Park Development Project Area (Ordinance No. 26-69, amended by Ordinance Nos. 474-86, 141-87 and 416- 
94) to modify the land use provisions and reduce the parking and loading requirements for Lot 23 of Assessor's 
Block 5203 within the Redevelopment Plan Area; adopting findings pursuant to the California Environmental 
Quality Act; adopting findings that the Redevelopment Plan Amendment is consistent with the City's General 
Plan and Eight Priority Policies of City Planning Code Section 101.1; adopting other findings pursuant to the 
California Community Redevelopment Law. 

(Final Negative Declaration issued on October 1 8, 2000; Redevelopment Agency report dated October 2000 to 

the Board of Supervisors for the India Basin Industrial Park Redevelopment Plan Amendment.) 

10/23/00, ASSIGNED UNDER 30 DAY RULE to Transportation and Land Use Committee, expires on 11/22/2000. Sponsor: Supervisor 

Katz 

12/4/00, SUBSTITUTED. Supervisor Katz submitted a substitute ordinance, approved as to form, bearing new title. Sponsor requests 

this item be scheduled for consideration at the December 14, 2000 meeting. 

12/4/00, ASSIGNED to Transportation and Land Use Committee. 

12/14/00, CONTINUED. Heard in Committee. Speaker: Stanley Muraoka. Continued to January 23, 2001. 

12/18/00, CONTINUED ON FIRST READING. At the request of the San Francisco Redevelopment Agency, this matter was continued to 

January 29, 2001. 

1/29/01, CONTINUED ON FIRST READING. Supervisor Maxwell moved to continue consideration to February 26, 2001 . 

2/1/0L TRANSFERRED to Housing, Transportation and Land Use Committee. New committee structure. 

2/8/01, TRANSFERRED to Public Health and Environment Committee. Transferred at the direction of the President. 

2/26/01, CONTINUED ON FIRST READING. Supervisor Maxwell requested that this matter be continued to April 2, 2001 . 

3/27/01, CONTINUED. Speakers: None. Continued to May 8th meeting. 

4/2/01, CONTINUED ON FIRST READING. Supervisor Maxwell moved to continue consideration to May 14, 2001. 

Heard in committee. Speakers: Steve Gunnel, Group I; Marie Harrison. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



010737 [Esprit Park] 

Supervisors Maxwell, Ammiano 

Resolution authorizing the acceptance of Esprit Park under the jurisdiction of the Recreation and Park 
Department pursuant to an owner participation agreement in the Redevelopment Agency of the City and County 
of San Francisco and Esprit De Corp. 

(Fiscal impact.) 

4/23/01, RECEIVED AND ASSIGNED to Finance Committee. 

5/1/01, TRANSFERRED to Public Health and Environment Committee. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Jesse Blout, Mayor's Office of 

Economic Development; Amy Neches, Redevelopment Agency; Elizabeth Goldstein, General Manager, 

Recreation and Park Department; Nicola Jones, Esprit de Corp; Carolyn Wright; Sue Bierman; Lynn Brown; 

Ward Schumaker; Bette Landis; Patrick Hannan; Ron Miguel; Drew Detsch; Vernon Smith; Mariuccia 

laconi; Calvin Welch; John DeCastros, Potrero Hill Boosters Association; Joe Boss; Ted Lakey, Deputy City 

Attorney. 

5/8/01 Amend the title on page one, line five, after "Corp" add "and stating that it is the policy of the Board of 

Supervisors not to use affordable housing mitigation funds to acquire open space. " On page five, add a final 

further resolved clause "Further Resolved, that it is the policy of the Board of Supervisors not to use 

affordable housing mitigation funds to acquire open space. " 

AMENDED. 

City and County of San Francisco 2 Printed at 8:38 AM on 5/9/01 



Public Health and Environment Committee Meeting Minutes May 8, 2001 

Resolution authorizing the acceptance of Esprit Park under the jurisdiction of the Recreation and Park 
Department pursuant to an owner participation agreement in the Redevelopment Agency of the City and County 
of San Francisco and Esprit De Corp and stating that it is the policy of the Board of Supervisors not to use 
affordable housing mitigation funds to acquire open space. 

(Fiscal impact.) 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



010456 [Interim Controls, Internet Services Exchanges] 
Supervisor Maxwell 

Resolution imposing interim zoning controls defining internet services exchanges, including internet services 
exchanges within the utility installation use category, establishing a requirement for a conditional use 
authorization for internet services exchanges in commercial and industrial zones, including without limitation, 
the C-l, C-2, C-3-G, C-3-S, C-M, M-l, M-2, SLI and SSO zones exclusive of lots under the jurisdiction of the 
San Francisco Port Commission or in a redevelopment project area with an adopted redevelopment plan under 
the jurisdiction of the San Francisco Redevelopment Agency Commission up to a six month period and making 
a determination of consistency with the priority policies of Planning Code Section 101.1. 

Received Certification of Determination of Exemption/Exclusion from environmental review dated May 2, 
2001. 

3/12/01, RECEIVED AND ASSIGNED to Housing, Transportation and Land Use Committee. 03/16/01 - Transmitted to Planning 

Department for environmental review. 

3/20/0 1, TRANSFERRED to Public Health and Environment Committee. 

4/9/01. SUBSTITUTED. Supervisor Maxwell submitted a substitute resolution bearing new title. 

4/9/01, ASSIGNED to Public Health and Environment Committee. Sponsor requests this item be scheduled for consideration at the May 

8,2001 meeting. 

Heard in committee. Speakers: Luis Granados, Medea; John DeCastros; Steve Kitnich, WA VE Exchange; 
Sue Hestor; Ena Aguirre; Tim Tosta; Ted Lakey, Deputy City Attorney; Dorothy Peterson; Tyrone Netters; 
Eric Casadas; Sheheryar Kaoosji; Jim Gonzalez; Joe Boss; Marie Franklin; Male Speaker; Louise Vaughn; 
Howard S trass man, Sierra Club. 

5/8/01 Amendment of the whole bearing same title further amended in committee: On page seven, line three, 
insert "Further Resolved, That in adopting these interim controls, it is not the intent of the Board of 
Supervisors to prohibit the provision of telecommunication services and no action in furtherance of this 
resolution, including, but not limited to, the development of permanent controls, shall prohibit or have the 
effect of prohibiting the provision of telecommunication services. " 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE. 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



City and County of San Francisco 3 Printed at 8:38 AM on 5/9/01 



Public Health and Environment Committee 



Meeting Minutes 



May 8, 2001 



010755 [Pedestrian Safety and Street Resurfacing] 
Supervisor Ammiano 

Hearing to consider the City's street resurfacing backlog, its sidewalk repair backlog, its ramp backlog, 

pedestrian safety planning and capital needs including the City's 100 most dangerous intersections, planned 

bike path improvements, and current and projected funding sources to meet these needs, including potential 

bond issue. 

4/23/01, RECEIVED AND ASSIGNED to Housing, Transportation and Land Use Committee. 

5/1/01, TRANSFERRED to Public Health and Environment Committee. 

Heard in committee. Speakers: Supervisor Ammiano; Tina Olsen, Department of Public Works; Walter Park, 
Mayor's Disability Council; Nick Carr, Department of Parking and Traffic; Bridget Smith, Department of 
Parking and Traffic; Dr. Larry Meredith, Department of Public Health; Marie Conchata; Charles Rathbone; 
Bob Planthold; Shirley Bierly, Senior Action Network; Roger McKean Bazeley, SF PTA Board, Safety Chair; 
Steve Cornell; Richard Mlynarik, Rescue Muni; Howard Strassner, PEDS Task Force; Emily Drennen, SF 
Bicycle Advisory Commission; George Williams; Leah Shahum, SF Bicycle Coalition; Barry Taranto; Patricia 
Boyhe; Susan King. 
FILED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



ADJOURNMENT 



The meeting adjourned at 1:27 pm. 



City and County of San Francisco 



Printed at 8:38 AM on 5/9/01 



?0. 00 

k/o\ 



CITY AND COUNTY 




[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 

OF SAN t KAix^iov^ 



BOARD OF SUPERVISORS 



BUDGET ANALYST 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 DOCUMENTS DEPT. 



May 3, 2001 

TO: public Health & Environment Committee 

FROM: ^Budget Analyst 

SUBJECT: May 8, 2001 Public Health & Environment Committee Meeting 

Item 3 - File 01-0737 



MAY - 7 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



Department: 



Item: 



Description: 



Business and Economic Development Department 
Recreation and Park Department (RPD) 

Resolution authorizing the acceptance of Esprit Park 
under the jurisdiction of the Recreation and Park 
Department, pursuant to an Owner Participation 
Agreement (OPA) between the Redevelopment Agency 
and Esprit de Corp. 

The proposed resolution would authorize the City to 
accept the transfer of Esprit Park from Esprit de Corp 
("Esprit"). Esprit Park is a private park developed and 
maintained by Esprit, consisting of approximately 80,000 
square feet and located at 700 Minnesota Street between 
19 th and 20 th Streets in the Potrero Hill district. An 
appraisal by the private firm of Carneghi-Bautovich & 
Partners, Inc., commissioned by the City and Esprit and 
completed in December of 2000, determined the value of 
the park to be $9,780,000 (See Comment No. 2). Esprit 
has voluntarily made Esprit Park available for public use 
since 1982. The Park is located on a City block and 
contains mature trees, shrubs, a running track, benches, 
picnic tables, paracourse fitness stations, walking paths 
and more than an acre of open rolling lawns. 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 

In exchange for transferring Esprit Park to the City, 
Esprit would receive a wavier from paying certain City 
Planning Code exactions on any development permitted 
by the Redevelopment Plan for the Mission Bay South 
Redevelopment Area ("Redevelopment Plan") on a 
separate 163,869 square foot parcel that Esprit owns 
("Parcel X4") within the Mission Bay South 
Redevelopment Project Area, located at 16 th and Illinois 
Streets (currently the Esprit Outlet Store), pursuant to an 
Owner Participation Agreement (OPA) between the 
Redevelopment Agency and Esprit. The Redevelopment 
Agency Commission approved the OPA on April 17, 2001. 
The City is not a party to the OPA. The OPA is not the 
subject of this proposed resolution and is not subject to 
approval from the Board of Supervisors, according to Mr. 
Donne 11 Choy of the City Attorney's Office. However, 
implementation of the OPA is contingent upon the Board 
of Supervisors approving the subject transfer of Esprit 
Park and the recording of a grant deed transferring all 
property rights to the City. 1 If the Board of Supervisors 
does not approve the proposed transfer of Esprit Park, the 
OPA will not become effective and no Planning 
Commission exactions will be waived. Attachment I 
contains a map of the South Mission Bay Redevelopment 
Project Area, which identifies Parcel X4. 

Under the 10-year term of the OPA, Esprit would be 
waived from paying "...any existing, new or modified fees 
and exactions under the City Planning Code," as stated in 
the OPA, in exchange for transfering Esprit Park to the 
City. According to Mr. Jesse Blout of the Business and 
Economic Development Department, under the OPA, 
Esprit would, therefore, be waived from paying two fees: 
the Jobs-Housing Linkage Program Fee 2 at a maximum of 
$14.96 per gross square foot of office development (fee 
amount effective January 1, 2002, see Comment No. 5), 
and the Child Care Fee of $1.00 per gross square foot of 
development. According to Ms. Amy Neches of the 



1 The OPA states, "If for any reason whatsoever the City has not accepted [Esprit] Park and the 
Deed has not been duly signed and acknowledged by [Esprit] or recorded in the Official Records by 
June 5, 2001, then either party shall have the right to give the other notice of termination..., in 
which event this Agreement shall become null and void, and neither party shall have any further 
obligations to the other hereunder," (p. 9). 

2 Previously called the "Office Affordable Housing Production Program Fee." 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 

development. According to Ms. Amy Neches of the 
Redevelopment. Agency, Section 304.5 of the Mission Bay 
South Redevelopment Plan allows up to 450,000 square 
feet of LaSalle space to be developed on Parcel X4 for 
Commercial Industrial/Retail uses, including office space. 
Mr. Blout conservatively estimates that 450,000 leasable 
square feet of development is comparable to 
approximately 475,000 gross square feet of development. 
Therefore, based on the maximum of 475,000 gross square 
feet of development, the City would forgo a maximum of 
$7,581,000 in Planning Code fees, including $7,106,000 
from the Jobs-Housing Linkage Program Fee (a maximum 
of $14.96 per square foot multiplied by 475,000 square 
feet) and $475,000 from the Child Care Fee ($1.00 per 
square foot multiplied by 475,000 square feet). The 
Budget Analyst notes that this estimated $7,581,000 in 
forgone fees is a maximum amount, which could be less, 
depending on the kind of development that takes place 
and the number of square feet used. See Comment No. 5 
below for a more detailed discussion of the Jobs-Housing 
Linkage Program Fee. 

According to Ms. Neches, Section 304.10 of the Mission 
Bay South Redevelopment Plan, approved by the Board of 
Supervisors on November 2, 1998, provided the authority 
for the Redevelopment Agency to waive Planning 
Department exactions under the OPA with Esprit. 
According to Attachment II, Section 304.10 of the Mission 
Bay South Redevelopment Plan states that the 
redevelopment of Parcel X4 would be subject to City 
Planning Code exactions, "...except as otherwise provided 
pursuant to an owner participation agreement if the 
[Redevelopment] Agency determines that the public 
benefits under the owner participation agreement exceed 
those that would otherwise be obtained through 
imposition of the City Planning Code fees and exactions." 

The OPA would become effective upon the City's 
acceptance of Esprit Park, as evidenced by the recording 
of a grant deed transferring ownership of Esprit Park to 
the City, and terminate after 10 years, approximately in 
June of 2011. The OPA provides that specific development 
plans must be submitted, and actual construction must 
commence on Parcel X4, within 10 years from the OPA's 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 

commencement date. According to Mr. Choy, under the 
OPA, Esprit would not be waived from paying the other 
fees and exactions otherwise applicable to Parcel X4, such 
as fees charged for services provided by the Department of 
Building Inspection or for any necessary environmental 
review. 

The OPA provides that if development of Parcel X4 does 
not commence during the 10-year term of the agreement, 
any subsequent development on Parcel X4 would require 
a new OPA and would be subject to all planning fees 
required by the Mission Bay South Redevelopment Plan. 
However, if no development were to take place during the 
10-year OPA term, the City would still retain ownership 
of Esprit Park. 

Comments: 1. On July 9, 1987, the Planning Commission adopted 

Resolution No. 11065 to amend the Recreation and Open 
Space Element of the General Plan to designate Esprit 
Park as public open space, if the park were successfully 
acquired by the City. On May 1, 1997, the Planning 
Commission adopted Resolution No. 14363, amending the 
Recreation and Open Space Element of the General Plan 
and designating Esprit Park as "Proposed Public Open 
Space." The Board of Supervisors subsequently adopted a 
Resolution (File No. 271-97-4) on June 2, 1997 approving 
the amendment to the General Plan and designating 
Esprit Park, for acquisition. On March 20, 2001, the 
Recreation and Park Commission adopted Resolution No. 
0103-044 urging the Redevelopment Agency Commission 
to approve an OPA between the Redevelopment Agency 
and Esprit and urging the Board of Supervisors to 
approve the acceptance of Esprit Park by the City. On 
April 17, 2001, the Redevelopment Agency Commission 
adopted Resolution No. 61-2001 approving the OPA, 
based on the finding that the "...public benefits under the 
OPA exceed those that would otherwise be obtained 
through imposition of the City Planning Code fees and 
exactions," as stated in the Redevelopment Agency 
Commission Resolution. 

2. As noted previously, the private firm of Carneghi- 
Bautovich & Partners, Inc., hired by the City and Esprit, 
in December of 2000 appraised the value of Esprit Park at 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 

$9,780,000, based on comparable land sales in the general 
vicinity. Mr. Larry Ritter of the Real Estate Division of 
the Administrative Services Department has reviewed the 
appraisal of the Esprit Park property and has agreed that 
appraised value of $9,780,000 reflects the fair market 
value 

3. According to Mr. Blout, Esprit intends to sell Parcel X4 
in the near future. Mr. Choy advises that all provisions in 
the OPA would apply to the Parcel X4 and would be 
binding upon subsequent purchase of the property. 
Therefore, all fee waivers and requirements under the 
OPA would apply not only to Esprit, but to any future 
owner and/or developer of Parcel X4. The sale of Parcel X4 
would not affect the transfer of Esprit Park to the City, 
according to Mr. Choy. 

4. According to Ms. Margaret McArthur of the Recreation 
and Park Department (RPD), in Fiscal Year 1997-1998 
RPD began collecting funds in order to purchase Esprit 
Park. As of April of 2001, RPD had a total of $1,595,000 in 
Open Space Funds budgeted for acquisition of and/or 
construction at Esprit Park. Ms. McArthur advises that 
such funds will remain in RPD's Open Space Fund and be 
used for improvements at Esprit Park, if deemed 
necessary, or reallocated with the Open Space Fund 
budget for other RPD capital needs. According to Ms. 
McArthur, RPD estimates the annual costs of 
maintaining and operating Esprit Park will be 
approximately $76,000. RPD has included $76,000 in its 
Fiscal. Year 2001-2002 budget request for the 
maintenance and operation of Esprit Park, Ms. McArthur 
advises. The City would take ownership of Esprit Park 
and be responsible for maintenance upon transfer of 
ownership of the park from Esprit to the City, 
approximately in June of 2001. 

5. The Jobs-Housing Linkage Program Fee was first 
created in 1985 to link the development of office buildings 
to the demand for affordable housing by requiring that 
the developers of offices over a specified size either build 
affordable housing or pay an in lieu fee. In February of 
2001, the Board of Supervisors revised the fee so that the 
current ordinance requires developers of office space that 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

5 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 

meets or exceeds the 25,000 square feet threshold to 
either: 

• Build one affordable housing unit for every 6,250 
square feet of new and expanded office space 
constructed. This represents 16 affordable housing 
units for every 100,000 square feet of new and 
expanded office space constructed; 3 or 

• Pay the following in lieu fees for each square foot of 
new and expanded office space constructed to the 
Citywide Affordable Housing Fund in lieu of building 
affordable housing units. 





In lieu fee payable by 








developers instead of 








constructing affordable housing 


In lieu fee per additional gross 




units, per additional gross sq. 


sq. foot, as of Jan. 1, 


2002: 




foot, Mar. 11, 1999 (retroactive) 








through Dec. 31, 2001: 








Office $11.34 


Office 


$14.96 


Fees* 


Hotel $8.50 


Hotel 


$11.21 




Entertainment $10.57 


Entertainment 


$13.95 




Retail $10.57 


Retail 


$13.95 




Research & Development $7.55 


Research & Development 


$9.97 



To be revised annually from January 1, 2003. 

According to Ms. Neches, the designated land use for 
Parcel X4 under the Mission Bay South Redevelopment 
Plan is Commercial Industrial/Retail (limited to 35,000 
square feet of Retail). Therefore, depending on the form of 
development that takes place on Parcel X4, the fees in the 
above table for Office, Retail and/or Research and 
Development could apply. The Jobs-Housing Linkage 
Program Fee will be revised annually, beginning January 
1, 2003, which will be subject to approval by the Board of 
Supervisors. Therefore, the amount of Jobs-Housing 
Linkage Program Fee revenue that the City will forgo by 
agreeing to accept the donation of Esprit Park may 
increase during the 10-year term of the OPA. However, 
the value of Esprit Park would also likely increase over 
the 10-year term of the OPA. 



3 This requirement to build affordable housing varies for other forms of development, such as Retail, 
Hotel, Entertainment and Research and Development. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

6 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 



The Budget Analyst notes that the Business and 
Economic Development Department negotiated the OPA 
with Esprit prior to the Jobs-Housing Linkage Program 
Fee being increased or expanded. Therefore, based on the 
prior Jobs-Housing Linkage Program Fee of $7.05 per 
gross square foot of office development, in effect prior to 
fee increase passed by the Board of Supervisors in 
February of 2001, the Business and Economic 
Development Department estimated that the City would 
forgo a maximum of $3,823,750 in fee revenue, including 
$3,348,750 for the Jobs-Housing Linkage Program Fee 
($7.05 per square foot multiplied by 475,000 square feet) 
and $475,000 from the Child Care Fee ($1.00 per square 
foot multiplied by 475,000 square feet), in return for 
accepting the transfer of Esprit Park. 4 As previously 
identified, Esprit Park is valued at $9,780,000. 

According to Mr. Costolino Hogan of the Planning 
Department, in Fiscal Year 1999-2000, the Jobs-Housing 
Linkage Program Fee generated a total of $10,753,894 in 
revenue for the City. The Budget Analyst notes that this 
revenue does not reflect the fee increase implemented in 
February of 2001. 

6. The Child Care Fee was created in 1985 and currently 
charges $1.00 per gross square foot of development to 
developers office and other forms of development. Mr. 
Hogan advises that in Fiscal Year 1999-2000, the Child 
Care Fee generated a total of $388,963 in revenue for the 
City. Such Child Care Fee revenue is used to fund the 
creation child care facilities in San Francisco. 

7. Ms. Neches notes that the California Community 
Redevelopment Law requires the Redevelopment Agency 
to set aside 20 percent of the increased tax revenue 
generated by designated redevelopment areas (the "tax 
increment") to be used for affordable housing (the 



4 Attachment I, provided by the Redevelopment Agency, estimated forgone revenue from the Office 
Affordable Housing Production Program Fee and the Child Care Fee of approximately $3.6 million, 
based on the prior $7.05 per gross square foot of development Office Affordable Housing Production 
Program Fee, the $1.00 per gross square foot Child Care Fee, and the net leasable space of 450,000 
square feet. Ms. Amy Neches of the Redevelopment Agency advises that the Redevelopment Agency 
now calculates that estimated forgone revenue based on 475,000 gross square feet. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

7 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 

"Affordable Housing Set Aside"). According to Ms. Neches, 
the Redevelopment Agency estimates that the tax 
increment Affordable Housing Set Aside from the 
development of Parcel X4 would generate affordable 
housing proceeds totaling approximately $1 million. 

8. The OPA provides that: 

(a) Esprit, or any other future developer, would be 
required to join the Mission Bay Maintenance District 
(Community Facilities District No. 5) at the time that 
the first new building on Parcel X4 is completed in 
order to help fund the maintenance and operation of 
the 40-acre Mission Bay park system. 

(b) Esprit, or any other future developer, would 
participate in the Redevelopment Plan Art 
Requirement, under which an amount equal to one 
percent of construction costs would be devoted to 
public art works, which may be located either within 
accessible areas of Parcel X4, or with Redevelopment 
Agency approval, within the Mission Bay park system. 

(c) Esprit, or any other further developer, would also be 
subject to the Redevelopment Agency's Equal 
Opportunity and Prevailing Wage programs for design, 
development, and construction. 

9. As stated in Attachment II, provided by the 
Redevelopment Agency, under the OPA, the developer of 
Parcel X4 must return to the Redevelopment Commission 
for approval of specific plans for development, including a 
schedule of performance, architectural designs, plans for 
providing needed infrastructure and streetscape 
improvements, and plans for implementing any 
mitigation required under environmental review 
documents. The OPA provides that the developer may 
subdivide Parcel X4 into multiple parcels. However, the 
total development cannot exceed the 450,000 leasable 
square feet permitted by the Redevelopment Plan (or 
475,000 gross square feet). 

10. In summary the Budget Analyst notes that the 
appraised value of Esprit Park is $9,780,000. In exchange 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

8 



Memo to Public Health and Environment Committee 

May 8, 2001 Public Health and Environment Committee Meeting 

transferring ownership of Esprit Park to the City, Esprit, 
or any future developer of Parcel X4, would be exempt 
from paying up to $7,581,000 in Planning Code fees, 
including $7,106,000 from the Jobs-Housing Linkage 
Program Fee and $475,000 from the Child Care Fee. 

Recommendation: Approval of the proposed resolution is a policy decision for 

the Board of Supervisors because acceptance of Esprit 
Park would result in forgone City revenue that could have 
been realized from the Jobs-Housing Linkage Program 
Fee and the Child Care Fee. 




cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

9 



Attachment I 
Fage 1 of 2 




>*■• JH fmm «tfT»(/I 



Attachment. I 
fage 2 of 2 



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3940 

NEW P0TRER0 BLK 5 4 2a , a 



Sour* Li>,<r /£™ ST Produced £sf/yt -^O 



Esprit Parcel X4 



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CENTRAL BASIN 



11 



701-02001-002 Agenda Item No. 4Q ^S^^V* 

April 6, 2001 Meeting of April 17, 2001 - 



MEMORANDUM 

TO: Agency Commissioners 

FROM: James B. Morales, Executive Director 

SUBJECT: Adopting environmental findings pursuant to the California Environmental 
Quality Act and approving an Owner Participation Agreement with Esprit 
de Corp. for Parcel X4 pursuant to the Mission Bay South Redevelopment 
Plan; Mission Bay South Redevelopment Project Area 

SUMMARY 

Esprit de Corp. ("Esprit"), a San Francisco-based clothing company, owns a major office 
development parcel (Parcel X4) in the Mission Bay South Redevelopment Area. Esprit is also 
the owner of an 80,000 sq. ft. landscaped parcel outside of the Mission Bay Project Areas, at 
Minnesota and 20 th Streets, which has been used as a Potrero Hill community park since 1982. 
The City has been seeking for several years to acquire this parcel, informally known as "Esprit 
Park", to ensure its continued availability to the public. Under the leadership of the Mayor's 
office, the Agency and Esprit propose to enter into an Owner Participation Agreement under 
which Esprit will donate Esprit Park to the City, and the Agency will agree to exempt Esprit from 
City Planning Code exactions on the development of Parcel X4. Because the value of the Park 
far exceeds the value of the forgone exactions, the agreement offers significant economic public 
benefits to the City, and is authorized by the Mission Bay South Redevelopment Plan. Under the 
proposed Owner Participation Agreement Esprit will participate in the Mission Bay public art 
program and will contribute to the Community Facilities District maintenance costs for Mission 
Bay open space. The OPA will allow Esprit to return to the Agency Commission for approval of 
a specific scope of development and architectural design for Parcel X4 during the next ten years. 
The OPA will provide for Esprit's participation in the Agency's Equal Opportunity Programs. 

Staff recommends approval. 

DISCUSSION 

Esprit owns the block bounded by Minnesota, Indiana, 19 th , and 20 th Streets, adjacent to its 
company offices. Known as Esprit Park ("Park"), the parcel is approximately 80,000 sq. 
ft., and is landscaped as a park, with mature trees, lawn, and other improvements. This 
privately-owned but publicly used open space has been an important part of the lower 
Potrero Hill community since 1982. 

Although the Park is maintained for community use by Esprit, the underlying parcel is in 
fact zoned for development. The City's of Recreation and Park Department, with the 
active support of the Potrero Hill "Friends of Esprit Park," has been trying to acquire the 
Park from Esprit for a number of years to ensure its long-term public use. The Board of 
Supervisors has taken several actions to support the acquisition of the Park as well, 



12 



Agency Commissioners 701-02001-002 

Page 2 April 17,2001 

' Attachment II 
Page 2 of 4 
including a unanimous 1997 resolution urging the City Department of Real Estate to work 
with the Friends of Esprit Park in seeking funds to acquire the parcel. However, 
insufficient capital funds have been set aside, and the Park remains in private ownership. 

Esprit also owns a 163,869 sq. ft. parcel of land within the Mission Bay South 
Redevelopment Area, designated as Parcel X4. Parcel X4 is located at 16 & Illinois 
Street, and is currently improved with an approximately 45,000 sq. ft. retail store, a free- 
standing restaurant, and parking. Under the Mission Bay South Redevelopment Plan and 
Design for Development, Parcel X4 may be developed with up to 450,000 leasable sq. ft. 
of Commercial Industrial/Retail uses, including office use. The maximum height of new 
development is 90 feet, with required stepbacks at the 55 foot height level adjacent to 
surrounding open space parcels. 

At this time, Esprit is interested in refocusing on its clothing business and in selling both 
the Park and Parcel X4. Under the leadership of the Mayor's office, the Agency, City, and 
Esprit propose to enter into an innovative transaction which will ensure the long-term 
public ownership of the Park by transferring some of the underlying value of the Park to 
Parcel X4 in Mission Bay, where Esprit may gain its value. 

Under the proposed Owner Participation Agreement ("OP A") transaction, Esprit will 
donate the Park to the City, and in consideration will be exempted from City Planning 
Code exactions on the development of Parcel X4. The Park was appraised in December, 
2000 at $9,780,000 by an MAI appraiser jointly commissioned by the City and Esprit The 
Planning Code fees being foregone by the City for Parcel X4 consist of the Office 
Affordable Housing Production Program fee of $7.05 per leasable square foot of office 
development, plus the child care fee of $1.00 per gross square foot of development. If full 
build-out occurs, the sum of the waived fees will be approximately $3.6 million. 

The Redevelopment Plan, in section 304.10, specifically provides that the redevelopment 
of Parcel X4 be subject to City Planning Code exactions "except as otherwise provided 
pursuant to an owner participation agreement if the Agency determines that the public 
benefits under the owner participation agreement exceed those that would otherwise be 
obtained through imposition of the City Planning Code fees and exactions." Because the 
$9.78 million value of the Park site being donated to the City is well in excess of the value 
of the waived Planning Code exactions of approximately $3.6 million, there is a net gain in 
economic public benefit, and the proposed transaction is allowable under the 
Redevelopment Plan. Although there have been recent proposals to increase the affordable 
housing fee, none of the current proposals would raise the fees to a level such that the 
foregone exactions for Parcel X4 would exceed the value of the donated Park. The OPA 
provides that if development of Parcel X4 does not commence during the 10-year term of 
the agreement, any subsequent development would require a new OPA and would be 
subject to all planning fees as required by the Redevelopment Plan at that future time (the 
donation of the Park would be unaffected). 



13 



Agency Commissioners 
Page 3 



701-02001-002 
April 17, 2001 

Attachment II 
Jfage 3 of 4 



The proposed OPA with Esprit for the Parcel X4 includes the following key terms: 

• Esprit will transfer the Park to the City at no cost. The Park will be placed under the 
jurisdiction of the Recreation and Park Department, which has set aside funds for its 
maintenance, and will become permanent public parkland. 

• Parcel X4 may be developed by Esprit (or other future developers of the site), to its full 
Redevelopment Plan entitlement of 450,000 leasable square feet, and during the 10-year 
term of the OPA, the Agency may amend the Redevelopment Plan or the Design for 
Development to reduce or impair this development entitlement only with the developer's 
consent. 

• In consideration of Esprit' s donation of the Park to the City, the development of Parcel 
X4 will be exempt from Planning Code fees that would otherwise be paid to the City by 
the developer. 

• The developer must return to the Agency for Commission approval of specific plans for 
development of Parcel X4, including a scope of development and schedule of 
performance, architectural designs, and plans for providing needed infrastructure and 
streetscape improvements, and for implementing mitigations required under 
environmental review documents. As is typical, the OPA provides that following 
Commission approval of schematic design documents, staff will review design 
development and construction drawings. The OPA provides that the developer may 
subdivide Parcel X4 into multiple parcels; the total development cannot, however, exceed 
the 450,000 leasable square feet entitled by the Redevelopment Plan. The OPA provides 
that the specific development plans must be submitted, and actual construction must 
commence on Parcel X4, within 10 years. 

• The future developer will participate in funding the maintenance and operation of the 40- 
acre Mission Bay park system, by joining Community Facilities District No. 6, the 
Mission Bay Maintenance District (or by paying an in-lieu fee) at the time that the first 
new building on Parcel X4 is completed. 

• The redevelopment of Parcel X4 will include participation in the Redevelopment Plan Art 
Requirement, under which an amount equal to 1% of "hard" construction costs will be 
devoted to public art works, which may be located either within accessible areas of Parcel 

._X4; or with Agency approval, within the Mission Bay park system. Esprit will also pay 
the state-mandated school facilities fee on new development. 

• The redevelopment of Parcel X4 will be subject to the Agency's equal opportunity and 
prevailing wage programs for design, development, and construction. 

• Prior to new development, the existing improvements on Parcel X4 may continue to be 
employed for uses consistent with the Redevelopment Plan, as determined by the 
Executive Director. 



14 



Agency Commissioners 70 1 -0200 1 -002 

Page 4 April 17,2001 

Attachment II 
Page 4 ot k 

On March 20, 2001, the Recreation and Park Commission adopted a resolution (copy 
attached) urging the approval of the OP A and the acceptance of the Park donation. 
Following Commission consideration of the OP A, the Board of Supervisors will consider a 
resolution accepting the donation of the Park. The Park donation is expected to be 
completed in early June. However, if the Board of Supervisors resolution is not approved, 
or if the donation of the Park is not completed for any reason, the OPA will not become 
effective and no Planning exactions will be waived. 

(Originated by Amy Neches, Senior Project Manager) 

Original Signed By 
James B, Morales 

James B. Morales 

Executive Director 



Att: Mission Bay Land Use Map 
Parcel X4 site map 
Resolution of the Recreation and Park Commission 



15 




City and County of £an Francisco 

JMeeting Minutes 

, Public Health and Environment Committee 

Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Tuesday, May 22, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



DOCUMENTS DEPT 



MEETING CONVENED 



010777 



The meeting convened at 10:06 a.m. 



MAY 2 5 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



[Grant funds to DPH from Eli Lilly and Company] 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention, to 
accept and expend a grant in the amount of $125,000 from Eli Lilly and Company for the period May 1, 2001 
to April 30, 2002 and to enter into an agreement for the use of these funds. (Public Health Department) 
5/8/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at the 
May 22, 2001 meeting. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Kevin McGirr, Department of 

Public Health; Male Speaker. 

5/22/01 Amend page one, line four; delete 'May" and replace with "July" and delete "April" and replace with 

"June". 

AMENDED. 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention, to 
accept and expend a grant in the amount of $125,000 from Eli Lilly and Company for the period July 1, 2001 to 
June 30, 2002 and to enter into an agreement for the use of these funds. (Public Health Department) 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



010923 [Substance Abuse and Crime Prevention Act of 2000 - Approval of County Plan] 
Supervisors Leno, Newsom 

Resolution approving the San Francisco County Plan for Fiscal Year 2001-2002 pursuant to the Substance 
Abuse and Crime Prevention Act of 2000. (Public Health Department) 
5/14/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Barbara Garcia, Department of 
Public Health; Terence Hallinan, District Attorney; Marcia Rosenbaum, The Lindesmith Center; Daniel 
Abrahamson, The Lindesmith Center; Patricia Harrison. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



City and County of San Francisco 



Printed at 3:17 PM on 5/23/01 



Public Health and Environment Committee 



Meeting Minutes 



May 22, 2001 



010922 [State grant for Substance Abuse and Crime Prevention Act] 
Supervisors Leno, Newsom 

Resolution authorizing the Department of Public Health to accept and expend a grant in the amount of $62,687 

from the State of California Department of Alcohol and Drug Programs for substance abuse treatment services 

for certain non-violent drug possession offenders as required by Proposition 36: Substance Abuse and Crime 

Prevention Act of 2000. (Public Health Department) 

5/14/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 
the May 22, 2001 meeting. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Phyllis Harding, Department of 

Public Health. 

5/22/01 Amend page one, lines four and sixteen; change the amount from "$62,687" to "$54,705". On page 

one, line seventeen, after "with" delete "the remaining". 

AMENDED. 

Resolution authorizing the Department of Public Health to accept and expend a grant in the amount of $54,705 
from the State of California Department of Alcohol and Drug Programs for substance abuse treatment services 
for certain non-violent drug possession offenders as required by Proposition 36: Substance Abuse and Crime 
Prevention Act of 2000. (Public Health Department) 
RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



010237 [Emergency Room Admissions] 
Supervisor Newsom 

Hearing to discern the increase in emergency room admission and what can be done to accommodate need 
while reducing the number of admissions if possible, also to explore the issue of diversion management. 
2/5/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Dr. Brown, EMS Director, Department of Public Health; Dr. Alan Gelb, 
Chief of Emergency Department, San Francisco General Hospital; Barbara Garcia, Department of Public 
Health; Kerry Dalrymple, Emergency Communications Department; Ron Smith, VP Hospital Council, Bay 
Area Region; Dr. Scott Campbell, San Francisco Emergency Physicians Association; Mary Lou Licwinko, 
Executive Director, San Francisco Medical Society; Dr. Beth Mulcahy; Jeffery Sterman, Hospital Council; 
Dr. Joe Elson, Medical Director, The Haight Street Clinic; Dr. Mickey Rokeach, Emergency Director, 
California Pacific Medical Center; Dr. Margot Kushel, San Francisco General Hospital; Dr. Mark Snyder, 
Chief of Emergency, St. Lukes Hospital; Dr. Russ Braun, St. Francis Hospital; Dr. Jordan Cohen, St. Mary's 
Hospital; Mary Colman, RN; Rich Nadis, Medical Director, St. Francis Hospital; Tom Pikes; Bob Ivory, RN, 
San Francisco General Hospital; Rich Short all, San Francisco Fire Department. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 



The meeting adjourned at 12:47 pm. 



City and County of San Francisco 



Printed at 3:17 PM on 5/23/01 



CITY AND COUNTY 




susa ™-^ tDocsect ' on 

Main UDra'y 



OF* 



.^»o^U 



/ 



BOARD OF SUPERVISORS 



BUDGET ANALYST 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



May 17, 2001 
TO: .Public Health & Environment Committee 

FROM: Budget Analyst 

SUBJECT: May 22, 2001 Public Health & Environment Committee Meeting 

Item 1- File 01-0777 

Department: Department of Public Health (DPH) 

Item: Resolution authorizing the San Francisco Department of 

Public Health, Population Health and Prevention, to 
accept and expend a grant in the amount of $125,000 from 
Eli Lilly and Company for the period of May 1, 2001 to 
April 30, 2002 and to enter into an agreement for the use 
of these funds. 

$125,000 

July 1, 2001 through June 30, 2002 (one year-see 
Comment No. 4) 

Eli Lilly and Company (see Comment No. 2) 

None required. DOCUMENTS DEPT. 

None MAY 2 1 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Grant Amount: 
Grant Period: 

Source of Funds: 
Matching Funds: 
Indirect Costs: 



Memo to Public Health and Environment Committee 

May 22, 2001 Meeting of Public Health and Environment Committee 

Budget: 



Personnel Costs 




Outreach Peer Counselors (2.0 FTE) 




Salary 


$49,600 


Fringe Benefits (25%) 


12.400 


Subtotal-Outreach Peer Counselors 


$62,000 


Administrative Assistant (0.5 FTE) 




Salary 


$12,400 


Fringe Benefits (25%) 


3.100 


Subtotal- Administrative Assistant 


$15,500 


Subtotal-Personnel Costs 


$77,500 


Non-Personnel Costs 




Motivational Supplies 


11,500 


Cell Phones 


1,200 


Travel Expenses 


840 


Emergency Fund 


25,000 


Administrative Overhead 


8,960 


Subtotal- Non-Personnel Cost 


$47,500 



TOTAL $125,000 

Attachment I, an excerpt from the Grant Agreement, 
provides details to support the budget data listed above. 

Description: The subject grant would fund the first-year of a two-year 

pilot project to study how to increase medication 
compliance for mental health patients. Dr. Bill McConnell 
of DPH advises that non-compliance with medication 
regimens is a common problem for mental health patients 
because often the medications have side effects that the 
patients do not want to tolerate. The subject grant would 
fund one-year of a pilot project to test Directly Observed 
Therapy (DOT) on 25 mental health patients. Dr. 
McConnell explains that DOT is a technique in which 
staff work closely with patients, in a therapeutic manner, 
to ensure that they take their medication as required. Dr. 
McConnell advises that in the subject pilot program, such 
services would be provided by peer counselors, that is, 
other patients who understand the challenges the 
participants face in adhering to their medication 
regimens. Dr. McConnell informs that DPH has been 
successful in treating tuberculosis patients with this 
method. 

BOARD OF SUPERVISORS 
BUDGET ^NALYST 



Memo to Public Health and Environment Committee 

May 22, 2001 Meeting of Public Health and Environment Committee 

The project would be based at the Westside Community 
Adult Outpatient Mental Health Services located at 888 
Turk Street. 

Comments: 1. Dr. McConnell advises that the new personnel listed in 

the budget summary would be employees of Westside 
Community Adult Outpatient Mental Health Services. 
The City would contract, on a sole-source basis with 
Westside, a non-profit, community-based provider that 
has other contracts with the San Francisco DPH. Dr. 
McConnell advises that Westside provides a variety of 
children's and adult mental health services, among other 
services. 

2. Dr. McConnell advises that EH Lilly is providing the 
subject grant to Comprehensive Neuroscience, Inc. (CNS) 
on behalf of DPH. Dr. McConnell advises that CNS is a 
private, international company that expedites the 
development and use of new products and services to 
relieve neuropsychiatric illness. Dr. McConnell further 
advises that in this project, CNS would serve as a 
consultant to Eli Lily and was responsible for developing 
the project, . finding a host jurisdiction (San Francisco), 
and negotiating the grant specifications and objectives. 
Dr. McConnell advises that CNS would also monitor the 
grant for EH Lily. The terms of the subject grant require 
an agreement between EH Lilly, CNS, and the County of 
San Francisco. Dr. McConnell informs that the contract 
would be awarded by the City to Westside Community 
Mental Health Services on a sole-source basis because as 
a crisis service, Westside would be able to provide 
psychiatrist intervention at all hours, which is critical to 
the effort to enhance medication adherence. Additionally, 
Dr. McConnell advises Westside has significant 
experience in providing services in the community, 
outside of a conventional cHnical setting. Westside also 
has significant experience in using peer counselors and 
has successfully integrated the use of peer counselors 
with a professional clinical model. The subject grant 
award would use peer counselors to provide services. Dr. 
McConnell also advises that Westside has experience with 
the use of flexible funds for cHent emergencies, which the 
subject grant would permit. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

May 22, 2001 Meeting of Public Health and Environment Committee 

3. Dr. McConnell advises that DPH would provide the 
following in-kind services: 

Project Administration and Support 

0.05 FTE 2323 Clinical Nurse Specialist 
Salary (0.05 X $84,016) $4,201 

Fringe Benefits 

(estimated at 25 percent of Salary) 1.051 

Subtotal $5,252 



Quality Management Evaluation 

0.05 FTE 2575 Research Psychologist 
Salary (0.05 X $78,222) $3,911 

Fringe Benefits 

(estimated at 25 percent of Salary) 978 

Subtotal $4,889 

Rental Space 14,400 

Supplies 600 

Regular Phone Usage 7,200 

Copying 5,400 

Subtotal $27,600 

Total-In Kind Services $37.741 

4. Dr. McConnell advises that, to date, none of the subject 
grant funds have been accepted or expended. He further 
advises that the pilot project has not yet started and 
therefore, no other funds have been spent on it to date. He 
advises that DPH anticipates starting the pilot project by 
July 1, 2001 He explains that DPH originally anticipated 
starting the project by May 1, 2001 and thus the proposed 
resolution specifies May 1, 2001 as the beginning of the 
grant period. Since the pilot project did not begin May 1, 
2001 and is not expected to begin until July 1, 2001, the 
proposed resolution should be amended accordingly. 

5. The Grant Agreement stipulates that CNS would 
provide Eh Lilly with quarterly program performance 
data. It further stipulates that funding for the second year 
of the project would be contingent upon a review at the 
end of the first year. Any subsequent award of funds 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

May 22, 2001 Meeting of Public Health and Environment Committee 

would be subject to Board of Supervisors review and 
approval. 

6. Dr. McConnell advises that the in-kind rental space is 
for 600 square feet for the 2.5 FTEs funded by the subject 
grant. The space is located at Westside Community Adult 
Outpatient Mental Health Services at 888 Turk Street. 
Dr. McConnell advises that it is space that DPH already 
pays for through other contracts with Westside. 

7. Attachment II to this report is a copy of the Grant 
Information Form, as provided by DPH, which includes 
the Disability Access Checklist. 

Recommendations: 1. In accordance with Comment No. 4, amend the 

proposed resolution as follows: in the title on page 1, lines 
5 and 6, delete 'May 1, 2001 to April 30,2002" and replace 
it with "July 1, 2001 to June 30, 2002" so that the clause 
reads "for the period of July 1, 2001 to June 30, 2002 and 
to enter into an agreement for the use of those funds. " 

2. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



ATTACHMENT I 

Page 1 of 3 

d. The service plan will be formally reviewed in team format on at least a 
quarterly basis. 

e. Outreach staff will receive weekly group and individual supervision about 
the caseload. Supervision will focus on: 

• Assessment, 

• Documentation, data base management and entry 

• Strategizing interventions 

• Problem solving service needs 

4. Months Eighteen through Twenty Four : 

Administrative oversight to begin data analysis and summary. Staff will begin 
to wrap up and summarize the experience. Transition of cases to occur in 
months eighteen through twenty-one. 

Data analysis will include (CMHS Quality Management staff will be used in 
the review and analysis of data): 

• Review' of acute service utilization for all clients . 

• Comparison of acute service utilization for enrollees and refusals 

• Review of MCAS scores 

• Correlation of MCAS scores with compliance data (observed 
administration) and acute service utilization • 

• Review of demographic variables 

• Analysis of qualitative data, e.g., refusals, anecdotal reports related to 
client progress, non-compliance and intervention strategies. 

Contract 
VIII. BUDGET - Year One 



Outreach Peer Counselors (2.0 FTE)* 
Salary and benefits 


62,000 


Administrative assistant (0.5 FTE) 
Salary and benefits 


15,500 


Motivational supplies 


11,500 


Cell phones 


1,200 


Travel expenses 


840 


Emergency Fund** 


25,000 


Indirects 


8,960 


Total 


125 ; 000 



ATTACHMENT I 






Page 2 of 3 
* A Licensed Psychiatric Technician may be substituted for a peer counselor. This would 
result in increased cost 

** This a fund is to be accounted for separate from the operating budget. Unused 
emergency funds will be returned to CNS and then Lilly. 



A. Peer Counselors: 2 FTE direct service staff to provide the services described in 
this Agreement to clients 1 enrollees. The above figure includes a 25% calculation 
for benefits. 

B. Administrative Assistant 0.5 FTE provides clerical support to project 
administration and direct service staff in the way of client scheduling, data entry 
and database management, management of emergency fund. The above figure 
includes a 25% calculation for benefits. 

C. Client incentives (Motivational Supplies): Used to enhance clients' motivation to 
attend five day per week medication observation clinic. The cost is based on 
$2.00 per day per client for 25 clients for a total of 5 days per week for 46 weeks. 
It is estimated that the all clients will not show up each day. The unused daily 
allocation will be re-allocated for flexible use for clients who may need added 
incentive. In order to avoid any possibility of any inducement to the clients 
regarding the use of any specific pharmaceutical product, the client will not be 
informed that the motivational supplies are in any manner provided for by Lilly. 

D. Cell phone: rental of two cell phones at estimated cost and usage of $50.00 per 
phone per month X 12 months. The cell phones may only be used in conjunction 
with this program. If possible, the cell phones should be returned to the renter at 
the end of the Program. 

E. Travel expenses: purchase of two muni passes (local transit) at $35.00 per month 
X twelve months to be used by the direct service staff when in need of transport to 
locate and deliver services to clients in the field, 

F. Emergency Fund: to be administered by project administration for client 
participants who may be need of emergency funds for transport, housing, personal 
supplies. In order to avoid any possibility of any inducement to the clients 
regarding the use of any specific pharmaceutical product, the client will not be 
informed that the emergency funds are in any manner provided for by Lilly. 

G. Indirects at 8.9 % of $100,000 allocation. These costs are to cover unforeseen 
additional administrative expenses directly related to this project. 

H. The County will provide: 

• Project administration and supervision 

• Rental space 

• Supplies 



ATTACHMENT I 

. Copying . Pa § e 3 of 3 

• Regular phone usage 

• Quality Management evaluation 

DC PAYMENT SCHEDULE 

Lilly will provide CNS One Hundred Twenty-five Thousand dollars 
($125,000.00) for use in the first year of the project 

CNS will provide Lilly with quarterly updates (beginning at six months) as to 
whether the milestones set forth in Exhibit B are being met in year one. At any point that 
such milestones are not being met, CNS is to discontinue providing funds to the County 
and Lilly (following a meeting with CNS and the County) will determine whether to 
continue to allow funding for the program. 

Funding for year 2 of the project ($125,000.00) is subject to review at the end of 
year 1 and year 2 will be evaluated in the same manner as year 1. 



X. GENERAL PROVISIONS 

In the event that the project does not require the entire amount granted from Lilly 
for the above-referenced purposes, County and CNS will return any excess amount to 
Lilly. * . 

This contractual agreement shall be deemed effective on the date it is executed by 
all the Parties, Eli Lilly and Company, CNS and the County. It may be terminated at 
anytime, by any party, for any reason upon thirty (30) days written notice to the other 
parties. 

This Agreement, including the Exhibits attached hereto, contains the entire 
agreement and understanding between the parties with respect to the subject matter of this 
Agreement and shall supersede all prior oral or written negotiations, agreements or 
understandings between the parties with respect to the subject matter of this Agreement. 
This Agreement may not be amended or modified except by a written instrument signed 
by both parties. 

The Parties agree that they will comply with applicable provisions of 42 U.S.C. 
1320a-7b, regulations promulgated thereunder and comparable state laws or regulations, 
prohibiting illegal remuneration (including any kickback, bribe, or rebate) and that (as 
mentioned earlier) nothing in this Agreement is to be construed to create any obligation, 
expressed or implied, with respect to the mention, prescription or use of Lilly products. 



8 



File Number: fl/^OI'?*/ 



(provided by the Board of Supervisors • 'ATTACHMENT II 

Page 1 of 2 
Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a 
Department to accept and expend grant funds. 

1 . Grant Title: Pilot Intervention to Improve Medication Adherence 

2. Department: Department of Public Health, Population Health and Prevention, 
Community Mental Health Services. 

3. Contact Person: Kevin McGirr, RN,MS,MPH. Telephone: 255-3481 

4. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: 
$250,000 ($125,000 X two years) 

6a. Matching Funds Required: In kind services from CMHS and contractor 

b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency; Eli Lilly and Company 

b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: The grant will fund staffing to test the 
effectiveness of intensive outreach and medication monitoring of clients who 
are identified as medication non-adherent. 

9. Grant Project Schedule: 

Start-Date: 7/1/01 End-Date: 6/30/02 

10. Number of new positions created and funded: -0- 

1 1 . If new positions are created, explain the disposition of employee(s) once the grant 
ends: 

N/A 



1 2a. Amount to be spent on contractual services: $250,000 for the two year 
period. Funding for year II of the project will be subject to review at the end of 
year I. 

b.) Will contractual services be put out to bid?: No 

c.) If so, will contract services help to further the goals of the department's 

MBE/WBE requirements? : N/A 

5/17/01 



ATTACHMENT II 

Page 2 of 2 

12a. Amount to be spent on contractual services: $125,000, Year One of Two 
Years 

b. Will contractual services be put out to bid?: No, sole source per the 
provisions of the grant. 

c. If so, will contract services help to further the goals of the department's 
MBE/WBE requirements? : N/A 

d. Is this likely to be one-time or ongoing request for contracting out?: Ongoing for 
a total of two years. 

13a. Does this budget include indirect costs? No 
b. If no, why are indirect costs not included? : 
[ ] Not allowed by granting agency [X ] To maximize use of grant funds on 

direct services 
[X ] Other (please explain): All services will be delivered via a sole-source 
contract with Westside Community Mental Health Services 

14. Any other significant grant requirements or comments: None 

**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X] Existing Site(s) [X] Existing Structure(s) [X] Existing Program(s) or 

Service(s) 
[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 
[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed 
the proposal and concluded that the project as proposed will be in compliance with the 
Americans with Disabilities Act and all other Federal, State and local access laws and 
regulations and will allow the full inclusion of persons with disabilities, or will require 
unreasonable hardship exceptions, as described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer. Norman Nt'ckens Dppnt.v nirp r f r> r 
xn y n (Name) (Title) 

(Signature) 
Date Reviewed: APR % 6 2001 



Department Approval: Mitch Katz, M.U. Director of Health 

(Name) , (Title) 



(Signature) 1 



10 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 



Item 2 - File 01-0923 

Department: 

Item: 



Department of Public Health 

Resolution approving the San Francisco County Plan for 
Fiscal Year 2001-2002 pursuant to the State's Substance 
Abuse and Crime Prevention Act of 2000. 



Description: 



On November 7, 2000 California voters passed Proposition 
36, the Substance Abuse and Crime Prevention Act of 2000. 
The Substance Abuse and Crime Prevention Act of 2000 
(SACPA) requires probation and drug treatment in lieu of 
incarceration, for conviction of possession, use, 
transportation for personal use, or being under the influence 
of a controlled substance, and related parole violations, 
which will be funded by the State. According to Mr. James 
Stillwell of the Department of Public Health (DPH), State 
law requires that San Francisco begin providing such 
services on July 1, 2001. 

According to Mr. Stillwell, the State set aside $2,298,950 in 
SACPA funds to San Francisco for FY 2000-2001 and is 
expected to allocate $4,435,113 annually, beginning in FY 
2001-2002 through FY 2005-2006, when State funding for 
the SACPA will become subject to the State's budget process 
(see Comment 1) for continued implementation of SACPA. In 
order to receive SACPA funds, the San Francisco Board of 
Supervisors must (1) agree to comply with the provisions of 
the SACPA; (2) establish a local Substance Abuse and Crime 
Prevention Trust Fund; (3) assure the State that all funds 
allocated pursuant to the SACPA will be deposited into that 
Trust Fund; (4) designate a lead agency within the City to be 
responsible for the coordination, development and 
implementation of the SACPA; and, (5) establish a County 
Plan for the coordination, funding and provision of services 
under the SACPA. On March 5, 2001, the Board of 
Supervisors approved an ordinance (File 01-0061) to 
establish the Substance Abuse and Crime Prevention Trust 
Fund and designated DPH as the lead agency to be 
responsible for the coordination, development and 
implementation of the SACPA. Mr. Stillwell advises that 
after File 01-0061 was approved, the State allocated 
$2,298,950 to San Francisco. Expenditure of such funds is 
subject to Board of Supervisors approval and any savings in 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

11 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 

expenditures from one fiscal year can be carried forward to 
subsequent fiscal year budgets. 

The subject resolution would approve the proposed County 
Plan for FY 2001-2002 for the coordination, funding and 
provision of services under the SACPA. The proposed County 
Plan for FY 2001-2002 describes how the criminal justice and 
treatment systems will work together to provide eligible 
individuals 1 with substance abuse services under the 
SACPA. 

Under the proposed County Plan, a potential client of the 
drug treatment program under the SACPA would progress 
through the justice and treatment systems in four specific 
stages. Those stages are: (1) Pre-conviction: eligibility for 
treatment provisions under the SACPA begins only upon 
conviction in the justice system and not at the point of arrest 
or charging; (2) Assessment, Placement and Treatment: after 
a person has been convicted or entered a guilty plea, the 
individual will receive an assessment within seven days of 
the severity and complexity of his or her substance abuse 
problem. The assessment will be conducted by the 
Treatment Access Program (TAP), a program of the 
Community Substance Abuse Services in the DPH (see 
Comment 4). Following assessment, the Court/Board of 
Prison Terms will "sentence the individual to treatment as a 
condition of probation/parole. At that point, the individual is 
sentenced and actually becomes eligible for dedicated 
treatment resources. The placement of the individual will be 
authorized and coordinated by TAP. The treatment provider 
will prepare a treatment plan for the individual and submit 
that plan through TAP to the Adult Probation Department or 
the State Department of Parole (Probation/Parole). The plan 
would include an array of appropriate substance abuse 
services and may include ancillary services, such as literacy 
training, family counseling and vocational training services; 



1 All persons who are convicted of the offenses specified by State statute and who meet the State 
statute's criminal history requirements are entitled to the treatment-related conditions of the 
probation under the SACP Act. A person is ineligible if (a) s/he has completed serving a felony (other 
than a non- violent drug-related felony) or a misdemeanor involving physical injury or the threat of 
physical injury within the past five years; (b) s/he has been convicted of a misdemeanor not related to 
tbe use of drugs, or any felony in addition to the non- violent drug possession charge; (c) the current 
offense involved the use of a firearm, in addition to non-violent drug possession; and, (d) s/he has 
already been convicted twice of non-violent drug possession and has been found by clear and 
convincing evidence to be unamenable to any and all forms of treatment. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

12 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 

(3) Reporting and Monitoring: TAP will assume primary- 
responsibility for tracking an individual's treatment progress 
and reporting quarterly to Probation/Parole. Monitoring by 
TAP and Probation/Parole will ensure that individuals 
receive the most appropriate treatment services and that 
treatment providers are in compliance with SACPA 
requirements. If an individual is determined to not be 
sufficiently motivated to continue with treatment such 
determination will be reported to Probation for joint 
consultation on what is a more appropriate treatment plan or 
if a motion should be filed to modify or revoke probation; and, 

(4) Completion of Treatment and Dismissal of Charges: Upon 
an individual's successful completion of his or her treatment 
plan, TAP will be responsible for verifying and preparing a 
report of compliance to Probation/Parole, the District 
Attorney and the individual's defense counsel. According to 
Mr. Stillwell, individuals are eligible for dismissal of charges 
upon successful completion of the treatment program. 

Comments: 1. A grant proposal under File 01-0922 (see Item 3 of the 

May 22, 2001 Public Health and Environment Committee 
Calendar) in the amount of $54,705 will fund some start-up 
costs associated with the SACPA during the remainder of FY 
2000-2001. Those grant funds of $54,705 are part of the total 
FY 2000-2001 State allocation of SACPA funds in the 
amount of $2,298,950 ($2,244,245 plus $54,705). Mr. 
Stillwell advises that the original grant amount was for 
$62,687, or $7,982 more, however the grant amount was 
reduced to $54,705 to reflect the amount of work that will 
actually be done in FY 2000-2001. Mr. Stillwell further 
advises that the $7,982 will remain in the Substance Abuse 
and Crime Prevention Trust Fund and can be carried 
forward to future fiscal years for re-appropriation at that 
time. According to Mr. Stillwell, beginning in the FY 2001- 
2002 budget process, the DPH will include in its budget 
requests, the State SACPA funds for the probation and drug 
treatment program. The DPH will include in its FY 2001- 
2002 budget request $6,671,376. Mr. Stillwell advises that 
the cost details associated with the proposed County Plan are 
included in DPrTs FY 2001-2002 budget request, and are not 
part of the subject resolution. Attachment I, provided by 
DPH, is a summary budget for FY 2001-2002. Mr. Stillwell 
advises that DPH will work-order funds as shown in 
Attachment I, to the Pub he Defender's Office, the Trial 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

13 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 

Courts and the Adult Probation Department to cover the 
associated administrative costs of the SAPCA probation and 
drug treatment program. Mr. Stillwell further advises that 
any savings would be carried forward to subsequent fiscal 
year budgets. 

2. According to Mr. Stillwell, the development of the 
proposed County Plan was an extensive collaborative 
community-based planning process that began in January of 
2001. The planning process involved representatives from 
the Board of Supervisors, the District Attorney's Office, the 
Trial Courts, the Department of Public Health, the 
Department of Human Services, the Adult Probation 
Department, the State Department of Parole, the Sheriffs 
Department, the Police Department, the Controller's Office, 
the Mayor's Office of Neighborhood Services, the Mayor's 
Criminal Justice Council, the community, the Treatment 
Demand Council, advocacy groups, substance abuse 
treatment providers and the faith community. 

3. Mr. Stillwell estimates that in the first year of the 
program there will be approximately 1,200 non-violent drug 
offenders eligible for drug treatment under the SACPA. 

4. Under the Community Substance Abuse program, TAP 
places individuals in drug treatment programs run by 
community-based organizations. The DPH currently 
contracts out to 45 community-based organizations to provide 
substance abuse treatment programs on behalf of the DPH. 
Mr. Stillwell advises that DPH will initially modify existing 
substance abuse treatment contracts with 15 of the 45 
community-based agencies to provide treatment availability 
as of July 1, 2001. Such modifications are limited to agencies 
with existing contracts for State licensed or certified drug 
and alcohol treatment programs, as required by the SACPA. 
Mr. Stillwell advises that such initial funds will be awarded 
on a sole-source basis, as approved by the Health 
Commission, to expedite the establishment of the program. 
Mr. Stillwell further advises that other existing contracts 
may be modified as additional agencies acquire the required 
State license or certificate on a sole source basis and any new 
contracts would be awarded on a competitive bid basis. See 
Attachment II, provided by Mr. Stillwell, for a list of the 15 
community-based organizations. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

14 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 



5. According to Mr. Stillwell, the SACPA prohibits local 
jurisdictions from supplanting funding for existing drug 
diversion programs in San Francisco. Currently, there are 
two existing drug-diversion programs for pre-guilty plea 
defendants (a) Drug Diversion for defendants with first-time 
felony drug possession offenses; and, (b) Drug Court for 
repeat offenders with multiple eligible charges. Mr. Stillwell 
advises that the SACPA funds will not replace or supplant 
the funds for these two existing drug diversion programs and 
that the SACPA probation and drug treatment program is for 
individuals who have been convicted of certain non-violent 
drug possession charges. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

15 



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16 



Attachment II 
Page 1 of 2 



City and County of San Francisco 




Department of Public Health 

Community Substance Abuse Services 

1380 Howard Street, 4th Floor 

San Francisco, CA 94103 

(415)255-3500 



May 17, 2001 

Maureen Singleton 

Budget Analyst's Office 

San Francisco Board of Supervisors 

1390 Market Street, Suite 1025 

San Francisco, CA 94102 

Re. 01-0923 County Plan for SACPA 

Ms. Singleton, 

In answer to your request, we have prepared the following summary of the process to select 
community based substance abuse treatment agencies to begin treatment services for SACPA 
defendants as of July 1, 2001. 

After analyzing the requirements of the SACPA, CSAS projected a SACPA client profile, 
including numbers of clients to be served, age, gender, language, ethnicity, custodial children, 
severity of addiction and housing status. From that projection, CSAS built a matrix of required 
services, including modality, location, accessibility, and cultural competence. The matrix was 
then scaled down to meet the projected initial client flow during the first six months of actual 
operation. 

CSAS notified all current substance abuse service contractors of the intent to expand such 
services, and requested from each a letter of interest, specifying which services, if any, each 
agency was willing and able to expand for SACPA clients by July 1, 2001. After agency 
responses were received, analyzed, and checked against the State's list of licensed or certified 
providers, the proposals were matched as nearly as possible with the matrix of required services 
and characteristics. There were 22 program successful matches, representing the 15 community 
based agencies, listed below. 

Asian American Recovery Services 

Bay view Hunters Point Foundation 

Horizons Unlimited 

New Leaf 

Jelani House 

Haight Ashbury Free Clinics 

Mission Council 

The Iris Center 

Morrisania West 

Potrero Hill Neighborhood House 

Walden House 

Community Awareness and Treatment Services (CATS) 

Ohlhoff Recovery Programs 



17 



Attachmen t II 
Page 2 of 2 — 



Addiction Research and Treatment (BAART) 
Westside Community Mental Health 



CSAS allocated $ 1.6 million among the selected programs and is currently negotiating contract 
modifications for July 1, 2001 expansion of services. 

CSAS expects to complete two more rounds of service allocation during fiscal year 2001-02 for the 
following reasons: 

♦Projected service needs for FY 2001-02 are two to three times as great as accounted for in the 

first allocation. 

♦Actual client needs and client flow may differ from projections. 
♦Several projected service needs were not successfully matched by an existing, qualifying 

contractor. 
♦Several well regarded contractors were passed over due to a license or certification "pending" 

status, or because needed facility or staff changes could not be completed by July 1, 2001. 

The next round of service allocations will address immediate unmet or emerging needs by further 
modifying contracts with existing contractors. 

The final round, by competitive bid process, will address all remaining unmet needs, full service 
expansion, and long range capacity building. 

In all cases, funding for drug and alcohol treatment under SACPA is restricted to programs licensed or 
certified by the California Department of Drug and Alcohol Programs (DADP). In order to increase the 
number, quality and breadth of treatment programs available for SAPCA clients, both DADP and 
CSAS have already begun to provide information and technical assistance to any interested agency. 



Comments: 

1. Sole source funding and contract modification is limited to agencies which: a) have previously 
been awarded a CSAS substance abuse contract through competitive bid, b) are licensed or certified to 
provide drug and alcohol services by the California Department of Alcohol and Drug Programs.. 

2. CSAS contracts and modifications are executed only after receiving approval of the San 
Francisco Health Commission. 



If you have additional questions, please call me at (415) 255-3717. 




18 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 



Item 3-File 01-0922 

Department: 

Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 

Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend a grant in the amount of $62,687 
from the State of California Department of Alcohol and 
Drug Programs for substance abuse treatment services for 
certain non-violent drug possession offenders as required 
by Proposition 36: Substance Abuse and Crime 
Prevention Act of 2000. 

$54,705 (see Comment No. 1) 

January 1, 2001 through June 30, 2006 (5.5 years see 
Comment No. 1) 

State of California, Department of Alcohol and Drug 
Programs 

In November of 2000, California voters approved 
Proposition 36, the Substance Abuse and Crime 
Prevention Act of 2000 (SACPA), which requires that 
certain non-violent drug possession offenders receive 
substance abuse treatment rather than incarceration. 
State law requires that San Francisco begin providing 
such services July 1, 2001. According to Mr. Jim Stillwell 
of DPH, the subject grant would fund 13.5 FTEs (see 
Budget section below and Attachment I) for 
approximately three weeks from June 9, 2001 through the 
end of the fiscal year, June 30, 2001. Mr. Stillwell advises 
that the subject grant would allow DPH to establish the 
client-service unit that would be charged with taking the 
cases from the Trial Courts of San Francisco, conducting 
an assessment of each individual offender's needs, placing 
them in a treatment program, creating a treatment plan, 
sending such a plan to the appropriate probation- officials, 
tracking clients' progress, and reporting outcomes to the 
courts. If a client does not progress under the 
recommended treatment, the client-service unit would 
reassess the client, review the treatment plan and 
consider other options for that client. The subject grant 
would also fund a contract officer who would negotiate 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

19 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 

contracts with an anticipated 15 non-profit, community- 
based treatment providers (see Comment No. 3). The 
subject grant would fund a health program coordinator to 
monitor DPH compliance with applicable State law and 
with the treatment-provider contracts. Additionally, the 
subject grant would fund a coordinator for the 
implementation of the treatment portion of the SACPA. 
Mr. Stillwell explains that the subject grant would also 
fund positions in the Adult Probation Department, the 
Trial Courts, and the Public Defender's Office who would 
also assist with preparing for the July 1, 2001 
implementation of the SACPA. 



Budget: 



DPH Personnel 
Salaries 

8.5 FTEs 

(see Attachment I for position details) 
Fringe Benefits for DPH Personnel (25%) 
Subtotal-DPH Personnel 

Adult Probation Personnel 

Salaries 
2.0 FTEs 8144 Supervising Probation Officers 
($2,145 biweekly X 2.0 X1.5 pay periods) 

Fringe Benefits (29%) 

Subtotal-Adult Probation Personnel 

Trial Courts Personnel 
Salaries 

1.0 FTE 430c Deputy Court Clerk 

($2,347 biweekly X 1.5 pay periods) 
Fringe Benefits (22.7%) 

Subtotal-Trial Courts Personnel 

Public Defender Personnel 
Salaries 

1.0 FTE 8446 Court Administrative Specialist I 

($1,881 biweekly X 1.5 pay periods) 

1.0 FTE 8142 Public Defender's Investigator 

($2,545 biweekly X 1.5 pay periods) 
Fringe Benefits (22.7%) 

Subtotal- Public Defender's Personnel 



$27,150 

6.788 

$33,938 



$6,435 
1.866 
$8,301 



$3,521 

799 

$4,320 



$2,822 

3,818 

1,506 

$8,146 



Total 



$54.705 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



?n 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 



Mr. Stillwell advises that positions in the Adult 
Probation Department, Trial Courts, and Public 
Defender's Office would be funded through DPH work 
orders. 



Required Match: 



None 



Indirect Costs: 



None 



Comments: 



1. Mr. Stillwell advises that the State has allocated 
$2,298,950 in the SACPA funds to San Francisco for FY 
2000-2001. He explains that such funds are in the 
Substance Abuse and Crime Prevention Trust Fund, 
established by the City, as required by SACPA. Mr. 
Stillwell advises that on March 5, 2001, the Board of 
Supervisors approved the ordinance establishing this 
Trust Fund and designating DPH as the lead agency for 
the administration of the Fund. He further advises that 
after the Board of Supervisors approved the ordinance 
creating the Substance Abuse and Crime Prevention 
Trust Fund, the State allocated $2,298,950 to San 
Francisco for FY 2000-2001. Mr. Stillwell advises that 
DPH had originally anticipated spending $62,687 of these 
funds during the remainder of FY 2000-2001 (by June 30, 
2001). However, Mr. Stillwell advises that DPH now 
anticipates spending only $54,705 by the end of FY 2000- 
2001. Therefore, the proposed resolution should be 
amended to reduce the subject grant from $62,687 to 
$54,705, a reduction of $7,982. Mr. Stillwell explains that 
the $7,982 difference would remain in the Substance 
Abuse and Crime Prevention Trust Fund and could be 
carried forward to future fiscal years for re-appropriation 
at that time. The proposed resolution references the FY 
2000-2001 $2,298,950 allocation from the State and also 
references the original $62,687 grant amount. Further, 
the proposed resolution states "the remaining $2,236,263" 
(referring to the $2,298,950 State allocation less the 
original subject grant amount of $62,687) will be included 
in the FY 2001-2002 DPH budget request. While Mr. 
Stillwell advises that the $2,236,263 will still be included 
the FY 2001-2002 DPH budget request, the reduced 
subject grant amount makes inaccurate the reference in 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

21 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 

the subject resolution to "the remaining $2,236,263" and 
thus should be amended to delete the phrase "the 
remaining." 

Mr. Stillwell explains that the SACPA legislation requires 
the State to set aside $120 million per year in a Trust 
Fund to be allocated among all the Counties in the State. 
He further explains that San Francisco will receive 
$4,435,113 in Fiscal Year 2001-2002 and anticipates 
receiving the same amount in subsequent Fiscal Years 
through June 30, 2006. Mr. Stillwell advises that DPH 
will include $6,671,376 ($2,236,263 from FY 2000-2001 
plus $4,435,113 for FY 2001-2002) in its FY 2001-2002 
budget request for the Board of Supervisors review during 
the annual budget process. He further advises that 
subsequent fiscal year budgets will also include such 
funding requests of an annual anticipated $4,435,113 in 
State allocations through June 30,2006. Additionally, he 
advises that the Board of Supervisors is being requested, 
in a separate action from the subject resolution, to 
approve the San Francisco SACPA plan (see Item 2 of the 
May 22, 2001 Public Health and Environment Committee 
Calendar). 

2. Mr. Stillwell advises that while the SACPA legislation 
took effect January 1, 2001, DPH has not yet accepted or 
expended any of the subject grant funds. He further 
advises that no other funds have been spent on the 
SACPA. 

3. Mr. Stillwell advises that the 15 initial contracts with 
non-profit, community-based treatment providers would 
be awarded on a sole-source basis. Mr. Stillwell explains 
that the DPH currently contracts out to 45 community- 
based organizations to provide substance abuse treatment 
programs on behalf of the DPH. Mr. Stillwell advises that 
DPH will initially modify existing substance abuse 
treatment contracts with 15 community-based agencies to 
provide treatment availability as of July 1, 2001. Such 
modifications are limited to agencies with existing 
contracts for State licensed or certified drug and alcohol 
treatment programs, as required by the SACPA. Mr. 
Stillwell advises that such initial funds will be awarded 
on a sole-source basis, as approved by the Health 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

9? 



Memo to Public Health and Environment Committee 

May 22, 2001 Public Health and Environment Committee Meeting 

Commission, to expedite the establishment of the 
program. Mr. Stillwell further advises that other existing 
contracts may be modified as additional agencies acquire 
the required State license or certificate on a sole source 
basis and any new contracts would be awarded on a 
competitive bid basis. 

4. The proposed resolution urges the Controller to 
designate the positions funded under the subject grant as 
"G," or grant funded positions, which would terminate 
when the grant expires. 

5. Attachment II is a copy of the Grant Information Form, 
as provided by DPH, which includes the Disability Access 
Checklist. Mr. Stillwell advises that the Grant 
Information Form should show the revised $54,705 
subject grant amount. Additionally, Mr. Stillwell advises 
that the FY 2001-2002 allocation shown in the Grant 
Information Form should be $4,435,113. 



Recommendations: 



(1) In accordance with Comment No. 1, amend the 
proposed resolution as follows to reflect the revised 
subject grant amount of $54,705: 

(a) in the title on page 1, line 5, delete "$62,687" and 
replace it with "$54, 705" so that the phrase reads 
"to accept and expend a grant in the amount of 
$54, 705 from the State of California...." 

(b) on page 1, line 17, delete "$62, 6 87' and replace it 
with "$54,705" so that the phrase reads "to accept 
and expend $54,705 for the current..." 

(c) on page 1, line 18, delete "the remaining" so that 
the phrase reads "with $2,236,263 to be 
appropriated. ..." 

(2) Approve the proposed resolution, as amended. 



' fa*? , r^v 



Harvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 



Controller 
Stephen Kawa 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

23 



ATTACHMENT I 













Page 1 of 1 




< 00/01 ALLOCATION ACCEPT AND EXPEND SPECIAL REVEN0E2S/CHS/6NG^^Stesv 


Proposed Budget 












Position 


FY 00-01 


Index Code 


FTE 


Obj 


Subobject 


2S/CHS/GNC 


Description 












1.5 Pay periods 












June 9 -30th 


Expense 












Permanent Salaries 


HMHAPROP36 


1.00 


001 


1426 


$2,523 Clerk 


Permanent Salaries 


HMHAPROP36 


1.00 


001 


1823 


$3,998 Sr Admin Analyst 


Permanent Salaries 


HMHAPROP36 


2.00 


001 


2586 


$5,022 Health Wkr II 


Permanent Salaries 


HMHAPROP36 


1.00 


001 


2587 


$2,746 Health Wkr III 


Permanent Salaries 


HMHAPROP36 


1.00 


001 


2588 


$3,210 Health Wkr IV 


Permanent Salaries 


HMHAPROP36 


1.00 


001 


2591 


$3,593 Hlth Prog Coor II 


Permanent Salaries 


HMHAPROP36 


1.00 


001 


2593 


$4,019 Hlth Prog Coor 111 


Permanent Salaries 


HMHAPROP36 


0.50 


001 


2803 


$2,039 Epidemiologist 


Permanent Salaries 


HMHAPROP36 




013 


Fringe=25% 


$6,788 


Subtotal Labor 




8.50 






$33,938 


Adult Probation w/o 


HMHAPROP36 




081 


081 AP 


$8,301 


Superior Court w/o 


HMHAPROP36 




081 


081 SP 


$4,320 


Public Defender w/o 


HMHAPROP36 




081 


081 PD 


$8,146 


Subtotal Nonlabor 










$20,767 


Total Expense 










$54,705 





24 



frle Number: 0/-0^^^l ATTACHMENT II 

' {Provided by Clerk of Board of Supervisors) p .. _ _ 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Substance Abuse and Crime Prevention Act of 2000 (SACPA, Proposition 36) 

2. Department: Public Health/Population Health & Prevention/Community Substance Abuse Service (CSAS) 

3. Contact Person: Jim Stillwell Telephone: voice 255-3717, page- 207-4517 

4. Grant Approval Status (check one): . " 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: FY 00-01 $62,687 
6a. Matching Funds Required: $ None 

b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: State of California, Dept of Alcohol and Drug Programs 
b. Grant Pass-Through Agency (if applicable): 

8. Proposed Grant Project Summary: 

The Substance Abuse and Crime Prevention Act of 2000 (SACPA, Proposition 36) requires certain non- 
violent drug possession offenders receive treatment rather than incarceration. The Department is required 
by California law and San Francisco Board of Supervisors resolution to receive and use the proposed 
funding to implement the SACPA, including the coordination with the Trial Courts, District Attorney, Public 
Defender, Adult Probation, and the Parole Authority. In addition the Department must provide for the 
assessment of defendants, assignment to treatment, as well as the substance abuse treatment itself. 
Implementation and use of funds is governed by California Code of Regulations, Title 9, Section 9500- 
9550. 

The Fiscal Year 2000/2001 SACPA Proposition 36 allocation to San Francisco totals $2,298,950. The 
Department of Public Health is requesting authorization to accept and expend $62,687 for FY 00/01 to 
implement the infrastructure to begin services on July 1, 2001. The remaining FY 2000/2001 allocation of 
$2,236,263 and the FY 2001/2002 allocation of $4,435,133 will be appropriated by the Board of 
Supervisors in the Fiscal Year 2001/2002 budget. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: End-Date: 

1/1/2001 6/30/2006 

10. Number of new positions created and funded: 8.5 

11. If new positions are created, explain the disposition of employees once the grant ends? 

The SACPA has the potential to become a program permanently funded by the State of California. 
However, the current funding ends June 30, 2006, and if a replacement source of funding has not 



25 



■ ATTACHMENT II 
• ". ' Page 2 or 2 

*.. been created by that time, positions will be ended, and the employees transferred into other positons 

through attrition. 

12a. Amount budgeted for jcontractual services: None 

b. Will contractual services be put out to bid? 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? 

d. Is this likely to be a one-time or ongoing request for contracting out? 

1 3a. Does the budget include indirect costs? [ ] Yes [X] No 

b1. If yes, how much? $ 

b2. How was the amount calculated? 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [X] To maximize use of grant funds on direct services 

[ ] Other (please explain): Direct Administrative Costs are included. 

14. Any other significant grant requirements or comments: 
"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X] Existing Site(s) [X] Existing Structure(s) [X] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer., 





'2— 



Norman Nickens, Director AA/EEO 



Date Reviewed: -5 - 07-c / 



Department Approval: 



/Hz,y£suM 



Mitchell Katz, M.D., Director of Public Health 




26 




City and County of San Fr [All Committees] 

Meeting Minutes Government Document Sect,on 



Public Health and Environment 

Members: Supervisors Sophie Maxwell, Leland '. 



Main Library 



Clerk: Deborah Muccino 



Tuesday, June 12,2001 



<*^ 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



90. W 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



UUCUMbNISDEPT 
JUN 1 5 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



MEETING CONVENED 



010917 



The meeting convened at 10:04 a.m. 



[Grant funds from the California Endowment] 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention and 
Community Health Network, to accept and expend a grant in the amount of $399,386 from the California 
Endowment for the period of February 15, 2001 to February 14, 2004, and to enter into an agreement for the 
use of these funds. (Public Health Department) 
5/15/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speaker: Maureen Singleton, Budget Analyst's Office. 

6/12/01 Amend the title on page one, line four, after "accept" insert "retroactively". On page two, line one, 

after "accept" insert "retroactively". 

AMENDED. 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention and 
Community Health Network, to accept retroactively and expend a grant in the amount of $399,386 from the 
California Endowment for the period of February 15, 2001 to February 14, 2004, and to enter into an 
agreement for the use of these funds. (Public Health Department) 

RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



010489 [Name Change] 
Supervisor Leno 

Ordinance amending the San Francisco Health Code by amending Section 41.1 to change the name of the 
Commission of Animal Control and Welfare to Commission of Animal Welfare and amending Section 41.3 to 
replace obsolete references to "Chief Administrative Officer" with "City Administrator." 

Supervisor Yee dissenting in committee. 

3/19/01, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 4/18/2001. 

Heard in committee. Speakers: Frederick Hobson, Animal Control and Welfare Commission; Richard 
Schulke; Anita Cars-well; June Wilson; Cheryl Bentley; Bud Wilson; Eric Mills; Marco Torres. 
RECOMMENDED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Noes: 1 - Yee 



City and County of San Francisco 



Printed at 4:13 PM on 6/13/01 



Public Health and Environment Committee Meeting Minutes June 12, 2001 



010945 [Medical Marijuana Research Study] 
Supervisor Gonzalez 

Resolution urging the San Francisco Department of Public Health to establish a research study of medical 
marijuana and to establish formal procedures for the cannabis buyers clubs of San Francisco to apply to 
become participants in the research study. 
5/21/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Herminia Palacio, Department of Public Health; Harvey Feldman; Wayne 
Justmann; Michelle Aldrich; Frederick Hobson; Father Nazar in. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 

The meeting adjourned at 10:52 a.m. 



City and County ofSaiuFrancisco 2 Printed at 4:13 PM on 6/13/01 



CITY AND COUNTY 




[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



OFS- 



TO: 
FROM: 



^ BOARD of supervisorsDOCUMENTS DEPT. 

^BUDGET ANALYST JUN 1 2 2001 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 SAN FRANCISCO 

PUBLIC LIBRARY 

June 7, 2001 

/> Public Health & Environment Committee 
Budget Analyst 



SUBJECT: June 12, 2001 Public Health & Environment Committee Meeting 
Item 1- File 01-0917 



Department: 
Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 

Matching Funds: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Pub he Health, Population Health and Prevention and 
Community Health Network, to accept and expend a 
grant in the amount of $399,386 from The California 
Endowment for the period of February 15, 2001 to 
February 14, 2004 and to enter into an agreement for the 
use of these funds. 

$399,386 

February 15, 2001 through February 14, 2004 (three 
years) 

The California Endowment, a private health care 
foundation 

None required 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

June 12, 2001 Meeting of Public Health and Environment Committee 

Indirect Costs: The inclusion of indirect costs Is prohibited by "the 

granting agency. 



Budget: 



Description: 



The subject grant would fund 1.5 new FTEs in the first 
year and would continue to fund those same positions for 
the remainder of the three-year grant period. A detailed 
breakdown of the funding for these positions is shown in 
Attachment II, provided by DPH. 

Dr. Melissa Welch of DPH advises that the subject grant 
will fund the replication of a successful pilot program that 
integrates primary care and mental health services. Dr. 
Welch explains that historically, clients have received 
primary care through community-based clinics and 
mental health services through mental health managed 
care. Through a pilot program, a DPH facility located at 
1301 Pierce Street, the Maxine Hall Health Center, 
attempted to integrate the provision of primary care and 
mental health services in one location. Based on the 
success of this pilot, the subject grant will fund such an 
integration at two other DPH clinics: (1) Chinatown 
Public Health Center located at 1490 Mason Street and 
(2) Southeast Health Center located at 2401 Keith Street. 
DPH anticipates that over the three-year grant period, 
the subject grant will fund care for an estimated 250 to 
350 clients. 



Comments: 



1. As indicated above, the grant period is from February 
15, 2001 through February 14, 2004. Dr. Welch advises 
that DPH has already accepted the subject funds but that 
none of the subject funds have been expended yet. The 
proposed resolution does not provide for retroactive 
acceptance. Therefore, the proposed resolution should be 
amended to reflect this retroactive acceptance of the 
subject funds. 

2. Dr. Welch advises that Attachment I, the Grant 
Information Form, should reflect 1.5 FTEs as new 
positions. She further advises that the budget categories 
in Attachment II, provided by DPH, are as follows: (a) the 
Proposed Project Budget shows the grant funds plus in- 
kind contributions by DPH of $799,455 ($1,198,841 shown 
in Attachment II in the total column for Proposed Project 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

June 12, 2001 Meeting of Public Health and Environment Committee 

Budget less the subject grant of $399,386), (b) the 
Proposed Request reflects the amount DPH requested 
from the California Endowment and (c) the Approved 
Program Budget reflects the subject grant that was 
approved, and is the subject of the proposed resolution. 

3. Dr. Welch advises that of the proposed 1.5 new FTEs, 
the 0.5 FTE 1822 Project Coordinator/Planner will be 
filled by hiring a new employee. The 0.5 FTE 2932 Senior 
Psychiatrist Social Worker and 0.5 FTE 2232 Psychiatrist 
will either be filled by hiring a new employee or adding 
more hours for an existing employee. 

4. The proposed resolution stipulates that the Controller 
is directed to code the new positions "G," or grant funded. 






Recommendations: 



(1) In accordance with Comment No. 1, amend the 
proposed resolution as follows: 

(a) on page 1, line 4 in the title, insert "retroactively" 
after "accept" so that the phrase reads "to accept 
retroactively and expend a grant..." 

(b) on page 2, in the first "FURTHER RESOLVED" 
clause, insert "retroactively" after "accept" so that 
the phrase reads "to accept retroactively and 
expend the grant funds..." 

(2) Approve the proposed resolution, as amended. 




Harvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



File Number: Of-Q^^ -ATTACHMENT I 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form s 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Integrated Behavioral and Public Health Care in Community-based Public Health Clinics 

2. Department: Public Health 

3. Contact Person: Melissa Welch, M.D. Telephone: 206-7810 

4. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $399,386 

6a. Matching Funds Required: Not required; see budget for in-kind contributions 
b. Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: The California Endowment 

b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: The proposed new grant will fund expansion and replication of a 
successfully piloted, integrated community-based treatment approach for primary care patients who suffer 
from mental, physical and substance abuse disorders. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 2715/01 End-Date: 2/14/04 

10. Number of new positions created and funded: 0.5 FTE 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? : The goal over 
the three year period includes sustaining new staff by offsetting salary with revenue generated by increased 
client enrollment in entitlement programs. 

12a. Amount budgeted for contractual services: None 

b. Will contractual services be put out to bid? : N/A 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : N/A 



ATTACHMENT I 
d. Is this likely to be a one-time or ongoing request for contracting out? : N/A 

Page 2 of 2 
13a. Does the budget include indirect costs? [ ] Yes [ X] No 

b1. If yes, how much? 

b2. How was the amount calculated? 

c. If no, why are indirect costs not included? 

[X] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: None 
**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X] Existing Site(s) [X] Existing Structure(s) [X] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 

Departmental or Mayor's Office of Disability Reviewer: Nnrman Nirkpns Dppnty nirprtnr 

/ (Signature) 

Date Reviewed: 3/7^2-/*/ 

Department Approval: Mitr-h Kat>. M.D. nirprf.or nf Hpalth 

(Name) (Title) 




(Signature) 




ATTACHMENT- 
Page 1- of 1 



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[All Committees] 
City and County of San Francisc Government Document Section 
Meeting Minutes ^ 

Public Health and Environment Com 

Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 






Tuesday, June 26, 2001 



10:00 AM 
Regular Meeting 



City Hall, Legislative Chambers 



Members Present: Sophie Maxwell, Leland Y. Yee, Gavin Newsom. 
Members Absent: Mark Leno. 



Meeting Convened 



The meeting convened at 10:07 a.m. Board President Ammiano appointed Supervisor Newsom to serve on the 
Public Health and Environment Committee for today's meeting only. 



011082 



010142 



[Grant funds to Arts Commission for Endangered Garden Sunnydale Pump Station] 

Resolution authorizing the Director of the Arts Commission to accept and expend up to $15,000 in federal 
funds granted through the San Francisco Urban Resources Partnership which is administrated through the 
Natural Resources Conservation Service, the forest service of the United States Department of Agriculture and 
the Environment Protection Agency, for the restoration of the Endangered Garden Public Art Project at the 
Sunnydale Pump Station. (Arts Commission) 
6/5/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speaker: Susan Grey, Arts Commission. 
RECOMMENDED., by the following vote: 

Ayes: 2 - Maxwell, Yee 

Absent: 2 - Leno, Newsom 



DOCUMENTS DEPT. 



M 2 8 2 






SAN FRANCISCO 
PUBLIC LIBRARY 



[Charity Care Policy Reporting and Notice Requirement] 
Supervisors Maxwell, Ammiano 

Draft Ordinance amending the San Francisco Health Code by adding Sections 129-136 to authorize the 

Department of Public Health to require hospitals to report on amount of charity care provided and requiring 

patient notification of policies on charity care. 

1/22/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

6/25/01, SUBSTITUTED. Supervisor Maxwell submitted a substitute ordinance approved as to form. 

6/25/01, ASSIGNED to Public Health and Environment Committee. 

Heard in committe. Speakers: Mitch Katz, Department of Public Health; Michael Keys, Attorney, Bay Area 

Legal Aid; Fred Seavey, Service Employees International Union Local 250; Nora Roman, Emergency 

Coalition to Save Public Health; Leslie Bennet, Attorney, Consumer's Union; Eric Moore; Ron Smith, 

Hospital Council. 

Substitute legislation introduced at Board and approved as to form. 

6/26/01 Amend page 3, line 21, after "within" delete "30 days of the end of the prior calendar year" and insert 

"120 days after the end of each hospital's fiscal year". On page 5, line 3, delete "and enforce". 

AMENDED. 



City and County of San Francisco 



Printed at 10:21 AM on 6/27/01 



Public Health and Environment Committee Meeting Minutes June 26, 2001 

Ordinance amending the San Francisco Health Code by adding Sections 129-137 to authorize the Department 
of Public Health to require hospitals to report on policies and amount of charity care provided and requiring 
patient notification of policies on charity care. 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Maxwell, Yee 
Absent: 2 - Leno, Newsom 



011036 [Paramedic Programs] 
Supervisor Newsom 

Hearing for an update on the following programs: (1) Rapid Paramedic Response System (2) One on One 
Paramedic Program. 

5/29/0 \, RECEIVED AND ASSIGNED to Neighborhood Services and Parks Committee. 
6/20/OL TRANSFERRED to Public Health and Environment Committee. 

Heard in committee. Speakers: Supervisor Gavin Newsom; Dr. John Brown, Director, Department of Public 
Health, Emergency Medical Section; Dr Marshall Issacs, Medical Director, Fire Department; Chief Shortal, 
Fire Department, EMS Chief; Chief Russ McCallion, EMS Operations Chief, Fire Department; Da'Rand 
Shariah; Dr. Paul Quick; Josie Mooney; Nora Roman; Irene Ager; Anna Herlitz; Jeanie Duncan; Lynn 
Benson; Nancy Allen; Mark Hayes; Lorrie Beth Slonsky; Brie Matthews; Paulino Novo; Glen Kircher; Norm 
Rooker; Dave Spencer; Vicki Rooker; Cari Pouchnik; Frank Kelly; Jon Meade; Larry Bradshaw; Mike 
Tragesser; Benjamen Franks; John Hanley; Nicholas Hall; Arthur Davis; Bill Lafferty; Steve Lynch; Srinika 
Narayan; Larry Bradshaw; Anthony Sacco; Female Speaker; Erika Lockhart; David Amituani. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Newsom 

Absent: 2 - Yee, Leno 



ADJOURNMENT 



The meeting adjourned at 2:06 p.m. 



City and County of San Francisco 2 Printed at 10:22 AM on 6/2 7/01 







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City and County of San Franc' r 



City Hall 



[All Committees] 

Meeting Minutes Government Document Section 

Public Health and Environment C Main Library 

Members: Supervisors Sophie Maxwell, Leland Yee 



Clerk: Deborah Muccino 



hh\ 



Tuesday, July 10, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED 






The meeting convened at 10:06 a.m. 

011095 [State grant funds to DPH from Health and Human Services Agency, Dept of Drug and Alcohol 
Programs] 
Supervisors Leno, Newsom 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention, to 
accept and expend a grant in the amount of $221,532 from the California Health and Human Services Agency, 
Department of Drug and Alcohol Programs, for the period of December 29, 2000 to December 28, 2001, and to 
enter into an agreement for the use of these funds. (Public Health Department) 
6/12/0L RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Jim Stillwell, Department of 

Public Health. 

Supervisor Maxwell requested to be added as a co-sponsor. 

7/10/01 Amend the title on page 1, line 4, after "accept" insert "retroactively". On page 2, in the first further 

resolved clause, after "accept" insert "retroactively". 

AMENDED. 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention, to 
accept retroactively and expend a grant in the amount of $221,532 from the California Health and Human 
Services Agency, Department of Drug and Alcohol Programs, for the period of December 29, 2000 to 
December 28, 2001, and to enter into an agreement for the use of these funds. (Public Health Department) 
RECOMMENDED AS AMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



DOCUMENTS DEPT. 

JUL 1 2 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 10:23 AM on 7/11/01 



Public Health and Environment Committee Meeting Minutes July 10, 2001 



01 1096 [Private grant funds to DPH for substance abuse services.] 
Supervisors Leno, Maxwell 

Resolution authorizing the San Francisco Department of Public Health, Community Substance Abuse Services, 
to accept and expend a grant in the amount of $60,000 from Join Together for the period of April 9, 2001 to 
April 8, 2002, and to enter into an agreement for the use of these funds. (Public Health Department) 
6/4/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Jim Stillwell, Department of 

Public Health. 

Supervisor Maxwell requested to be added as a co-sponsor. 

7/10/01 Amend the title on page 1, line 5, to delete "April 9, 2001 to April 8, 2002" and insert "one year". On 

page 1, line 6, after "funds" add "placing $60,000 on reserve. " On page 2, add a final "Further Resolved" 

clause: "That funds in the amount of $60,000 are hereby placed on reserve pending the submission of a 

program plan and budget details to be released by the Public Health and Environment Committee. " 

AMENDED. 

Resolution authorizing the San Francisco Department of Public Health, Community Substance Abuse Services, 
to accept and expend a grant in the amount of $60,000 from Join Together for the period of one year, and to 
enter into an agreement for the use of these funds; placing $60,000 on reserve. (Public Health Department) 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



011189 [State grant for Community Asthma Intervention Project] 
Supervisors Leno, Maxwell 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention, to 
accept and expend a grant in the amount of $435,000 from the California Department of Health Services, for 
the period March 1, 2001 to June 30, 2002. (Public Health Department) 

6/20/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 
the June 26, 2001 meeting. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Karen Cohen, Department of 

Public Health. 

Supervisor Maxwell requested to be added as a co-sponsor. 

7/10/01 Amend page 1, lines 4 and 16, before "expend" insert "retroactively". 

AMENDED. 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention, to 
accept and retroactively expend a grant in the amount of $435,000 from the California Department of Health 
Services, for the period March 1, 2001 to June 30, 2002. (Public Health Department) 

RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



City and County of San Francisco 2 Printed at 10:23 AM on 7/11/01 



Public Health and Environment Committee 



Meeting Minutes 



July 10, 2001 



01 1 197 [Grant Amendment, State Water Resources Control Board] 

Resolution authorizing the San Francisco Department of Public Health, Population Health and Prevention, to 
enter into an amended agreement with the State Water Resources Control Board reducing the original grant 
amount of $516,500 to $452,635 and providing indirect costs in the amended amount of $54,502 for the period 
of July 1, 2000 through June 30, 2001. (Public Health Department) 

6/22/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 
the July 10, 2001 meeting. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Lucille Burlew Lawlor, 
Department of Public Health; Albert Lee, Oversight Program, Department of Public Health. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 



The meeting adjourned at 10:41 a.m. 



City and County of San Francisco 



Printed at 10:23 AM on 7/11/01 



CITY AND COUNTY 




[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



OF^AN FRANCISCO 



TO: 
FROM: 



£OARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



July 5, 2001 
^Public Health & Environment Committee 
4 JSudget Analyst 



SUBJECT: July 10, 2001 Public Health & Environment Committee Meeting 

V 

Item 1 - File 01-1095 



Department: 
Item: 



Amount: 



Grant Period: 



Source of Funds: 



Required Match: 



Department of Public Health, Population Health and 
Prevention 

Resolution authorizing the San Francisco Department of 
Public Health, Population Health and Prevention, to 
accept and expend a grant in the amount of $221,532 from 
the California Health and Human Services Agency, 
Department of Drug and Alcohol Programs, for the period 
of December 29, 2000 to December 28, 2001, and to enter 
into an agreement for the use of these funds. 

$221,532 

December 29, 2000 through December 28, 2001. 

California Health and Human Services Agency, 
Department of Drug and Alcohol Programs 

$22,153 (10 percent) is required, but additional funds 
have been provided (see Comment No. 2). 



Indirect Costs: 



$0 



Memo to Public Health and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 



Description: The proposed resolution would authorize the Department 

of Public Health (DPH), Population Health and 
Prevention, to accept and expend a $221,532 grant from 
the State Health and Human Services Agency. It would 
also authorize DPH to enter into an agreement with the 
California Health and Human Services Agency retroactive 
to December 29, 2000 for the use of these funds. 

The subject grant would fund enhancement and 
expansion of services of the San Francisco County 
Juvenile Drug Court Program, Youth Treatment and 
Education division, which is part of the Superior Court 
Comprehensive Drug Court Implementation Program. 
The Youth Treatment and Education program offers drug 
counseling, family counseling and case management 
services for juveniles who have been charged with drug 
violations. According to Mr. Duane Einhorn of DPH, the 
subject grant will fund expansion of existing services, 
with the goal of serving approximately 200 participants. 

The Drug Court Program includes three main 
components. First, the program will provide intensive 
day treatment, including judicial supervision, drug 
treatment, and educational services, for 12 youth and 
their families. Second, it will treat up to 96 youth per 
year in a juvenile drug diversion program, which includes 
weekly group education sessions, family support and 
service information, and referrals to social service 
resources. Finally, the program provides a counselor- 
enhanced classroom program, which provides behavioral 
counseling for day treatment clients. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 



Budget: 



The subject grant would allocate $221,532 to Walden 
House, Inc., a non-profit organization that specializes in 
treatment of alcohol and drug problems (see Comment 
No. 3). Walden House would budget the funds as follows: 

Salaries (including fringe benefits): 

1.0 FTE Administrative Director $50,096 

1.0 FTE Primary Counselor 1 A.F. 43,480 

1.0 FTE Primary Counselor 2 L.C. 43,480 

1.0 FTE School Counselor 43,480 

1.0 FTE Drug Diversion Counselor 21.917 

Subtotal Salaries 202,453 






Additional Costs: 

Supervision/Training 

Transportation 

Subtotal Additional Costs 

TOTAL PROJECTED COST: 



11,700 
7.379 



19,079 



$221,532 



Comment: 



1. As noted above, the grant period is from December 29, 
2000 through December 28, 2001. The Department did 
not have official confirmation that it had received the 
grant until March 2, according to Mr. Einhorn, so the 
resolution to accept the funds was delayed. Mr. Einhorn 
notes that the Department has already entered into a 
contract with the State Health and Human Services 
Agency to accept the subject funds. Thus, the proposed 
resolution should provide for retroactive acceptance of the 
subject grant. 

Mr. Einhorn advises that no grant funds have been 
expended to date. The start date of expenditures is 
approximately September 15, 2001. 

Though the grant period is only for a one-year period, 
through December 29, 2001, Mr. Einhorn advises that he 
expects DPH to receive the grant annually for a three 
year period, through December 28, 2004. 

2. Required matching funds of $22,153, plus additional in- 
kind services and grant funds of $237,405, totaling 
$259,558 will be provided by the Trial Courts ($76,505), 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 

Juvenile Probation ($104,333), Public Defender ($56,740), 
and District Attorney ($21,980). 

3. Mr. Einhorn advises that DPH will modify an existing 
contract with Walden House, Inc. to provide counseling 
and case management services for the Juvenile Drug 
Court Program. 



Recommendation: (1) In accordance with Comment No. 1, amend the 

proposed resolution as follows: 

(a) on page 1, line 4 in the title, insert 
"retroactively" after "to accept" so that the 
phrase reads "to accept retroactively and 
expend" 

(b) on page 2, line 4, insert "retroactively" after "to 
accept" so that the phrase reads "to accept 
retroactively and expend." 

(2) Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



Memo to Public Health, and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 

Item 2 - File 01-1096 



Department: 
Item: 



Source of Funds: 

Grant Amount: 
Grant Period: 

Required Match: 
Indirect Costs: 

Description: 



Department of the Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health, Community Substance Abuse Services, to 
accept and expend a grant in the amount of $60,000 from 
Join Together for the period of April 9, 2001 to April 8, 
2002, and enter into an agreement for the use of these 
funds. 

Join Together Organization, a project of the Boston 
University School of Public Health. 

$60,000 

April 9, 2001 through April 8, 2002 (one year) (See 
Comment 1). 

None. 

Join Together prohibits the inclusion of indirect costs in 
the grant budget. 

The proposed resolution would authorize DPH to accept 
and expend the subject grant in the amount of $60,000 to 
implement a social marketing campaign to increase 
community support for substance abuse treatment centers 
in San Francisco. Ms. Kirsten Melbye from DPH states 
that the passage of Proposition 36, the Substance Abuse 
and Crime Prevention Act of 2000 on November 7, 2000, 
which requires probation and drug treatment in lieu of 
incarceration, for conviction of possession, use, 
transportation for personal use, or being under the 
influence of a controlled substance, and related parole 
violations, would require the establishment and 
expansion of substance abuse treatment centers in San 
Francisco. 

Ms. Melbye advises that the establishment and expansion 
of substance abuse centers within various San Francisco 
neighborhoods has previously met with resistance. The 
purpose of the proposed social marketing campaign is to 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 

increase community support for substance abuse 
treatment centers throughout San Francisco. 

Ms. Melbye advises that DPH will select an outside 
contractor to conduct the social marketing campaign 
through a Request for Qualifications (RFQ) process after 
the subject grant has been approved by the Board of 
Supervisors. 

Comments: 1. According to Ms. Melbye, although the subject 

resolution states that the grant period is from April 9, 
2001 through April 8, 2002, the DPH has neither accepted 
nor received any grant monies. Ms. Melbye advises that 
DPH cannot enter into a contract with Join Together until 
the Department has Board of Supervisors and Mayoral 
approval. Therefore, Ms. Melbye advises that the grant 
period would actually begin after DPH receives approval 
from the Board of Supervisors. Ms. Melbye further 
advises that although the actual grant dates are 
changing, the grant period will still be for one year. The 
anticipated grant period would be August 1, 2001 to July 
31, 2002. Therefore, the Budget Analyst recommends 
that page one, lines five and six of the subject resolution 
be amended to replace the phrase, " ...for the period of 
April 9. 2001 to April 8. 2002 ." with "...for the period of 
one year ." 

2. Because DPH has not selected an outside contractor to 
conduct the social marketing campaign, they do not have 
cost details, such as hours and hourly rates, for the 
subject grant funds in the amount of $60,000. As noted 
above, DPH will begin the RFQ process after the subject 
grant has been approved. Ms. Melbye further advises 
that cost and project details would be available upon 
selection of the contractor. Therefore, the Budget Analyst 
recommends reserving $60,000 pending submission of a 
program plan and budget details to the Board of 
Supervisors. 

3. The Attachment is the Department of the Public 
Health's Grant Application Information Form, which 
includes the Disability Access Checklist. The Grant 
Application Information Form incorrectly states that the 
subject grant period if from April 9, 2001 to April 8, 2002. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

6 



Memo to Public Health and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 

The subject grant period will be for one year and is 
anticipated to be from August 1, 2001 to July 31, 2002. 

Recommendations: 1. Amend page one, lines five and six of the proposed 

resolution to correct the grant period dates by replacing 
the phrase "April 9, 2001 to April 8, 2002" with "one 
year," in accordance with Comment 1 above. 

2. Reserve $60,000 as noted in Comment 2 above. 

3. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Attachment 

File Number: ^ a § e x of 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Demand Treatment City Partner 

2. Department: Public Health, Community Substance Abuse Services 

3. Contact Person: Kirsten Melbye, MHS Telephone: 255-3587 

4. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $60,000 for one year 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: Join Together Organization 

b. Grant Pass-Through Agency (if applicable): • 

8. Proposed Grant Project Summary: This grant will be used to implement a social marketing campaign to 
increase community support for substance abuse treatment in San Francisco. The project will ultimately 
help in the implementation on Proposition 36 by allowing the expansion of treatment programs in the city. 
The grant period is from April 9, 2001, to April 8, 2002. The Principle Investigator is Alice Gleghom, PhD, 
Director of Research Epidemiology and Grants at Community Substance Abuse Services. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: April 9, 2001 End-Date: April 8, 2002 (1 year) 

10. Number of new positions created and funded: None 

11. If new positions are created, explain the disposition of employees once the grant ends? 

12a. Amount budgeted for contractual services: $60,000.00 

b. Will contractual services be put out to bid? : Yes. 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : Yes, dependent on the RFQ process. 

d. Is this likely to be a one-time or ongoing request for contracting out?: One-time over the 1-year 
period. 



Attachment 
eage 2 of 2 



13a. Does the budget include indirect costs? 

b1. If yes, how much? 

b2. How was the amount calculated? 



[]Yes 



[X]No 



c. If no, why are indirect costs not included? 

[X ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 
"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 



[ X] Existing Site(s) 
[ ] Rehabilitated Site(s) 
[ ] New Site(s) 



[ ] Existing Structure(s) 

[ ] Rehabilitated Structure(s) 

[ ] New Structure(s) 



[ } Existing Program(s) or Service(s) 
[ ] New Program(s) or Service(s) 



16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the 
proposal and concluded that the project as proposed will be in compliance with the Americans with 
Disabilities Act and all other Federal, State and local access laws and regulations and will allow the 
full inclusion of persons with disabilities, or will require unreasonable hardship exceptions, as 
described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer: 
Date Reviewed: • s rr€f6 ( 



Department Approval: 



Mitch Katz, M.D. 



(Name) 



Nnrman Nirkpnc; 




(Name) 



nppnfy Director 



(Title) 



(Signature) 
Director of Health 



(Signature) 



-/. 



(Title) 






Memo to Public Health and the Environment Committee 

July 12, 2001 Public Health and the Environment Committee Meeting 



Item 3 -File 01-1189 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 



Budget: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco 
Department of Public Health, Population Health 
and Prevention, to accept and expend a grant in the 
amount of $435,000 from the California 
Department of Health Services for the period of 
March 1, 2001 to June 30, 2002. 

$435,000 

March 1, 2001 through June 30, 2002 (16 months) 

California Department of Health Services 

The proposed resolution would authorize DPH to 
accept and expend a grant from the California 
Department of Health Services to fund the start-up 
of the Community Asthma Intervention Project, a 
collaboration of the San Francisco Department of 
Public Health (DPH), the Yes We Can Urban 
Asthma Partnership at San Francisco State 
University (YWC), and the American Lung 
Association of San Francisco/San Mateo Counties 
(ALA). The subject project would improve asthma 
management for low-income children through 
outreach and education, advocacy on children's 
health issues, improved coordination among service 
providers, and the establishment of higher 
standards of care. 

A budget for the Community Asthma Intervention 
Project is as follows: 



10 



Memo to Public Health and the Environment Committee 

July 10, 2001 Pub He Health and the Environment Committee Meeting 



DPH Services 

Personnel (See Comment No. 2) 

0.15 FTE Project Director $16,931 

0.20 FTE Asthma Team Coordinator 22,369 

Fringe Benefits @ 25% 9,825 

Other Costs 

Environmental Control Supplies 2,453 

Travel and Per Diem (See Comment No. 6) 4,112 

Participant Incentives/Child Care 2,000 

Contractual Services 

Harder + Company Community Research - Program Evaluation 25,000 

American Lung Association 123,877 

Yes We Can Urban Asthma Partnership at SFSU 225.548 

Subtotal Direct Costs 

Indirect Costs 

TOTAL PROJECT COSTS 



$432,115 

2,885 

$435,000 



Required Match: 
Indirect Costs: 
Comments: 



None 

$2,885 

1. Although the subject grant has not yet been 
accepted, Mr. Joe Walseth of DPH advises that the 
Department has been expending funds on the 
subject project in anticipation of the grant's 
approval by the Board of Supervisors, with the 
expectation of reimbursement by grant funds for 
costs incurred. 



Mr. Walseth reports that the granting agency, the 
California Department of Health Services, requires 
that DPH adhere to its 16-month project schedule, 
which began on March 1, 2001 and will expire on 
June 30, 2002. According to Mr. Walseth, delays in 
the initial stages of the project would have 
seriously compromised the overall project schedule. 
Mr. Walseth reports that project expenditures to 
date have been limited to work performed by 
existing DPH staff. 



11 



Memo to Public Health and the Environment Committee 

July 10, 2001 Public Health and the Environment Committee Meeting 

Because funds have already been expended on the 
subject project, the proposed resolution should be 
amended to provide for retroactive expenditure of 
the subject grant. 

2. According to Mr. Walseth, no new positions 
would be created under the subject grant. The 
subject project would be run entirely by existing 
permanent DPH staff and contract personnel, as 
shown in the above budget. According to Mr. 
Walseth, the Department would seek other funding 
sources to continue the subject project upon 
expiration of the subject grant. However, Mr. 
Walseth advises that, even if additional funding 
were not secured, the two positions that are 
partially funded by the grant are not likely to 
terminate at the end of the grant period because 
the positions are permanent DPH positions which 
pre-date the subject grant. 

3. According to Mr. Walseth, the American Lung 
Association of San Francisco/San Mateo Counties 
(ALA) was selected to manage the project's 
outreach and education activities based on the 
organization's extensive experience with 
community awareness campaigns, its expertise in 
asthma and other lung health policy issues, and its 
recent success in developing and implementing 
asthma education workshops. 

4. Mr. Walseth reports that the Department 
selected the Yes We Can Urban Asthma 
Partnership at San Francisco State University 
(YWC) to handle the subject project's case 
management and health care delivery component 
because YWC developed and implemented a similar 
project for improved asthma management at San 
Francisco General Hospital Medical Center's 
pediatric clinic. According to Mr. Walseth, 
collaboration with YWC would allow the subject 
project to build on the YWC's existing service 
delivery model and enable better coordination with 
the community. 



12 



Memo to Public Health and the Environment Committee 

July 10, 2001 Public Health and the Environment Committee Meeting 

5. Mr. Walseth advises that DPH would contract 
for program evaluation services with Harder + 
Company Community Research, with which the 
Department has had prior contracts for similar 
services under other DPH projects. 

6. As shown in the above budget, travel expenses 
for the subject project are estimated at $4,112, 
which includes the travel costs associated with staff 
participation in two DHS clinical teaching 
conferences and the Project Director's attendance 
at two contractor meetings. 

7. The Attachment is DPH's Grant Application 
Information Form for the proposed grant funds. 
DPH has prepared a Disability Access Checklist for 
the proposed grant program, which is on file with 
the Clerk of the Board. 

Recommendation: 1. In accordance with Comment No. 1, amend the 

proposed resolution as follows: 

(a) on page 1, line 4 in the title, insert 
"retroactively" before "expend' so that 
the phrase reads "to accept and 
retroactively expend" 

(b) on page 1, line 16, insert "retroactively" 
before "expend' so that the phrase reads 
"to accept and retroactively expend." 

2. Approve the proposed resolution, as amended. 



13 



• ./ 

• .J 

ATTACHMENT 

File Number: "■ : 

(Provided by Clerk of Board of Supervisors) Page 1 of 2 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Removing Barriers to Effective Asthma Management for Infants, Toddlers, and Children 

up to 5 Years of Age 

2. Department: San Francisco Department of Public Health, Population Health and Prevention, 

Children's Environmental Health Promotion Section 

3. Contact Person: Karen Cohn Telephone: 554-8930, Extension 1 1 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for $435,000 approved 

6a. Matching Funds Required: $0.00 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: State Department of Health Services 
b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: This grant is a collaboration between the San Francisco 
Department of Public Health, the Yes We Can Urban Asthma Partnership based at SFSU, and the American 
Lung Association of SF/San Mateo Counties to improve the quality of asthma management for a target 
population of 200 low-income children under 5 years old diagnosed with asthma at two clinics, and to improve 
asthma awareness for 500 childcare providers and their clients citywide. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: March 1 , 2001 End-Date: June 30, 2002 

10. Number of new positions created and funded: 0, they are existing positions 

11. If new positions are created, explain the disposition of employees once the grant ends? N/A 
12a. Amount budgeted for contractual services: $374,425 

b. Will contractual services be put out to bid? No, there will be three sole source contracts totaling $374,425 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

14 1 



') ' - ■ 

"" ' • " » r[ Attachment 

■ • * Fage Z ot z 

d. Is this likely to be a one-time or ongoing request for contracting out? One Time 

13a. Does the budget include indirect costs? [x] Yes [ ] No 

b1. If yes, how much? $2,885 

b2. How was the amount calculated? 5% of total modified direct costs ($57,690) 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 



"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[x ] Existing Site(s) [x ] Existing Structure(s) [ ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [x] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 



Comments: 



Departmental or Mayor's Office of Disability Reviewer 
Date Reviewed: £/ £-/ O { 
Department Approval: 



. -/Z^yt 



Norman Nickens. Deputy Director 




Mitchell Katz, M.D. / Director of Public Health 



15 



Memo to Public Health and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 



Item 4 -File 01-1197 

Department: 

Item: 



Amount: 



Grant Period: 



Source of Funds: 



Description: 



Budget: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco 
Department of Pub he Health, Population Health 
and Prevention, to enter into an amended 
agreement with the State Water Resources Control 
Board reducing the original grant amount by 
$63,865, from $516,500 to $452,635 for the period 
of July 1, 2000 through June 30, 2001. 

$452,635 

July 1, 2000 through June 30, 2001 (1 year) 

State Water Resources Control Board 

The proposed resolution would authorize DPH to 
enter into an amended agreement with the State 
Water Resources Control Board that would reduce 
the grant amount awarded to DPH by $63,865, 
from $516,500 to $452,635. 

The grant, which funds the City's Local Oversight 
Program pertaining to cleanup activities at leaking 
underground storage tanks, was originally 
approved by the Board of Supervisors in September 
of 2000 as part of a packet of 36 recurring State 
grants to DPH that were included in the 
Department's FY 2000-2001 annual budget 
submission (File 00-1601). 

Changes to the project budget under the reduced 
grant amount are as follows: 



16 



Memo to Public Health and Environment Committee 

July 10, 2001 Public Health and Environment Committee Meeting 



Personnel 

Special Assistant XIII 

Sr. Environmental Health Inspector* 

Environmental Health Inspector 

Senior Clerk Typist 

Benefits @ 25% of Salaries 

Subtotal Personnel Costs 

Non-Personnel Costs 

Services & Supplies 

Property Acquisition 

Indirect Costs @ 16% of Personnel 

Subtotal Non-Personnel Costs 



Original 


Amended 


Budeet 


Budget 


$80,959 


$28,991 


118,845 


126,768 


73,638 


73,638 


43,113 


43,113 


79.139 


68,128 


$395,694 


$340,638 


$50,895 


$50,895 


6,600 


6,600 


63,311 


54,502 


$120,806 


$111,997 



TOTAL PROJECT COSTS $516,500 $452,635 



Comment: The attached memorandum from Mr. Albert Lee of 

DPH explains that the grant has been reduced to 
reflect a decrease in salary costs due to an unfilled 
position within the subject project. 

Recommendation: Approve the proposed resolution. 




[arvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 



* The Senior Environmental Health Inspector position is at 1.5 FTE in the original budget and 1.6 FTE in 
the amended budget. 



17 




^ City and County of San Francisco 
DEPARTMENT OF PUBLIC HEALTH 



Attachment 



Willie L. Brown, Jr., Mayor 

Mitchell H. Kate, M.D. 
Director of Health 



OCCUPATIONAL & ENVIRONMENTAL HEALTH 



Rajiv Bhatia, M.D. 
Medical Director M.P.H 



July 5, 2001 

Koren Ishibashi 

City and County of San Francisco 

Budget Analyst Office 

1390 Market Street, Suite 1025 

San Francisco, California 94102 . 

Subject: Local Oversight Program 

Contract Budget Adjustment for Fiscal Year 2000-2001 

Dear Ms. Ishibashi; 

The State Water Resources Control Board (SWRCB) requested that the Local Oversight 
Program (LOP) amend its contract agreement for fiscal year 2000-2001. The original 
contract agreement in the amount of $516,500 will be reduced to $452,635 (a reduction 
of $63,865). This amount reflects the unexpended salary expense for the unfilled 
position of Project Director (1372) for the Local Oversight Program. Currently, we are in 
the process of hiring for this vacant position. 

The amount of the contract is based on a budget. The City receives these grant funds 
from the State through reimbursement for services provided and related expenses. 

A new contract agreement with the SWRCB will add back the salary for this unfilled 
position plus the "cost of living" increases. The contract amount that the LOP is 
requesting for FY 2001-2002 is $539,242. 



Sincerely, 




Albert Lee ' 

Acting Project Director 

DPH-LOP 



Local Oversight Program 



1390 Market Street, Suite 210 
San Francisco, CA 94102 



Phone (415) 252-3900 
FAX (415) 252-3910 



18 



>r 




City and County of £an Francisco , ^ Cit y Hal1 

^Meeting Minutes HpPS i „ - irin 

* I All Committees] nt Section 

.Public Health and Environment I government Documeu 

Members: Supervisors Sophie Maxwell, Leland Ye ri/» a \r\ Libran/ 
Clerk: Deborah Muccino 



Tuesday, July 24, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 






MEETING CONVENED 

The meeting convened at 10:04 a.m. 

010915 [Meningitis] 

Supervisors Leno, Maxwell, McGoldrick 

Hearing on ways to protect San Francisco's children and youth from meningitis. 
5/14/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speaker: Dr. Thomas Aragon, Department of Public Health. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



DOCUMENTS DEP T . 
JUL 2 5 

PUB LIC LIBRARY 






07-25-01 AT 1 :16 RCVD 



010889 [2001 Homeless Continuum of Care Plan] 
Supervisor Daly 

Resolution endorsing and adopting the 2001 Homeless Continuum of Care Plan prepared by Local Homeless 

Coordinating Board. 

5/14/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Supervisor Daly; Virginia Dario Elizondo, Deputy City Attorney; Bob Nelson; 
Co-Chair, Local Homeless Coordinating Board; Gene Coleman; Deputy Director, MOCD & Local Board 
Member; George Smith, Mayor's Office on Homelessness; Maggie Donahue, Department of Human Services; 
Joyce Miller, member, Local Board; Gail Gilman, Local Board; Female Speaker; Charlie Mamimoto, 
Department of Public Health. 
To Board on August 27, 2001. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 



The meeting adjuoumed at 11:39 a.m. 



City and County of San Francisco 



Printed at 12:26 PM on 7/24/01 




l/Aii oommitteesj 

Government Document Section 
City and County of San JrancisccMain Library 

JVIeeting Minutes 

^Public Health and Environment Commutee 

Members: ^Supervisors Sophie Maxwell, Leland Yee and Mark Leno 

Clerk: Deborah Muccino 

Tuesday, August 14, 2001 10:00 AM City Hall, Room 263 

Regular Meeting 

Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



DOCUMENTS DEPJ 

MEETING CONVENED 

AUG I b 200! 

The meeting convened at 10:06 a.m. g^ p RANascQ 

011133 [State contract funds for substance abuse treatment] "-'DnARY 

Supervisor Leno 

Resolution authorizing the San Francisco Department of Public Health, Community Substance Abuse Services 
(CSAS) to enter into a Combined Negotiated Net Amount and Drug Medi-Cal Agreement with the California 
State Department of Alcohol and Drug Programs (DADP) for the term of July 1, 2001, retroactively through 
June 30, 2005 in the fiscal year 200 1 -2002 amount of $ 1 9, 1 9 1 ,568 as a condition of receiving state funds and 
Drug Medi-Cal reimbursement for substance abuse treatment; holding the State Department of Alcohol and 
Drug Programs harmless from any and all claims and losses from the agreement; designating the Director of 
CSAS to sign the Agreement and to approve future amendments to the Agreement for amounts less than ten 
percent (10%) of the contracted amount. (Public Health Department) 

8/1/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at the 
August 14. 2001 meeting. 

Heard in committee. Speakers: Maureen Singleton, Budget Analyst's Office; Phyllis Harding, Director of 
Community Substance Abuse Program; Male Speaker. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



01 1440 |Contract funds for SFH1V Vaccine Clinical Trials Unit] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to enter into an agreement in 
the amount of $754,360 with Public Health Foundation Enterprises Inc. [PHFE), the primary contractor, to 
fund the second year of the SFDPH portion for "San Francisco HIV Vaccine Clinical Trials", a unit of the HIV 
Vaccine Trials Network (HVTN); for the period of June 1, 2001 to May 31, 2002. (Public Health Department) 
8/1/01. RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Maureen Singleton; Bill Pick; Dr. Jonathan Fukes, Director of HIV Clinical 

Trials. 

8/10/01 Amend the title on page 1, line 7, after "period" delete "of " and insert "retroactive from". On page 1, 

line 25, after "agreement" insert "retroactive from June 1, 2001 to May 31, 2002". 

AMENDED. 



City and County of San Francisco I Printed at 9:04 AM on 8/15/01 



Public Health and Environment Committee Meeting Minutes August 14, 2001 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to enter into an agreement in 
the amount of $754,360 with Public Health Foundation Enterprises Inc. [PHFE), the primary contractor, to 
fund the second year of the SFDPH portion for "San Francisco HIV Vaccine Clinical Trials", a unit of the HIV 
Vaccine Trials Network (HVTN); for the period retroactive from June 1, 2001 to May 31, 2002. (Public Health 
Department) 

RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno , 



011215 [Diesel Fuel] 

Supervisor Maxwell 

Hearing to discuss the City and County of San Francisco's use of diesel fuel, both stationary and mobile, and 

ways to reduce it. 

6/25/01. RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in committee. Speakers: Elaine Forbes, Legislative Analyst; Rick Ravolo, Department of the 
Environment; Steve Hill, Bay Area Air Quality Management District; Walt Streeter, Muni; Peter Daly, Port of 
San Francisco; Ann Warren, S.F. Unified School District; Jocelyn Quintos, Department of Public Works; 
Female Speaker; Mike Handy, Department of Public Works; Jim Johnson, Department of Public Works; Ron 
Leon, Recreation and Parks Department; Larry Klein, Public Utilities Commission; Maurice Quillen, Norcal; 
Kevin Shen, President, Cummings West; Joe Boss; Linda Weiner; American Lung Association; John 
Holtzclow, Sierra CLub; Jim Larsen, PG&E; Kevin McGahan, Our Children's Earth; Pam Jones, Diesel 
Technology Forum. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



ADJOURNMENT 

The meeting adjourned at 12:33 p.m. 
IMPORTANT INFORMATION 

LEGISLATION UNDER THE 30-DAY RULE 



(Not to be considered at this meeting) 



There are no items currently pending under the 30 day rule 



City and County of SanSrancisco 2 Printed at 9:04 AM on 8/15/01 



F 

3 

0*/°/ 



CITY AND COUNTY 




[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



OP 



c H 



30ARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



August 14, 2001 
TO: -^Public Health & Environment Committee 

FROM: ^Budget Analyst 



DOCUMENTS DEP 

AUG t h 200] 

SAN FRANCISCO 
PUBLIC LIBRARY 



SUBJECT: August 14, 2001 Public Health & Environment Committee Meeting 



Item 1- File 01-1133 



Department: 
Item: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health, Community Substance Abuse Services 
(CSAS) to enter into a Combined Negotiated Net Amount 
and Drug Medi-Cal Agreement (Combined Agreement) 
with the California State Department of Alcohol and Drug 
Programs (DADP) for the three-year (plus optional one- 
year extension) term of July 1, 2001, retroactively 
through June 30, 2005 in the Fiscal Year 2001-2002 
amount of $19,191,568 as a condition of receiving State 
funds and Drug Medi-Cal reimbursement for substance 
abuse treatment for substance abuse treatment; holding 
the State Department of Alcohol and Drug Programs 
harmless from any and all claims and losses from the 
agreement; designating the Director of CSAS to sign the 
Agreement and to approve future amendments to the 
Agreement for amounts less than ten percent (10%) of the 
contracted amount. 



Memo to Public Health and Environment Committee 

August 14, 2001 Public Health and Environment Committee Meeting 



Amount: 



Source of Funds: 



Description: 



$19,191,568 

State of California, Department of Alcohol and Drug 
Programs (DADP) 

Under State law, San Francisco is reimbursed by the 
State DADP for the City's costs associated with providing 
various substance abuse services. In order to receive this 
reimbursement, which amounts to $19,191,568 in State 
funds for FY 2001-2002, the City must enter into a 
Combined Net Negotiated Amount and Drug Medi-Cal 
Agreement with the State. This proposed resolution, 
which would authorize the Department of Public Health 
(DPH) to enter into the agreement with the State, is 
consistent with the funds approved in DPH's FY 2001- 
2002 budget. 

The subject Agreement combines two agreements: (1) the 
Net Negotiated Amount Agreement, and (2) the 
Drug/Medi-Cal Agreement: 

• Net Negotiated Amount Agreement: To reach this 
agreement, counties negotiate with the State to 
determine rates for different types of substance abuse 
services. These rates are then incorporated into an 
agreement between the State and the City for a total 
"net negotiated amount." Mr. Duane Einhorn of DPH 
advises that the net negotiated amount refers to the 
amount of State DADP funds and Federal block grant 
funds for substance abuse services to be provided by 
the State DADP to the City. 

• Drug/Medi-Cal Agreement: The City is reimbursed by 
the State DADP for the actual cost of substance abuse 
services provided to Medi-Cal recipients. 

Mr. Einhorn advises that DPH Community Substance 
Abuse Services currently contracts with 24 organizations 
(23 non-profit organizations and one private, for-profit 
organization) and has a Memorandum of Understanding 
with San Francisco General Hospital to provide alcohol 
and drug programs under the Combined Agreement. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

August 14, 2001 Public Health and Environment Committee Meeting 

Comment: 1. The Agreement has an effective date of July 1, 2001. 

Therefore, the proposed resolution provides for retroactive 
approval for DPH to enter into the Agreement. 

2. The subject agreement includes a hold harmless clause 
which provides that the City will hold the State harmless 
from (1) any claims and losses resulting to contractors, 
subcontractors, individuals, firms, and corporations 
furnishing or supplying work, services, materials, or 
supplies in connection to the performance of this contract, 
and (2) any claims and losses resulting to any person, 
firm or corporation who may be injured or damaged in 
connection by the City's performance of this contract. 
According to Ms. Virginia Elizondo of the City Attorney's 
Office, this is a standard State hold harmless provision, 
and it is reasonable for the City to enter into this 
Agreement with this indemnity clause. 

3. The Combined Agreement for FY 2001-2002 would 
result in payment by the State DADP of $19,191,568, or 
$11,187 less than the year-end Combined Agreement for 
FY 2000-2001 of $19,202,755. 

4. Mr. Einhorn advises that the Combined Agreement 
may require amendments if the amount may increase due 
to events such as increases in MediCal reimbursements or 
new State-funded initiatives that direct more funds to 
alcohol and drug programming. The proposed resolution 
would authorize the Director of CSAS to approve contract 
amendments totaling less than 10 percent of the contract 
amount, or up to $1,919,157, without subsequent Board of 
Supervisors approval. However, CSAS would be required 
to obtain approval from the Board of Supervisors for 
supplemental appropriation requests to expend any 
increased revenue resulting from such amendments to the 
Combined Agreement with the State. 

5. The Combined Agreement's contract period is three 
years, with an optional one-year extension. However, the 
subject resolution only authorizes acceptance of 
$19,191,568 for FY 2001-2002. The Department must 
request Board of Supervisors approval for each 
subsequent year of the Agreement. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

August 14, 2001 Public Health and Environment Committee Meeting 

6. The Agreement stipulates that the contract must 

be approved by the Board of Supervisors by July 31, 2001. 
Mr. Einhorn advises that the State Department of Alcohol 
and Drug programs has given DPH an extension of this 
deadline until August 24, 2001 so that DPH would still 
receive the full contract amount of $19,191,568 pending 
Board of Supervisors approval of this proposed resolution. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

August 14, 2001 Public Health and Environment Committee Meeting 



Item 2 -File 01-1440 

Department: 

Item: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health (DPH) to enter into a subcontract in the 
amount of $754,360 with Public Health Foundation 
Enterprises Inc. (PHFE), the primary contractor, to fund 
the second year of the DPH portion for "San Francisco 
HIV Vaccine Clinical Trials", a unit of the HIV Vaccine 
Trials Network (HVTN); for the period of June 1, 2001 to 
May 31, 2002. 



Subcontract Amount 

Payable to DPH from 

Public Health 

Foundation 

Enterprises, Inc.: $754,360 



Subcontract Period: 

Source of Funds: 
Required Match: 
Indirect Costs: 
Description: 



June 1, 2001 through May 31, 2002 (one year) 
(see Comment No. 4) 

Public Health Foundation Enterprises, Inc. (PHFE) 

None 

$86,250 (16% of direct costs) 

The subject grant would fund the second year of DPH's 
portion of a five-year project studying the safety and 
effectiveness of potential HIV vaccines. DPH is 
conducting the study through the Department's HIV 
Vaccine Trials Unit, which according to Mr. Billy Pick of 
DPH, is part of a network formed by the National 
Institutes of Health to develop and test preventive HIV 
vaccines. 

According to Mr. Pick, the Public Health Foundation 
Enterprises, Inc. (PHFE), a nonprofit organization that 
promotes good health practices through research and 
development, received a $1,295,930 grant for FY 2001- 
2002 from the National Institute of Allergy and Infectious 
Diseases (NIAID) to conduct the HIV vaccine research 
project. Under the subject agreement, PHFE will 
subcontract with DPH in order for DPH to assist PHFE in 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

August 14, 2001 Public Health and Environment Committee Meeting 

completing the work. The proposed resolution would 
authorize DPH to enter into this subcontract with the 
PHFE to provide HIV vaccine research services for PHFE. 

The subject grant would fund Phases I, II, IIB, and III of 
the HIV vaccine trials. During the trial process, different 
test vaccines are put through increasingly stringent 
phases. According to Mr. Pick, Phase I involves (1) 
studying the side effects to ensure that a vaccine is safe, 
and (2) determining whether the vaccine can elicit a 
response from the dosage and vaccination schedule. Mr. 
Pick estimates that there would be 8-10 Phase I 
participants per trial. He advises that Phases II and IIB 
would take the most promising vaccines from Phase I and 
administer them to a larger group of people to collect 
additional data on possible side effects and the effects on 
the immune system. He estimates that there would be 
15-30 Phase II and Phase IIB participants per trial. Mr. 
Pick further advises that Phase III would test the 
protective benefits of a vaccine in an estimated 500-700 
persons per trial. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

6 



Memo to Public Health and Environment Committee 

August 14, 2001 Public Health and Environment Committee Meeting 



Budget: 






Comments: 



The budget for the subject grant is as follows: 



DPH Salaries: 

0.30 FTE 2233 Sr. Physician Specialist 
2.00 FTE 2230 Physician Specialists 
0.50 FTE 2593 Health Program 
Coordinator III 
0.50 FTE 1003 IS Operator Senior 
1.00 FTE 2218 Physician Assistant 
Step Increase (5%) (for the 2233 Sr. Phys. 

Specialist, 2230 Phys. Specialists, 

and 2218 Phys. Assistant) 
COLA (3%) (for all personnel; includes 

Step increases) 
Fringe benefits 

Subtotal Salaries (4.3 FTEs) 

Participant Stipends 

Subtotal Direct Costs 

Indirect Costs (16% of Direct Costs) 

San Franciso General Hospital-Purchase 
Order (see Comment No. 2) 

TOTAL COSTS 



$36,864 
197,160 

34,961 
24,012 
86,914 



16,047 

11,878 
94,978 

$502,814 

36,250 
$539,064 

86,250 

129,046 
$754,360 



1. The subject subcontract is for the five-year period from 
June 1, 2000 through May 31, 2005. $754,360 is for the 
contract's second one-year period from June 1, 2001 
through May 31, 2002. The subject subcontract does not 
specify an amount to be expended for the subsequent 
three-year period from June 1, 2002 through May 31, 
2005. 



2. The $129,046 purchase order with San Francisco 
General Hospital (SFGH) is for SFGH to provide Clinical 
Laboratory Services. 

3. As shown in the budget for the subject grant, 4.3 FTE 
positions would provide direct services to the project. 
According to Mr. Pick, these are existing DPH employees 
whose positions are funded by a collection of grants and 
are already coded "G" for grant-funded. Mr. Pick advises 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

7 



Memo to Public Health and Environment Committee 

August 14, 2001 Public Health and Environment Committee Meeting 

that these positions would terminate when these grant 
funds expire. 

4. According to Mr. Pick, DPH has already entered into 
an agreement to accept these grant funds, and has begun 
expending these funds. Mr. Pick advises that DPH is late 
in bringing the resolution before the Board of Supervisors 
because the Department was delayed in receiving the 
award. Therefore, the proposed resolution should request 
retroactive approval to June 1, 2001. 

5. The Department's Grant Information Form is 
attached. 



Recommendation: 



1) In accordance with Comment No. 
proposed resolution as follows: 



4, amend the 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Stephen Kawa 



(a) on page 1, line 7 in the title, insert "retroactive 
from" after "for the period" so that the phrase 
reads "for the period retroactive from June 1, 
2001, to May 31,2002.".... 

(b) on page 1, line 25, insert "retroactive from June 
1, 2001 to May 31, 2002," after "agreement," so 
that the phrase reads "to enter into a 
subcontract agreement, retroactive from June 1, 
2001 to May 31, 2002, in the amount..." 

2) Approve the proposed resolution, as amended. 




Harvey M. Rose 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

8 



_., V, . . Attachment. 

File Number: Page 1 of 2 

(Provided by Clerk of Board of Supervisors) 5 

Grant Information Form 

-' . (Effective January 2000) 

Purpose:' Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: San Francisco HIV Vaccine Clinical Trials (HVTN) 

2. Department: Dept. of Public Health, 

Population Health and Prevention Division, 
HIV Research Section 

3. Contact Person: Billy Pick Telephone: 554-9048 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for $754,360 

6a. Matching Funds Required: $0.00 

b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: National Institutes of Health 

b. Grant Pass-Through Agency (if applicable): Public Health Foundation Enterprises, Inc. 

8. Proposed Grant Project Summary: 

The San Francisco HIV Vaccine Trials Unit (SFHVTU) brings together leaders in the. fields of virology, 
immunology, epidemiology, and behavioral science to refine and implement a comprehensive agenda for 
evaluating safety, immunogenicity, and efficacy of candidate vaccine products in clinical trials. The specific 
goals of the Department will be to: 1) provide scientific expertise and leadership in planning, implementation, 
and analysis of Phase l-lll trials and laboratory support, 2) assist other sites in development of community 
outreach, 3) conduct Phase I, II, IIB, and III HIV vaccine trials in San Francisco, and 4) maximize capacity to 
enroll high-risk participants in Northern California for efficacy trials. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 6/01/01 End-Date: 5/31/02 

10. Number of new positions created and funded: 2.5 FTE, 2 FTE Physician Specialist and 0.5 FTE Physician 
Assistant/Nurse Practitioner 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? 

If we cannot secure another grant to fund these positions, these positions will be terminated. 

12a. Amount budgeted for contractual services: 5129,046 



Attachment 
.. ' ' Page 2 ot 2 

be Will contractual services be put out to bid? No, Sole-source 

c. If so, will contract services help to further the goals of the department's MBE/WBE 
-' requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? On-going for three additional years 

1 3a. Does the budget include indirect costs? [x] Yes [ ] No 

b1 . If yes, how much? $86,250 

b2. How was the amount calculated? 16% of Total Modified Direct Costs (5539,064) 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 
**DisabiIity Access Checklist***- 

15. This Grant is intended for activities at (check all that apply): 

y Existing Site(s) [)fl Existing 'Structure(s) Dfl Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ j New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s). 

16, The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as 'proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full 'inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions', as described in the comments section: 

Comments: . 



Departmental or Mayor's Office of Disability Reviewer: Norm Nickens Deputy Director 

' (Name)' (Title) 

Date Reviewed: £///<> f- ' "jUr^ YU*/ ^ ; 

(Signature) 



Department Approval: M itchell Katz. M.D. nirprtnr nf H??1th 

(Name) ' . /-(Title) 



yvlaM r^ 



(Signature) 




10 




City Hall 
Dr. Carlton B. Goodlett Place, Room 244 
BOARD of SUPERVISORS |w[ ( ^ff^Jl r >an Francisco 94102-4689 

"™ Tel. No. 554-5184 

\^JS^^0&W^/ Fax No. 554-5163 

gp \*S^»%>/'' TDD/TTY No. 544-5227 

*l 

*l"h\ i „ NOTICE OF CANCELLED MEETING 



CCCAC4.tf 



J 



„ PUBLIC HEALTH AND ENVIRONMENT 

J 

SAN FRANCISCO BOARD OF SUPERVISORS 



NOTICE IS HEREBY GIVEN that the meeting of the Public Health and Environment 
Committee scheduled for Tuesday, September 11, 2001 at 10:00 a.m. at 1 Dr. Carlton 
B. Goodlett Place, Room 263, City Hall, San Francisco, California, has been cancelled. 



Gloria L. Young, Clerk of the Board 






Cancelled Meeting Notice/Ad 2/1/01 



PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 
S.F. BOARD OF SUPERVISORS 

CITY HALL, ROOM 244 

1 DR. CARLTON B. GOODLETT PLACE 

SAN FRANCISCO, CA 94102-4689 

IMPORTANT HEARING NOTICE!!! 



41 Library 

100 Larkin Street Govt Information Center 




[All Committees] 

Government Document Section 
City and County of §lan Francisco Main Library 
fleeting Minutes 
.Public Health and Environment Commiuee 94102 4689 

Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 



Tuesday, September 25, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



DOCUMENTS DEPT. 



MEETING CONVENED 



011520 



The meeting convened at 10:06 a.m. 



SEP 2 8 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



[Expend DOC Beverage Container Recycling Payment] 

Resolution authorizing the City Administrator to expend a $230,484 payment from the Department of 
Conservation (DOC) for fiscal year 2000/2001. (Administrative Services Department) 
8/15/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Jack Macy, SWMP, Severin Campbell, Budget Analyst's Office. 
Continued to the meeting of October 9, 2001. 
CONTINUED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



011609 [State funding for California Healthcare for Indigent Program (CHIP) allocation for medical services to 
indigent persons] 
Supervisor Leno 

Resolution authorizing the Department of Public Health to accept and expend retroactively a grant allocation 
for up to $4,826,945 for Fiscal Year 2001-02 funding from the State Department of Health Services for 
California Healthcare for Indigents Program (CHIP) funds for medical services to indigent persons, 
professional services, medical services contracts, materials and supplies, facilities rental, personal services, and 
indirect costs in the amount of $60,541, based on 10.82% of administrative and fiscal intermediary costs. 
(Public Health Department) 

9/5/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at the 
September 25, 2001 meeting. 

Heard in Committee. Speakers: Severin Campbell, Budget Analyst's Office; Jeffrey Leong, Department of 
Public Health. 

RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



City and County of San Francisco 



Printed at 4:23 PM on 9/26/01 



Public Health and Environment Committee Meeting Minutes September 25, 2001 



011511 [Mark-Up To Market Negotiations with AIMCO] 
Supervisor Maxwell 

Hearing to examine the "Mark-Up To Market" negotiations between U.S. HUD and AIMCO, particularly as it 
relates to safeguards for the health and safety of the current residents. 
8/13/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Garrett Jenkins, San Francisco Neighbors Alliance for Political Awareness. 
FILED by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 

The meeting adjourned at 10:47 a.m. 



City and County of San Francisco 2 Printed at 4:23 PM on 9/26/01 



CITY AND COUNTY 




B 



OARD OF SUPERVISORS 



BUDGET ANALYST 



[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



ofsanfrancisc£ ocu MENTS DEPT. 

SEP 2 5 200) 



SAN FRANCISCO 
PUBLIC LIBRARY 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



September 20, 2001 
TO: . Public Health & Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: September 25, 2001 Public Health & Environment Committee Meeting 



Item 1- File 01-1520 
Department: 

Item: 

Payment Title: 
Payment Amount: 
Payment Period: 
Source of Funds: 

Required Match: 
Indirect Costs: 



City Administrator 

Solid Waste Management Program 

Resolution authorizing the City Administrator to expend 
a $230,484 payment from the State Department of 
Conservation (DOC). 

Beverage Container Recycling Payment (BCRP). 

$230,484 

July 1, 2001 to June 30, 2002 (one year) (see Comment 3) 

California Department of Conservation, 
Division of Recycling. 

None 

Indirect Costs are not allowed by the State DOC. 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

Description: The proposed resolution would authorize the City's Solid 

Waste Management Program (SWMP) to expend a 
$230,484 beverage container recycling payment from the 
State Department of Conservation (DOC). According to 
Mr. Robert Haley from the SWMP, the subject payment in 
the amount of $230,484 would allow SWMP to continue 
contracting with Barnes Clarke & Associates (see 
Comment 1) to develop additional public education 
campaigns on beverage container recycling and provide 
additional recycling receptacles in San Francisco. Mr. 
Haley advises that last fiscal year, Barnes Clarke & 
Associates developed and implemented beverage 
container recycling outreach for the Fantastic 3 program 1 
and special events in the City. 

For the past twenty years, the SWMP has worked with 
residents, businesses, and institutions to promote 
recycling efforts. The public education campaign produces 
media related items such as brochures, print articles, 
advertisements and bus boards. The subject payment also 
provides funding to add approximately 235 beverage 
container recycling receptacles to the existing 972, for a 
total of 1,207 receptacles, on top of trashcans in the City. 
Each component aims to comply with the State Integrated 
Waste Management Act (IWMA, Assembly Bill 939). The 
IWMA requires that California counties reduce the 
amount of their solid waste by 50 percent through 
recycling programs. San Francisco has currently achieved 
42 percent reduction through existing recycling programs. 

Budget: A draft budget, provided by Mr. Haley, for the subject 

payment of $230,484 is as follows: 



1 According to Mr. Haley, the Fantastic 3 program is the new 3-bin residential and small business 
curbside recycling program that will replace the current curbside blue recycling bins. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 
2 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

Item FY 2001-02 

Operating Expenses 

235 Recycling Receptacles 

at a cost of $300 each $70,484 



Consultant Personnel Expenses 




Production/Management 


100,000 


Project Management 


10,000 


Creative Services 


20,000 


Artwork 


20,000 


Community outreach 


10,000 


Subtotal 


$160,000 



Total $230,484 

According to Mr. Haley, the above draft budget is an 
estimate for operating and personnel costs based on a 
current contract for a public education campaign with 
Barnes Clarke & Associates, a public relations consulting 
firm. According to Mr. Haley, the $70,484 for recycling 
receptacles in the above budget will be used to purchase 
approximately 235 additional beverage-recycling 
containers at an estimated installed cost of $300 per 
container. Mr. Haley advises that a precise budget for the 
public education campaigns will not be available until the 
specific public education campaigns are determined. 



Comments: 1. Mr. Haley advises that Barnes Clarke & Associates was 

selected through a Request for Proposals (RFP) process 
for a two-year contract for the period of July 1, 2000 
through June 30, 2002, in the amount of $460,000. 

2. Mr. Haley advises that an amendment in 1999 to the 
State Bottle Bill (SB 332) provided ongoing funding 
beginning in 2000 in the amount of approximately 
$230,000 each year to the City for programs and/or 
services related to beverage container recycling or litter 
reduction. This proposed payment is the second of such 
on-going payments that are anticipated to be received by 
SWMP from the State DOC. According to Mr. Haley, the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

State DOC authorizes the SWMP to expend the subject 
$230,484 payment for programs and/or services related to 
beverage container recycling or litter reduction. 

3. As noted above, the payment period is July 1, 2001 
through June 30, 2002. According to Mr. Haley, SWMP 
has already begun to expend the subject monies. 
Therefore, the Budget Analyst recommends that the 
proposed resolution be amended to account for the 
retroactive expenditure of the subject payment from the 
State DOC by inserting the word "retroactively" after the 
phrase "to expend" in lines 3 and 13 on page 1 of the 
proposed resolution. 

4. Mr. Haley advises that all expenditure of any future 
payments from the State DOC to SWMP for the subject 
program would be subject to the Board of Supervisors 
approval. 

5. The Attachment, provided by SWMP, is the 
Department's Grant Application Information Form, which 
includes the Disability Access Checklist. 

Recommendations: 1. In accordance with Comment 3 above, amend the 

proposed resolution as follows: 

(a) on page 1, line 3, in the title, insert the word 
"retroactively" after "to expend" so that the phrase 
reads, "to expend retroactively a $230,484 payment..." 

(b) on page 1, line 13, insert the word "retroactively" after 
"to expend" so that the phrase reads, "to expend 
retroactively a $230,484 beverage container recycling 
payment..." 

2. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 
4 



:-, " » Attachment 

File' Number: Page 1 of 2 

• (Provided by Clerk of Board of Superiors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to expend 
payment. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Beverage Container Recycling Payment 

2. Department: Solid Waste Management Program 

3. Contact Person: Robert Haley Telephone: (415) 554-3439 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $230,484 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable): ' 

7a. Grant Source Agency: California Department of Conservation, Division of Recycling 
b. Grant Pass-Through Agency (if applicable): 

8. Proposed Grant Project Summary: To increase beverage container recycling by implementing public 
education campaigns, establishing additional public recycling receptacles and coordinating recycling at 
special events 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: July 1 , 2001 End-Date: June 30, 2002 

10. Number of new positions created and funded: 

1 1 . If new positions are created, explain the disposition of employeesonce the grant ends? 

12a. Amount budgeted for contractual services: $230,484 

b. Will contractual services be put out to bid? Yes 

c. If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? Yes 

d. Is this likely to be a one-time or ongoing request for contracting out? Ongoing 
1 3a. Does the budget include indirect costs? [ ] Yes [x] No 






' 'b1v l( yes, how much? 
b2. How was the amount calculated? 



Attachment «. 
Page 2 of 2 



c. If no, why are indirect costs not included? - - 

[x] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: Funding is to be used for beverage container 
recycling 

"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 



[ ] Existing Site(s) 
[ ] Rehabilitated Site(s) 
] New Site(s) 



[ ] Existing Structure(s) 

[ ] Rehabilitated Structure(s) 

[ ] New Structure(s) 



[ ] Existing Program(s) or Service(s) 
[x] New Program(s) or Service(s) 



16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: =, 

Public education -programs shall include accessible materials in alternative 
formats. MOD can assist. 

Departmental or Mayor's Office of Disability Reviewer: 

Date Reviewed: (£( (lugd- Z££ )/ 



materials in alternative. 
(Name) 



Department Approval: 



Paul Horcher 



(Name) 



wi 



(Signature) 



Director 



(Title) 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 



Item 2 - File 01-1609 

Department: 

Item: 



Amount: 
Grant Period: 
Source of Funds: 
Indirect Costs: 
Required Match: 
Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend retroactively a grant allocation for 
up to $4,826,945 for FY 2001-2002 funding from the State 
Department of Health Services for California Healthcare 
for Indigents Program (CHIP) funds for medical services 
to indigent persons, professional services, medical 
services contracts, materials and supplies, facilities 
rental, personal services and indirect costs in the amount 
of $60,541. 

Up to $4,826,945 

July 1, 2001 through June 30, 2002 

State Department of Health Services (State DHS) 

$60,541 

None 

The California Healthcare for Indigents Program (CHIP) 
was established by the State Department of Health 
Services (State DHS) in 1989 to provide funds to counties 
to pay for medical services for indigent persons who are 
not eligible for other private or public healthcare 
programs. CHIP is funded by Proposition 99 (Tobacco 
Tax) funds. The counties are able to use CHIP funds to 
reimburse both county and non-county providers for 
uncompensated services for indigent persons who cannot 
otherwise pay for the cost of care. 

CHIP funds are used to reimburse (a) participating 
county and non-county hospitals for inpatient, outpatient, 
and emergency services, and (b) participating private 
physicians for emergency, obstetric, and pediatric services 
provided to indigent persons. San Francisco is one of 24 
counties that annually receive CHIP funds to administer 
directly. To receive CHIP funds from the State DHS, the 
City and County of San Francisco must agree to: 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

(a) maintain its own level of funding for healthcare 
services, 

(b) provide data on the amount and type of medical 
services used by medically indigent persons and on 
the amount of reimbursement payments to providers 
who care for the medically indigent, and 

(c) provide children with any follow-up medical 
treatment, including prescription drugs and dental 
care, that is determined to be medically necessary by 
a public or private healthcare provider who has been 
certified by the State to provide medical screening to 
children as part of the State's Child Health and 
Disability Prevention program. 



Budget: 



The proposed resolution would authorize DPH to accept 
and expend retroactively CHIP grant funds up to 
$4,826,945 for FY 2001-2002 from the State DHS. 

A summary budget for $4,826,945 in CHIP grant funds is 
as follows: 



Professional Services 




$139,797 


Medical Services Contracts 




484,176 


San Francisco General Hospital 




3,722,468 


Administration Costs 






Salaries & Benefits 407,065 






Operating Costs 12.898 






Subtotal 


419,963 




Indirect Costs 


60,541 




Subtotal, Administration 




480,504 


Total 




$4,826,945 



A detailed budget, provided by DPH, is shown in 
Attachment I. According to Mr. Jeffrey Leong of DPH, 
the positions identified in Attachment I are not coded "G" 
for grant-funded because the CHIP funds reimburse the 
General Fund for the costs of these administrative 
positions. However, Mr. Leong advises that these 
positions would be eliminated if the CHIP funds were not 
renewed. 



Comment: 



1. According to Mr. Leong, the proposed resolution 
authorizes DPH to accept and expend up_ to $4,826,945 
because the actual grant amount allocated by the State to 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

8 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

the County will be slightly less than the proposed budget 
of $4,826,945. Mr. Leong advises that the State has 
reduced the amount of the CHIP allocation to the County, 
but the State has not yet officially notified the County of 
the actual allocation amount. Mr. Leong advises that any 
change in the CHIP allocation to the County will be offset 
by a change in the amount budgeted for CHIP programs 
and will not result in an increased General Fund 
contribution. Further he stated that any revenue impact 
would be minimal. 

2. Mr. Leong advises that the subject resolution is 
retroactive because DPH received the CHIP FY 2001-2002 
application packet from the State on July 5, 2001, which 
is after the beginning of the CHIP FY 2001-2002 
allocation period. Mr. Leong advises that the CHIP 
application must be approved by both the Health 
Commission and the Board of Supervisors. According to 
Mr. Leong, the CHIP application was approved by the 
Health Commission on August 21, 2001. However, 
because of the Board of Supervisors recess, DPH was not 
able to ask for Board of Supervisors approval of the CHIP 
application until now. Therefore, Mr. Leong advises that 
in light of this situation, the County will submit the FY 
2001-2002 CHIP to the State retroactively. 

3. The CHIP grant is a recurring grant and as such, CHIP 
funds are included in the FY 2001-2002 DPH budget. As 
part of the grant application process, the State requires 
that the County obtain annual authority from the Board 
of Supervisors to accept and expend the grant funds. The 
State also requires that the County present a Description 
of Proposed Expenditure of California Healthcare for 
Indigents Program (CHIP) funds for FY 2001-2002 by 
December 15, 2001. Separate legislation to effect that 
request will be submitted for Board of Supervisors 
approval prior to December 15, 2001. 

4. Mr. Leong reports that the $139,797 for a professional 
services contract is with Lifemark, Inc., which was 
selected through a Request for Proposal process. 
Lifemark has performed fiscal intermediary services for 
the CHIP program for eight years. Such services consist 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

9 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

of processing medical claims for reimbursement from 
private hospitals and physicians. 

5. Attachment II is the Department of the Public Health's 
Grant Application Information Form, which includes the 
Disability Access Checklist. 



Recommendation: 



Approve the proposed resolution. 




Harvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

10 



Attachment I 
Page 1 of 2 



FY 2001-02 AB 75/CHIP REVENUES & EXPENDITURES 

AB 75 Project, SF Dept.. of Public Health 

(Phase A, Supported by State Allocation, Estimated at Same Level as FY 00-01 State Allocation (Revised)) 



vmmmm^WmmmmMm, :|illfll;: liilillS W$M MfmM iill§lll; : . . mMmmmmMM-Mmm. 



Revenues: 

AB 75 3,782,498 150,435 150,435 111,030 111,030 521,517 4,826,945 

Expenditures: 

1001 Professional Services 16,548 11,103 11,103 101,043 139,797 

1010 Medical Service Contract 150,435 133,887 99,927 99,927 484,176 

4900 Revenue Transfer to SFGH 3,360,217 0.0 362,251 3,722,468 

4900 Rev. Trans, to CO-Admin. 419,963 419,963 

4900 Rev. Trans, to Co-Over. 2,318 58,223 60,541 

Total: 3,782,498 150,435 150,435 111,030 111,030 521,517 4,826,945 

Direct Services Share 0.888 1.000 0.890 0.900 0.900 0.695 0.871 

Notes: 

1) Share of revenues allocated to direct services is essentially the same as for FY 00-01: County Hospital - .8883586 
Other County Health Services - .6946101, Non-County Hospital Access - .89, and Physician Services EMS Fund 

and New Contracts - .90. 

2) Revenues allocated to administrative costs is calculated at the rate of 0.0975751 for County Hospital and Other 
County Health Services revenues taken together, which \s essentially the same as for FY 00-01. 

3) Revenue transfer to CO-Overhead calculated at rate of 0.0140661 of County Hospital and Other County Health 
Services revenues taken together, which is the same as the rate used in FY 00-01. 

4) Sources for payment of CHDP Treatment Mandate services are as follows: Physician Services EMS Fund - may 
not be used to pay for CHDP Treatment Mandate services. Physician Services New Contracts - monies reserved 
to pay for CHDP Treatment Mandate services. Monies not spent to pay for CHDP Treatment Mandate services 
may be used to pay for any other physician services offered by the .CHIP Physician Program. 

5) The total FY 01-02 Prop 99/CHIP administrative budget is estimated to remain flat, consistent with the State 
CHIP allocation which should be at the same. levels as in FY 00-01. Adjustments have been made to operating 
costs to fund projected MOU increases which are estimated overall at 4.5%. The Prop 99/CHIP administrative 
budget will be further adjusted when the Phase D and State CHIP allocation amounts become available. 

6) The Prop 99/CHIP direct services budget is supported by revenues from the State CHIP allocation and the local 
general fund. 

F:CHPB01BS 05-Feb-2001 



11 



Attachment I 
Page 2 of 2 



FY 2001-02 AB 75 PROJECT BUOGET 

AB 75 Project, SF Dept. of Public Health 

(Phase A, Supported by State Allocation, Estimated at FY 00-01 Levels with 4.5/C Salary COLA (Revised)) 




00100 
1426 
1632 
1654 
1824 
1823 
2588 
1823 



PERMANENT SALARIES 
Sr. Clerk Typist 
Sr. Account Clerk 
Prin. Accountant 
Prin. Admin. Analyst 
Sr. Admin. Analyst 
Health Worker IV 
Sr. Admin. Analyst 
Step Adjustment 
Special Salary 
Attrition 



01301 
01371 
01401 
01402 
01501 
01571 
01601 
01701 
01912 



Clerk Typist-AB 75 
Account Clerk-Fiscal 
Accountant 
Project Coordinator 
Project Analyst 
CHDP Case Manager 
Contracts Analyst 



Net Perm. Salaries: 



45,372 


1.25 


1.00 


56,715 


49,354 


0.75 


1.00 


37,016 


67,112 


1.00 


1.00 


67,112 


84,402 


1.00 


1.00 


84,402 


72,213 


1.00 


1.00 


72,213 


57,653 


0.50 


1.00 


28,826 


72,213 


0.25 


1.00 


18,053 

(25,032) 

(1,183) 




-0.17 




(10,032) 



5.58 



MANDATORY FRINGE BENEFITS 

Retirement City Miscellaneous 

Retirement Pick Up 

FICA Tax a 6.20% of Permanent Salaries Max $74,000 

FICA Medicare a 1.45% of Permanent Salaries Max $125,000 

Health Service a $2,400.00 per Employee 

Health Service Pick Up-Miscellaneous 

Dental Coverage a $1,111.11 per Employee \ 

Unemployment Insurance a 0.175% of Permanent Salaries 

Long Term Disability Insurance a 0.4% of Permanent Salaries 

Mand. Fringe Benefits: 



328,090 





23,061 

19,697 

4,757 

13,392 

9,982 

6,200 

574 

1,312 



Vacant ( , AB 75) 

TX'd 1426 (Christina Loyola, Fiscal) 
Assigned (Rudy Sol is, Fiscal) 
Assigned (Jeffrey Leong, AB 75) 
Assigned (Maria Iyog-O'Malley, AB 75) 
TX'd 2587 HW III (Sandra Gomez, AB 75) 
Assigned (Judy Matranga, Contracts) 
(1426 [S1 -7,644] ; 1632 CTx1426-2,906] ; 182? [S 
Word Processing Differential 
(1426(6,002]; 1823 [5, 776]) 






78,975 Total Personnel: 



407,065 



02019 CITY DEPARTMENT OVERHEAD 

02100 TRAVEL - BUDGET 

02200 TRAINING - BUDGET 

02300 EMPLOYEE FIELD EXPENSES - BUOGET 

02900 MA I NT SVCS - EQUIPMENT - BUDGET 

03000 RENTS/LEASES - BUILDINGS & STRUCTURES - BUDGET 

03500 OTHER CURRENT EXPENSES - BUDGET 

04000 MATERIALS & SUPPLIES - BUDGET 

081ET GF-DET-TELEPHONE (AAO) 



Operating Costs: 
Total Expenditures: 



60,541 

200 

498 





10,000 

1,200 

1,000 
0_ 

73,439 

$480,504 



Overhead to City Hal 1-60,541 

Travel -200 

Staff Develpt. & Training-500 

Mileage-0; Tolls & Parking-0 

Computer Prog. Support from MIS-0 

Rent Contribution for 1540 Market-10, 

Postage-0; Printing-O; Copy Machine- 1 

Office Equipment-0 

Off Sppls-1,000; Dat Prcs-0;Furn-0 

Telephone Services for 1540 Market-0 



000 
,200 






F:PRJB01B 



05-Feb-2001 



12 



File Number: 



Attachment II 
i'age 1 of 3 



(Provided by Clerk of Board of Supervisors) 



Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to 
accept and expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: AB 75 Project 

2. Department: Public Health: Population Health and Prevention Division 

3. Contact Person: Jeffrey Leong, AB 75 Project Coordinator, Telephone: 554-9162 

4. Grant Approval Status (check one): 

[ X ] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $4,826,945 

6a. Matching Funds Required: $0 

6b.Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: CA Department of Health Services, California Healthcare for Indigents 
Program (CHIP) 

b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: The county's local CHIP, administered by the Department's 
AB 75 Project, reimburses or pays for health services delivered to persons who cannot afford to 
pay for services and for whom payment of services will not be made through private coverage or 
by any program funded in whole or in part by the federal government. The local CHIP 
reimburses San Francisco General Hospital, non-county hospitals, and private physicians and 
dentists for services rendered to indigent persons. CHIP funds allocated to each county are 
deposited locally into three different CHIP Fund Accounts: Hospital Services Fund, Physician 
Services Fund, and Other Health Services Fund. Through the local CHIP, hospitals are 
reimbursed for inpatient, outpatient and emergency room services provided to indigent persons. 
Private physicians are reimbursed for emergency, obstetric and pediatric services provided to 
indigent persons. Private dentists participating in the CHIP Program are reimbursed for follow- 
up dental services provided to eligible children for conditions detected as part of the Child 
Health and Disability Prevention (CHDP) Program. 

The request to accept and expend retroactively is made at this time due to the recent arrival of 
the application for FY 01-02. Following the receipt by the State of the County's application, the 
County will receive the first installment of its FY 01-02 allocation. These funds will accrue 
interest that will be used for both program services and administrative costs. Timely receipt of 
the first installment is necessary for the AB 75 Project to make its first scheduled payment to 
providers for FY 01-02. 

13 



• >4 Attachment II 

9. Gant Project Schedule, as o.,owed in approval documents, or as proposed: Pa § e 2 of 3 

Start-Date: 7/1/01 End-Date: 6/30/02 

10. Number of new positions created and funded: None 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? N/A 
12a. Amount budgeted for contractual services: $139,797 

b. Will contractual services be put out to bid? No 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? Ongoing 

13a. Does the budget include indirect costs? [ X ] Yes [ ] No 

b1. If yes, how much? $60,54.1 

b2. How was the amount calculated?: 10.82% of administrative and fiscal intermediary costs on 
this grant 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 
[ ] Other (please explain): 

14. Any other significant grant requirements or comments: At this time, we have not received the 
actual FY 01-02 CHIP allocations from the State Department of Health Services. The total 
CHIP allocation amount for FY 0-02 is an estimate based upon draft State CHIP allocations. 
This request for approval is being made after the term of the grant started due to the recent 
arrival of the application from the State. 

**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X] Existing Site(s) [X] Existing Structure(s) [X] Existing Program(s) or Service(s) 

[X] Rehabilitated Site(s) [X] Rehabilitated Structure(s) [X] New Program(s) or Services(s) 
[X] NewSite(s) [X] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the 
proposal and concluded that the project as proposed will be in compliance with the Americans 
with Disabilities Act and all other Federal, State and local access laws and regulations and will 
allow the full inclusion of persons with disabilities, or will require unreasonable hardship 
exceptions, as described in the comments section: 

Comments: 



14 



; ■?'■•' 

Departmental or Mayor's Office of Disability Reviewer: X^n^t VuS " 

(Name) 
Norman Nickens 
Deputy Director 



Date Reviewed: JF/%Jr/o < 



Attachment II 
Page 3 of 3 



Departmental Approval: Mitchell Katz. M. P. 



(Name) 



(Signature) 



uTe) 



Director of Health 




(Title) 



15 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 



Item 2 - File 01-1609 

Department: 

Item: 



Amount: 
Grant Period: 
Source of Funds: 
Indirect Costs: 
Required Match: 
Description: 



DOCUMENTS DEPT 

SEP 2 5 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend retroactively a grant allocation for 
up to $4,826,945 for FY 2001-2002 funding from the State 
Department of Health Services for California Healthcare 
for Indigents Program (CHIP) funds for medical services 
to indigent persons, professional services, medical 
services contracts, materials and supplies, facilities 
rental, personal services and indirect costs in the amount 
of $60,541. 

Up to $4,826,945 

July 1, 2001 through June 30, 2002 

State Department of Health Services (State DHS) 

$60,541 

None 

The California Healthcare for Indigents Program (CHIP) 
was established by the State Department of Health 
Services (State DHS) in 1989 to provide funds to counties 
to pay for medical services for indigent persons who are 
not eligible for other private or public healthcare 
programs. CHIP is funded by Proposition 99 (Tobacco 
Tax) funds. The counties are able to use CHIP funds to 
reimburse both county and non-county providers for 
uncompensated services for indigent persons who cannot 
otherwise pay for the cost of care. 

CHIP funds are used to reimburse (a) participating 
county and non-county hospitals for inpatient, outpatient, 
and emergency services, and (b) participating private 
physicians for emergency, obstetric, and pediatric services 
provided to indigent persons. San Francisco is one of 24 
counties that annually receive CHIP funds to administer 
directly. To receive CHIP funds from the State DHS, the 
City and County of San Francisco must agree to: 

DOCUMENTS DEPT, 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

7 



SEP 2 5 2001 
SAN FRANCISCO 

Dl IDl \r* i innAnvA 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

(a) maintain its own level of funding for healthcare 
services, 

(b) provide data on the amount and type of medical 
services used by medically indigent persons and on 
the amount of reimbursement payments to providers 
who care for the medically indigent, and 

(c) provide children with any follow-up medical 
treatment, including prescription drugs and dental 
care, that is determined to be medically necessary by 
a public or private healthcare provider who has been 
certified by the State to provide medical screening to 
children as part of the State's Child Health and 
Disability Prevention program. 



Budget: 



The proposed resolution would authorize DPH to accept 
and expend retroactively CHIP grant funds up to 
$4,826,945 for FY 2001-2002 from the State DHS. 



A summary budget for $4,826,945 in CHIP grant funds 

a o ■fnllnxxra* 



IS 



as follows: 



Professional Services 




$139,797 


Medical Services Contracts 




484,176 


San Francisco General Hospital 




3,722,468 


Administration Costs 






Salaries & Benefits 407,065 






Operating Costs 12,898 






Subtotal 


419,963 




Indirect Costs 


60,541 




Subtotal, Administration 




480,504 


Total 




$4,826,945 



A detailed budget, provided by DPH, is shown in 
Attachment I. According to Mr. Jeffrey Leong of DPH, 
the positions identified in Attachment I are not coded "G" 
for grant-funded because the CHIP funds reimburse the 
General Fund for the costs of these administrative 
positions. However, Mr. Leong advises that these 
positions would be eliminated if the CHIP funds were not 
renewed. 



Comment: 



1. According to Mr. Leong, the proposed resolution 
authorizes DPH to accept and expend up_ to $4,826,945 
because the actual grant amount allocated by the State to 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

the County will be slightly less than the proposed budget 
of $4,826,945. Mr. Leong advises that the State has 
reduced the amount of the CHIP allocation to the County, 
but the State has not yet officially notified the County of 
the actual allocation amount. Mr. Leong advises that any 
change in the CHIP allocation to the County will be offset 
by a change in the amount budgeted for CHIP programs 
and will not result in an increased General Fund 
contribution. Further he stated that any revenue impact 
would be minimal. 

2. Mr. Leong advises that the subject resolution is 
retroactive because DPH received the CHIP FY 2001-2002 
application packet from the State on July 5, 2001, which 
is after the beginning of the CHIP FY 2001-2002 
allocation period. Mr. Leong advises that the CHIP 
application must be approved by both the Health 
Commission and the Board of Supervisors. According to 
Mr. Leong, the CHIP application was approved by the 
Health Commission on August 21, 2001. However, 
because of the Board of Supervisors recess, DPH was not 
able to ask for Board of Supervisors approval of the CHIP 
application until now. Therefore, Mr. Leong advises that 
in light of this situation, the County will submit the FY 
2001-2002 CHIP to the State retroactively. 

3. The CHIP grant is a recurring grant and as such, CHIP 
funds are included in the FY 2001-2002 DPH budget. As 
part of the grant application process, the State requires 
that the County obtain annual authority from the Board 
of Supervisors to accept and expend the grant funds. The 
State also requires that the County present a Description 
of Proposed Expenditure of California Healthcare for 
Indigents Program (CHIP) funds for FY 2001-2002 by 
December 15, 2001. Separate legislation to effect that 
request will be submitted for Board of Supervisors 
approval prior to December 15, 2001. 

4. Mr. Leong reports that the $139,797 for a professional 
services contract is with Lifemark, Inc., which was 
selected through a Request for Proposal process. 
Lifemark has performed fiscal intermediary services for 
the CHIP program for eight years. Such services consist 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

September 25, 2001 Public Health and Environment Committee Meeting 

of processing medical claims for reimbursement from 
private hospitals and physicians. 

5. Attachment II is the Department of the Public Health's 
Grant Application Information Form, which includes the 
Disability Access Checklist. 

Recommendation: Approve the proposed resolution. 




Harvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

10 



Attachment I 
Page 1 of 2 



FY 2001-02 AB 75/CHIP REVENUES & EXPENDITURES 

AB 75 Project, SF Dept.. of Public Health 

(Phase A, Supported by State Allocation, Estimated at Same Level as FY 00-01 State Allocation (Revised)) 



• Sub" ■ ; V ;|v -yj^puh cy : ^ 

object • Description Hospital Hasp. -Form, i-josp. -Access EMS Turd Hew Coat. Htth. Svcs. Tata* 



Revenues: 

AB 75 3,782,498 150,435 150,435 111,030 111,030 521,517 4,826,945 

Expenditures: 

1001 Professional Services 16,548 11,103 11,103 101,043 139,797 

1010 Medical Service Contract 150,435 133,887 99,927 99,927 484,176 

4900 Revenue Transfer to SFGH 3,360,217 0.0 362,251 3,722,468 

4900 Rev. Trans, to CO-Admin. 419,963 419,963 

4900 Rev. Trans, to CO-Over. 2,318 (3 (J 58,223 60,541 

Total: 3,782,498 150,435 150,435 111,030 111,030 521,517 4,826,945 

Direct Services Share 0.888 1.000 0.890 0.900 0.900 0.695 0.871 

Notes: 

1) Share of revenues allocated to direct services is essentially the same as for FY 00-01: County Hospital - .8883586 
Other County Health Services - .6946101, Non-County Hospital Access - .89, and Physician Services EMS Fund 

and New Contracts - .90. 

2) Revenues allocated to administrative costs is calculated at the rate of 0.0975751 for County Hospital and Other 
County Health Services revenues taken together, which \s essentially the same as for FY 00-01. 

3) Revenue transfer to CO-Overhead calculated at rate of 0.0140661 of County Hospital and Other County Health 
Services revenues taken together, which is the same as the rate used in FY 00-01. 

4) Sources for payment of CHOP Treatment Mandate services are as follows: Physician Services EMS Fund - may 
not be used to pay for CHDP Treatment Mandate services. Physician Services New Contracts - monies reserved 
to pay for CHDP Treatment Mandate services. Monies not spent to pay for CHDP Treatment Mandate services 
may be used to pay for any other physician services offered by the. CHIP Physician Program. 

5) The total FY 01-02 Prop 99/CHIP administrative budget is estimated to remain flat, consistent with the State 
CHIP allocation which should be at the same levels as in FY 00-01. Adjustments have been made to operating 
costs to fund projected MOU increases which are estimated overall at 4.5%. The Prop 99/CHIP administrative 
budget will be further adjusted when the Phase D and State CHIP allocation amounts become available. 

6) The Prop 99/CHIP direct services budget is supported by revenues from the State CHIP allocation and the local 
general fund. 

F:CHPB01BS 05-Feb-2001 



11 



Attachment I 
Page 2 of 2 



FY 2001-02 AB 75 PROJECT BUDGET 

AB 75 Project, SF Dept. of Public Health 



(Phase A, Supported by State Allocation, Estimated at FY 00-01 Levels with 4.554 Salary COLA (Revised)) 




00100 PERMANENT SALARIES 
1426 Sr. Clerk Typist 
1632 Sr. Account Clerk 
1654 Prin. Accountant 
1824 Prin. Admin. Analyst 
1823 Sr. Admin. Analyst 
2588 Health Worker IV 
1823 Sr. Admin. Analyst 
Step Adjustment 
Special Salary 
Attrition 



Clerk Typist-AB 75 
Account Clerk-Fiscal 
Accountant 
Project Coordinator 
Project Analyst 
CHDP Case Manager 
Contracts Analyst 



Net Perm. Salaries: 



45,372 


1.25 


1.00 


56,715 


49,354 


0.75 


1.00 


37,016 


67,112 


1.00 


1.00 


67,112 


84,402 


1.00 


1.00 


84,402 


72,213 


1.00 


1.00 


72,213 


57,653 


0.50 


1.00 


28,826 


72,213 


0.25 


1.00 


18,053 

(25,032) 

(1,183) 




-0.17 




(10,032) 



Vacant ( , AB 75) 

TX'd 1426 (Christina Loyola, Fiscal) 
Assigned (Rudy Solis, Fiscal) 
Assigned (Jeffrey Leong, AB 75) 
Assigned (Maria Iyog-O'Malley, AB 75) 
TX'd 2587 HW III (Sandra Gomez, AB 75) 
Assigned (Judy Matranga, Contracts) 
(1426 [S1 -7,644] ; 1632 [Tx1426-2, 906] ; 182? [S 
Word Processing Differential 
(1426 [6 ,002]; 1823 [5 ,776]) 



5.58 



328,090 



01301 
01371 
01401 
01402 
01501 
01571 
01601 
01701 
01912 



MANDATORY FRINGE BENEFITS 

Retirement City Miscellaneous 

Retirement Pick Up 

FICA Tax a 6.20% of Permanent Salaries Max $74,000 

FICA Medicare 3 1.45% of Permanent Salaries Max $125,000 

Health Service a $2,400.00 per Employee 

Health Service Pick Up-Miscellaneous 

Dental Coverage a $1,111.11 per Employee \ 

Unemployment Insurance a 0.175% of Permanent Salaries 

Long Term Disability Insurance 3 0.4% of Permanent Salaries 

Mand. Fringe Benefits: 





23,061 

19,697 

4,757 

13,392 

9,982 

6,200 

574 

1,312 

78,975 Total Personnel: 



407,065 



02019 
02100 
02200 
02300 
02900 
03000 
03500 



CITY DEPARTMENT OVERHEAD 

TRAVEL - BUDGET 

TRAINING - BUDGET 

EMPLOYEE FIELD EXPENSES - BUDGET 

MAINT SVCS - EQUIPMENT - BUDGET 

RENTS/LEASES - BUILDINGS & STRUCTURES 

OTHER CURRENT EXPENSES - BUDGET 



BUDGET 



04000 MATERIALS & SUPPLIES - BUDGET 
081ET GF-DET-TELEPHONE (AAO) 



Operating Costs: 
Total Expenditures: 



60,541 

200 

498 





10,000 

1,200 

1,000 
0_ 

73,439 

$480,504 



Overhead to City Hal 1-60,541 

Travel -200 

Staff Develpt. & Training-500 

Mileage-0; Tolls & Parking-0 

Computer Prog. Support from MIS-0 

Rent Contribution for 1540 Market-10,000 

Postage-0; Printing-0; Copy Machine-1,20C 

Office Equipment-0 

Off Sppls-1,000; Dat Prcs-0;Furn-0 

Telephone Services for 1540 Market-0 



F:PRJB01B 



05-Feb-2001 



12 



File Number: 



Attachment II 
Fage 1 of 3 



(Provided by Clerk of Board of Supervisors) 



Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to 
accept and expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: AB 75 Project 

2. Department: Public Health: Population Health and Prevention Division 

3. Contact Person: Jeffrey Leong, AB 75 Project Coordinator. Telephone: 554-9162 

4. Grant Approval Status (check one): 

[ X ] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $4,826,945 

6a. Matching Funds Required: $0 

6b.Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: CA Department of Health Services, California Healthcare for Indigents 
Program (CHIP) 

b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: The county's local CHIP, administered by the Department's 
AB 75 Project, reimburses or pays for health services delivered to persons who cannot afford to 
pay for services and for whom payment of services will not be made through private coverage or 
by any program funded in whole or in part by the federal government. The local CHIP 
reimburses San Francisco General Hospital, non-county hospitals, and private physicians and 
dentists for services rendered to indigent persons. CHIP funds allocated to each county are 
deposited locally into three different CHIP Fund Accounts: Hospital Services Fund, Physician 
Services Fund, and Other Health Services Fund. Through the local CHIP, hospitals are 
reimbursed for inpatient, outpatient and emergency room services provided to indigent persons. 
Private physicians are reimbursed for emergency, obstetric and pediatric services provided to 
indigent persons. Private dentists participating in the CHIP Program are reimbursed for follow- 
up dental services provided to eligible children for conditions detected as part of the Child 
Health and Disability Prevention (CHDP) Program. 

The request to accept and expend retroactively is made at this time due to the recent arrival of 
the application for FY 01-02. Following the receipt by the State of the County's application, the 
County will receive the first installment of its FY 01-02 allocation. These funds will accrue 
interest that will be used for both program services and administrative costs. Timely receipt of 
the first installment is necessary for the AB 75 Project to make its first scheduled payment to 
providers for FY 01-02. 

13 



• ■ ' •* Attachment II 

9. Gant Project Schedule, as ^...owed in approval documents, or as proposed: Pa § e 2 of 3 

Start-Date: 7/1/01 End-Date: 6/30/02 

10. Number of new positions created and funded: None 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? N/A 
12a. Amount budgeted for contractual services: $139,797 

b. Will contractual services be put out to bid? No 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? Ongoing 

13a. Does the budget include indirect costs? [X] Yes [] No 

b1. If yes, how much? $60,541 

b2. How was the amount calculated?: 10.82% of administrative and fiscal intermediary costs on 
this grant 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 
[ ] Other (please explain): 

14. Any other significant grant requirements or comments: At this time, we have not received the 
actual FY 01-02 CHIP allocations from the State Department of Health Services. The total 
CHIP allocation amount for FY 0-02 is an estimate based upon draft State CHIP allocations. 
This request for approval is being made after the term of the grant started due to the recent 
arrival of the application from the State. 

**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X] Existing Site(s) [X] Existing Structure(s) [X] Existing Program(s) or Service(s) 

[X] Rehabilitated Site(s) [X] Rehabilitated Structure(s) [X] New Program(s) or Services(s) 
[X] NewSite(s) [X] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the 
proposal and concluded that the project as proposed will be in compliance with the Americans 
with Disabilities Act and all other Federal, State and local access laws and regulations and will 
allow the full inclusion of persons with disabilities, or will require unreasonable hardship 
exceptions, as described in the comments section: 

Comments: 



14 



• I 



Attachment II 
Page 3 of 3 



Departmental or Mayor's Office of Disability Reviewer: %Jn*~% VUS "" 



Date Reviewed: /""/X^/o ( 



(Name) 
Norman Nickens 
Deputy Director 



Departmental Approval: Mitchell Katz, M. P. 



(Name) 



(Signature) 



/j/MM 

uTe) 



Director of Health 




(Title) 



15 









[All Committees] 
City and County of San Francisco Government Document Section 
Meeting Minutes Main Library 

Public Health and Environment Comm 

Members: Supervisors Sophie Maxwell, Leland Yee and Mam i^euu 

Clerk: Deborah Muccino 

Tuesday, October 09, 2001 10:00 AM City Hall, Room 263 

Regular Meeting 

Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



DOCUMENTS DEPT. 

Meeting Convened 

OCT 1 2 2001 

The meeting convened at 10:01 a.m. ^ fraN q |SC0 

PUBLiC LIBRARY 
REGULAR AGENDA 

011520 [Expend DOC Beverage Container Recycling Payment] 

Resolution authorizing the City Administrator to expend a $230,484 payment from the Department of 

Conservation (DOC) for fiscal year 2000/2001. (Administrative Services Department) 

8/15/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

9/25/01, CONTINUED. Heard in Committee. Speakers: Jack Macy, SWMP, Severin Campbell, Budget Analyst's Office. 

Continued to the meeting of October 9, 2001 . 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Jared Blumenfeld, Department 
of Environment; Robert Haley, Solid Waste Management Program; John Kennedy, Deputy City Attorney; 
David Assmann, Department of Environment. 
Continued to October 23, 2001. 
CONTINUED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



01 1724 [State Grant - Supportive Housing Initiative Actj 
Supervisor Leno 

Resolution authorizing the Department of Human Services to accept and expend a grant in the amount of 
$3,000,000 from the California Department Of Mental Health Supportive Housing Initiative Act. (Human 
Services Department) 
9/26/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Dariush Kayhan, Department of 

Human Services. 

10/9/01 Amend the title on page 1, line 3, insert "retroactively" after "accept"; At page 2, line 10, insert 

"FURTHER RESOLVED, That the SHI A Coordinator and the Supportive Housing Program Manager 

positions shall be designated as grant "G" funded positions and the authorization for these positions shall 

terminate when the grant terminates. " 

AMENDED 



City and County of San Francisco 1 Printed at 3:49 PM on 10/10/01 



Public Health and Environment Committee Meeting Minutes October 9, 2001 

Resolution authorizing the Department of Human Services to accept retroactively and expend a grant in the 
amount of $3,000,000 from the California Department of Mental Health Supportive Housing Initiative Act. 
(Human Services Department) 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



01 1725 [Estimating Unmet Need for Primary Care] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to enter retroactively into a 
subcontract agreement in the amount of $20,000 with the Regents of the University of California, AIDS 
Research Center (UCARC) to collaborate in efforts to assess unmet needs for primary care by persons 
receiving AIDS services in San Francisco; for the period of April 10, 2001 to April 9, 2002. (Public Health 
Department) 

9/26/0 1. RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 
the October 9, 2001 meeting. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; William McFarland, 
Department of Public Health. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 

The meeting adjourned at 11:05 a.m. 



City and County of San Francisco 2 Printed at 3:49 PM on 10/10/01 



[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



CITY AND COUNTY 




OF SAN FRANCISCO 



/ 



BOARD OF SUPERVISORS 



BUDGET ANALYST 



DOCUMENTS DEPT. 

OCT 1 200! 
SAN FRANCISCO 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



PUBLIC LIBRARY 



October 4, 2001 

TO: y Public Health & Environment Committee 

'/ 

FROM: ^Budget Analyst 

SUBJECT: October 9, 2001 Public Health & Environment Committee Meeting 
V 

Item 1 - File 01-1520 

Note: This item was continued by the Public Health and Environment Committee 
at its meeting of September 25, 2001. 



Department: 
Item: 

Payment Title: 
Payment Amount: 
Payment Period: 
Source of Funds: 

Required Match: 
Indirect Costs: 



City Administrator 

Solid Waste Management Program 

Resolution authorizing the City Administrator to expend 
a $230,484 payment from the State Department of 
Conservation (DOC). 

Beverage Container Recycling Payment (BCRP). 

$230,484 

July 1, 2001 to June 30, 2002 (one year) (see Comment 3) 

California Department of Conservation, 
Division of Recycling. 

None 

Indirect Costs are not allowed by the State DOC. 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 



Description: The proposed resolution would authorize the City's Solid 

Waste Management Program (SWMP) to expend a 
$230,484 beverage container recycling payment from the 
State Department of Conservation (DOC). According to 
Mr. Robert Haley from the SWMP, the subject payment in 
the amount of $230,484 would allow SWMP to continue 
contracting with Barnes Clarke & Associates (see 
Comment 1) to develop additional public education and 
outreach campaigns on beverage container recycling in 
San Francisco. Mr. Haley advises that last fiscal year, 
Barnes Clarke & Associates developed and implemented 
beverage container recycling outreach for the Fantastic 3 
program 1 and special events in the City. 

For the past twenty years, the SWMP has worked with 
residents, businesses, and institutions to promote 
recycling efforts. The public education campaign produces 
media related items such as brochures, print articles, 
advertisements and bus boards in order to increase 
recycling and thereby comply with the State Integrated 
Waste Management Act (IWMA, Assembly Bill 939). The 
IWMA requires that California counties reduce the 
amount of their solid waste by 50 percent through 
recycling programs. San Francisco has currently achieved 
42 percent reduction through existing recycling programs. 

Budget: A summary budget, provided by Mr. Haley, for the subject 

payment of $230,484 is as follows: 

Beverage Container Recycling Outreach Project 

"All Plastic Bottle" Recycling Outreach $133,750 

"Fantastic 3" Phone Banking Outreach 53,250 

Special Events Outreach 43.484 

Total $230,484 



Attachment I, provided by Mr. Haley, contains budget 
information on three recycling projects that would be 
funded with the subject beverage container recycling 
payment in the amount of $230,484. According to Mr. 



1 According to Mr. Haley, the Fantastic 3 program is the new 3-bin residential and small business 
curbside recycling program that will replace the current curbside blue recycling bins. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

Haley, the above budget was revised because SWMP will 
no longer purchase additional recycling receptacles 
($70,484 was previously budgeted for 235 recycling 
receptacles) based on concerns over the effectiveness of 
the receptacles. Mr. Haley advises that the $70,484 
originally budgeted for recycling receptacles will now be 
expended on the public outreach and education 
campaigns. The revised budget is an estimate for 
operating and personnel costs based on a current contract 
for a public education campaign with Barnes Clarke & 
Associates, a public relations consulting firm. Mr. Haley 
advises that the Barnes Clarke & Associates hourly rates 
range from a low of $30 per hour to a high of $175 per 
hour, depending on the type of service provided and 
hourly rates for providing such services. 

Comments: 1. Mr. Haley advises that Barnes Clarke & Associates was 

selected through a Request for Proposals (RFP) process 
for a two-year contract for the period of July 1, 2000 
through June 30, 2002, in the amount of $460,000 (see 
Comment 6). 

2. Mr. Haley advises that an amendment in 1999 to the 
State Bottle Bill (SB 332) provided ongoing funding 
beginning in 2000 in the amount of approximately 
$230,000 each year to the City for programs and/or 
services related to beverage container recycling or litter 
reduction. This proposed payment is the second of such 
on-going payments that are anticipated to be received by 
SWMP from the State DOC. According to Mr. Haley, the 
State DOC authorizes the SWMP to expend the subject 
$230,484 payment for programs and/or services related to 
beverage container recycling or litter reduction. 

3. As noted above, the payment period is July 1, 2001 
through June 30, 2002. According to Mr. Haley, SWMP 
has already begun to expend the subject monies. 
Therefore, the Budget Analyst recommends that the 
proposed resolution be amended to account for the 
retroactive expenditure of the subject payment from the 
State DOC by inserting the word "retroactively" after the 
phrase "to expend" in lines 3 and 13 on page 1 of the 
proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

4. Mr. Haley advises that all expenditure of any future 
payments from the State DOC to SWMP for the subject 
program would be subject to the Board of Supervisors 
approval. 

5. Attachment II, provided by SWMP, is the Department's 
Grant Application Information Form, which includes the 
Disability Access Checklist. 

6. At its meeting of September 25, 2001, the Public 
Health and Environment Committee asked SWMP to: (1) 
provide details on the RFP process whereby Barnes 
Clarke & Associates was selected to develop public 
education campaigns on beverage container recycling and 
to provide recycling receptacles in San Francisco; (2) 
explain why the subject grant monies were expended prior 
to receiving Board of Supervisors approval; (3) provide 
details on how the subject grant monies would be 
expended; and, (4) provide information on the outcome 
measurement to determine the effectiveness of the subject 
recycling program. 

The attached memorandum (Attachment III), provided by 
SWMP, addresses these above requests from the Public 
Health and Environment Committee. In Attachment III, 
Mr. Haley states that the RFP process was conducted 
twice to ensure the fairness of the process and Barnes 
Clarke & Associates was selected both times. Attachment 
III also states that the subject grant monies were spent 
prior to Board of Supervisors approval because Barnes 
Clarke & Associates had gotten a late start on its two- 
year contract and needed to continue minimal planning 
and development work in order to accomplish its work by 
the end of FY 2001-2002. Mr. Haley advises in the 
attached memorandum that SWMP has eliminated the 
purchase of additional recycling receptacles based on 
concerns over the effectiveness of the recycling 
receptacles. Therefore, the funds previously budgeted for 
recycling receptacles will now be spent on public outreach, 
according to Mr. Haley. In Attachment III, Mr. Haley 
notes that SWMP will measure the overall change in 
recycling levels before and after the public outreach 
campaigns on recycling as a measure of the effectiveness 
of the subject recycling program. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

Recommendations: 1. In accordance with Comment 3 above, amend the 

proposed resolution as follows: 

(a) on page 1, line 3, in the title, insert the word 
"retroactively" after "to expend" so that the phrase 
reads, "to expend retroactively a $230,484 payment..." 

(b) on page 1, line 13, insert the word "retroactively" after 
"to expend" so that the phrase reads, "to expend 
retroactively a $230,484 beverage container recycling 
payment..." 

2. Approval of the proposed resolution, as amended is a 
policy matter for the Board of Supervisors due to the 
retroactive nature of this request and because consulting 
services of an additional $70,484 would replace funds 
previously budgeted for 235 recycling receptacles which 
would no longer be provided. 






BOARD OF SUPERVISORS 
BUDGET ANALYST 



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••--,-,:. • Attachment: 11 

File Number . Page 1 of 2 

• (Provides by Clerk of Board of Supervisors) '• . ... 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to expend 
payment. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Beverage Container Recycling Payment 

2. Department: Solid Waste Management Program 

3. Contact Person: Robert Haley Telephone: (415) 554-3439 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for $230,484 • 

6a. Matching Funds Required: $0 . 

b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: California Department of Conservation, Division of Recycling 
b. Grant Pass-Through Agency (if applicable): 

8. Proposed Grant Project Summary: To increase beverage container recycling by implementing public 
education campaigns, establishing additional public recycling receptacles and coordinating recycling at 
special events 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: July 1 , 2001 End-Date: June 30, 2002 

1 0. Number of new positions created and funded: 

1 1 . If new positions are created, explain the disposition of employees-once the grant ends? 

1 2a. Amount budgeted for contractual services: $230,484 

b. Will contractual services be put out to bid? Yes 

c. If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? Yes 

d. Is this likely to be a one-time or ongoing request for contracting out? Ongoing 
1 3a. Does the budaet include indirect costs? [ ] Yes [x] No 



V* 1)1* It yes, howmuch? Attachment! II 

.'"b2. How was the amount calculated? . Page 2 of 2 

c. If no, why are indirect costs not included? 

KSxS 9 a9enCy [ ] T ° maXimi26 USe ° f 9rant fUnds ° n direcl «" ^ 

U ' ^d*g rSi9nffiCant 9ran ' re " ul ' rements or comments: Funding is to be used for beverage container 
"Disability Access Checklist*** 
15. This Grant is intended for activities at (check all that apply): 

|j»n» ite(s) HgSSESEU !pa^ sl 

[ ] New S,te(s) [ j New StrTJCture ( s ) ' W NeW Pro 9 ra m(s) or Serv,ce(s) 

1 6^The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviews m 
and concluded that the project as proposed will be in compliance w°"h the ArSns Z, XSZZ&FT? 1 , 
all other Federal, State and local access laws and regulations and w"l aTowThe S^ndusinn of n^" ?£ d 
d,sab,l„,es, orwil, require unreasonable hardship exceptions, as JS^^^^S^ 

Comments: 

7^T c ^\zZZV hal1 include ac ° essihle mate f? ls * ■*~v. 

Departmental or Mayor's Office of Disability Reviewer /jtftLL^' jUJg, M$\ 

Date Reviewed: /# rtu^L 2£Q I '■ 



(Name 



(Signature) 



(Name) 



Department Approval: Paul Horcher _____Director 



(Title) 




Attachment III 
Page 1 of 2 

SOLID WASTE MANAGEMENT PROGRAM 

RECYCLING PROGRAM D HAZARDOUS WASTE MANAGEMENT PROGRAM 



WILLIE L. BROWN, JR. 
MAYOR 

PAUL V. HORCHER 
DIRECTOR 



To: Maureen Singleton, Board of Supervisors Budget Analyst 

From: Robert Haley 

Date: October 3, 2001 

Subject: Expend DOC Beverage Container Recycling Payment Resolution 

This memorandum is to address questions on the subject resolution raised at the September 25, 2001, 
Board of Supervisors Public Health and Environment Committee. 

Contractor Selection Process 

Barnes Clarke & Associates was selected through a standard request for proposals process. To ensure 
fairness the process was conducted twice. Barnes Clarke was selected both times by a clear-cut margin. 
Of the many public outreach consultants we have worked with over the years, Barnes Clarke has 
consistently been the best. 

Retroactivity 

Because the RFP process was conducted a second time, the Barnes Clarke contract was not certified until 
the end of FY 2000-01. The funding agency (the DOC) did not announce the amount available for FY 
2001-02 until about the same time and the person managing the RFP process and contract left our office 
at this time. Barnes Clarke, having gotten a late start on the first year of their two-year contract, needed 
to continue minimal planning and development work to be able to accomplish the necessary work in FY 
2001-02. All of these factors necessitated retroactivity. Now that we are clearer regarding retroactivity 
concerns and expend procedures, we will avoid retroactivity in the future. 

Work Plan 

We have eliminated the purchase of public recycling receptacles from the budget due to perceived 
concerns regarding them and to study their effectiveness further, and will therefore use all funds for 
recycling public outreach. Outreach will be focused on three beverage container recycling campaigns; 
"All Plastic Bottle" Recycling, "Fantastic 3" Phone Banking and " Special Events" Recycling. A more 
detailed, revised budget is attached. 

The All Plastic Bottle Recycling campaign is expected to announce the addition of #3-7 plastic bottles to 
recycling programs operated by Norcal such as the existing Curbside, Apartment and Small Business 
Recycling Program and the new Fantastic 3 Program. The addition of these bottles will please many 
residents, increase recycling and simplify outreach messages. Norcal appears close to securing a market 

1145 MARKET STREET, SUITE 401 SAN FRANCISCO, CALIFORNIA 94103 
phone: (415) 554-3400 fax: (415) 554-3434 e-mail: sfrecycles@ci.sf.ca.us web site: www.sfrecycles.org 

Printed on Recycled Paper 

10 



Attachment III 
Page 2 ot 2 
for these bottles. If for some reason they are not able to secure the market, a similar campaign will be 
conducted instead to increase recycling of existing bottle and can types. The campaign will utilize bus 
signs, newspaper ads, posters, PR events and the like to encourage residents to recycle all bottles and 
cans, or the current range of bottles and cans, as appropriate. 

As has been done in the past, the Fantastic 3 Phone Banking campaign supplements the printed outreach 
materials currently used in the program roll-out with phone calls to residents to reinforce messages and 
answer questions about the program. The Special Events Recycling campaign will improve recycling at 
special events such as street fairs and athletic events by conducting outreach to event promoters and 
vendors through direct contact and updated printed materials. 

Outcomes 

Contractor deliverables will be largely ads, printed materials, phone banking and post-project analyses. 
While increasing beverage container recycling is the primary objective of all three campaigns, paper 
recycling will also benefit. Measuring the effectiveness of such outreach campaigns is difficult, however, 
we will measure the overall changes in recycling levels before and after the campaigns from tonnage data 
provided by Norcal. Our goal is for the All Plastic Bottle and Fantastic 3 Phone Banking campaigns to 
achieve the 5% minimum annual increase in the recycling of plastic beverage bottles collected in San 
Francisco's Curbside, Apartment and Small Business Recycling Program called for in Board of 
Supervisors Resolution #001440. We expect a noticeable improvement in beverage container recycling at 
special events as a result of that campaign and will work with DPW and Norcal to try to measure 
improvements. 



1145 MARKET STREET, SUITE 401 SAN FRANCISCO, CALIFORNIA 94103 
phone: (415) 554-3400 fax:(415)554-3434 e-mail: sfrecycles@ci.sf.ca. us web site: www.sfrecycles.org 

Printed on Recycled Paper 
11 



Memo to Public Health and Environment Committee 

October 9, 2001 Meeting of Public Health and Environment Committee 

Item 2 - File 01-1724 



Department: 
Item: 



Grant Amount: 



Grant Period: 



Department of Human Services (DHS) 

Resolution authorizing the Department of Human 
Services to accept and expend a grant in the amount of 
$3,000,000 from the California Department of Mental 
Health Supportive Housing Initiative Act. 

$3,000,000 

July of 2001 through July 2004 

The proposed grant would be allocated to seven different 
projects over the three-year grant period. The specific 
Grant Project Schedule for each of the seven projects is 
included on page 2 of Attachment II, the Grant 
Information Form. 



Source of Funds: 



California Department of Mental Health, Supportive 
Housing Initiative Act (SHIA) 



Required Matching 
Funds: 



Indirect Costs: 



Description: 



Year 1: $446,652 

Year 2: 1,029,076 

Year 3: 1.616.432 

Total: $3,092,160 

Attachment I, provided by Ms. Dion Roberts of DHS, 
identifies the amount of $3,092,160 of required matching 
funds (Match Minimum) for each of the seven projects and 
the $7,243,513 amount of actual matching funds 
(Documented Match) that are budgeted for the grant. 

None. The proposed resolution would waive indirect costs 
in order to maximize the amount of available grant funds 
on direct program expenditures. 

In 1998, the California Legislature passed the SHIA 
which provides local governments and non-profit agencies 
with supportive housing services funds for low-income 
adults, particularly those with mental illness, a history of 
alcohol/drug abuse, HIV/AIDS, or other health conditions 
which impede unassisted living. As noted above, SHIA 
requires a local match, in increasing amounts over the 
three-year period of the grant. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

12 



Memo to Public Health and Environment Committee 

October 9, 2001 Meeting of Public Health and Environment Committee 



The proposed resolution would authorize DHS to accept 
and expend $3,000,000 in SHIA grant funds to provide 
supportive staffing and services at six new affordable 
housing projects. Additionally, the proposed grant will 
fund supportive services at one existing housing project, 
the Derek Silva Community, which is a facility for very 
low-income persons with disabling HIV/AIDS. The 
proposed SHIA grants do not include any funds for 
construction or renovation of the facilities; SHIA 
funding is restricted to providing supportive services, 
once the housing projects are completed. 

Therefore, the proposed grant would be used to fund the 
staff and expenses to provide an array of supportive 
services, either on-site and/or in the nearby community, 
designed to help tenants achieve the goals of the SHIA, 
which include aid in retaining their housing, 
improvement in their health status, and maximization 
of their ability to live and work in the community. These 
supportive services would include health care, substance 
abuse treatment, mental health treatment, recreational 
activities, peer advocacy, child-care, employment 
training, basic life skills, such as money management 
and co nfli ct resolution, and various other activities. 

The seven housing projects that will receive funding for 
supportive services under the proposed SHIA grant are 
as follows: 

1. The Homeless Families Initiative , an Episcopal 
Community Services-sponsored project located at 165 
Eighth Street, is a 48-unit housing development 
designed for families who are homeless or at risk of 
homelessness, with special needs. When construction 
of the housing project is completed in December of 
2001, the proposed grant will fund services to 
encourage tenants to achieve self-sufficiency and 
prepare for employment for 277 tenants over the 
proposed 31-month grant period. 

2. Ellis Street Supportive Housing Project , is a vacant 
building at 864 Ellis Street that is being renovated 
by Larkin Street Youth Services, with outside funds, 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

13 



Memo to Public Health and Environment Committee 

October 9, 2001 Meeting of Public Health and Environment Committee 

to contain 24 units designed for homeless young 
adults, including six of these units for youth with 
HIV/AIDS. Under the subject SHIA grant, Larkin 
Street Youth Services will provide individualized 
support services, focusing on helping their 38 young 
tenants achieve self-sufficiency over the 36-month 
grant period. 

3. Church Street Apartments, sponsored by Bridge 
Housing Corporation, is located at 1 Church Street 
and has 15 of its 93 units designated for supportive 
services under the subject grant. Twelve units are 
designed for families with HIV/AIDS and at least 3 
other units are targeted for SHIA funding. The 
proposed grant project is anticipated to be 
operational in February of 2002 and to focus on 
increasing access for the 62 tenants to education and 
economic opportunity over the 29 -month grant 
period. 

4. Orlando Cepeda Place , sponsored by the Mission 
Housing Development Corporation (MHDC), is 
located in Mission Bay bounded by Berry and King 
Streets between 3 rd and 4 th Streets and has 35 of its 
97 units targeted for the proposed grant for families 
with mental illness, substance use, HTV7AIDS, or 
other health conditions. The project is anticipated to 
begin in January of 2002 with services designed to 
eliminate barriers for 159 welfare-to-work 
individuals over the 30-month grant period. 

5. 4445 Third Street Apartments , co- sponsored by the 
San Francisco Housing Development Corporation 
(SFHDC) and MHDC, is located in Bayview-Hunters 
Point at the corner of Third and LaSalle Streets, has 
30 units designed for families. The proposed grant 
project is anticipated to begin in January of 2002 by 
assisting 132 tenants with obtaining the skills 
needed to secure employment over the 30-month 
grant period. 

6. Positive MATCH , sponsored by Catholic Charities, is 
located at 1652 Eddy Street. This facility has seven 
units designed for families with HTV7AIDS and 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

October 9, 2001 Meeting of Public Health and Environment Committee 

concurrent substance abuse and/or mental health 
diagnosis. Ms. Pam Simms of the San Francisco 
Redevelopment Agency (SFRA) advises that although 
the proposed supportive services were anticipated to 
begin in October of 2001, due to delays in the 
construction of the project, the project will not begin 
until April of 2002. The proposed grant project will 
focus on assisting tenants in finding employment and 
encouraging family stability for the 32 tenants. 

7. Derek Silva Community , sponsored by Catholic 
Charities, is located at 1594 Market Street and has 
61 units designed for those with disabling HIV/AIDS. 
This project is currently operational, focusing on 
promoting self-sufficiency, health, and quality of life 
issues for the 96 tenants over the proposed 36-month 
grant period. 

Budget: Attachment I to this report, provided by DHS, contains a 

budget summary for each of the seven projects over the 
three-year grant period. As shown in Attachment I, a 
total budget of $10,497,329 is needed to pay for all of the 
proposed project costs. This amount of $10,497,329 
includes (1) the subject requested grant funds of 
$3,000,000, (2) the required matching funds of $3,092,160, 
(3) additional non-required matching funds of $4,151,353, 
for a total of $7,243,513 of matching funds, and an 
additional $253,816 that is not shown in Attachment I 
(See Comment No. 1). 

Ms. Roberts advises that DHS has budgeted more than 
the required $3,092,160 of matching funds because the 
cost of providing the supportive services at each of the 
seven projects is greater than the sum of the proposed 
grant and the required match. 

As shown in Attachment I, the grant also allocates 
funds for City Coordination to fund one new 0.75 FTE 
position to coordinate the various agencies involved in 
the projects and funds a 0.1 FTE Supportive Housing 
Program Manager (See Comment No. 5). The proposed 
budget for City Coordination is as follows: 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

October 9, 2001 Meeting of Public Health and Environment Committee 



Year 1 Year 2 Year 3 Total 
Salaries 

.75 FTE 1822 Administrative $49,566 $51,053 $52,585 $153,204 

Analyst 

.1 FTE Supportive Housing Manager 7,423 7,646 7,875 22,944 

Fringe Benefits (25% of Salaries) 14,247 14,674 15,115 44,036 

Supplies 3,100 600 600 4,300 

Travel 600 600 600 1,800 

Training 300 300 300 900 

Overhead (space, copies, utilities, etc) 15,800 15.724 16.186 47.710 

Total $91,036 $90,597 $93,261 $274,894 

Comments: 1. According to Mr. Dariush Kayhan of DHS, the 

additional $253,816 of funds, not identified in Attachment 
I, which would be needed to fully fund each of the seven 
proposed projects, would be funded through tenant rents 
paid to the non-profits that are providing the supportive 
services, as well as through private non-profit fundraising 
efforts. 

Mr. Kayhan advises that all of the remaining $7,243,513 
matching funds (shown in Attachment I as Documented 
Match) will be supplied through a combination of General 
Funds, one-time CalWorks funds, private funds, Federal 
rent subsidies and other existing Mayor's Office of 
Housing, Redevelopment Agency and non-profit capital 
funds. Mr. Kayhan reports that DHS included $320,000 of 
General Fund revenues in DHS's FY 2001-02 budget for 
the Episcopal Community Services Homeless Families 
Initiative Project. In addition, Mr. Kayhan notes that 
DHS included in their FY 2001-02 budget $74,370 for the 
Bridge-sponsored Church Street Apartments Project and 
$68,070 for the Mission Housing Development 
Corporation's Orlando Cepeda Place Project. Mr. Kayhan 
further advises that, over the three-year period of the 
grant, the total of $205,077 of matching funds for the City 
Coordination will also be provided by the City's General 
Fund. 

Mr. Kayhan advises that for these projects, the 
Department may need to maintain City funds to provide 
the necessary matching funds in the FY 2002-2003 and 
FY 2003-2004 DHS' budgets. If the Mayor and the Board 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

16 






Memo to Public Health and Environment Committee 

October 9, 2001 Meeting of Public Health and Environment Committee 

of Supervisors do not approve such required matching 
funds for the proposed grant in the subsequent two years, 
Ms. Roberts advises that the Department would have to 
secure private funds or other grants for the required 
matching funds in order to continue the grant. 

2. Mr. Kayhan advises that due to construction delays for 
the Ellis Street Supportive Housing Project and the 
Positive MATCH Project, which are still being completed, 
to date, no grant funds have been expended on these 
projects. However, Ms. Simms notes that the Derek Silva 
Community Project, which is an ongoing project, began its 
grant period on July 1, 2001, and has incurred an 
estimated $83,333 of expenses to date for providing 
services, which would need to be reimbursed with the 
subject grant funds. 

Therefore, the proposed grant resolution should be 
amended to provide for retroactive acceptance and 
expenditure of the subject grant. While page 2, line 6, of 
the proposed resolution states that the grant should be 
accepted retroactively, the title of the proposed resolution 
does not include a retroactive provision. Therefore, the 
title of the proposed resolution should be amended to 
retroactively accept and expend the proposed grant. 

3. Ms. Roberts further advises that grant proposals were 
solicited through the Supportive Housing Sub-Committee 
of the Comprehensive Affordability Strategy (CHAS), an 
organization of community-based service' providers that 
makes recommendations to the Mayor on housing 
initiatives. Ms. Roberts advises that these seven projects 
were contracted on a sole source basis because all of these 
projects had previously gone through a competitive 
process through the Mayor's Office of Housing and the 
Redevelopment Agency to receive the capital funds 
previously awarded to construct these seven housing 
projects. DHS then consolidated the requested proposals 
into one SHIA grant application. 

4. Attachment II is the Grant Information Form, provided 
by the DHS, which includes the Disability Access 
Checklist. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

17 



Memo to Public Health and Environment Committee 

October 9, 2001 Meeting of Public Health and Environment Committee 

5. The proposed resolution should be amended to reflect 
that the proposed two grant-funded positions should be 
coded "G", for grant- designated positions, such that when 
the grant expires, these two grant-funded positions would 
be terminated. 

Recommendations: 1. In accordance with Comment No. 2, amend the 

proposed resolution as follows: 

a) on page 1, line 3 of the title, insert 
"retroactively" after "to accept" so that the 
phrase reads "to accept retroactively and 
expend".... 

2. In accordance with Comment No. 5, amend the 
proposed resolution to designate the SHIA Coordinator 
and the Supportive Housing Program Manager positions 
created under the proposed grant as "G" or grant-funded 
position, which would terminate when the grant expires. 

3. Because the subject grant would require funding in 
future years in the Department's budget which has not 
presently been appropriated, approval of the proposed 
resolution, as amended, is a policy matter for the Board of 
Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

18 



Attachment I 



SHIA Consolidated Budget Summary 



Project • 


Start-up Date 


# Months 


# Units 


# People 
(point-in- 
time/total) 


SHIA Cost 
per unit/year 


ECS - Homeless Families Initiative 


December 01 


31 


48 


210/277 


4,519 


Larkin Street - 864 Ellis Street 


July 01 


36 


24 


24/38 


6,551 


BRIDGE - 1 Church Street 


Februar/02 29 , 


15 


47/62 


5,166 


MHDC - Orlando Cepeda Place 


January 02 \ 30 \ | 35 153/159 


2,980 


SFHDC - 4445 Third Street 


January 02 \ 30 .'■ \ 29 I 106/132 


2,628 


Catholic Charities - Positive MATCH 


October 01 \ 33 . 


7 | 24/32 


19,481 


Catholic Charities - Derek Silva 


July 01 | 36 • ; 61 \ 66/213 


4,098 


Totals: | ! 225 219 630/913 5,114 


I SHIAj | Match 
Year 1 - j Total Budgeti Request) Difference' Minimum 


Documented 
Match 


ECS - Homeless Families Initiative | 365.809| 160.413J 205.396! 80.207 


350,000 


Larkin Street - 864 Ellis Street 228.750| 152,5001 76.250J 76.250 


76,250 


BRIDGE - 1 Church Street 123,950| 49,580| 74,370) 24.790 


209,376 


MHDC - Orlando Cepeda Place 89.001 50,005| 38.996| 25.003 


18.996 


SFHDC - 4445 Third Street 


65,919 43,946 


21,973 


21,973 


21,973 


Catholic Charities - Positive MATCH 


674.453 119,023 


555,430| 59,512) 282.000 


Catholic Charities - Derek Silva 


1,346,304| 250,000 


1.096.304 


125,000) 1,096,304 


City Coordination 91.036) 67,836 


23.200I 33.9181 23.200 


Totals:| 2,985,222] 893,303 


2,091,919 


446,652 


2,078,099 


Year 2 








ECS - Homeless Families Initiative 


490.170) 200,000 


290.170 


200.000 


350,000 


Larkin Street - 864 Ellis Street 


313,508^ 156,754 156,754 


156.754 


156,754 


BRIDGE - 1 Church Street . 


167,343 .66,939 


100,409 


66.939 


209,376 


MHDC - Orlando Cepeda Place 


306,740| 89,636 


217,104 


1 89.636 


190,536 


SFHDC - 4445 Third Street 
Catholic Charities - Positive MATCH 


. 143,400 1 71,700 


71,700 


71,700 
126,778 


71,700 


670.877) 126,778 


544,099 


282,000 


Catholic Charities - Derek Silva 


1.431,112 250,000 


1,181,112 


250,000 


1,186,112 


City Coordination 


90.597 1 67,269 


23,328 


67.269 


23,328 


Totals: 


i 3,613,7521 1,029,076 2,584,676) 1,029,076 


2,469,806 


Year 3 


I ! 








ECS - Homeless Families Initiative 505,841 { 200,000 


305,841 


300.000 


350,000 


Larkin Street - 864 Ellis Street 


! 406,007 
176.91C 


162,403) 243,604 


243.605) 243.604 


BRIDGE- 1 Church Street 


| 70,764 


: 106.146 


106.146 


209,376 


MHDC - Orlando Cepeda Place 


313,587! 121,145 


192.442 


181,718 


192,442 


SFHDC - 4445 Third Street 


187.125J 74,850) 112.275 


112.275 


112,275 


Catholic Charities - Positive MATCH j 693,714) 129,199! 564.515 


193.799 


282,000 


Catholic Charities - Derek Silva 1.521,910| 250.000J 1,271. 910| 375.000 


1.281,910 


City Coordination I 93.261 1 69,260! 24.001 1 103.890 


24,001 


Totals:] 3,898,355| 1,077,621! 2,820,734| 1,616,432 


2,695,608 


Grand Total | 




ECS - Homeless Families Initiative ■ 1.361.820! 560,413) 801.407| 580,207 


1,050,000 


Larkin Street - 864 Ellis Street 948,265| 471,657| 476,608| 476,609| 476.608 


BRIDGE -1 Church Street | 468,208| 187,283j 280.925| 197,875| 628.128 


MHDC - Orlando Cepeda Place 709,328} 260,786) 448,5421 296,356| 401,974 


SFHDC - 4445 Third Street i 396.444) 190,496) 205,948) 205,948| 205,948 


Positive MATCH 2,039,044| 375,0001 1,664.044| 380,088) 846.000 


Catholic Charities - Derek Silva 4,299.326! 750,000 3,549,326) 750,000| 3,564.326 


City Coordination | 274,8941 204,365| 70.529) 205.0771 70.529 


Totals:! 10,497,329! 3,000,000! 7,497,329! 3,092,16 0^ 7,243,513 



19 



8/28/2001 1:55 PM 



File Number: 



(Provided by Clerk of Board of Supervisors) 



Grant Information Form 

(Effective January 2000) 



Attachment II 
Pa?e 1 of 3 



Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 



The following describes the grant referred to in the accompanying resolution: 
1 . Grant Title: Supportive Housing Initiative Act 



2. Department: Department of Human Services 



3. Contact Person: 



Dariush Kayhan, Program Manager 
Pauson Yun, Contract Manager 



Telephone: 



415-558-1954 
415-557-6523 



4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $3,000,000 

6a. Matching Funds Required: Year 1: 50% of the requested funds 

Year 2: 100% of the requested funds 
Year 3: 150% of the requested funds 

b. Source(s) of matching funds (if applicable): 







SHIA 


CITY AND COUNTY OF SAN FRANCISCO 
MATCH 




PROGRAM 


BUDGET 


REQUEST 


YR1 


YR2 


YR3 


TOTAL 


ECS 


1.361,820 


560.413 


205,396 


290,170 


305,841 


801,407 


LARKiN 


948,265 


471,657 


76,250 


156,754 


243,604 


476,608 


BRIDGE 


468,208 


187,283 


74,370 


100,409 


106,146 


280,925 


MHDC 


709,328 


260,786 


38,996 


217,104 


192,442 


448,542 


SFHDC 


396,444 


190,496 


21.973 


71,700 


112,275 


205.948 


CC-MATCH 


2,039,044 


375,000 


555,430 


544,099 


564,515 


1.664,044 


CC-D. SUVA 


4,299,326 


750,000 


1,096,304 


1,181,112 


1,271,910 


3.549,326 


CITY COORD. 


274,894 


204,365 


23,200 


23,328 


24,001 


70.529 




10,497,329 


3,000,000 


2.091,919 


2,584,676 


2.820,734 


7.497,329 



7a. Grant Source Agency: California Department of Mental Health 
b. Grant Pass-Through Agency (if applicable): Not Applicable 

1 . Proposed Grant Project Summary: 

The following grant projects are a part of the permanent supportive housing programs 
In San Francisco: 



20 



Attachment U 

> * Episcopal Community Services - 1 65 8 th Street J^age 2 of 3 
48-unit development for families who are homeless or at risk of homelessness, with special needs 
related to mental health, substance use, and HIV/AIDS. 

> Larkin Street - 864 Ellis Street 

24 studio units will house homeless young adults, some aging out of foster care, and some runaways; 
6 units will be set aside for youth with HIV/AIDS. 

> BRIDGE - 1 Church Street 

12 HOPWA units (at least one family member with HIV/AIDS) and SHIA-eligible residents in at least 
three other units are targeted for SHIA funding. 

> MHDC - Orlando Cepeda Place 

35 units will be targeted for SHIA funds: approximately 25 households with people with mental illness, 
substance use and non-HIV/AlDS health conditions, and 10 HOPWA units designated for households 
with persons disabled by HIV'AIDS. The HIV/AIDS Housing Wait List indicates that 61% of the family 
households are African-American. 



> SFHDC- 4445 Third Street 

30-unit development for families with incomes less than 50% of AMI are targeted for SHIA funding, 8 
of these units will be specially set aside for HOPWA-eligible tenants. 

> Catholic Charities - Positive MATCH 

7 units of housing to be occupied by homeless families with HIV/AIDS and dependent children and a 
concurrent substance use and/or mental health diagnosis. Priority will be given to single mothers with 
dependent children and children living with HIV. 

> Catholic Charities - Derek Silva 

61 units (66 beds) are occupied by very low-income persons diagnosed with disabling 
HIV/AIDS who are in need of affordable housing and access to support services. Most 
residents at Derek Silva also have concurrent mental illness and/or substance use issues. 

2. Grant Project Schedule, as allowed in approval documents, or as proposed: 





Start-Date 


End-Date 


ECS - Homeless Families Initiative 


December 2001 


July 2004 


Larkin Street - 864 Ellis Street 


July 2001 


July 2004 


BRIDGE -1 Church Street 


February 2002 


July 2004 


MHDC - Orlando Cepeda Place 


January 2002 


July 2004 


SFHDC -4445 Third Street 


January 2002 


July 2004 


Catholic Charities - Positive MATCH 


October 2001 


July 2004 


Catholic Charities - Derek Silva 


July 2001 


July 2004 






10. Number of new positions created and funded: .75 FTE Administrative Analyst (1822) 

11. If new positions are created, explain the disposition of employees once the grant ends? 

Additional State grants will be secured for subsequent three year periods which support this position 
in the future 



21 



AEEacnment: n 
Page 3 of 3 

12a. Amount budgeted for contractual services: $2,795,635 

b. Will contractual services be put out to bid? No 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? One time. 

13a. Does the budget include indirect costs? [ ] Yes [X] No 

b1. If yes, how much? 

b2. How was the amount calculated? 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ x] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 

Clients of this service must be disabled as defined by the California Department of Mental Health 

**DisabiIity Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X] Existing Site(s) [X] Existing Structure(s) [X] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [X] New Program(s) or Service(s) 

[XNew Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 

Departmental or Mayor's Office of Disability Reviewer: Maaalv Fernandez 

(Name) 

Date Reviewed: 9/14/2001 



Department Approval: Trent Rhorer Executive Director 

(Title) 




(Signature) 



22 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 



Item 3 -File 01-1725 

Department: 

Item: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
(DPH) to entar retroactively into a subcontract agreement 
in the amount of $20,000 with the Regents of the 
University of California, AIDS Research Center (UCARC) 
to collaborate in efforts to assess unmet needs for primary 
care by persons receiving AIDS services in San Francisco; 
for the period of April 10, 2001 to April 9, 2002. 



Subcontract Amount 
Payable to DPH from 
The Regents of the 
University of California, 
AIDS Research Center: $20,000 

Subcontract Period: April 10, 2001 through April 9, 2002 (One year) 

Source of Funds: The Regents of the University of California, AIDS 

Research Center (UCARC) 

None. 

$2,143 (12% of direct costs of $17,857) 

The Federal Health Resources and Services 
Administration (HRSA) awarded UCARC a grant to fund 
"Estimating Unmet Needs for HIV Care." DPH, under a 
subcontract with UCARC which was entered into on July 
18, 2001, is collaborating with UCARC to study persons 
receiving AIDS services in San Francisco. 

According to Dr. Sandra Schwarcz of DPH, the work 
entails using the Department's AIDS Registry to 
determine the level of unmet health care needs, 
principally primary care needs, of persons diagnosed with 
HIV/AIDS. Under the subject subcontract, DPH will 
explore a range of operational definitions of unmet needs 
for primary care, examine how results differ with the full 
set of data available in San Francisco versus more limited 
data available in other locations, explore the analyses for 
key subgroups, and explore the unmet needs for other 
services. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

23 



Required Match: 
Indirect Costs: 
Description: 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 



Budget: The budget for the subject grant is as follows: 

DPH Salaries: 

.10 FTE 2232 Sr. Physician ($83,878) $8,388 

.05 FTE 2232 Sr. Physician ($95,860) 4,794 

COLA (3%) 395 

Fringe Benefits (24.3% of Salaries) 3,295 

Materials and Supplies 985 

Subtotal, Direct Costs $17,857 

Indirect Costs (12% of Direct Costs) 2.143 

TOTAL COSTS $20,000 

Comments: 1. The subject subcontract is for the one-year period from 

April 10, 2001 through April 9, 2002. According to Ms. 
Diana Cheung of DPH, DPH has already entered into this 
subcontract with UCARC, and has begun work on this 
study. However, Ms. Cheung advises that DPH has not 
yet received reimbursement for the services provided, 
pending approval of the subject resolution. To date, Ms. 
Cheung advises that DPH has provided an estimated 
$8,500 of services, or approximately 43 percent of the 
total $20,000 subcontract, prior to the Board of 
Supervisors approval. 

Ms. Cheung advises that DPH is late in bringing the 
proposed resolution before the Board of Supervisors 
because the Department was delayed in receiving the 
contract from UCARC until July 18, 2001. Ms. Cheung 
also notes that the Board of Supervisors approval of the 
subject agreement was further delayed by the Board's 
recess in August and September of 2001. 

2. As shown in the budget for the subject grant, .15 FTE 
positions would provide direct services to the project. 
According to Ms. Cheung, these are existing DPH 
employees whose positions are funded by a collection of 
grants and are already coded "G" for grant-funded. Ms. 
Cheung advises that at the end of the subject subcontract, 
DPH will attempt to find other funding for their positions. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

24 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

3. The Department's Grant Information, which includes 
the Disability Access Checklist, is attached. 

Recommendation: Because the Department has already entered into the 

subject subcontract and has already completed $8,500 of 
services or approximately 43 percent of the total $20,000 
subcontract prior to obtaining approval of the Board of 
Supervisors, approval of the proposed resolution is a 
policy matter for the Board of Supervisors. 




cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

25 



.•••"-. ........ . Attachment I 

File Number: Page 1 of 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

eZnT^TfZT 3 Pr ° P0Sed B ° ard ° f SUPeR/fSOrS reS ° ,Utl0nS ****o a D ™-< to accept and 
The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Estimating Unmet Need for Primary Care 

2. Department: Public Health;AIDS Office;Seroepidemiology and Surveillance 

3. Contact Person: Billy Pick Telephone: 554-9048 

Diana Cheung 554-9122 

4. Grant Approval Status (check one): 

[X] Approved by.funding agency r j Not yet a p proved 

5. Amount of Grant Funding Approved or Applied for $20,000 

6a. Matching Funds Required: None 
b. Source(s) of matching funds (if applicable): N/A 

7 b' Iran! l™"^*™* Hea *n Resources and Services Administration (HRSA) 
b. Grant Pass-Through Agency (if applicable): Regents of the University of California; AIDS Research Center 

^uS^ data used as 

subgroups; explore unmet need for other services; and participate in i^^^^ 8 ^" ^ ^ 

9. Grant Project Schedule, as allowed in approval documents,^ as proposed: 

Start-Date: 4/1 0/01 End-Date: 4/9/02 

1 0. Number of new positions created and funded: None 

11. If new positions are created, explain the disposition of employees once the grant ends? N/A 

12a. Amount budgeted for contractual services: N/A 
b. Will contractual services be put out to bid?: N/A 

c If so, will contract sen/ices help to further the goals of the department's MBEAA/BE 
requirements?: N/A VVDC 

d. Is this likely to be a one-time or ongoing request for contracting out?: N/A 

1 3a. Does the budget include indirect costs? " [ X] Yes fl N 



26 



Attachment I 
Pa?e 2 of 2 



b1. If yes, how much?: $52,143 
b2. How was the amount calculated?: 12% of Direct Costs 
c. If no, why are indirect costs not included?: N/A 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: No. 
**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 



[X ] Existing Site(s) 
[ ] Rehabilitated Site(s) 
[ ] New Site(s) 



[X ] Existing Structure(s) 
[ ] Rehabilitated Structure(s) 
[ ] New Structure(s) 



[ X] Existing Program(s) or Service(s) 
[ ] New Program(s) or Service(s) 



16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer: Norm Nickens 



(Name) 



Deputy Director 
(Title) 



Date Reviewed: °/ /\ & A / 



Department Approval: 



(Signature) 



Mitchell Katz. M.D. 
(Name) 



Director of Health 



(Title) 



Zf 



u/f 



(Signature) 




27 



[All Committees] 
^— ^ Government Document Section 

/^T^©\ City and County ofjSan Francisco Main Library 

I»l4P^? > n <jJMeeting Minutes 

v^Wf Public Health and Environment Commmee — — 

X^sVo^X Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 

Clerk: Deborah Muccino 

Tuesday, October 23, 2001 10:00 AM City Hall, Room 263 

Regular Meeting 

Members Present: Sophie Maxwell, Mark Leno. 
Members Absent: Leland Y. Yee. 



MEETING CONVENED 



The meeting convened at 10:05 a.m. 



011520 [Expend DOC Beverage Container Recycling Payment] 

Resolution authorizing the City Administrator to expend a $230,484 payment from the Department of 

Conservation (DOC) for fiscal year 2000/2001. (Administrative Services Department) 

8/15/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

9/25/01, CONTINUED. Heard in Committee. Speakers: Jack Macy, SWMP, Severin Campbell, Budget Analyst's Office. 

Continued to the meeting of October 9, 2001. 

10/9/01 , CONTINUED. Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Jared Blumenfeld, Department of 

Environment; Robert Haley, Solid Waste Management Program; John Kennedy, Deputy City Attorney; David Assmann, Department of 

Environment. 

Continued to October 23, 2001. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Jared Blumenfeld, Department 

of the Environment. 

Amend the title on Page 1, line 3, after "expend", add "retroactively"; at line 8 - after "The", delete "City"; 

after "The", add "Department of the Environment" ; at line 13 - after "the", delete "City Administrator"; after 

"the", add "Department of the Environment" ; after "expend", add "retroactively"; at line 15, after "the", 

delete "Solid Waste Management Program"; after "the", add "Department of the Environment". 

AMENDED. 

Resolution authorizing the City Administrator to expend retroactively a $230,484 payment from the 
Department of Conservation (DOC) for fiscal year 2000/2001. (Administrative Services Department) 
RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



DOCUMENTS DEP7\ 
OCT 2 5 



SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 1 Printed at 4:33 PM on 10/23/01 



Public Health and Environment Committee 



Meeting Minutes 



October 23, 2001 



01 1771 [Recurring FY2001-2002 State grant funds to the Department of Public Health from the California 
Department of Health Services] 

Resolution authorizing the acceptance and expenditure of State grant funds by the San Francisco Department of 
Public Health for FY 2001-2002. (Public Health Department) 
10/2/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Lucille Burlew-Lawler, 
Department of Public Health. 
RECOMMENDED., by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



011789 [State Grant - Department of the Environment] 
Mayor 

Resolution authorizing the Department of the Environment to accept and expend a grant in the amount of up to 
$300,000 from the California Integrated Waste Management Board for the purpose of increasing used motor oil 
recycling and household hazardous waste management. (Mayor) 

10/9/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Jared Blumenfeld, Department 
of the Environment. 
RECOMMENDED., by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



011829 [Grant - Substance Abuse Services] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 
retroactively a grant in the amount of $1,105,000 from the Substance Abuse and Mental Health Services 
Administration (SAMHSA) and the Center for Substance Abuse Treatment (CSAT), for the period of August 1, 
2001, to July 31, 2002. (Public Health Department) 

1 0/9/01 , RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 
the October 23, 2001 meeting. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Dr. Alice Gleghorn, Department 

of Public Health. 

RECOMMENDED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



r a h„,i m:<— „*„„! 
Lnii\}i Hmaicaj 

Supervisors Ammiano, Leno 

Hearing regarding Alkyl Nitrates, commonly known as "Poppers", to discuss: (1) The point of sale warning, 

particiculary if the warning needs to be revised; (2) How effective is it; (3) Is it being enforced. 

9/17/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Sponsor requests this item be scheduled for 
consideration at the September 25, 2001 meeting. 

Heard in Committee. Speakers: James Loyce, Department of Public Health; Hank Wilson, Committee to 
Monitor Poppers; Michael Lauro, Survive Aids; Jeff Getty, Survive Aids. 
FILED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



City and Comity of San Francisco 



Printed at 4:33 PM on 10/23/01 



Public Health and Environment Committee Meeting Minutes October 23, 2001 



011761 [Biological, Chemical and Explosive Terrorist Threats] 
Supervisor Leno 

Hearing on biological, chemical and explosive terrorist threat preparedness, utilizing the Department of Public 
Health's report from their Metropolitan Task Force Concept of Operations and Bio-terrorism Response Plan. 

10/1/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Speakers: None. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



ADJOURNMENT 

The meeting adjourned at 11:10 a.m. 



City and County of San Francisco 3 Printed at 4:33 PM on 10/23/01 



[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



CITY AND COUNTY 




OF SAN FRANCISCO 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



October 18, 2001 

TO: ^Public Health & Environment Committee 

FROM: ^Budget Analyst 

SUBJECT: ^ctober 23, 2001 Public Health & Environment Committee Meeting 

Item 1 - File 01-1520 

Note: This item was continued by the Public Health and Environment Committee 
at its meeting of October 9, 2001. 



Department: 
Item: 

Payment Title: 
Payment Amount: 
Payment Period: 
Source of Funds: 

Required Match: 
Indirect Costs: 



City Administrator 

Solid Waste Management Program 

Resolution authorizing the City Administrator to expend 
a $230,484 payment from the State Department of 
Conservation (DOC). 

Beverage Container Recycling Payment (BCRP). 

$230,484 

July 1, 2001 to June 30, 2002 (one year) (see Comment 3) 

California Department of Conservation, 
Division of Recycling. 

None 

Indirect Costs are not allowed by the State DOC. 

DOCUMENTS DEPT. 

OCT 2 2 2001 
SAN FRANCISCO 

Di IDI \r* ! iDnAnw 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 



Description: The proposed resolution would authorize the City's Solid 

Waste Management Program (SWMP) to expend a 
$230,484 beverage container recycling payment from the 
State Department of Conservation (DOC). According to 
Mr. Robert Haley from the SWMP, the subject payment in 
the amount of $230,484 would allow SWMP to continue 
contracting with Barnes Clarke & Associates (see 
Comment 1) to develop additional public education and 
outreach campaigns on beverage container recycling in 
San Francisco. Mr. Haley advises that last fiscal year, 
Barnes Clarke & Associates developed and implemented 
beverage container recycling outreach for the Fantastic 3 
program 1 and special events in the City. 

For the past twenty years, the SWMP has worked with 
residents, businesses, and institutions to promote 
recycling efforts. The public education campaign produces 
media related items such as brochures, print articles, 
advertisements and bus boards in order to increase 
recycling and thereby comply with the State Integrated 
Waste Management Act (IWMA, Assembly Bill 939). The 
IWMA requires that California counties reduce the 
amount of their solid waste by 50 percent through 
recycling programs. San Francisco has currently achieved 
42 percent reduction through existing recycling programs. 

Budget: A summary budget, provided by Mr. Haley, for the subject 

payment of $230,484 is as follows: 

Beverage Container Recycling Outreach Project 

"All Plastic Bottle" Recycling Outreach $133,750 

"Fantastic 3" Phone Banking Outreach 53,250 

Special Events Outreach 43.484 

Total $230,484 



Attachment I, provided by Mr. Haley, contains budget 
information on three recycling projects that would be 
funded with the subject beverage container recycling 
payment in the amount of $230,484. According to Mr. 



1 According to Mr. Haley, the Fantastic 3 program is the new 3 -bin residential and small business 
curbside recycling program that will replace the current curbside blue recycling bins. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 
2 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

Haley, the above budget was revised because SWMP will 
no longer purchase additional recycling receptacles 
($70,484 was previously budgeted for 235 recycling 
receptacles) based on concerns over the effectiveness of 
the receptacles. Mr. Haley advises that the $70,484 
originally budgeted for recycling receptacles will now be 
expended on the public outreach and education 
campaigns. The revised budget is an estimate for 
operating and personnel costs based on a current contract 
for a public education campaign with Barnes Clarke & 
Associates, a public relations consulting firm. Mr. Haley 
advises that the Barnes Clarke & Associates hourly rates 
range from a low of $30 per hour to a high of $175 per 
hour, depending on the type of service provided and 
hourly rates for providing such services. 

Comments: 1. Mr. Haley advises that Barnes Clarke & Associates was 

selected through a Request for Proposals (RFP) process 
for a two-year contract for the period of July 1, 2000 
through June 30, 2002, in the amount of $460,000 (see 
Comment 6). 

2. Mr. Haley advises that an amendment in 1999 to the 
State Bottle Bill (SB 332) provided ongoing funding 
beginning in 2000 in the amount of approximately 
$230,000 each year to the City for programs and/or 
services related to beverage container recycling or litter 
reduction. This proposed payment is the second of such 
on-going payments that are anticipated to be received by 
SWMP from the State DOC. According to Mr. Haley, the 
State DOC authorizes the SWMP to expend the subject 
$230,484 payment for programs and/or services related to 
beverage container recycling or litter reduction. 

3. As noted above, the payment period is July 1, 2001 
through June 30, 2002. According to Mr. Haley, SWMP 
has already begun to expend the subject monies. 
Therefore, the Budget Analyst recommends that the 
proposed resolution be amended to account for the 
retroactive expenditure of the subject payment from the 
State DOC by inserting the word "retroactively" after the 
phrase "to expend" in lines 3 and 13 on page 1 of the 
proposed resolution. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
3 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

4. Mr. Haley advises that all expenditure of any future 
payments from the State DOC to SWMP for the subject 
program would be subject to the Board of Supervisors 
approval. 

5. Attachment II, provided by SWMP, is the Department's 
Grant Application Information Form, which includes the 
Disability Access Checklist. 

6. At its meeting of September 25, 2001, the Public 
Health and Environment Committee asked SWMP to: (1) 
provide details on the RFP process whereby Barnes 
Clarke & Associates was selected to develop public 
education campaigns on beverage container recycling and 
to provide recycling receptacles in San Francisco; (2) 
explain why the subject grant monies were expended prior 
to receiving Board of Supervisors approval; (3) provide 
details on how the subject grant monies would be 
expended; and, (4) provide information on the outcome 
measurements to determine the effectiveness of the 
subject recycling program. 

The attached memorandum (Attachment III), provided by 
SWMP, addresses these above requests from the Public 
Health and Environment Committee. In Attachment III, 
Mr. Haley states that the RFP process was conducted 
twice to ensure the fairness of the process and Barnes 
Clarke & Associates was selected both times. Attachment 
III also states that the subject grant monies were spent 
prior to Board of Supervisors approval because Barnes 
Clarke & Associates had gotten a late start on its two- 
year contract and needed to continue minimal planning 
and development work in order to accomplish its work by 
the end of FY 2001-2002. Mr. Haley advises in the 
attached memorandum that SWMP has eliminated the 
purchase of additional recycling receptacles based on 
concerns over the effectiveness of the recycling 
receptacles. Therefore, the funds previously budgeted for 
recycling receptacles will now be spent on public outreach, 
according to Mr. Haley. In Attachment III, Mr. Haley 
notes that SWMP will measure the overall change in 
recycling levels before and after the public outreach 
campaigns on recycling as a measure of the effectiveness 
of the subject recycling program. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

7. At its meeting of October 9, 2001, the Public Health 
and Environment Committee asked SWMP to: (1) provide 
more details on the three proposed beverage container 
outreach projects, including information on how the 
effectiveness of the three outreach projects will be 
measured; and (2) provide FY 2000-2001 expenditure 
figures. 

Attachment IV, provided by SWMP, describes the 
outreach activities that Barnes Clarke & Associates 
would provide for each of the three outreach projects and 
how the effectiveness of each outreach project would be 
measured. As shown in Attachment IV, the effectiveness 
of the "All Plastic Bottle" Outreach Project and the 
"Fantastic 3" Phone Banking Outreach Project would be 
measured by comparing the tonnage recycled before and 
after the outreach projects. Also shown in Attachment IV, 
the effectiveness of the Special Events outreach project 
would be determined by measuring the amount recycled 
at special events. Mr. Haley advises that SWMP will 
work with special event sponsors to determine how to 
measure the amount of beverage containers recycled. Mr. 
Haley further advises that SWMP will attempt to collect 
recycling data from various special events and then 
SWMP will be able to compare the amounts recycled for 
different special events as well as compare the amounts 
recycled over time for special events that occur annually. 

Attachment V, provided by SWMP, contains expenditure 
figures for FY 2000-2001 which total $231,063. According 
to Mr. Haley, in FY 2000-2001 SWMP (a) expended 
$44,461 on its contract with Barnes Clarke & Associates, 
(b) ordered, but has not yet installed, 79 recycling 
receptacles at a total cost of $23,758 (79 times $300 per 
receptacle), and (c) budgeted $162,844 (543 times $300) 
for an additional 543 recycling receptacles to be installed 
throughout the City. However, Mr. Haley advises that 
the Department of Public Works (DPW), which orders and 
installs the recycling receptacles on behalf of SWMP, has 
not yet ordered those 543 recycling receptacles. Mr. 
Haley states that he is uncertain why DPW has not yet 
ordered the 543 recycling receptacles. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 
5 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

Mr. Haley advises that he spoke to the State Department 
of Conservation (DOC) on October 18, 2001 about the fact 
that the 543 receptacles have not been ordered in order to 
determine what SWMP must do with the $162,844 which 
was budgeted for the recycling receptacles in FY 2000- 
2001. Mr. Haley advises that the State DOC said that 
they would (1) allow SWMP to use the $162,844 from FY 
2000-2001 in FY 2001-2002; and, (2) grant SWMP the 
flexibility to use the $162,844 in FY 2001-2002 based on 
SWMP's determination of the best use of such funds. Mr. 
Haley advises that as of the writing of this report, SWMP 
has not determined the best use of such funds. However, 
Mr. Haley states that SWMP could use such funds to (a) 
purchase the 543 recycling receptacles as budgeted for FY 
2000-2001, or, (b) study the efficacy of the current design 
of the recycling receptacles and research other potential 
recycling receptacles designs if the current design is 
shown to be ineffective, or, (c) enhance the three beverage 
container recycling outreach projects. According to Mr. 
Haley, DPW has agreed to return the monies to SMWP 
which were work-ordered to them for the purchase and 
installation of the recycling receptacles if SWMP decides 
not to purchase such recycling receptacles. 

Recommendations: 1. In accordance with Comment 3 above, amend the 

proposed resolution as follows: 

(a) on page 1, line 3, in the title, insert the word 
"retroactively" after "to expend" so that the phrase 
reads, "to expend retroactively a $230,484 payment..." 

(b) on page 1, line 13, insert the word "retroactively" after 
"to expend" so that the phrase reads, "to expend 
retroactively a $230,484 beverage container recycling 
pa3 r ment..." 

2. Approval of the proposed resolution, as amended is a 
policy matter for the Board of Supervisors due to (a) the 
retroactive nature of this request, (b) because consulting 
services of an additional $70,484 would replace funds 
previously budgeted for 235 recycling receptacles which 
would no longer be provided, (c) the fact that the 
additional 543 recycling receptacles ($162,844) which 
were budgeted for FY 2000-2001 were not ordered, and, 
(d) although the State DOC has given SWMP the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

October 9, 2001 Public Health and Environment Committee Meeting 

flexibility to use the $162,844 from FY 2000-2001 which 
were budgeted for 543 recycling receptacles in FY 2001- 
2002, based on SWMP's determination of the best use of 
such funds, as of the writing of this report, SWMP has not 
determined how these funds will be expended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



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File- Number ' 

' ; (Provides by CliTk of Board of Supervisors) 



Attachment I T 
^age~T~6T~2 — 



Grant Information Form 
(Effective January 200Q) 



paS AC - mpSn - W- Beard of Supervisors resolutions authorizing a Depart «o expend 

Tne followina describes the nr-or r~-~, i * • *• 

- »u ioes tne granc rejerred to in tne accompanying resolution: ' 

1 . Grant Title: Beverage Container Recycling Payment 

2. Department: Solid Waste Management Program 

3. Contact Person - Rnhort i-'-i-w — 

KCOert hal =y Telephone: (415) 554-3439 

4. Grant Approval status (check one): 

M Approved by Ending agency [] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: 5230,484- 
6a. Matching Funds Required- SO 

b. Source(s) of matching funds (if applicable): . ' ' 

7 l\ ^^^fi^*^* 00 "*™** D 'Msion ofRecyding 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: July 1 , 2001 End-Date: June 30, 2002 

10. Number of new positions created and funded: 

11- If new positions are created, explain the disposition of employees-once the grant ends? 

1 2a. Amount budgeted for contractual services: $230,484 
b. Win contractual sen/ices be put out to bid? Yes 

C ' ^^ll^?^^ 5 he!p t0 fu ™ er the ^Is of the department's MBE/WBE 

d. Is this likeiv to n S - nri£ . «_„ n , 

. " Jc <= one-ume or ongoing recuesi Tor contracting out? Oncoinc 



13a. Does the budge: include indirect costs? 



[]Yes 



[x] No 



10 



'•'. ; °^Jty° s . how much? Attachment II 

• b2 - How was the amount calculated? '^ge 2 of 2 — 

• c. If no why ^ are indirect costs not Indud'ed? '' •■ •- 

H tt^ S96nCy [] T ° mSXfmtS "" ° f **« <*** - direct services 

14 " Sr Sl9nmCant ^ ^-m-tsV comments: Funding fe to be used for beverage container 
"Disability Access Checklist— 

15. mis Grant is intended for activities at (check all that apply): _ 

[ ] Existina Site's) nc . 

[ ] Rehabilitated Site's) ^"9 Stnjciure(s) ( j E>isfi Procram(s , „ _ . , , 

[]NewSite ( s> ^ |j*~-»«*»M Mta^W 

16. Tne Deoartment^i aha /- 

disables or w ill r ^ ' 0C3 ' aCCSSS laws and 'eaulaBons and wBI alfowThe ^ 7 hD,ss °»ies Act and 
a.s.bmoes. or w,i, rsquire unreasonab|e hardship ^ ^ de ^X ^o"* 5 '?" * P. ersons «™ 

Comments: comments secaon: 

Ztf^oTrS ShaU ^^ aCCeSSme "«•*'» * a«ern« ive 
Departmental or Mayor's Office of Disab^ Rev,- eWe n____^)U4 1 ^^^ 

Date Reviewed :___/£fo i <j K u.L 2£C/ ' 



(Name) 



Department Approval: PauiHordjer 

TiSST — • .Director 



(Signature) 



U)/JaJU^ 



(Title) 




Attachment Til " 
• Page 1 of 2 

SOLID WASTE MANAGEMENT PROGRAM 

RECYCLING PROGRAM a HAZARDOUS WASTE MANAGEMENT PROGRAM 



WILLIE L. BROWN, JR. 
M\YOR 

PAUL V. HORCHER 
DIRECTOR 



To: Maureen Singleton, Board of Supervisors Budget Analyst 

From: Robert Haley 

Date: October 3, 2001 

Subject: Expend DOC Beverage Container Recycling Payment Resolution 

This memorandum is to address questions on the subject resolution raised at the September 25, 2001, 
Board of Supervisors Public Health and Environment Committee. 

Contractor Selection Process 

Barnes Clarke & Associates was selected through a standard request for proposals process. To ensure 
fairness the process was conducted twice. Bames Clarke was selected both times by a clear-cut margin. 
Of the many public outreach consultants we have worked with over the years, Bames Clarke has 
consistently been the best. 

Retroactivity 

Because the RFP process was conducted a second time, the Bames Clarke contract was not certified until 
the end of FY 2000-01. The funding agency (the DOC) did not announce the amount available for FY 
2001-02 until about the same time and the person managing the RFP process and contract left our office 
at this time. Bames Clarke, having gotten a late start on the first year of their two-year contract, needed 
to continue minimal planning and development work to be able to accomplish the necessary work in FY 
2001-02. All of these factors necessitated retroactivity. Now that we are clearer regarding retroactivity 
concerns and expend procedures, we will avoid retroactivity in the future. 

Work Plan 

We have eliminated the purchase of public recycling receptacles from the budget due to perceived 
concerns regarding them and to study their effectiveness further, and will therefore use all funds for 
recycling public outreach. Outreach will be focused on three beverage container recycling campaigns; 
" All Plastic Bottle" Recycling, "Fantastic 3" Phone Banking and " Special Events" Recycling. A more 
detailed, revised budget is attached. 

The All Plastic Bottle Recycling campaign is expected to announce the addition of #3-7 plastic bottles to 
recycling programs operated by Norcal such as the existing Curbside, Apartment and Small Business 
Recycling Program and the new Fantastic 3 Program. Tne addition of these bottles will please many 
residents, increase recycling and simplify outreach messages. Norcal appears close to securing a market 

1145 MARKET STREET, SUITE 401 SAN FRANCISCO, CALIFORNIA 94103 
phone: (415) 554-3400 fax:(415)554-3434 e-mail: sfrecvcles@cLsf.ca. us web site: -WTvw.sfrecYcles.org 

Printed on Recycled paper 
1 



Attachment III 
Page 2 or T~ 
for these bottles. If for some reason they are not able to secure the market, a similar campaign will be 
conducted instead to increase recycling of existing bottle and can types. The campaign will utilize bus 
signs, newspaper ads, posters, PR events and the like to encourage residents to recycle all bottles and 
cans, or the current range of bottles and cans, as appropriate. 

As has been done in the past, the Fantastic 3 Phone Banking campaign supplements the printed outreach 
materials currently used in the program roll-out with phone calls to residents to reinforce messages and 
answer questions about the program. The Special Events Recycling campaign will improve recycling at 
special events such as street fairs and athletic events by conducting outreach to event promoters and 
vendors through direct contact and updated printed materials. 

Outcomes 

Contractor deliverables will be largely ads, printed materials, phone banking and post-project analyses. 
While increasing beverage container recycling is the primary objective of all three campaigns, paper 
recycling will also benefit. Measuring the effectiveness of such outreach campaigns is difficult, however, 
we will measure the overall changes in recycling levels before and after the campaigns from tonnage data 
provided by Norcal. Our goal is for the All Plastic Bottle and Fantastic 3 Phone Banking campaigns to 
achieve the 5% minimum annual increase in the recycling of plastic beverage bottles collected in San 
Francisco's Curbside, Apartment and Small Business Recycling Program called for in Board of 
Supervisors Resolution #001440. We expect a noticeable improvement in beverage container recycling at 
special events as a result of that campaign and will work with DPW and Norcal to try to measure 
improvements. 



1145 MARKET STREET, SUITE 401 SAN FRANCISCO, CALIFORNIA 94103 
phone: (415) 554-3400 far: (415) 554-3434 e-mail: sfrecvcles(2ici-sf.c2. us web sits: vrft-w_5frecycies.org 

Printed on Recvcied Paper 

13 



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Attachment V 
2000/2001 Expenditures 



Project Development & Management $ 17,457 

Fantastic 3 Ad & Brochure Design & Mailing $ 14,163 

Fantastic 3 Phone Banking $ 10,908 

Special Events Ad Design & Placement $ 1,933 

Barnes Clarke Subtotal $ 44,461 



Recycling Receptacles Ordered $ 23,758 

Recycling Receptacles Not Yet Ordered $ 162,844 

Total $ 231,063 



FY 00-01 bgt.xls 10/17/01 



15 



Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 

Item 2 -File 01-1771 



Department: 
Item: 



Department of Public Health (DPH) 

Resolution authorizing the acceptance and expenditure of 
State grant funds by the San Francisco Department of 
Public Health for FY 2001-2002. 



Amount: 



Source of Funds: 



Description: 



Comments: 



$23,547,730 

Agencies of the State of California (see Attachment I) 

According to Section 11.1 of the Administrative Provisions 
of Fiscal Year 2001-2002 Annual Appropriation 
Ordinance, recurring grants, included in the 
Department's annual budget submission, that were 
previously approved by the Board of Supervisors do not 
require separate authorization by resolution of the Board 
of Supervisors for the acceptance and expenditure of such 
grants. However, the agencies of the State of California 
that provide grant funds to the DPH require the 
Department to provide documentation of the Board's 
approval of their grant funds (State Administrative 
Manual Section 1208.2(a)). The proposed resolution would 
authorize the DPH to accept and expend State funding for 
47 recurring grants, totaling $24,225,523 (See Comment 
No. 1). These grants were previously approved by the 
Board of Supervisors in the FY 2001-2002 DPH Budget. 

1. The Attachment, provided by DPH, contains a list of 47 
recurring State grants provided to DPH for FY 2001-2002. 
According to Ms. Lucille Burlew-Lawler of DPH, of the 
$23,547,730 in State grant funds, $22,869,937, or 97.1 
percent, of the grant funds are for direct program costs 
and $677,793, or 2.9 percent, are to pay for the City's 
indirect costs. 



Recommendation: 



2. As noted above, approval of the proposed resolution 
would be consistent with the FY 2001-2002 
Administrative Provisions of the Annual Appropriation 
Ordinance previously approved by the Board of 
Supervisors. 

Approve the proposed resolution. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

16 



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22 



Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 



Item 3 -File 01-1789 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Indirect Costs: 



Description: 



Department of the Environment (DOE) 

Resolution authorizing the Department of the 
Environment to accept and expend a grant in the amount 
of up to $300,000 from the California Integrated Waste 
Management Board for the purpose of increasing used 
motor oil recycling and household hazardous waste 
management. 

$253,269 

July 1, 2001 through June 30, 2004 (3 years, See 
Comment No. 1) 

California Integrated Waste Management Board 

None. The proposed resolution would waive inclusion of 
indirect costs because such costs are not allowed by the 
granting agency. 

The California Oil Recycling Enhancement Act provides 
funds to cities and counties for establishing and 
maintaining local used oil collection programs that 
encourage recycling or appropriate disposal of used oil. 
The subject grant would be used for motor oil and oil filter 
recycling programs, including used oil/filter collection and 
public education; to promote household hazardous waste 
management programs and services; and to prevent 
illegal dumping of used oil. 

The subject grant would consist of $85,000 to develop a 
new used oil collection facility in the Marina and to 
maintain 50 existing used oil collection centers; $3,000 to 
sponsor special one-day neighborhood events at three oil 
collection sites over the course of the year; $45,269 to 
publicize and educate residents, school children, and the 
general public through the San Francisco Unified School 
District, newspaper and radio ads, and other outreach 
activities; $60,000 to fund a contract to collect used oil for 
recycling at the homes of residences; and $60,000 to fund 
a contractual Grant Coordinator and staff time on Oil 
Program projects. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
23 



Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 

Budget: The proposed grant budget is as follows: 



Permanent Collection Facilitv 


$10,000 




Certified Collection Centers 




Marina Project 


75.000 






Subtotal 


$85,000 


Temporarv or Mobile Collection 


$1,000 




Hauling/Recycling 




Temporary Events 


1,000 




Filter Collection 


1,000 






Subtotal 


3,000 


Residential Collection Contract 




60,000 


Publicitv and Education 






Public Education 


$20,269 




School Education 


10,000 




Special Events 


5,000 




Newspaper 


10.000 






Subtotal 


45,269 


Personnel 






Grant Coordinator Contract 


40,000 




.12 FTE Hazardous Waste 


8,692 




Program Manager 






.25 FTE Hazardous Waste 


11,308 




Project Associate 








Subtotal 


60,000 



Total Budget $253,269 

Comments: 1. The grant period for the subject grant was intended to 

begin on July 1, 2001. Ms. Marjaneh Zarrehparvar of the 
Department of the Environment states that the grant is 
only now coming before the Board, almost four months 
after the grant period was intended to begin, because the 
award letter was not received from the State until August 
15, 2001. Ms. Zarrehparvar advises that the proposed 
resolution must be submitted to the California Integrated 
Waste Management Board by November 13, 2001 to 
actually secure the subject grant funds. Ms. Zarrehparvar 
further advises that, to date, no funds have been 
expended from the subject grant, and that the projected 
start date of the grant project has been delayed until 
early next year. 

2. The proposed grant budget allocates a total of $100,000 
for contractual services, including $40,000 for an oil 

BOARD OF SUPERVISORS 
BUDGET ANALYST 
24 



Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 

Grant Coordinator Contract and $60,000 for a Residential 
Collection contract. The Grant Information Form, which 
is included as an Attachment to this report, states that 
the contractual services will be put out to bid however, 
Ms. Zarrehparvar advises that the $40,000 contract to 
coordinate the overall oil collection and recycling grant 
program would be awarded on a sole-source basis. Ms. 
Zarrehparvar reports that Ecovision Solutions currently 
has an existing contract with DOE which extends through 
December of 2001 for oil collection and recycling program 
coordination from a previous Oil Program grant. Ms. 
Zarrehparvar reports that she is requesting a sole source 
waiver for Ecovision Solutions to continue to provide 
Grant Coordinator services based on Ecovision Solutions' 
unique expertise in coordinating the San Francisco Used 
Oil Recycling Program. Ms. Zarrehparvar reports that if a 
waiver is not granted, the contract would be put out to 
bid. 

Ms. Zarrehparvar reports that the $60,000 contract for 
residential collection of used oil would be awarded 
through a Request for Proposal (RFP) process in April of 
2002. 

3. Ms. Zarrehparvar advises that the proposed grant 
would reimburse the Department for staff time spent on 
the grant for a .12 FTE Hazardous Waste Program 
Manager at a cost of $8,692 for salary and fringe benefits 
and .25 FTE Hazardous Waste Project Associate at a cost 
of $11,308 for salary and fringe benefits. 

4. The Attachment, provided by the Department of the 
Environment, is the Grant Information Form which 
includes the Disability Access Checklist. As previously 
noted, although the Grant Information Form states that 
the two contracts will be put out to bid, the Department 
now advises that one of these contracts is being requested 
to be awarded on a sole source basis and the other 
contract would be awarded through a RFP process. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
25 



• • Attachment 

"Page 1 o£~2 

File Number: 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Used Oil Recycling Block Grant— Seventh Cycle, Fiscal Year 2001/2002- UBG7-01-5930 

2. Department: Department of Environment, Solid Waste Management Program 

3. Contact Person: Marjaneh Zarrehparvar Telephone: 415-554-1648 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $ 300,000 
/ 6a. Matching Funds Required: None 

b. Source(s) of matching funds (if applicable): Not Applicable. 

7a. Grant Source Agency: California Integrated Waste Management Board 
b. Grant Pass-Through Agency (if applicable): 

8. Proposed Grant Project Summary: To implement used motor oil and 

oil filter recycling programs, including used oil/filter collection and public education; 
to promote household hazardous waste management programs and services. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: July 1 , 2001 End-Date: June 30, 2004 

</10. Number of new positions created and funded: none 
11. If new positions are created, explain the disposition of employees once the grant ends? Not Applicable 

12a. Amount budgeted for contractual services: $100,000 

b. Will contractual services be put out to bid? YES. 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? YES. 

d. Is this likely to be a one-time or ongoing request for contracting out? One-time. 
A 3a. Does the budget include indirect costs? [ ] Yes [ X ] No 

bl . If yes, how much? $ Not Applicable. 

26 



Attachme nt 
Page 1 of '2 
b2. How was the amount calculated? Not Applicable. 

c. If no, why are indirect costs not included? 

[ X ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 



**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[ X ] Existing Site(s) [ ] Existing Structure(s) [ X ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: £Xvnte»c*t e,^ k«t\cs" i* tv£" ?ixf$u«. wiu, tf>tua>f pu.jjt.ic. SVnwc^ 



JL^S.^X— ■ 



Departmental or Mayor's Office of Disability Reviewer: 

Date Reviewed: )h/?/b) 

Department Approval: 

(Name) (Title) 

(Signature) 



27 



Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 

Item 4 -File 01-1829 



Department: 
Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 

Indirect Costs: 
Description: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health to accept and expend retroactively a grant 
in the amount of $1,105,000 from the Substance Abuse 
and Mental Health Services Administration (SAMHSA) 
and the Center for Substance Abuse Treatment (CSAT), 
for the period of August 1, 2001 to July 31, 2002. 

$1,105,000 

August 1, 2001 to July 31, 2002 (One year, See Comment 
No. 1) 

U.S. Substance Abuse and Mental Health Services 
Administration (SAMSHA) and Center for Substance 
Abuse Treatment (CSAT) 

$32,008 (9.18% of Salaries) 

The Department of Public Health (DPH) has been 
awarded a $1,105,000 grant from the Federal Substance 
Abuse and Mental Health Services Administration 
(SAMSHA) and Center for Substance Abuse (CSAT) to 
expand and evaluate substance abuse treatment services 
in San Francisco in three ways: 1) $793,819 to initiate a 
program for the Office-Based Opiate Addiction Treatment 
(OBOAT); 2) $161,181 to expand the use of 
pharmacological therapies for clients in existing 
substance abuse treatment programs; and 3) $150,000 to 
provide for continuing evaluation of the impact of 
Treatment on Demand (TOD) services. 

According to Ms. Kirsten Melbye of Community 
Substance Abuse Services (CSAS), the substance abuse 
treatment services under the proposed grant would 
provide alternatives to traditional treatments. The 
proposed OBOAT program is an alternative to the use of 
the traditional methadone treatment centers by allowing 
clients to be treated through doctors and to receive 
medications through pharmacies rather than receiving 
treatment and medication at one of the City's methadone 



BOARD OF SUPERVISORS 
BUDGET ANALYST 
28 



Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 

treatment centers under the traditional methadone 
program. The proposed pharmacological therapy program 
would add the option for a prescription medication 
component to the traditional substance abuse treatment 
program. The Treatment on Demand program was 
initiated by the City and County of San Francisco in 1996 
and strives to provide accessible substance abuse services 
to anyone who requests services, which would continue to 
be evaluated with the proposed grant funds. 

Budget: The proposed grant budget is as follows: 



Salaries $348,671 




Fringe Benefits (25% of Salaries) 87.167 




Subtotal Salaries and Fringe Benefits 


$435,838 


Equipment 


20,000 


Supplies 


2,500 


Travel 


4,569 


Other 


146,144 


Contractual Services 


463.941 


Subtotal Direct Costs 


$1,072,992 


Indirect Costs (9.18% of Salaries) 


32.008 


Total Budget 


$1,105,000 



Attachment I, provided by Ms. Melbye, divides the 
proposed $1,105,000 budget into the three proposed 
program areas. 

Comments: 1. The proposed grant period is for the one-year period 

from August 1, 2001 through July 31, 2002. Therefore, the 
subject resolution authorizes the DPH to retroactively 
accept and expend these grant funds. According to Ms. 
Melbye, the proposed grant is only now coming before the 
Board of Supervisors, approximately three months after 
the grant period began because notification of the grant 
award was not received by DPH until August 13, 2001. 
Ms. Melbye advises that commencement of the grant has 
been delayed until approximately November 1, 2001 and 
that, to date, no funds have been expended under the 
proposed grant. 

2. The subject grant would create 5.88 FTE positions, 5.18 
FTE positions in the OBOAT Program and 0.7 FTE 
positions in the pharmacology therapy in substance abuse 

BOARD OF SUPERVISORS 
BUDGET ANALYST 
29 



Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 

program. In accordance with the proposed resolution, all 
positions would be designated as "G" or grant-funded 
positions and would terminate when the subject grant 
expires. 

3. The budget contains $146,144 in Other expenses. Ms. 
Melbye advises that these expenses include the prescribed 
medications, drug tests and office expenses. 

4. Under the proposed grant, $463,941 is budgeted for 
contractual services, divided among the OBOAT pilot 
program ($302,241), the pharmacology therapy in 
substance abuse programs ($11,700), and the Treatment 
on Demand evaluation ($150,000). According to Ms. 
Melbye, the OBOAT pilot program contract would provide 
physician services and methadone to clients in the 
program and would be awarded based on a Request for 
Proposal (RFP) process. 

Ms. Melbye reports that the contractual services for the 
pharmacology therapy program and the Treatment on 
Demand evaluation would be awarded on a sole source 
basis, both to the University of California - San 
Francisco. Ms. Melbye advises that the proposed 
pharmacology therapy contract would be awarded to the 
University of California (UC) because UC has extensive 
expertise in pharmacological therapy to provide 
consultation services to clients. In addition, Ms. Melbye 
advises that the Treatment on Demand evaluation 
contract would be awarded to UC on a sole source basis 
because this contract would be an extension of an existing 
contract where UC has tracked the program, studied how 
the services have been used by clients, and evaluated the 
program's successes and failures. 

5. Attachment II is the Grant Information Form, 
including the Disability Access Checklist. 



BOARD OF SUPERVISORS 

BUDGETANALYST 
3d 




Memo to Public Health and Environment Committee 

October 23, 2001 Public Health and Environment Committee Meeting 

Recommendation: Approve the proposed resolution. 

[arvey M. Rose 

cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
31 




Attachment I 
Page 1 of 1 

Alice Gleghora, PhD 



Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment 
OA 01-001 Special Program 
Grant Period: from August 1 , 2001 to July 31 , 2002 
Budget Period: from August 1 , 2001 to July 31 , 2002 
Treatment on Demand Service Expansion 
Budget Project Year 01 
SAN FRANCISCO OFFICE BASED OPIATE TREATMENT (OBOT) PILOT PROGRAM 

LINE ITEM BUDGET 



Budget Category 


OBOT Pilot 


Pharmacology 


TOD Evaluation 


Total 












Personnel 


325,993 


22,678 





348,671 


Fringe Benefits 


81,498 


5,669 





87,167 


Travel 


4,569 


O 





4,569 


Equipment 


20,000 








20,000 


Supplies 


2,500 


O 





2,500 


Contractual 


302,241 


1 1 ,700 


150,000 


463,941 


Construction 





O 








Other 


27,092 


119,052 





146,144 


Total Direct Charges 


763,893 


159,099 


150,000 


1,072,992 


Indirect Charges 


29,926 


2,082 





32,008 


TOTALS • 


! 793,819 


161,181 


150,000 


1,105,000 



32 



Attachment II 
Pap.e 1 of 2 

File Number: 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept'and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Treatment on Demand Service Expansion 

2. Department: Public Health, Community Substance Abuse Services 

3. Contact Person: Kirsten Melbye, MHS Telephone: (415) 255-3587 

4. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $1,105,000 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: CSAT/SAMHSA 

b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: This grant is from SAMHSA/CSAT to expand and evaluate substance 
abuse treatment services in San Francisco through three ways. The first is to initiate a pilot program for 
the Office-Based Opiate Addiction Treatment (OBOAT). Second, the money will be used to expand the 
use of pharmacological therapies for clients in substance abuse treatment programs. Third, this grant will 
provide for continuing evaluation of the impact of Treatment on Demand services. The grant period is 
from August 1 , 2001 , to July 31, 2002. The Principle Investigator is Alice Gleghorn, PhD, Director of 
Research Epidemiology and Grants at CSAS. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 08/01/01 End-Date: 07/31/02 

Number of new positions created and funded: For the OBOAT portion of the grant, there will be 5.1 8 
FTE positions divided among 15 employees for 1 year. The increasing pharmacology in drug treatment 
programs will require 0.7 FTE divided among 2 employees for 9 months. 

!f new positions are created, explain the disposition of employees once the grant ends? : The 
positions will terminate when the grant funding ends. 

12a. Amount budgeted for contractual services: $463,941 

b. Wil! contractual services be put out to bid? : The OBOAT pilot program will be placed out to bid. 
The pharmacology and Treatment on Demand evaluation are sole source contracts. 

33 



Attachment II 
Page 2 of 2 

c. If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : Yes. 

Is this likely to be a one-time or ongoing request for contracting out? : One-time. 

1 3a. Does the budget include indirect costs? [ X] Yes [ ] No 

b1. If yes, how much? $32,008 

b2. How was the amount calculated? The City and County of San Francisco, Department of Public 

Health, Community Substance Abuse Services has an indirect cost rate of 9.18% of salaries. 

$348,671 X 0.091 8 = $32,008 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: N/A 
**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[X]Existing Site(s) [X] Existing Structure(s) [X] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [X] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the 
proposal and concluded that the project as proposed will be in compliance with the Americans with 
Disabilities Act and all other Federal, State and local access laws and regulations and will allow the 
full inclusion of persons with disabilities, or will require unreasonable hardship exceptions, as 
described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer: isy^* ' **/ ' Deputy Director 

(Name) (Title) 

Norm Nickens 
Date Reviewed: ^A/A/ 



Department Approval: Barbara Garcia ; D eptjjy-Di rector of Population Health and Prevention 

(Title) 



Mitch Katz, M.D., Director of Health 





34 



390.00 




* 2- 



[All Committees] 

«., , ^ , o C ^ . Government Document Section 
City and County ofJSan Francisco M a j n Library 

^Meeting Minutes 
, Public Health and Environment Comim.,.,^ 

Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 



Tuesday, November 13, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



MEETING CONVENED. 






Thp JVeetino rnnypnpd at 10:01 a.m. Sunprvisnr Marwpil was nntp.d nrp.ipnt at JO-7S a.m. 

011493 [Federal grant for Clean Air Program] 
Supervisor Leno 

Resolution authorizing the Department of Environment and Department of Administrative Services to accept 

and expend a grant in the amount of $150,000 from the United States Department of Energy (DOE) for the 

purpose of providing rebates to subsidize the purchase of alternative fuel vehicles. (Administrative Services 

Department) 

8/15/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Rick Ruvolo, Department of the 

Environment. 

RECOMMENDED., by the following vote: 

Ayes: 2 - Yee, Leno 

Absent: 1 - Maxwell 



011880 [Contract funds for study of long-term effects of HIV infection] 
Supervisor Leno 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to enter retroactively into an 
agreement in the amount of $69,799 with Public Health Foundation Enterprises Inc. (PHFE), the primary 
contractor, to fund a study of HrV Strain Diversity and Nonprogressors; for the period of July 1, 2001 to June 
30, 2002. (Public Health Department) 
10/12/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Mario Moreno, Department of 
Public Health; Jonathan Fucus, MD, Department of Public Health. 

Amend Page 2, at line 1, add "Further Resolved, That these positions shall be designated as grant "G" funded 
positions and the authorization for these positions shall terminate when the grant terminates. " 

AMENDm DOCUMENTS DEPT. 

RECOMMENDED AS AMENDED by the following vote: 

Ay©s* 2 - Y©@ L©no 

Absent: 1 - Maxwell NOV 1 5 2001 



11 -15-01 A 



SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 2:46 PM on 11/13/01 



Public Health and Environment Committee 



Meeting Minutes 



November 13, 2001 



011882 [Study of Viagra Use Among Men Who Have Sex With Men in San Francisco] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to enter retroactively into a 
subcontract agreement in the amount of $25,000 with the Regents of the University of California to participate 
in a project to study the use of Viagra among men who have sex with men in San Francisco; for the period of 
July 1, 2001 to June 30, 2002. (Public Health Department) 
10/16/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Dr. Sandy Schwartz, 
Department of Public Health; John Kennedy, Deputy City Attorney, City Attorney's Office. 
RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



011936 [Grant - HIV/AIDS confidential counseling and testing] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 
retroactively a grant in the amount of $175,000 from the California Family Health Council, Inc. (CFHC), to 
enhance and expand HIV/ AIDS confidential counseling and testing services in family planning agency clinics 
and to enter into an agreement for the use of these funds; for the period of September 1, 2001, through August 
31, 2002. (Public Health Department) 
10/29/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee: Speakers: Maureen Singleton, Budget Analyst's Office; Mildred Crear, Department of 
Public Health. 

RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 



The meeting adjourned at 10:33 a.m. 



City and County of San Francisco 



Printed at 2:46 PM on 11/13/01 



CITY AND COUNTY 




[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



OF SAN FRANCISCO 

/ 



^BOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



November 8, 2001 
TO: public Health & Environment Committee 

FROM: /Budget Analyst 

V 

SUBJECT: November 13, 2001 Public Health & Environment Committee Meeting 
Item 1 - File 01-1493 



Departments: 



Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 
Required Match: 
Indirect Costs: 
Description: 

DOCUMENTS DEPT. 

NOV 1 3 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



Department of the Environment (DOE) 
Department of Administrative Services (DAS) 

Resolution authorizing the Department of the 
Environment and the Department of Administrative 
Services to accept and expend a grant in the amount of 
$150,000 from the Federal Department of Energy for the 
purpose of providing rebates to subsidize the purchase of 
alternative fuel vehicles. 

$150,000 

June 1, 2000 through May 31, 2003 (three years - see 
Comment No. 1) 

Federal Department of Energy 

None 

None 

The proposed resolution would authorize DOE and DAS to 
accept and expend a $150,000 grant from the Federal 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Department of Energy. This grant would provide rebates 
in the amount of $2,000 each to subsidize the purchase of 
75 alternative fuel vehicles. Rebates would be given to 
City departments, private taxi companies that operate 
their vehicles in the City or at the Airport, and private 
Airport shuttle bus companies. According to Mr. Rick 
Ruvolo of DOE, only one rebate would be given per 
alternative fuel vehicle purchased by a City department, 
taxi company or Airport shuttle bus company. However, 
Mr. Ruvolo notes that there is no maximum amount of 
rebates that one City department, taxi company or 
Airport shuttle bus company can receive in total. Mr. 
Ruvolo reports that DOE, in consultation with DAS, 
would decide how these 75 rebates get distributed. As of 
the writing of this report, no formal guidelines have been 
established for the allocation of these rebates. Mr. Ruvolo 
advises, as of the writing of this report, the specific 
recipients of these $2,000 rebates cannot be identified and 
potential other funding sources are not known. Further, 
Mr. Ruvolo advises that the DOE and DOA would not 
assign priority to City departments over taxi companies 
and Airport shuttle bus companies when DOE and DOA 
are determining how the subject rebates would be 
distributed. 

An alternative fuel vehicle is a vehicle that uses fuel other 
than gasoline, diesel or other substantially petroleum- 
based fuels, such as Compressed Natural Gas (CNG) and 
electric vehicles. Alternative fuels are less polluting than 
gasoline or diesel fuel. 

Under the Section 85.7 of the Administrative Code, City 
departments are required to purchase or lease only (1) 
passenger vehicles and light duty trucks that are rated as 
ultra-low and zero emission vehicles, (2) medium duty 
vehicles with engines that are rated as ultra-low or super 
ultra-low emission engines, and (3) heavy duty vehicles 
with engines that are certified under the optional 
standards for their exhaust emissions as established by 
the California Air Resources Board. In addition, in 
accordance with Section 85.7, at least 10 percent of the 
passenger vehicles and light duty trucks purchased or 
leased by the City must be zero emission vehicles. 



BOARD OF SUPERVISORS 
BUDGET ANi 
2 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

The above-noted emission requirements do not apply to 
(a) any motor vehicles that are used for public safety 
purposes such as Police Department vehicles, Fire 
Department vehicles, ambulances and other emergency 
vehicles or (b) to the acquisition of buses by the Public 
Transportation Department for the Municipal Railway. 
In addition, the Director of DAS is authorized to grant an 
exemption from these emission requirements to City 
departments if certain criteria are met, such as if the 
department demonstrates the following: (a) no model of 
motor vehicle or motorized equipment is available that 
complies with the requirements of Section 85.7 of the 
Administrative Code and meets the specifications of the 
department for its intended use, (b) the cost of the vehicle 
or motorized equipment that complies with the 
requirements of Section 85.7 of the Administrative Code 
is more than one and a half times the cost of an 
equivalent low emission vehicle or motorized equipment 
powered by gasoline or diesel fuel, or (c) use of the vehicle 
or motorized equipment that complies with the 
requirements of Section 85.7 of the Administrative Code 
would significantly disrupt departmental operations due 
to the lack of adequate fueling and/or maintenance 
facilities for those motor vehicles or motorized equipment. 

Budget: The subject $150,000 in grant funds would provide 75 

rebates in the amount of $2,000 each to City departments, 
taxi companies that operate their vehicles in the City or 
at the Airport, and Airport shuttle bus companies to 
subsidize the purchase of 75 alternative fuel vehicles. 

Comments: 1. As previously noted, the subject grant period is from 

June 1, 2000 through May 31, 2003. According to Mr. 
Ruvolo, the resolution to accept and expend these grant 
funds was delayed for over a year because of 
administrative delays at the U.S. Department of Energy. 
Although the subject grant period began on June 1, 2000, 
Mr. Ruvolo reports that no grant funds have been 
accepted or expended to date. 



2. According to Mr. Ruvolo, DOE expects to receive the 
first installment of $74,000 of the $150,000 grant from the 
Federal Department of Energy upon approval of this 
proposed resolution by the Board of Supervisors. The 



BOARD OF SUPERVISOR! 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Department anticipates that it will receive the remaining 
$76,000 prior to May 31, 2003, the end of the subject 
grant period. Mr. Ruvolo notes that DOE will not commit 
to providing any subsidies for alternative fuel vehicles 
until DOE receives the subject funds. 

3. Section 85.7(g) of the Administrative Code states that 
regional, State, or Federal grants can only be used as 
follows: (a) to fund the entire purchase or lease price of an 
alternative fuel vehicle or motorized alternative fuel 
equipment that is used in a pilot program or 
demonstration project, or (b) to fund the difference in the 
purchase or lease price between an alternative fuel 
vehicle or motorized alternative fuel equipment and the 
gasoline or diesel-fueled motor vehicle or motorized 
equipment that would otherwise be purchased or leased. 
According to Ms. Judy Wong of the Office of Contract 
Administration, Purchasing Division, although there is a 
wide range of prices for alternative fuel vehicles and 
gasoline or diesel-fueled vehicles depending on the type of 
vehicle, alternative fuel vehicles typically cost 
approximately $3,000 more than comparable gasoline or 
diesel-fueled vehicles that would otherwise be purchased 
or leased. Mr. Ruvolo reports that, in most cases, the 75 
rebates in the amount of $2,000 each, for a total of 
$150,000 which would be funded by the subject grant, 
would cover approximately 66.7 percent of the 
incremental cost between an alternative fuel vehicle and a 
comparable gasoline or diesel-fueled vehicle. As a result, 
the remaining approximately 33.3 percent of the 
incremental cost of an alternative fuel vehicle would be 
(a) funded either by other existing or future grants 
awarded to the City, (b) funds appropriated in City 
departmental annual budgets, or (c) funds provided by the 
private taxi or Airport shuttle bus companies. 

4. The Attachment to this report is a copy of the 
Department's Grant Application Information Form for the 
proposed grant funds, which includes the Disability 
Access Checklist. 



BOARD OF SUPERVISORS 
BUDGET^ANALYST 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors because the proposed $2,000 
rebate per vehicle would only cover approximately 66.7 
percent of the incremental cost of the alternative fuel 
vehicles, as noted in Comment No. 3. 



BOARD OF SUPERVISOR; 

BUDGET ANALYST 
5 



Attachment 
Pap-e 1 of 4 
File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 

Attn. Clerk of the Board ' 

The following describes the grant referred to in the accompanying resolution: 
1 . Department: Environment 



2. Contact Person: **<* Ruvolo . t>Wi™- 55 ^^ 



Telephone: 



3. Project Title - Clean Air Vehicle REbate Program 



4. Grant Source Agency: J3 ' S ' Department of Energy 

5. Type „i funds: _x Federal _ Federal-State (Pass-Through) _ State _ Local _ Private 

6. Proposed (New / Continuation) Grant Project Summary': 

This grant provides $2000 rebates to subsidize the purchase of alternative 
fuel vehicles. 



7. Amount of Grant Funding Applied for: $150,000 



8. Maximum Funding Amount Available: $ 150 >000 



9. Required Matching Funds? Yes: No: x / Cash or In-kind? 



If yes. list doliar amount and ideniifv source of Matchinu J-unds in Deoanment Budget: 



0. Number of new positions created and funded: 



1 I. If new positions are created, explain the disposition of employees once the grant ends? 
M//t- ; __ 



Attachment 
Page 2 of 4 



12. Are indirect costs el 



'gible costs for this grant? Yes: 



No: 



- If yes, please identify the amount of S in indirect costs? 

13. Amount to be Spent on contractual services: 

14. a.) Will contractual services be put out to bid? 

b). If so, will contract se 



requirements? 



rvices help to farther the goals of the department's MBEAVBE 



15. h this likely to be 



a one-time or ongoing request for contracting out? 



16. Term of Grant: Start-Date: 6/2 °°° 



End-Date: 



5/31/2003 



1 7. Date Department Notified of Available Funds: „ ?n r.n 

18. Grant Application Due Date: March 15. 200 



Funds may only be used for $2000 rebates for the purchase of alternative fuel 
vehicles. 



20. Department Head Approval: 



David Assmann 



Deputy Director 




; ^uiniLiuro ) 



Attacnment 
Page 3 of 4 



Disability Access Checklist For Grant Applicants 



Department of Environment 



Name of Department or Agency 
Clean Ait p r0GTrn 



Name of Program or Service 



Cxty HaJI , Room 362 

Address 



Rick Ruvolo 



554-6184 



Contact Person (Designated 504 Coordinator) 
U.S. Department of Energy- 



Phone 



Funding Agency 

This grant is intended for activities at: 

[] New Site 

[ ] Existing Site 

[ ] Rehabilitation of Existing Site 

[ ] Multiple Sites (please list) 



This grant will fund a: 
p*} New Program or Service 
[ ] Existing Program or Service 
[ ] Multiple Programs or Services 



-l^t- ^/ y -g-o /<-/-»- ->" . 



Phvsical: 



1 . The program or service is wheelchair accessible for: 

paths of travel 

restrooms ■ 

areas where services are provided 

2. Signage for sight-impaired: 

in elevators 

marking paths of travel 

3. I ransponation is accessible if transportation is provided: 

Programmatic: 



Yes[]No[] 
Yes [ ] No [ ] 

Yes[]No[] 

Yes [ ] No [ ] 
Yes[]No[] 
Yes [ ] No [ ] 



S 



fj(i 



4. Eligibility criteria for the service or program do not exclude people with disabilities Yes [ ] Nc ^ 

5. Complete data is maintained concerning number of disabled persons who 

participate in the program and the extent and type of their disabilities Yes [ ] No fcQ 

6. Program materials are offered, or can be made available, in alternative forms 

(e.g. Braille, large print, cassette) Yes [ ] No [ ] jJ{ 



8 



|)K.?h;|ii\ Acctf.«l"iKvklj-:i 2 v.s I 



Attachment 
Page 4 of 4 



March 14, 2000 

Solicitation Number: DE-PS36-O0G010498 

San Francisco Clean Cities Coalition 

Rick Ruvolo 

Clean Air Program Coordinator 

Department of Administrative Services 

City and County of San Francisco 

1 Dr. Carlton B. Goodlett Place, room 362 

San Francisco, CA 94102 

Phone (415) 554-6184 Fax (415) 554-6168 
rick_ruvolo@ci.sf.ca ns 



Application for Clean Cities Dedicated Alternative Fuel Vehicle Rebate Program 



Name of Primary Grant Applicant: 
Name of Grantee Organization: 
Type of Grantee Organization: 
Name of Authorized Representative: 
Title of Authorized Representative: 
Address of Authorized Representative: 



Phone Number and Fax Number: 
Email of Authorized Representative: 



Rick Ruvolo 

City and County of San Francisco 

Local Government 

William Lee 

City Administrator 

City and County of San Francisco 

1 Dr. Carlton B. Goodlett Place, room 362 

San Francisco, CA 94102 

(415) 554-4852 phone (415) 554-4849 fax 

bill 1ee@ci.sf.ca.us 



Signature of Authorized Representative: 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Item 2 -File 01-1880 



Department: 
Item: 



Subcontract Amount 
Payable to DPH from 
Public Health 
Foundation 
Enterprises, Inc: 

Subcontract Period: 



Source of Funds: 



Indirect Costs: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health to enter retroactively into an agreement in 
the amount of $69,799 with Public Health Foundation 
Enterprises Inc., the primary contractor, to fund a study 
of HIV Strain Diversity and Nonprogressors; for the 
period of July 1, 2001 to June 30, 2002 



$69,799 

July 1, 2001 through June 
Comment No. 1) 



30, 2002 (One year, See 



Public Health Foundation Enterprises Inc. (PHFE) 

$5,131 (16% of Total Modified Direct Costs of $32,070, See 
Comment No. 2) 

The Public Health Foundation Enterprises Inc. (PHFE), a 
non-profit health organization, has received $230,632 
from the National Institutes of Allergy and Infectious 
Disease, a branch of the U.S. National Institutes of 
Health, since July of 1997 for projects focusing on 
HIV/AIDS disease progression. PHFE has awarded the 
Department of Pub he Health a subcontract in the amount 
of $69,799 to participate in a study with the PHFE by 
providing and maintaining a unique research group of gay 
and bisexual "nonprogressors," or long term HIV positive 
persons who have not developed AIDS, which is a group 
that was first developed by the Department. PHFE 
previously awarded the Department a $30,632 
subcontract from July 1, 1999 through June 30, 2001 to 
participate in this study. 

The proposed subcontract would specifically fund a study 
to address the long-term effects of HIV infection and 
disease progression. The data generated about these men 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
10 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

would help to confirm that treating patients early in HIV 
infection may result in a larger proportion of patients who 
are nonprogressors. 

Budget: The proposed budget is as follows: 

DPH Personnel Costs 

.05 FTE Sr. Physician Specialist $6,474 

.05 FTE Health Program Coordinator 3,379 

. 10 FTE Disease Control Investigator 4,860 

.10 FTE Sr. IS Operator 4,641 

COLA (3%) 382 

Subtotal Salaries $19,736 

Fringe Benefits (25% of Salaries) 4,839 

Subtotal Personnel (.30 FTEs) $24,575 



Travel 






2,945 


Materials and Supplies 






- 950 


Other 






3,600 


Subtotal, Modified Direct Costs 






Contractual Services 








Biostatistician 




12,918 




Clinical Lab Services 




10,240 




Blood Storage 




9,440 




Total Contractual Services 







$32,070 



32.598 

Total Direct Cost $64,668 

Indirect Cost (16% of Total Modified Direct Cost) 5,131 

Total Budget $69,799 



Comments: 1. The subject subcontract period began on July .1, 2001 

and the proposed resolution, therefore, provides for 
retroactive approval of the proposed subcontract. Mr. 
Mario Moreno of the Department of Public Health advises 
that the subcontract is only now coming before the Board, 
over four months after the subcontract began, because 
DPH staff were not available to administer these grant 
documents due to the departure of the Budget Analyst in 
the AIDS Research Finance Office and the Contracts 
Manager in the AIDS Research Office. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 
11 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Mr. Moreno advises that since the previous grant period 
ended on June 30, 2001, the Department has suspended 
work on the project and personnel are working on other 
projects until approval of the proposed subcontract from 
the Board of Supervisors. To date, no funds have been 
expended from the proposed subcontract. 

2. As shown in the above Budget, the proposed 
subcontract provides for indirect costs at the rate of 16% 
of the total modified direct costs of $32,070. The Grant 
Information Form incorrectly states that the $5,131 of 
indirect costs is based on the total modified direct costs of 
$32,598. The actual total modified direct costs are 
$32,070, of which 16 percent is $5,131. 

3. As shown in the above Budget, the subject subcontract 
would fund .30 FTE of existing positions at a cost of 
$24,575 including salary and fringe benefits. Mr. Moreno 
advises that the .30 FTE positions would be designated 
"G," or grant-funded positions, which would terminate 
when the grant funds expire. However, the proposed 
resolution does not specifically state that the positions 
would be designated "G." Therefore, the proposed 
resolution should be amended to reflect the "G" 
designation, for these grant-funded positions. 

4. Mr. Moreno advises that $32,598 is budgeted for 
Contractual Services, consisting of three contracts, each 
to be awarded on a sole source basis to the University of 
California - San Francisco (UC). According to Mr. 
Moreno, a $12,918 contract would be awarded to UC on a 
sole source basis to provide the biostatistical services of 
Dr. Eric Vittinghoff because of his familiarity with the 
study and his prior experience working with the 
Department. 

In addition, Mr. Moreno reports that a $10,240 contract 
would be awarded to UC on a sole source basis to 
administer clinical laboratory services for the study 
because of its previous work with the Department. 

Finally, Mr. Moreno reports that a $9,440 contract would 
be awarded to UC on a sole source basis for its expertise 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
12 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

in storing blood samples and its previous work with the 
Department. 

5. The budget contains $3,600 in Other expenses. Mr. 
Moreno advises this would include $1,600 of postage, slide 
presentation, and delivery and courier services, and 
$2,000 in client stipends for 40 participants in the study, 
or $25 per participant for each of two visits. 

6. The Attachment is the Grant Information Form, which 
includes the Disability Access Checklist. As noted above, 
the Grant Information Form incorrectly states the total of 
the modified direct costs is $32,598 rather than the 
correct amount of $32,070. 

Recommendations: 1. In accordance with Comment No. 3, amend the 

proposed resolution to urge the Controller to designate 
the positions funded by the grant as "G," or grant-funded 
positions, which would terminate when the subject grant 
expires. 

2. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISOR? 

BUDGET ANALYST 
13 



Attachment. 
File Number: Page 1 of 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: HIV Strain Diversity and Nonprogressors 

2. Department: Population Health and Prevention 
AIDS Office 

HIV Research Section 

3. Contact Person: Susan Buchbinder, M.D. Telephone: 554-9030 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for $69,799 \ 

6a. Matching Funds Required: None 
b. Source(s) of matching funds (if applicable): N/A . 

7a. Grant Source Agency: National Institutes of Allergy and Infectious Disease 
b. Grant Pass-Through Agency (if applicable): Public Health Foundation Enterprises, Inc. 

8. Proposed Grant Project Summary: This study follows the City Clinic Cohort and is known throughout the 
world as the first study describing and understanding risk factors in HIV infection and disease progression 
among gay/bisexual men. The study will specifically address the long-term effects of HIV infection, including 
term non-progressors (healthy long-term positives) and is a collaboration of American and European 
researchers trying to understand what factors keep people healthy for long periods of time. The data 
generated about long-term nonprogressors is helping to confirm that treating patients early in HIV infection 
may help turn a larger proportion of people into long-term nonprogressors; 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: .7/1/01 End-Date: 6/30/02- 

10. Number of new positions created and funded: None 

11. If new positions are created, explain the disposition of employees once the grant ends? N/A 

12a. Amount budgeted for contractual services:$32,598 

b. Will contractual services be put out to bid?: No. Sole Source. 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements?: N/A 

14 1 



d. Is this likely to be a one-time or ongoing request for contracting out?: One Time 



Attachment 
Pa.ee 2 of 2 



1 3a. Does the budget include indirect costs? [ X] Yes [ ] No 

b1. If yes, how much?: $5,131 

b2. How was the amount calculated?: 16% of Total Modified Direct Costs of $32,598 

c. If no, why are indirect costs not included?: N/A 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 

**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[x] Existing Site(s) [x] Existing Structure(s) [ ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [x] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer: Norm Nickens Deputy Director 

(Name) (Title) 



-rCLm Asf- 



(Signature) 
Date Reviewed: / ° • /& • » ' 



Department Approval: Mitchell H. Katz. M.D. Director of Health 

(Name) 




(Signature) 



15 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Item 3 -File 01-1882 



Department: 
Item: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to enter retroactively into a subcontract agreement in the 
amount of. $25,000 with the Regents of the University of 
California to participate in a project to study the use of 
Viagra among men who have sex with men in San 
Francisco; for the period of July 1, 2001 to June 30, 2002. 



Subcontract Amount 
Payable to DPH from 
the University of 
California, AIDS 
Research Center: 



$25,000 



Subcontract Period: July 1, 2001 through June 30, 2002 (One year, See 

Comment No. 1) 



Source of Funds: 
Required Match: 
Indirect Costs: 

Description: 



University of California, AIDS Research Center 

None (See Comment No. 3). 

The terms of the subcontract prohibit the inclusion of 
indirect costs. 

The University of California AIDS Research Center 
awarded a $25,000 subcontract to the Department of 
Public Health (DPH) on July 20, 2001 to study the use of 
Viagra among men who have sex with men in San 
Francisco. The objectives of this study include 
characterizing Viagra use among HlV-negative and HIV- 
positive men who have sex with men and the situations in 
which Viagra is used. The study would also assess the 
potential contribution of Viagra use to the risk of HIV 
transmission, gauge the extent to which Viagra is used in 
combination with prescription medications and illicit 
recreational drugs, and provide preliminary data for 
developing innovative HIV prevention interventions and 
targeted educational messages. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Budget: The proposed project budget of $41,079, which includes 

the proposed grant funds of $25,000 and in-kind 
contributions of $16,079 from DPH is as follows: 

Grant Funds 



Personnel 




.15 Project Director $9,513 




.lODataEntrv 4.087 




Salary Subtotal $13,600 




Fringe Benefits (25% of Salaries) 3.400 




Personnel Subtotal 


$17,000 


Contractual Services 


8,000 


Total Grant Funds 




In-Kind Contributions 





$25,000 



.05 Principal Investigator (2232 Sr. Physician Specialist) $6,327 

.05 Principal Investigator (2232 Sr. Physician Specialist) 6,327 

Fringe Benefits (25% of Salaries) 3,164 

Data Entry Position Salary and Fringe Benefit Gap 261 

Total In-Kind Contributions 16.079 

Total Project Costs $41,079 

Comments: 1. The subcontract period began on July 1, 2001 and the 

proposed resolution provides for retroactive approval of 
this subcontract. According to Mr. Giuliano Nieri of DPH, 
the proposed subcontract is coming before the Board only 
now, over four months after the subcontract period began, 
because of administrative delays at the University of 
California - San Francisco (UC). Mr. Nieri advises that, 
to date, no work has been done and no funds have been 
expended under the subcontract. Nevertheless, Mr. Nieri 
advises that the work on the proposed subcontract would 
still be able to be completed by June 30, 2002. 

2. Mr. Nieri also advises that the proposed budget 
includes $8,000 in contractual services to be awarded to 
the STOP AIDS Project on a sole source basis because the 
STOP AIDS Project is the only organization in the Bay 
Area that has extensive contact with HIV-positive and 
HIV-negative men who have sex with men. The STOP 
AIDS Project would facilitate focus group meetings, 
administer questionnaires, and manage and analyze the 
resulting data. 



BUDGET ANALYST 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

3. Mr. Nieri advises that, although it is not required, in 
addition to the subject $25,000 subcontract, the 
Department will provide a total of $16,079 of in-kind 
contributions for a total project cost of $41,079. Mr. Nieri 
further advises that these in-kind contributions are 
needed for this study due to grant underfunding of the 
Data Entry grant position and because DPH currently has 
two Principal Investigator staff positions who have 
expertise and experience with similar research. As shown 
above in the Budget Section, the in-kind contributions 
include the salary and fringe benefits for two .05 Principal 
Investigators and the remaining salary and fringe 
benefits of $261 for the .10 Data Entry position. According 
to Ms. Diana Cheung, from the Department of Public 
Health, the two Principal Investigators and the one Data 
Entry position are currently included in the Department's 
FY 2001-2002 budget. 

Mr. Nieri explains that the $4,087 budgeted for the .10 
salary of the Data Entry position does not fully fund the 
position at 10 percent of the position's base salary of 
$42,961, or $4,296, and is therefore underbudgeted by 
$209. Additionally, only $1,022 in fringe benefits is 
allocated for the .10 Data Entry position in the proposed 
budget, rather than 25 percent of the base salary of 
$42,961, or $1,074 (10 percent), representing a budgeted 
shortfall of $52. Mr. Nieri, therefore, reports that in 
addition to in-kind contributions to pay for two 0.5 
Principal Investigator positions, the Department would 
make an in-kind contribution of $261 ($209 for salaries 
plus $52 for fringe benefits) for the Data Entry position, 
representing the difference between the budgeted salary 
and fringe benefits and the actual salary and fringe 
benefits for that .10 position. 

4. The Attachment is the Grant Information Form, which 
includes the Disability Access Checklist. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Attachment 

Page 1 of 2 
File Number: 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Viagra Use Among Men Who Have Sex With Men in San Francisco 

2. Department: Public Health;AIDS Office;Seroepidemiology and Surveillance 

3. Contact Person: Guiliano Nieri Telephone: 554-9048 

Diana Cheung 554-9122 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $25,000 

6a. Matching Funds Required: None 
b. Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: Regents of the University of California; AIDS Research Center 
b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: Project objectives include characterizing Viagra use among HIV- 
negative and HIV-positive men who have sex with men and situations in which Viagra is used; assessing the 
potential contribution of Viagra use to the risk of HIV transmission; gauging the extent to which Viagra is used 
in combination with prescription medications and illicit recreational drugs; and providing preliminary data for 
developing innovative HIV prevention interventions and targeted educational messages. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 7/1/01 End-Date: 6/30/02 

10. Number of new positions created and funded: None; existing positions. 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? N/A 

12a. Amount budgeted for contractual services: $8,000 

b. Will contractual services be put out to bid?: No 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements?: N/A 
d. Is this likely to be a one-time or ongoing request for contracting out?: N/A 

1 3a. Does ihe budget include indirect costs? [ ] Yes [ X] No 



19 



Attachment 
Page 1 of 2 



b1. If yes, how much?: N/A 
b2. How was the amount calculated?: N/A 
c. If no, why are indirect costs not included?: N/A 

[ X] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: No. 
**DisabiIity Access Checklist*** 



15. This Grant is intended for activities at (check all that apply): 



[X ] Existing Site(s) 
[ ] Rehabilitated Site(s) 
f ] New Site(s) 



[X ] Existing Structure(s) 
[ ] Rehabilitated Structure(s) 
[ ] New Structure(s) 



[ X] Existing Program(s) or Service(s) 
[ ] New Program(s) or Service(s) 



16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer: Norm Nickens 



Date Reviewed: 



(Name) 

T^v*, Ay? — 



(Signature) 



Deputy Director 
(Title) 



Department Approval: 



Mitchell Katz, M.D. 



(Name) 



Director of Health 



(Title) 




i 




(Signature) 



20 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Item 4 -File 01-1936 



Department: 
Item: 



Grant Amount: 
Grant Period: 

Matching Funds: 
Source of Funds: 
Indirect Costs: 
Description: 



Budget: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
(DPH) to accept and expend retroactively a grant in the 
amount of $175,000 from the California Family Health 
Council, Inc. (CFHC), to enhance and expand HIV/AIDS 
confidential counseling and testing services in family 
planning agency clinics and to enter into an agreement for 
the use of these funds; for the period of September 1, 2001 
through August 31, 2002. 

$175,000 

September 1, 2001 through August 31, 2002 (One year), 
anticipated to be renewed for two additional years, 
through August 31, 2004 (See Comment No. 1) 

None required. 

California Family Health Council, Inc (CFHC) 

$18,988 (16.1% of Salaries) 

The proposed resolution would authorize the acceptance 
and expenditure of $175,000 for the first year of a three- 
year grant that the non-profit California Family Health 
Council, Inc (CFHC) has awarded to the Department of 
Public Health (DPH). The subject grant funds would be 
used by DPH to enhance and expand confidential 
HIV/AIDS counseling and testing services in DPH family 
planning agency clinics, specifically targeted in areas that 
serve high-risk African Americans and Latinos. 

The proposed grant budget is as follows: 



Personnel 



.05 FTE 2593 Program Director 


$3,445 


.10 FTE 2591 Program Coordinator 


6,160 


1.0 FTE 2587 Health Worker 


46,641 


.85 FTE 2587 Health Worker 


39,645 


.50 FTE 9924 Public Service Aide 


13,207 


COLA (3%) 


3,273 


STEP (5%) 


5,455 


Subtotal Salaries 


$117,826 


BOARD OF SUPERVISORS 





BUDGET ANALYST 
21 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

Fringe Benefits (25% of Salaries) 29.456 

Subtotal Personnel for 2.5 FTEs $147,282 

Travel 1,760 

Supplies 3,000 

Contractual 1,500 

Other 2.470 

Subtotal Non-Personnel 8.730 

Total Direct Costs $156,012 

Indirect Costs (16.1% of Salaries) 18.988 

Total Grant Budget $175,000 

Comments: 1. The proposed grant period began on September 1, 2001, 

and the proposed resolution provides for retroactive 
acceptance and expenditure of this grant. According to 
Ms. Elizabeth Rojas-Colville of DPH, the proposed grant 
is coming before the Board only now, over two months 
after the grant period began, because the Department did 
not receive the award letter until October 3, 2001. Ms. 
Rojas-Colville advises that, to date, no work has been 
done and no funds have been expended from the proposed 
grant. 

According to Ms. Rojas-Colville, the Department expects 
that the proposed grant will be renewed annually, for two 
additional years, extending through August 31, 2004. Ms. 
Rojas-Colville also anticipates that the level of grant 
funding will remain at $175,000 per year. Therefore, Ms. 
Rojas-Colville advises that if the grant is renewed after 
the current grant year, the Department would budget the 
subject funds in the Department's FY 2002-2003 and FY 
2003-2004 budget. 

Attachment I, provided by Ms. Rojas-Colville, includes a 
budget summary for the subject grant for the first, second 
and third years of the grant. As shown in Attachment I, in 
the second and third years of the grant the salaries 
portion of the grant budget would be reduced, because Ms. 
Rojas-Colville advises that, the .05 FTE Program Director 
would not be funded under the subject grant. In addition, 
Ms. Rojas-Colville reports that in year three the .10 FTE 
Program Coordinator position would be reduced to a .05 
FTE position. 

2. The proposed grant funds 2.5 FTE positions. The 
proposed resolution states that these positions are coded 

BOARD OF SUPERVISORS 
BUDGET ANALYST 
22 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

"G," or grant-funded positions, which would be terminated 
when the subject grant funding expires. 

3. The proposed budget includes $1,500 for contractual 
services to perform a program evaluation. According to 
Ms. Rojas-Colville, this program evaluation contract 
would be awarded to Ms. Shivaun Nestor on a sole source 
basis due to Ms. Nestor's familiarity with family planning 
data collection and her extensive knowledge and expertise 
in reproductive health and HIV/AIDS prevention. 

4. The budget contains $1,760 in Travel expenses which 
will fund $1,260 for Fast Passes for two Health Workers 
and one Public Service Aide ($35/month x 12 months x 3 
personnel) to travel to meetings and training sites for one 
year and $500 for two Health Workers and one Public 
Service Aide to attend in-State training workshops to 
update their current skills. 

Ms. Rojas-Colville advises that $2,470 in Other Expenses 
includes $500 for training of personnel and $1,970 for food 
certificates from either McDonald's or Safeway as 
participation incentives for approximately 394 clients. 
According to Ms. Rojas-Colville, these food certificates 
would each be valued at $5 and would be given to clients 
who return to the clinic after being tested for HIV/AIDS to 
receive counseling and test results. 

5. Attachment II is the Grant Information Form, provided 
by Ms. Rojas-Colville, which includes the Disability 
Access Checklist. According to Ms. Lucille Burlew-Lawler 
of DPH, the Grant Information Form incorrectly states 
that the proposal has not been reviewed for ADA 
compliance. Ms. Burlew-Lawler advises that the proposal 
has been reviewed and is in compliance with ADA 
requirements. 

6. The Grant Information Form incorrectly states that 
matching funds are required. Ms. Rojas-Colville advises 
that the subject grant does not require matching funds, 
however, the subject grant does stipulate that the 
Department cannot supplant current funding for 
HIV/AIDS counseling and testing services with the 
subject grant funds. Therefore, Ms. Rojas-Colville reports 
that the Department will continue providing its current 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

November 13, 2001 Public Health and Environment Committee Meeting 

level of HIV/AIDS counseling and testing services, in 
addition to the services which would be provided under 
the subject grant. 

Recommendation: Approve the proposed resolution. 

^Z r 

arvey M. Rose 

cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 





BOARD OF SUPERVISORS 
BUDGET ANALYST 



Attachment I 
Pae-e -1 of l - 



Y:> 



San Francisco Department of Public Health 

Children, Youth & Families Section 

Integration of HIV/AIDS Prevention Activities in Title X Family Planning 

Provider in areas with Demonstrated High Risk for HIV/AIDS 

BUDGET SUMMARY 









rearl 




Year 2 




Year 3 


Total Costs 


Personnel 


$ 


117,826 


$ 


116,846 


$ 


116,000 


$ 


350,672 


Mandatory Fringe 


$ 


29,456 


$ 


29,212 


$ 


29,000 


5 


87,668 


Total Personnel: 


$ 


147,282 


$ 


146,058 


$ 


145,000 


$ 


438,340 




1 . Travel: Local 


S 


1,260 


$ 


840 


$ 


840 


$ 


2,940 


2. Travel: Out of Jurisdiction 


$ 


500 


$ 


500 


$ 


500 


$ 


1,500 


Total Travel Expenses: 


$ 


1,760 


$ 


1,340 


$ 


1,340 


$ 


4,400 




Equipment 


$ 


$ 


- 


$ 


$ 


- 




Office Supplies 


$ 


1,000 


$ 


1,000 I $ 


1,000 


$ 


3,000 


Educational Materials 


$ 


2,000 


$ 


3,500 


$ 


3,500 


$ 


9,000 


Total Material & Supplies: 


$ 


3,000 


$ 


4,500 


$ 


4,500 


$ 


12,000 


, 


Technical Assistance 


$ 


1,500 


$ 


1,300 $ 


2,800 


Total Contractual: 


$ 


1,500 




$ 


1,300 | $ 


2,800 




Othen 












1. Training 




$ 


500 


$ 


407 


$ 


300 


$ 


1,207 


2.Participation Incentives 


$ 


1,970 


$ 


4,000 


$ 


4,000 


$ 


9,970 


Total Other Expenses: 


$ 


2,470 


$ 


4,407 


$ 


4,300 


$ 


11,177 










$ 


- 


Total Direct Costs: 


$ 


156,012 


$ 


156,305 | $ 


156,440 | $ 


468,757 




Indirect CostsJI 6% ) 




18,988 


18,695 


18,560.00 


$ 


56,243 




TOTAL BUDGET: 


$ 


175,000 $ 


175,000 $ 


175,000 [ % 


525,000 






Attachment II 

_„ .. . Page 1 of Z~ 

File Number: 

(provided by the Board of Supervisors 

Grant information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a 
Department to accept and expend grant funds. 

1 . Grant Title: Integration of HIV/AIDS Prevention Services in Title X Family Planning 
Projects in areas with Demonstrated High Risk for HIV/AIDS 

2. Department: Department of Public Health, Community Health Services, Maternal 
and Child Health Section 

3. Contact Person: Elizabeth Rojas-Colville Telephone: 575-5685 

4. Grant Approval Status (check one): 

[X] Approved by funding agency ($175 ,000) [] Not yet approved ($350 ,000) 

5. Amount of Grant Funding Approved or Applied for $525,000 

6a. Matching Funds Required: yes, no amount indicated however, grant funding is 
contingent receipt of other funds (see below). 

b. Source(s) of matching funds: CDC Prevention Funds through SFDPH AIDS Office 
for clinic-based Counseling and Testing. The Family Planning program has received 
these funds for the last twelve years. The funding has been used to establish 
counseling and testing services in DPH clinics for women, their partners and others 
seeking family planning and related reproductive health services. A RFP for CDC 
prevention funds was issued in late May; the family planning program applied for 
funding $135,000 to continue these services. Award announcements for these funds 
are anticipated early September. 

7a. Grant Source Agency; Office of Population Affairs (OPA). 

b. Grant Pass-Through Agency: California Family Health Council, INC. (CFHC) 

8. Proposed Grant Project Summary: This project will expand Family Planning clinic- 
based HIV/AIDS counseling and testing services to at risk African American and 
Latino males and females and will enhance existing services in Family Planning 
clinics. 

9. Grant Project Schedule: 

Start-Date: 9/1/01 End-Date: 8/31/04 

10. Number of new positions created and funded: 2.35 FTE 

1 1. If new positions are created, explain the disposition of employee(s) once the grant 
ends: The disposition of the new positions wil! depend on the receipt of additional 
grant funding for similar projects. 

' 8/30/01 1 



Attachment II 



Paj?e Z oF~Z~ 



12a. Amount to be spent on contractual services: $2,800 



b.) Will contractual services be put out to bid?: no 

c.) If so, will contract services help to further the goals of the department's 

MBE/WBE requirements? : yes 

d) Is this likely to be one-time or ongoing request for contracting out? One-time 

1 3a. Does this budget include indirect costs? Yes 

b. If no, why are indirect costs not included? : 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds 

on direct services 
[ ] Other (please explain): 

14. Any other significant grant requirements or comments: None 

15. This Grant is intended for activities at (check all that apply): 

[ X] Existing Site(s) [ X] Existing Structure(s) [ X] Existing 

Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) 

or Service(s) 

[ X] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have not 
reviewed the proposal. 

Departmental or Mayor'sXffice of Disability 

Reviewer: Q^o^ /%> ^— Norm NickenSj Deputy Director 



(Name) 



Date Reviewed: / ° A l /-* ( 



Department Approval: 



Mitchell Katz, M.D, Director of Health 

(Name) " (Title) 



(Signature) > J 



■ 8/30/01 




[All Committees] 
^ , ^ ^ . Government Document Section 

City and County of San Francisco Main Library 

^Meeting Minutes 
^Public Health and Environment Commmw — ■— 

Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 



Tuesday, November 27, 2001 



10:00 AM 

Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



DOCUMENTS DEPT. 



MEETING CONVENED 



011842 






The meeting convenend at 10:03 a.m. 



NOV 3 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



[Grant for older adults at risk for institutionalization or emergency public services] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 
retroactively a grant in the amount of $985,000 from the California Department of Mental Health (CDMH) for 
the first year of the San Francisco City and County "Older Adult Partnership Assessment and Care 
Management" project to develop and implement an older adult system of care; for the period of Fiscal Year 
2001 through Fiscal Year 2002. (Public Health Department) 

1 1/9/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared at 
the November 27, 2001 meeting. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Thomas Mesa, Department of 
Public Health; Melissa Grille. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



012006 [Sanctuary for Medical Cannabis] 

Supervisors Leno, Maxwell, Gonzalez, Yee, Daly, Newsom, Ammiano, McGoldrick, Peskin 

Resolution declaring the City and County of San Francisco a sanctuary for medical cannabis use, cultivation, 
and distribution, and urging the District Attorney for the City and County of San Francisco, the San Francisco 
Police Department, the San Francisco Sheriffs Department, the Attorney General for the State of California, 
and the California Department of Consumer Affairs - Medical Board of California not to assist in the 
harassment, arrest or prosecution of physicians, medical cannabis dispensaries, individual patients, or their 
primary caregivers attempting to comply with section 1 1362.5 of the California Health and Safety Code. 
1 1/5/01 , RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Mark Leno; Terence Hallinan, District Attorney; Mellody Francis 
Gannon; Michael R. Aldrich, Ph.D. Executive Director, CHAMP; Tappie DuFresne, CHAMPS; Wayne 
Justmann, S.F. Patients Resource Center; Michelle Aldrich; Susanne Marks Ellis, Issues Committee, Human 
Rights Commission; Eric Levy, League of American Marijuana Patients and Supporters (LAMPS); Clark 
Sullivan, LAMPS; Frank Malinaro, CHAMPS; Lucifer/T.B Chesar R.N., League of American Marijuana 
Patients & Supporters; Rev. Sr. Rosemarie St. Martin de Pones Chapel; Ms. Genie Bowie, African American 
Mothers Alone; Elizabeth Frantes; Jonathan Beaver, LAMPS; Albert Laos; Cynthia Citizen, CHAMPS. 
11/27/01: Amendment of the whole bearing same title. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE. 



City and County of San Francisco 



Printed at 5:17 PM on 11/27/01 



Public Health and Environment Committee 



Meeting Minutes 



November 27, 2001 



RECOMMENDED AS AMENDED by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



01 1334 [DPH Medical Cannabis ID Card Program] 
Supervisor Leno 

Hearing to review the Department of Public Health's Medical Cannabis Identification Card Program. 

Heard in Committee. Speakers: Supervisor Mark Leno, Dr. Josh Bamberger, Department of Public Health; 
Michelle Aldrich; Susanne Marks Ellis, Issues Committee, Human Rights Commission; Ms. Genie Bowie, 
African American Mothers Alone; Terrie Frye, CHAMP; R. Stephen Ellis M.D., Put. Practice/SF; Lucifer/T.B. 
Chesar, LAMPS; Erik Levy, LAMPS; Tappie DuFresne, CHAMP; Mellody Francis Gannon; Clark Sullivan, 
LAMPS; Gary Famsworth, patient; Elizabeth Frantes. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



010505 [Heroin Overdose Deaths] 
Supervisor Newsom 

Hearing on the efforts to reduce the number of heroin overdose deaths; with particular emphasis on "911 

protocol"; rescue breathing, and Naloxene access. 

3/19/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Speakers: None. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 



The meeting adjourned at 11:43 a.m. 



City and County of San Francisco 



Printed at 5:17 PM on 11/27/01 



CITY AND COUNTY 




[Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 



OF SAN FRANCISCO r\r^^i i.,,-*,^- 

* DOCUMENTS DEPT 



BOARD OF SUPERVISORS 



BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



NOV 2 6 2001 

SAN FRANCISCO 
PUBLIC LIBRARY 



November 21, 2001 

TO: ^Public Health and Environment Committee 

FROM: ^Budget Analyst 

SUBJECT: November 27, 2001 Public Health and Environment Committee 
Meeting 

Item 1- File 01-1842 

Department: Public Health 

Item: Resolution authorizing the Department of Public Health 

to accept and expend retroactively a grant in the amount 
of $985,000 from the California Department of Mental 
Health for the first year of the San Francisco City And 
County "Older Adult Partnership Assessment and Care 
Management" project to develop and implement an older 
adult system of care. 

$985,000 

July 1, 2001 through June 30, 2002 (One Year, See 
Comment No. 1) 

California Department of Mental Health 

None required. 

$105,337 (12% of Direct Costs) 



Grant Amount: 
Grant Period: 

Source of Funds: 
Required Match: 
Indirect Costs: 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

November 27, 2001 Public Health and Environment Committee Meeting 

Description: The subject grant establishes a partnership between the 

Department of Public Health (DPH); the Department of 
Human Services (DHS); the non-profit Family Services 
Agency; the non-profit North of Market Senior Services; 
and the non-profit Goldman Institute on Aging. The 
subject grant will allow for the integration and 
coordination of physical and mental health resources for 
older adults who are at risk for institutionalization or 
emergency public services due to mental and/or physical 
illness. These physical and mental health resources will 
be provided at the Maulino Board and Care Facility, a 
licensed residential care facility that will offer 24-hour, 7 
days per week accessibility in a non-hospital setting. 

The partnership will allow staff to provide mental and 
physical health assessments, diagnosis, and respite for a 
short period of time, ranging from a few hours to a few 
days. This partnership will be used to study this older 
adult population and serve as a model for other cities and 
counties in California to provide integrated physical and 
mental health services for older adults. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
2 



Memo to Public Health and Environment Committee 

November 27, 2001 Public Health and Environment Committee Meeting 

Budget: The proposed budget is as follows: 



DPH Personnel 




1.0 FTE 2930 Social Worker 


$67,314 


Fringe Benefits (25% of Salaries) 


16,838 


Subtotal Personnel 




Fee-for-Service Examinations 




Relief Staff 




Office Space 




Office and Medicinal Supplies 




Food and Toiletries 




Laundry and Cleaning Supplies 




Repairs for Client-Caused Damages 




Start-Up Costs 




Reserve 




Work Order to DHS for Adult Protective Services 


1.0 FTE 2930 Social Worker 


$62,400 


Fringe Benefits (25% of Salaries) 


15,600 


Personnel Subtotal 


$78,000 


Operating Expenses 


1,500 


Work Order Subtotal 




Contractual Services 




Family Services Agency 


$29,454 


Goldman Institute of Aging 


44,688 


Maulino Board and Care Facility 


130,000 


North of Market Senior Services 


413.741 



$84,152 

15,000 

11,444 

1,740 

2,079 

22,000 

1,800 

4,500 

26,000 

13,565 

182,280 



79,500 



Contractual Subtotal 617,883 

Total Direct Costs $879,663 

Indirect Costs (12% of Direct Costs) 105,337 

Total Project Budget $985,000 

Comments: 1. The proposed resolution authorizes acceptance and 

expenditure of the first year of the three-year subject 
grant. As noted on the Grant Information Form, there 
would not be a separate contract with the State for the 
second and third years of the grant. Instead, the State 
would add the subject grant funding in the second and 
third years to the City and County's previous allotment 
from the State. Mr. Thomas Mesa of DPH advises that a 
resolution authorizing the Department to accept and 
expend the subject grant funds would not be subject to the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

November 27, 2001 Public Health and Environment Committee Meeting 

Board of Supervisors approval in future years. Instead, as 
noted on the attached Grant Information Form, the 
subject grant would be included in the DPH's budget in 
FY 2002-2003 in the amount of $975,000 and FY 2003- 
2004 in the amount of $953,500. Over three years, the 
total amount of grant funding is expected to total 
$2,913,500. 

Mr. Mesa further advises that although the subject grant 
period was to begin on July 1, 2001, the proposed 
resolution is coming before the Board of Supervisors only 
now, almost five months after the subject grant period 
was to begin, because the award letter was not received 
until August and then administrative delays lengthened 
the processing of the subject grant. Ms. Mesa reports that, 
to date, no funds have been expended from the subject 
grant. 

2. The subject grant creates 1.0 FTE 2930 Clinical Social 
Worker position at DPH. The Department budgeted the 
salary and benefits of this position by using the maximum 
salary available for the 2930 classification. The proposed 
resolution stipulates that this position would be coded 
"G," or grant-funded which would terminate when the 
subject grant expires. 

3. As noted above, the subject grant is a partnership 
between DPH, DHS, Family Services Agency, North of 
Market Senior Services and the Goldman Institute on 
Aging. Under the proposed grant, 1.0 FTE 2930 Social 
Worker would be employed by DHS's Adult Protective 
Services and would be funded through a $79,500 work 
order between DPH and DHS. This work order would 
include the Adult Protective Service's estimation of salary 
($62,400) and fringe benefits ($15,600) using the mid- 
range for the 2930 classification salary for the 1.0 FTE 
2930 Social Worker, as well as $1,500 for operating 
expenses, including local travel and office supplies. 

4. Mr. Mesa advises that the $617,883 budgeted for 
contractual services, includes four contracts, all of which 
were awarded on a sole source basis. The project is a 
partnership between the four non-profit agencies (Family 
Services Agency, the Goldman Institute of Aging, North of 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

November 27, 2001 Public Health and Environment Committee Meeting 

Market Senior Services and the Maulino Board and Care 
Facility) and DPH. According to Mr. Mesa, the non-profit 
Family Services Agency is already a vendor of DPH and 
the existing contract between Family Services Agency and 
DPH would be modified in the amount of $29,454 under 
the subject grant to provide outreach to encourage seniors 
to participate in the available physical and mental health 
systems of care. 

The Goldman Institute of Aging would be awarded a 
$44,688 contract to provide dementia assessment and 
case management. Mr. Mesa advises that the Goldman 
Institute of Aging contract includes salaries and benefits 
for a 0.50 FTE Social Worker, funding for operating 
expenses and indirect cost reimbursement for the 
Goldman Institute of Aging. 

According to Mr. Mesa, the Maulino Board and Care 
Facility was chosen by DPH to provide the residential 
care facility. Maulino Board and Care Facility has an 
existing Memorandum of Agreement with DPH to provide 
such services. Mr. Mesa advises that a new agreement 
would be negotiated in the amount of $130,000 to provide 
exclusive access to six beds in the Maulino Board and 
Care Facility, which is located in the southeast Mission 
area of San Francisco. 

According to Mr. Mesa, North of Market Senior Services, 
specializes in the primary care of seniors. Mr. Mesa 
advises that under the proposed grant, DPH would amend 
an existing contract with the North of Market Senior 
Services to provide $413,741 in project management 
services. This contract includes $311,912 in salaries and 
benefits for 1.4 FTE Nurses, 1.0 FTE Data Analyst, 1.0 
FTE Administrative Assistant and 1.4 FTE 
Housekeepers. The contract also includes $57,500 in 
operating expenses and $44,329 in indirect costs for North 
of Market Senior Services. 

5. Mr. Mesa reports that the above budget allocates 
$15,000 for fee-for-service examinations by primary care 
physicians, psychiatrists, or clinical psychologists in 
situations when the client's Medicare, Medi-Cal or private 
health insurance does not cover the requested services 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

5 



Memo to Public Health and Environment Committee 

November 27, 2001 Public Health and Environment Committee Meeting 

and, therefore, cannot be billed. Additionally, $11,444 is 
allocated for Maulino Board and Care Facility to replace 
staff for purposes of sick leave, holidays, or vacation 
leave. Mr. Mesa advises that these monies are needed 
when staff at Maulino Board and Care Facility request 
sick or vacation leave. Mr. Mesa further advises that this 
$11,444 is not included in the Maulino Board and Care 
facility contract because DPH would provide funding for 
replacement staff only as it is needed. 

Mr. Mesa further identifies $26,000 in start-up costs to 
purchase telephones, furniture, linens, computers, 
entertainment and kitchen equipment at the Maulino 
Board and Care Facility that is not part of the Maulino 
Board and Care Facility contract because DPH wanted to 
maintain more direct control of the items to be purchased; 
$4,500 in repairs for minor client-caused damages at the 
Maulino Board and Care Facility, including damage to 
carpets and chairs caused by clients; and $13,565 is for a 
contingency fund for unanticipated expenses. 

6. The Attachment is the Grant Information Form, 
provided by Mr. Mesa, which includes the Disability 
Access Checklist. 

Recommendation: Approve the proposed resolution. 




Harvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 



BOARD OF SUPBRVIS 

A 
6 






BUDGET ANALYST 






Attachment 

File Number: Pa ^ e 1 of 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Older Adult Partnership Assessment and Care Management Project 

2. Department: Public Health 

3. Contact Person: Thomas Mesa Telephone: 255-3749 

4. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $2,91 3,500 total for a three year period: $985,000 yr. I; 
$975,000 yr. 2; $953,500 yr. 3). The State allocation letter for Fiscal Year 2001-02 will be released prior to 
the end of the Fiscal Year. There will be no separate contract with the State for these funds; rather, the 
State will add the grant funding to the City and County's allotment from the State (per enclosed award 
letter). 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: California Department of Mental Health 

b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: This is an integrated partnership between The DPH (both Community 
Mental Health Services and North of Market Senior Services); Family Service Agency, Adult Protective 
Services; and Goldman Institute on Aging, to provide multiple clinical and professional assessments for 
those older adults at risk for institutionalization or emergency public services. By providing 24 hour, 7 day 
a week access for these older adults in a non-institutional setting, the project will demonstrate how those 
currently "falling through the cracks" can be identified, assessed and diagnosed, and hopefully placed in 
appropriate services to intervene in the cycle of repeated use of emergency services. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: FY 2001-02 End-Date: FY 2003-04 

10. Number of new positions created and funded: 1.0 FTE 2930 Clinical Social Worker 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? : Employee will be 
informed that employment is for the length of the grant period only. 



Autacnmeni: 
Paee 2 of 2 
12a. Amount budgeted for contractual services: Except for the salary and benefits for the civil service position 
itemized above, all other expenditures within the grant are contracted out. One of the proposed partners, 
Family Services Agency, already is a vendor with DPH and their contract will be modified in the amount of 
$29,454 in the first fiscal year to include a Peer Counselor Supervisor (0.5 FTE). Another proposed partner, 
North of Market Senior Services, already is a vendor with DPH and their contract will be modified in the 
amount of $413,741 in the first fiscal year to include nurse supervision and project management services. A 
new contract will be entered into with Goldman Institute of Aging in the amount of $44,688 in the first fiscal 
year to include dementia assessment and case management. The costs of the services provided at the 
residential care facility, $130,000, as well as various facility supplies will be covered under the standard and 
already existing CMHS MOA with Maulino Board and Care Services and be monitored through the existing 
fiscal intermediary DPH contract with Calvin Louie, CPA. Similarly, other supplies and professional fee for 
service payments will be made through the existing fiscal intermediary DPH contract with Calvin Louie, CPA. 
One social worker will be employed by Adult Protective Services and this will be funded through a MOU 
between DPH and DHS in the amount of $79,500 during the first fiscal year. 

b Will contractual services be put out to bid? : Contractual services will not be put out to bid, since this is a 
partnership with others who participated in the grant application, and partners will be hiring their own staffs. 

c. If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? : Services of partners will be 
contracted out on an ongoing basis over the life of the grant. 

1 3a. Does the budget include indirect costs? [ X] Yes [ ] No 

b1. If yes, how much? $311,621 over three years: ($105,337 yr. 1; $104,187 yr. 2; $102,097 yr. 3) 
b2. How was the amount calculated? : 12% of staff and other expenses. 

c. If no, why are indirect costs not included?: N/A 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: No 

**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[ X] Existing Site(s) [X ] Existing Structure(s) [X ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 
Comments: ,. ../^ 
Departmental or Mayor's Office of Disability Reviewer: ' / .^t^-^ -7 



Norm Nickens Deputy Director 

Date Reviewed: / (/£/ c ( 



Department Approval: 

Mitchell H. Katz, M.D. "director of Health 



;« 




[All Committees] 

Government Document Section 
City and County of Slan Francisco Main Library 

^Meeting Minutes 

^Public Health and Environment Committee 



941UZ-468V 



Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 



Tuesday, December 11, 2001 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Mark Leno. 
Members Absent: Leland Y. Yee. 



Meeting Convened. 



010491 



The meeting convened at 10:02 a.m. 



[Expanding the authority of the Department of Animal Care and Control to issue dog licenses and enter 
into agreements with pet-related businesses and animal welfare organizations to issue dog licenses.] 
Supervisors Leno, Maxwell 

Ordinance amending the San Francisco Health Code by amending sections 41, 41.2, 41.4, 41.5, 41.15, 41.19, 
41.20 and 41.22 to: (1) expand the authority of the Department of Animal Care and Control to issue dog 
licenses; (2) authorize the Director of Animal Care and Control to enter into agreements with persons and 
entities, including but not limited to, veterinarians, retailers of pet supplies and pet services and animal welfare 
organizations, to accept applications for, and issue dog licenses; and (3) make miscellaneous technical 
corrections and delete references to obsolete code sections and terms; and amending the San Francisco 
Business and Tax Regulations Code by amending section 221.3 to specify that dog license fees collected by the 
Department of Animal Care and Control be delivered to the San Francisco Animal Control and Welfare Fund. 

3/19/01, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 4/18/2001. 

Heard in Committee. Speakers: Supervisor Leno; Deborah Newman, Budget Analyst's Office; Carl 
Friedman, Director, Animal Care and Control; Sergeant Herndon, San Francisco Police Department. 
RECOMMENDED by the following vote: 

Ayes: 2 - Maxwell, Leno 

Absent: 1 - Yee 



011796 [Transportation of Aggregate Materials] 
Supervisors Maxwell, Leno 

Ordinance amending the San Francisco Administrative Code by adding a new Chapter 12T to require City 
Departments and contractors operating vehicles carrying dirt and other aggregate material to cover the load to 
prevent the entrainment of particulate material into the air during the transportation of such materials within 
San Francisco. 

10/9/01, RECEIVED AND ASSIGNED to Rules Committee. DOCUMENTS DEPT 

12/5/01, TRANSFERRED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Supervisor Maxwell. 

RECOMMENDED by the following vote: 

Ayes: 2 - Maxwell, Leno SAN FRANCISCO 

Absent: 1 - Yee 

PUBLIC LIBRARY 



DEC 1 3 2C:i 



City and County of San Francisco 



Printed at 11 :50 AM on 12/11/01 



Public Health and Environment Committee Meeting Minutes 



December 11, 2001 



ADJOURNMENT 



The meeting adjourned at 10:25 a.m. 



City and County of San Francisco 



Printed at 11:50 AM on 12/11/01 



[Budget Analyst Report] 
Susan Horn 

Main Library-Govt. Doc. Section 



f 

'3 
l//»/o/ 



CITY AND COUNTY 




OF 



SAN 



FRANCISCO 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



MENTS DEP] 



CEC I 2001 

FRANCISCO 
LIBRARY 



TO: 



December 6, 2001 
^Public Health & Environment Committee 



FROM: ^Budget Analyst 

SUBJECT: Pecember 11, 2001 Public Health & Environment Committee Meeting 



Item 1 - File 01-0491 



Departments: 



Item: 



Treasurer and Tax Collector's Office 
Department of Animal Care and Control 

Ordinance amending (a) Sections 41, 41.2, 41.4, 41.5, 
41.15, 41.19, 41.20 and 41.22 of the San Francisco 
Municipal Code (Health Code) to: (1) expand the 
authority of the Department of Animal Care and 
Control to issue dog licenses by authorizing the 
Director of Animal Care and Control to enter into 
agreements with persons and entities, including but 
not limited to veterinarians, retailers of pet supplies 
and pet services and animal welfare organizations, to 
accept applications and payment for, and issue dog 
licenses; and, (2) make miscellaneous technical 
corrections and delete references to obsolete Code 
sections and terms; and, (b) amending Section 221.3 of 
the San Francisco Business and Tax Regulations Code 
to specify that all dog license fees collected by the 
Department of Animal Care and Control be remitted 
to the San Francisco Animal Control and Welfare 
Fund. 



Memo to Public Health and Environment Committee 

December 11, 2001 Public Health and Environment Committee Meeting 



Description: 



The proposed ordinance amending the City's Health 
Code and Business and Tax Regulations Code would: 



Comments: 



• Authorize the Director of Animal Care and Control 
to enter into agreements with other entities, such 
as pet store retailers, animal grooming services, 
animal welfare organizations and veterinarians, to 
allow these entities (a) to accept applications and 
payment for dog licenses and (b) to issue dog 
licenses; 

• Specify that monies collected for dog licenses by 
other authorized dog-licensing entities be remitted 
to the Animal Care and Control Welfare Fund 1 ; and 

• Correct references to obsolete terms and Code 
citations. 

1. Currently, both the Tax Collector and the 
Department of Animal Care and Control can issue dog 
licenses. The Budget Analyst notes that both the 1995 
Management Audit and the 1998 Follow-up Audit of 
the Tax Collector's Office, conducted by the Budget 
Analyst's Office, recommended that the Department of 
Animal Care and Control be solely responsible for the 
administration of all dog registration and licensing 
functions, instead of the Tax Collector's Office, and 
that the appropriate resources be transferred from the 
Tax Collector's Office to the Department of Animal 
Care and Control to implement these changes. These 
recommendations were intended to create a 
consolidated and more effective Animal Licensing 
Program within one City Department. 

2. According to Mr. Carl Friedman of the Department 
of Animal Care and Control, the purpose of the 
proposed ordinance is to (a) provide the Department of 
Animal Care and Control with the flexibility to 
improve the City's dog licensing program, (b) enhance 
the outreach between the Department and animal 
retailers, veterinarians and other animal-related 
organizations, (c) make the procedures easier for 



1 In accordance with Section 10.100-23 of the Administrative Code, the Animal Care and 
Control Welfare Fund receives all fees and donations from the sale, redemption or surrender 
of impounded animals and collected by the Tax Collector for dog licenses, dog kennel licenses, 
cat registrations and related business licenses, with such monies used exclusively to defray 
the cost of operating the Animal Care and Control Department. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

December 11, 2001 Public Health and Environment Committee Meeting 

residents to obtain dog licenses, and (d) increase the 
percentage of dogs that are licensed in the City. 

If the proposed ordinance is approved, Mr. Friedman 
advises that the Department of Animal Care and 
Control would be authorized to conduct outreach 
efforts to establish agreements with other entities, 
such as pet store retailers, animal grooming services, 
veterinarians and animal welfare organizations, such 
as the Friends of Animal Care and Control, to allow 
such entities to accept applications and payment for 
dog licenses and to issue dog licenses on behalf of the 
City. Such agreements between the Department of 
Animal Care and Control would not be subject to 
separate Board of Supervisors approval. According to 
Mr. Friedman, the number of other entities to be 
authorized is not currently available. 

Mr. Friedman notes that the Department of Animal 
Care and Control would work with these other entities 
and the Tax Collector's Office, to provide the necessary 
dog licenses, forms and documents, as well as to collect 
all revenues received by the other authorized entities, 
which would be remitted to the Animal Care and 
Control Welfare Fund. Mr. Friedman advises that the 
material and supply costs associated with having other 
authorized entities issue dog licenses would be 
minimal. Furthermore, Mr. Friedman advises that the 
Department would be able to absorb such material and 
supply expenses within the Department's existing 
budget. 

3. Currently, an annual dog license fee is $16 for an 
unaltered dog, $8 for an altered dog and one-half price 
for senior citizens. Multi-year dog licenses are also 
available, at a $2 discount for a two-year license and a 
$4 discount for a three-year license for both unaltered 
and altered dogs. In FY 2000-2001, a total of $111,859 
was collected from dog license fee revenues. 

4. Mr. Friedman advises that as of November 1, 2001, 
10,188 dogs were licensed in the City. Mr. Friedman 
estimates that the dog population in the City is 
approximately 100,000, such that only approximately 
10 percent of the dogs in the City are currently 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

December 11, 2001 Public Health and Environment Committee Meeting 

licensed. According to Mr. Friedman, the proposed 
ordinance will permit other entities to issue dog 
licenses, which will increase the public's access to dog 
licenses and potentially increase the number of dog 
licenses issued. If the proposed ordinance is approved 
without additional staffing or significant outreach 
efforts, Mr. Friedman estimates that approximately 
500 additional dog licenses could be issued, resulting 
in additional annual revenues of approximately 
$5,500. 

5. However, as explained by Mr. Friedman, if the 
Department of Animal Care and Control were to fully 
implement the proposed legislation and provide 
enhanced outreach to various animal organizations 
and veterinarians, after approximately three years, 
when the program would be fully implemented, up to 
an estimated 3,000 additional dog licenses could be 
issued annually. However, in order to provide the 
additional outreach, Mr. Friedman reports that the 
Department would need to have one additional full- 
time position hired at an estimated annual salary and 
fringe benefit cost of approximately $60,000. Mr. 
Friedman advises that he is currently working with 
the Department of Human Resources to find an 
appropriate existing classification or to create a new 
permanent Civil Service classification for such an 
outreach position in the Department. The Budget 
Analyst notes that the subject ordinance does not 
authorize the hiring of a new position. Authorization 
for such a new position would require an appropriation 
ordinance and an amendment to the Annual Salary 
Ordinance. According to Mr. Friedman, if the proposed 
ordinance is approved, but, a new position is not 
authorized by the Board of Supervisors, the 
Department would still be able to conduct more 
limited outreach efforts to allow other entities to issue 
dog licenses. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

December 11, 2001 Public Health and Environment Committee Meeting 



Recommendation: Approval of the proposed ordinance is a policy matter 

for the Board of Supervisors. 



/^•/^ 



Harvey M. Rose 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



[All Committees] 

Government Document Section 

Main Library 



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TDD/TTY No. 544-5227 



# 



OTICE OF CANCELLED MEETING 



-*■ 



PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 



V 



SAN FRANCISCO BOARD OF SUPERVISORS 



NOTICE IS HEREBY GIVEN that the meeting of the Public Health and Environment 
Committee scheduled for Tuesday, December 25, 2001 at 10:00 a.m. at 1 Dr. Carlton B. 
Goodlett Place, Room 263, City Hall, San Francisco, California, has been cancelled. 



Gloria L. Young, Clerk of the Board 



DOCUMENTS DEPT. 

DEC I 3 200! 

SAN FRANCISCO 
PUBLIC LIBRARY 












Cancelled Meeting Notice/Ad 



2/1/01 




[All Committees] 

Government Document Section 



City and County of ^>an Francisco Main Library 
Meeting Minutes 
^Public Health and Environment Committee 

Members: Supervisors Sophie Maxwell, Leland Yee and Mark Leno 
Clerk: Deborah Muccino 



94102-4689 



S , I oi 



Tuesday, January 08, 2002 



10:00 AM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sophie Maxwell, Leland Y. Yee, Mark Leno. 



QOCUMCNTO DE PT. 



Meeting Convenend 



The meeting convenend at 10:03 a.m. 



JAN t 2002 

SAN FRANCISCO 
PUBLIC LIBRARY 



012218 [HIV care and related services for women and minorities] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) AIDS Office (AO) to accept 
and expend retroactively a one year grant in the amount of $1,105,000 from the DHHS Office of Minority 
Health (DHHS OMH) to improve AIDS related health outcomes for women and minorities and to enter into an 
agreement for the use of these funds; for the period of September 30, 2001 to September 29, 2002. (Public 
Health Department) 

12/1 1/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Michelle Long Dixon, 
Department of Public Health. 

Amend on page 2 line 1, add "Further Resolved, That the Controller is required to designate the . 70 FTE 
positions be "G" coded or grant-funded positions that would terminate when the subject grant expires. " 
AMENDED. 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



012224 [State Department of Rehabilitation Program Agreement] 

Resolution authorizing the San Francisco Department of Public Health to enter into a cooperative program 

agreement with the State Department of Rehabilitation, San Francisco District, including a required match of 

$289,163, to provide vocational services to mentally-ill psychiatric clients in San Francisco; for the period of 

July 1, 2001 to June 30, 2004. (Public Health Department) 

12/7/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Louise Rogers, Department of 

Public Health. 

Amend the title, Page 1 line 3, after authorizing, add "retroactively"; At page 2 line 4, after authorized, add 

"retroactively. " 

AMENDED. 



City and County of San Francisco 



Printed at 9:18 AM on 1/9/02 



Public Health and Environment Committee Meeting Minutes January 8, 2002 



Resolution authorizing retroactively the San Francisco Department of Public Health to enter into a cooperative 
program agreement with the State Department of Rehabilitation, San Francisco District, including a required 
match of $289,163, to provide vocational services to mentally-ill psychiatric clients in San Francisco; for the 
period of July 1, 2001 to June 30, 2004. (Public Health Department) 
RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



012225 [Grant - Seven Principles (REACH 2010) Project] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 
retroactively a grant in the amount of $900,000 for the first year of a three year grant from the Centers for 
Disease Control and Prevention (CDC) for the Seven Principles (REACH 2010) project and to enter into an 
agreement for the use of these funds; for the period of September 30, 2001 to September 29, 2002. (Public 
Health Department) 
12/7/01 , RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Virginia Smyly, Department of 
Public Health. 

RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



012226 [Supplemental Grant for projects funded under the CDC Seroepidemiology and Surveillance 
Cooperative Agreement] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 

retroactively supplemental grant funds in the amount of $361,547 for projects funded under the 

Seroepidemiology and Surveillance Cooperative Agreement with the Centers for Disease Control and 

Prevention (CDC) to analyze and disseminate results of ongoing HTV studies and support new research relating 

to AIDS/HIV in San Francisco; for the period of January 1, 2001 through December 31, 2001. (Public Health 

Department) 

12/7/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Sandra Schwartz, Department 
of Public Health. 

RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



012230 [Transfer of approval authority of the Substance Abuse & Crime Prevention Act county plan from the 
Board of Supervisors to the Department of Public Health] 

Resolution delegating approval authority of the Substance Abuse & Crime Prevention Act of 2000 county plan 
to the Department of Public Health, in accordance with §9515b(3), Title 9, California Code of Regulations. 
(Public Health Department) 
12/13/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; James Stillwell, Department of 
Public Health. 

RECOMMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



City and County of San Francisco 2 Printed at 9:19 AM on 1/9/02 



Public Health and Environment Committee 



Meeting Minutes 



January 8, 2002 



012259 [Improving the system of care for seriously mentally ill residents of San Francisco, including 
services for those with a dual disorder of mental illness and substance abuse] 
Supervisor McGoldrick 

Resolution authorizing the San Francisco Department of Public Health (SFDPH), Community Mental Health 

Services (CMHS), to accept and expend federal SAMHSA Mental Health Block Grant funds in the total 

amount of $3,198,952 from the State Department of Mental Health (SDMH) to improve the system of care for 

seriously emotionally disturbed children and severely mentally ill adults in San Francisco, including those with 

a diagnosis of a dual disorder of mental illness and substance abuse; for the period of July 1, 2001 to June 30, 

2002. (Public Health Department) 

12/18/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be scheduled for 
consideration at the January 8, 2002, meeting. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Louise Rogers, Department of 

Public Health. 

Amend the title on Page 1, line 5, after accept, add "retroactively"; at line 24, after accept add "retroactively. " 

AMENDED. 

Resolution authorizing the San Francisco Department of Public Health (SFDPH), Community Mental Health 
Services (CMHS), to accept retroactively and expend federal SAMHSA Mental Health Block Grant funds in 
the total amount of $3,198,952 from the State Department of Mental Health (SDMH) to improve the system of 
care for seriously emotionally disturbed children and severely mentally ill adults in San Francisco, including 
those with a diagnosis of a dual disorder of mental illness and substance abuse; for the period of July 1, 2001 to 
June 30, 2002. (Public Health Department) 
RECOMMENDED AS AMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



012260 [Determining effectiveness of condom skills building demonstrations in reducing HIV/STD infections in 
study participants] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 
retroactively a grant in the amount of $3 15,828 for the first year of a three year grant from the Centers for 
Disease Control and Prevention (CDC) for HIV prevention intervention research on the efficacy of condom 
skills building and to enter into an agreement for the use of these funds; for the period of September 30, 2001 to 
September 29, 2002. (Public Health Department) 

12/18/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be scheduled for 
consideration at the January 8, 2002, meeting. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Toni Butler, Department of 
Public Health; Gregory Greenwood, University of California, San Francisco Center for Aids Prevention 
Studies. 

RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



City and County of San Francisco 



Printed at 9:19 AM on 1/9/02 



Public Health and Environment Committee Meeting Minutes January 8, 2002 



012261 [Coordinating data collection, testing, counseling, referrals, and blood collection and transport at 
community sites for HIV and HCV prevention] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 
retroactively one-time funds in the amount of $65,000 from the Centers for Disease Control and Prevention 
(CDC) supplemental to the CDC Prevention Cooperative Agreement U62/CCU902017-16-2 to reduce HrV and 
HCV risk behaviors of injection drug users and others at risk for hepatitis C and to enter into an agreement for 
the use of these funds; for the period of January 1, 2001 to December 31, 2001. (Public Health Department) 
12/18/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be scheduled for 
consideration at the January 8, 2002, meeting. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Dr. Joshua Baumburger, 

Department of Public Health. 

Amend the title on page 1, line 9, change "December 31, 2001 to December 31, 2002. " 

AMENDED. 

Resolution authorizing the San Francisco Department of Public Health (SFDPH) to accept and expend 
retroactively one-time funds in the amount of $65,000 from the Centers for Disease Control and Prevention 
(CDC) supplemental to the CDC Prevention Cooperative Agreement U62/CCU902017-16-2 to reduce HJV and 
HCV risk behaviors of injection drug users and others at risk for hepatitis C and to enter into an agreement for 
the use of these funds; for the period of January 1, 2001 to December 31, 2002. (Public Health Department) 
RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



012262 [Coordinated and comprehensive services for youth engaged in or at high risk of committing juvenile 
crime] 

Resolution authorizing the San Francisco Department of Public Health (SFDPH), Community Mental Health 
Services (CMHS) to accept and expend retroactively funds in the amount of $353,022 for the first year of a 
three year grant from the California Department of Mental Health (CDMH) and the San Francisco Private 
Industry Council (SFPIC) to reduce youth violence and substance abuse in San Francisco; for the period of July 
1, 2001 to June 30, 2002. (Public Health Department) 

12/18/01, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be scheduled for 
consideration at the January 8, 2002, meeting. 

Heard in Committee. Speakers: Maureen Singleton, Budget Analyst's Office; Phillip Tse, Department of 
Public Health; Esperanza Echavari, Children's System of Care Coordinator, San Francisco County Children's 
Mental Health Services. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Maxwell, Yee, Leno 



ADJOURNMENT 

The meeting adjourned at 11:24 a.m. 



City and County of San Francisco 4 Printed at 9:19 AM on 1/9/02 



'6)s 




Budget Analyst Report] 

Susan Horn 

Main Library-Govt. Doc. Section 

CITY AND COUNTY ^^I.i;! OF SAN FRANCISCO UU ^ U,V ' t: N I b DEPT\ 

^^ JAN - 7 2C32 

^OARD OF SUPERVISORS SAN FRANCISCO 

BUDGET ANALYST PUBLIC LIBRARY 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 

January 3, 2002 
TO: public Health & Environment Committee 

FROM: budget Analyst 
SUBJECT: January 8, 2002 Public Health & Environment Committee Meeting 

Item 1- File 01-2218 

Department: Department of Public Health (DPH) 

Item: Resolution authorizing the Department of Public Health 

AIDS Office to accept and expend retroactively a one year 
grant in the amount of $1,105,000 from the U.S. 
Department of Health and Human Services, Office of 
Minority Health to improve AIDS related health outcomes 
for women and minorities and to enter into an agreement 
for the use of these funds; for the period of September 30, 
2001 to September 29, 2002. 

Amount: $1,105,000 

Grant Period: September 30, 2001 to September 29, 2002 (One year, See 

Comment No. 1) 

Source of Funds: U.S. Department of Health and Human Services (DHHS), 

Office of Minority Health (OMH) 

Required Match: None required. 

Indirect Costs: $11,974 (16% of Total Modified Direct Costs of $74,838) 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

Description: The U.S. Office of Minority Health (OMH) awarded the 

Department of Public Health (DPH) the subject 
$1,105,000 grant to improve survivor rates for women, 
transgender individuals, youth, African- American men 
and monolingual Latinos with HIV/AIDS by increasing 
access to health care and eliminating disparities in access 
to care. According to Ms. Michelle Long Dixon of DPH, the 
subject grant would provide HIV treatment and advocacy 
and health care, at five locations in San Francisco: (1) the 
Castro-Mission Health Center, (2) Dolores Street 
Community Services, (3) Mission Neighborhood Health 
Center, (4) San Francisco General Hospital Medical 
Center and (5) the University of California - San 
Francisco Positive Health Practice. 

Budget: The proposed budget is as follows: 

Personnel 

.30 FTE Director, HIV Health Services $26,826 

.40 FTE Health Program Coordinator III 27.426 

Subtotal, Salaries $54,252 

Fringe Benefits (25% of Salaries) 13,562 

3% COLA Increase 2,802 

5% STEP Increase 3,802 

Subtotal, Personnel $74,418 

Travel 420 

Subtotal, Total Modified Direct Costs $74,838 

Indirect Costs 11,974 

Contractual 

Castro-Mission Health Center $102,517 

Dolores Street Community Services 65,850 

Mission Neighborhood Health Center 70,440 

UCSF Positive Health Practice (Men) 158,556 

UCSF Positive Health Practice (Women) 46,000 

Subtotal, Contractual Services 443,363 

San Francisco General Hospital MOU 574.825 

Total Project Budget $1,105,000 

Comments: 1. The subject grant period began on September 30, 2001, 

and the proposed resolution provides for retroactive 
acceptance and expenditure of these funds. Ms. Long 
Dixon advises that the proposed resolution is coming 
before the Board of Supervisors only now, over three 
months after the grant period began, because the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

Department did not receive the award letter until October 
10, 2001 and the subject grant was not approved by the 
Health Commission until November 6, 2001. Ms. Long 
Dixon notes that, to date, no funds have been expended 
from the subject grant. 

2. Ms. Long Dixon notes that the subject grant would fund 
five contracts, each to be awarded on a sole source basis 
because each of these organizations collaborated on the 
grant application and assisted in designing the proposed 
program. Ms. Long Dixon reports that a $102,517 contract 
would be awarded to the Castro-Mission Health Center to 
provide expanded access and increased coordination of 
health care services, as well as provide additional 
community outreach to bring more young people into care 
at the Dimensions Clinic, a clinic that services lesbian, 
gay, bisexual and transgender youth. 

A contract of $65,850 would be awarded to Dolores Street 
Community Services. Ms. Long Dixon reports that this 
$65,850 contract would provide outreach and referral 
services to Latino men accessing their shelter services. 

Ms. Long Dixon notes that a $70,440 contract would be 
awarded to the Mission Neighborhood Health Center to 
provide outreach to Latinos, provide increased HIV 
testing and counseling services and support HIV 
treatment adherence. 

The University of California - San Francisco (UCSF) 
would be awarded two contracts to provide outreach, HIV 
treatment and peer advocacy. A $158,556 contract would 
be awarded to UCSF to augment their comprehensive 
multidisciplinary primary care services for African- 
American men with outreach, treatment advocacy and 
case management services in UCSF's Men of Color 
Program. A $46,000 contract would be awarded to UCSF 
to provide outreach, peer and treatment advocacy and 
social work services to women of color in UCSF's Women's 
Specialty Clinic. 

Ms. Long Dixon also reports that DPH would enter into a 
$574,825 Memorandum of Understanding (MOU) with 
San Francisco General Hospital to support its outpatient 

BOARD OF SUPERVISORS 
BUDGETS ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

HIV clinic and to develop better computer systems to 
track client data and improve quality of care. 

3. The subject grant funds .70 FTE existing positions. Mr. 
James Alexander of DPH advises that the .70 FTE 
positions funded under the subject grant are currently "G" 
coded, or grant-funded positions that would terminate 
when the subject grant expires. The proposed resolution, 
however, does not explicitly state that the .70 FTE 
positions funded under the subject grant be "G" coded or 
grant-funded positions that would terminate when the 
subject grant expires. The proposed resolution should 
therefore be amended to require that the .70 FTE 
positions be "G" coded. 

4. The Attachment is the Grant Information Form, 
provided by DPH, which includes the Disability Access 
Checklist. 

Recommendations: 1. Amend the proposed resolution to require the 

Controller to designate the .70 FTE positions be "G" coded 
or grant-funded positions that would terminate when the 
subject grant expires. 

2. Approve the proposed resolution, as amended. 



BOARD OF SUFEE'VISORS 
BUDGET ANALYST 



Attachment 

File Number: Page 1 ot 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: HIV Care and Related Services for Women and Minorities 

2. Department: Public Health, AIDS Office, HIV Health Services 

3. Contact Person: Michelle Long Dixon Telephone: 554-9043 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $1 ,1 05,000 

6a. Matching Funds Required: None 
b. Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: Department of Health and Human Services, Office of Minority Health 
b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: The goal of this project is to improve health outcomes for women and 
minorities by increasing access to "health care and eliminating disparities in access to care. This project will 
create a network of community based organizations, SFDPH programs, and university-based programs. 
Participatory agencies were selected for their history and expertise at reaching and serving the target 
populations. The populations targeted for this project are minority women, transgender individuals, youth, 
African' American men, and monolingual Latinos. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: September 30, 2001 End-Date: September 29, 2002 

10. Number of new positions created and funded: None 

11. If new positions are created, explain the disposition of employees once the grant ends? N/A 
12a; Amount budgeted for contractual services: $1,018,188 

b. Will contractual services be put out to bid? No 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time (OTF) or ongoing request for contracting out? OTF 
13a. Does the budget include indirect costs? [ X ] Yes [ ] No 



Attachment 
Paee 2 of 2 



b1 . If yes, how much? $1 1 ,974 

b2. How was the amount calculated? 16% of total modified direct costs 



c. If no, why are indirect costs not included? N/A 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: No 



**Disability Access Checklist*** 

15. This Grant is intended for activities at (check ail that apply): 

[x ] Existing Site(s) [x ] Existing Structure(s) [ x] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 



Comments: 



Departmental or Mayor's Office of Disability Reviewer: / ^"W^ 



■7/1 "'- " 



Norman Nickens 
Date Reviewed: j^^^-of 

Department Approval: 




Mitchell Katz, M.D. \ Director of Public Health 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Item 2 - File 01-2224 

Department: 

Item: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health to enter into a Cooperative Program 
Agreement with the State Department of Rehabilitation, 
to provide vocational services to mentally-ill psychiatric 
clients in San Francisco; for the period of July 1, 2001 to 
June 30, 2004. 



Amount of Agreement: $4,072,719 ($3,205,230 in State funds and $867,489 in 

City matching funds) 



Agreement Period: 
Source of Funds: 
Required Match: 

Indirect Costs: 
Description: 



Budget: 



July 1, 2001 through June 30, 2004 (three-years) 

State Department of Rehabilitation 

$867,489, or 21.3 percent of $4,072,719 total program 
cost. 

None. The State Department of Rehabilitation does not 
allow the inclusion of indirect costs in Cooperative 
Program Agreements. 

The proposed resolution would authorize DPH to enter 
into a Cooperative Program Agreement with the State 
Department of Rehabilitation (DOR). Under this 
Cooperative Program Agreement, the DOR provides Case 
Service Contracts to two non-profit organizations, namely 
Community Vocational Enterprises (CVE) and Richmond 
Area Multi-Services (RAMS). According to Ms. Blanche 
Korfmacher of the DPH, the Case Service Contracts 
would fund vocational assessment, job support, and 
benefits counseling services for 297 mentally-ill 
psychiatric clients. This would be the eighth year that 
DPH would enter into this Cooperative Program 
Agreement with the State Department of Rehabilitation 
for the provision of these services. 

Ms. Korfmacher has provided a budget for total project 
costs of $4,072,719 including State funds of $3,205,230 
and required matching funds of $867,489 for the three- 
year period from July 1, 2001 to June 30, 2004, as follows: 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

7 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Description Program Cost 

State Rehabilitation Counselors $750,546 

Case Service Funds 459,453 

Case Service Contracts: 
CVE 1,363,200 

RAMS 1,499,520 

Contractual Services 2,862,720 

Total Program Cost $4,072,719 

Comments: 1. According to Ms. Korfmacher, although DPH has not 

yet entered into the subject agreement, services for the six 
month period from July 1, 2001 through December 31, 
2001 have already been provided by the nonprofit 
organizations CVE and RAMS. According to Ms. 
Korfmacher, funding for these contracted services is based 
on a fee for service collaboration, in which CVE and 
RAMS provide the vocational services, and are then 
reimbursed by the Department of Rehabilitation on a 
monthly basis. Ms. Korfmacher reports that the proposed 
agreement is being brought before the Board of 
Supervisors six months after the agreement's start date 
due to the hiring of a new budget person at DOR, and 
subsequent administrative delays by the DPH. Ms. 
Korfmacher states that CVE and RAMS would be 
reimbursed for the previous six months of service upon 
approval of the subject agreement by the Board of 
Supervisors. Therefore, the proposed resolution should be 
amended to provide for retroactive authorization to enter 
into the subject agreement. 

2. Ms. Korfmacher reports that $750,546 for 2.5 FTE 
State Rehabilitation Counselors for the three-year period; 
or $250,182 per year would be provided through the State 
DOR located in San Francisco. According to Ms. 
Korfmacher, initial vocational services and assessments 
are performed by CVE and RAMS, which then refer 
clients to the State DOR if additional job-related services, 
such as technical skills are needed. The State 
Rehabilitation Counselors provide supplementary 
vocational counseling, assessment and training services, 
such as individual treatment plans to guide clients 
towards a career path. 



BOARD OF SUPERVISORS 
SUBGET ANALYST 
8 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

3. Ms. Korfmacher reports that $459,453 in Case Service 
Funds, or $153,151 annually is dispersed by the State 
Rehabilitation Counselors. These funds would be used by 
the Rehabilitation Counselors to assist clients to reach 
employment goals by covering job related expenses such 
as tuition, clothes, equipment and training. 

4. According to Ms. Korfmacher, the annual program 
costs of $1,357,573 is anticipated for FY 2001-2002, FY 
2002-2003 and FY 2003-2004, for a total program cost of 
$4,072,719. 

5. According to Ms. Korfmacher, the State Department of 
Rehab ilitation requires DPH to commit a local match of 
21.3 percent or $867,489 of the total program cost, or 
$289,163 each year. Ms. Korfmacher states that the 
$289,163 in matching funds has been included in the FY 
2001-2002 DPH budget, and $289,163 is anticipated to be 
included in the FY 2002-2003 and FY 2003-2004 DPH 
budgets. 

6. The two contracts between the Department of 
Rehabilitation and the two nonprofit organizations 
consist of a $1,363,200 contract with CVE, or $454,400 
annually, and a $1,499,520 contract with RAMS, or 
$499,840 annually, for a total of $2,862,720 in Case 
Service Contracts over the three-year period. According to 
Ms. Korfmacher, CVE and RAMS were selected by the 
DOR on a sole-source basis because of their experience in 
providing vocational services to seriously emotionally 
disturbed clients. 

7. The proposed resolution would waive: (1) the 
requirement contained in Section 21.21 of the City's 
Administrative Code that the Cooperative Program 
Agreement include an indemnification of the City by the 
State Department of Rehabilitation for the infringement 
of patent rights; and (2) the requirement that the 
Cooperative Program Agreement include a paragraph 
reciting the false claim provisions contained in Section 
21.35 of the City's Administrative Code. According to Ms. 
Jean Eraser of the City Attorney's Office, these 
Administrative Code requirements apply to situations in 
which the City purchases goods or services, not when the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 
9 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

City enters into a Cooperative Program Agreement to 
receive grant funds, as the subject resolution would 
authorize. Therefore, the waivers in this case are 
standard and pose minimal risk to the City, according to 
Ms. Fraser. 



Recommendations: 



1. In accordance with Comment No. 1, amend the 
proposed resolution to provide for retroactive 
authorization to enter into the subject agreement, since 
services have been provided since July 1, 2001. 



2. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Item 3 - File 01-2225 

Department: 

Item: 



Amount: 
Grant Period: 

Source of Funds: 
Required Match: 
Indirect Costs: 
Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend retroactively a grant in the amount 
of $900,000 for the first year of a three year grant from 
the Centers for Disease Control and Prevention for the 
Seven Principles (REACH 2010) project and to enter into 
an agreement for the use of these funds; for the period of 
September 30, 2001 to September 29, 2002. 

$900,000 

September 30, 2001 through September 29, 2002 (One 
year, see Comment No. 1) 

U.S. Centers for Disease Control (CDC) 

None required (See Comment No. 2). 

$74,483 (16% of Direct Costs of $465,517) 

The proposed resolution authorizes the Department of 
Public Health (DPH) to accept and expend the first year of 
a three-year grant from the U.S. Centers for Disease 
Control (CDC) for a research and intervention project to 
eliminate racial and ethnic disparities in infant mortality 
rates. The subject grant would fund community 
awareness of infant health issues, direct support services 
to parents and provider training. According to Ms. Ginger 
Smyly of DPH, the subject project would focus on four 
neighborhoods with the highest African-American birth 
rates in San Francisco, including (1) the 
Bayview/Hunter's Point, (2) the Western Addition, (3) the 
Ocean View/Merced/Ingleside and (4) the Visitacion 
Valley. 

Ms. Smyly advises that the subject grant would be used to 
improve infant survival rates by focusing on the following 
four interventions: (1) raising community awareness and 
educating parents of young children about infant health 
issues, (2) training of physicians and health practitioners 
serving pregnant women and young children in the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

n 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

African-American community, (3) providing case 
management and health care referrals to African- 
American pregnant women and African-American parents 
of young children and (4) organizing members of the 
African-American community to address and improve 
health issues facing the community. 

Budget: The proposed project budget of $920,761, which includes 

the proposed grant funds of $900,000 and in-kind 
contributions of $20,761 from DPH is as follows: 

Grant Funds 

Personnel 

1.0 FTE Project Director $69,922 

0.75 FTE Senior Clerk Typist 31,379 

1.0 FTE Trainer/Educator 55,854 

0.90 FTE Lead Community Organizer 25,604 

1.68 FTE Community Organizer 47,414 

0.80 FTE Social Worker 36,415 

1.50 FTE Health Worker 54,340 

7.63 total FTE 

COLA 3% 9.628 



Subtotal, 7.63 FTE Salaries 


$330,556 






Fringe Benefits (24% of Salaries) 


80.232 






Subtotal, Personnel 




$410,788 




Sup p ne s 




18,600 




Travel 








Local Travel 


5,262 






Out of Town Travel 


8,958 






Subtotal, Travel 




14,220 




Other 








Occasional Rent Support 


1,000 






Copying 


3,034 






Staff Training 


1,750 






Meeting Supplies 


2,000 






Rent for Office Space 


10,125 






Promotions and Advertising 


4.000 






Subtotal, Other 




21,909 




Subtotal, Direct Costs 






$465,517 


Indirect Costs 






74,483 


Contractual 








UCSF Contract 




180,000 




Booker T. Washington Community Service Center 




180.000 




Subtotal, Contractual 






360.000 


Total Grant Budget 




$900,000 


BOARD OF SUPEKVISORS 






BUDGET ANALYST 






12 









Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



In-Kind Contributions 

.15 FTE Principal Investigator $12,168 

.05 FTE Maternal & Child Health Advisor 4.441 

Subtotal Salaries $16,609 

Fringe Benefits (25% of Salaries) 4.152 

Total In-Kind Contributions 20.761 

Total Project Costs $920,761 
Attachments I and II, provided by Ms. Smyly, contain 
additional budgetary details to the UCSF contract and the 
Booker T. Washington Community Center contract, 
respectively. 



Comment: 



1. The subject grant period began on September 30, 2001 
and the proposed resolution provides for retroactive 
authority to accept and expend these grant funds. Ms. 
Smyly reports that the Department has expended 
approximately $2,800 from the subject grant for two trips 
to Atlanta, Georgia to meet with CDC staff. 

According to Ms. Smyly, the proposed resolution is coming 
before the Board of Supervisors only now, over three 
months after the subject grant was to begin, because the 
award letter was not received until September 27, 2001. 
Ms. Smyly advises that immediately after receiving the 
award, the Department began work on processing the 
subject grant which was subsequently approved by the 
Health Commission on October 22, 2001. Ms. Smyly 
further advises that administrative delays at the 
Department prevented the proposed resolution from being 
submitted to the Board of Supervisor for approval until 
December of 2001. 

Ms. Smyly reports that the subject grant is the first year 
of a three-year grant and that each year the grant award 
is anticipated to total $900,000 and have a similar project 
budget of $920,761, including in-kind contributions of 
$20,761. Because of the delays in receiving approval from 
the Board of Supervisors for the proposed resolution, Ms. 
Smyly advises that the CDC would most likely either 
extend the subject grant period or allow any unused funds 
from the subject grant award to be used in the second and 
third years of the grant. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

1 1 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

2. As shown in the above budget, DPH would provide a 
total of $20,761 of in-kind contributions to the subject 
grant consisting of salary and benefits for a .15 FTE 
Principal Investigator and a .05 FTE Maternal and Child 
Health Advisor. Ms. Smyly advises that the .15 FTE 
Principal Investigator and the .05 FTE Maternal and 
Child Health Advisor position are included in the 
Department's approved FY 2001-2002 budget. Although 
these in-kind contributions are not required, Ms. Smyly 
advises that DPH would provide these in-kind 
contributions because the DPH's existing Principal 
Investigator and Maternal and Child Health Advisor 
positions have similar missions and functions as the 
subject project. According to Ms. Smyly, sharing of such 
expertise between existing staff with the proposed grant 
staff should benefit both programs. 

3. Ms. Smyly reports that the subject grant would fund 
$360,000 in contractual services, consisting of two 
contracts of $180,000 each awarded to the University of 
California - San Francisco (UCSF) and the Booker T. 
Washington Community Service Center, a non-profit 
organization located in the Western Addition. Ms. Smyly 
notes that both contracts were awarded on a sole source 
basis because both organizations were collaborators on 
the DPH grant proposal to the CDC and in planning the 
project. 

Attachment I details the $180,000 contract with UCSF. 
Ms. Smyly explains that the contract would provide 
services relating to evaluation of the health interventions 
and the overall project, training and evaluation of project 
staff, documentation of the project and preparing the 
project results for professional medical publications. Ms. 
Smyly also notes that UCSF would assist in designing the 
protocols that are required for the research and reviewing 
these protocols before the Institutional Review Board at 
UCSF, as required by the CDC. Ms. Smyly advises that 
the CDC is withholding $18,000, or ten percent of the 
total $180,000 from UCSF until the CDC approves the 
research protocols developed to protect humans in the 
research study. According to Ms. Smyly, this process is 
expected to take from one to three months. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 
14 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

Attachment II provides the budgetary details for the 
$180,000 contract with the Booker T. Washington 
Community Center. Ms. Smyly reports that the Booker T. 
Washington Community Center would act as a 
neighborhood liaison to the community, to assist the 
Department in identifying participants for the project, 
and to provide facilities for project activities, events and 
meetings. 

4. As shown in the above budget, the subject grant funds 
7.63 FTE positions. The proposed resolution stipulates 
that the 7.63 FTE positions created by the subject grant 
would be "G" coded, or grant-funded positions, that would 
terminate when the subject grant expires. 

5. The above budget contains a total of $14,220 in travel 
expenses. Ms. Smyly advises that $5,262 is for local travel 
expenses to the Booker T. Washington Community Center 
in the Western Addition, as well as community meetings 
in other areas of San Francisco. The travel budget also 
allocates $8,958 in out of town travel for two staff 
members to attend three training sessions in Atlanta, 
Georgia with CDC staff. 



to 4 



The above budget also contains $21,909 in Other 
expenses. According to Ms. Smyly, $1,000 is budgeted for 
Occasional Rent Support to allow DPH to rent facilities as 
needed for community meetings in the Bayview/Hunter's 
Point area, the Ocean View/Merced/Ingleside area and the 
Visitacion Valley. Ms. Smyly reports that $4,000 is 
budgeted to advertise and promote these community 
meetings. Ms. Smyly also notes that $10,125 is budgeted 
for office space at 30 Van Ness to support the needs of the 
7.63 FTE positions funded under the subject grant. 

6. Attachment III is the Grant Information Form, 
provided by Ms. Smyly, which includes the Disability 
Access Checklist. 



Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISOR 
BUDGET ANALYST 
15 



UCSF contract with DPH 



DETAILED BUDGET FOR NEXT BUDGET 
PERIOD— DIRECT COSTS ONLY 



FROM 
10/1/01 



THROUGH 
9/30/02 



At tachment I 
Page 1 of 1 



PERSONNE^W' ,can ' organization only) 



NAME 



ROLE ON PROJECT 



APPT 
(mont 



EFFORT 

ON 

PROJ. 



DOLLAR AMOUNT REQUE (omit cents, 



SALARY 
REQUESTED 



FRINGE 
BENEFITS 



TOTALS 



Geraldine Oliva, MD, MPH 



Principal Investigator 



Judith Hager 



Evaluation Coordinator 



12 



15% 



19,152 



3,256 



22,408 



12 



20% 



15,172 



3,489 



18,661 



TBA 



Research Assistant 



11 



50% 



19,712 



4,534 



24,246 



TBA 



Research Director 



10 



50% 



20,770 



4,777 



25,547 



Maxine Cooper 



Administrative Analyst 



12 



5% 



2,324 



535 



2,859 



SUBTOTALS 



CONSULTANT COSTS 
Polaris 



77,130 16,590 



93,720 



50,000 






50,000 



EQUIPMENT (itemize) 
Computer 



3,499 




liilllll 



3,499 



SUPPLIES (Itemize by category) 



Office Supplies 



OTHER EXPENSES (Itemize by category) 

Postage 

Printing/Reproduction 

Telephone 






2,800 












2,800 


TRAVEL 


9,500 


'~""~9'S0Q 


PATIENT CARE COSTS 


INPATIENT 






OUTPATIENT 




ALTERATIONS AND RENOVATIONS (Itemize by category) 





900 

2,100 

900 



V^;.V '-..;;"•:. 



3,900 



SUBTOTAL DIRECT COST FOR INITIAL BUDGET PERIOD 



163,419 



CONSORTIUM/CONTRACTUAL | DIRECT COSTS 
COSTS 



.1000 



16, 



FACILITIES AND ADMINISTRATION COSTS 



TOTAL DIRECT COSTS -FOR INITIAL BUDGET PERIOD 



(Item 9a, Face 



180,0G| 



PHS 2590 (Rev. 4/98) 



(Form Pace 21 Page 2 
16" 



Principal Investigator/Program Director (Last, first, middle) Smyly, Virginia 



Attachment II 

Booker T. Washington Community Service Center, revised 9/21/01 Pa S e 1 of 1 
Personnel: 81,264 

Community Liaison/Logistics Coordinator: 1 fulltime logistics coordinator/community liaison to assist 
project staff and the Coalition in meeting and event support, entre to the community residents and 
organizations, and serving as aides to the coalition, Network, Work Groups and project activities. Lead 
worker will also coordinate the work of the two part time workers. (7,040) 

Community Liaison/Logistics Aides: 2 half time staff to assist project staff and the Coalition in meeting and 
event support, entre to the community residents and organizations, and serving as aides to the coalition, 
Network, Work Groups and project activities, each employee with a focus on specific neighborhoods. 
(7040) 

q Clerical Support: 1/4 time clerical support to provide assistance in meeting scheduling, documentation and 
yj reporting. (1320) 

H 

< Fringe Benefits: Health, Taxes, and other benefits and requirements at 22% of salaries and wages 

O (11,880) 

Q Consultant Costs: 11,525 

— Community participation and meeting fees: @ $10 per hour for community participants who assist in 

CO childcare, group support, community action, and Coalition and Network Work Groups, etc. (9520), and 

Z consultant fees for Coalition planning facilitator (2,005.) Such fees encourage and make it financially 

ts possible for low income residents to participate in meaningful ways to assist in project activities. 

CC Equipment: 

S Supplies: 8879 

•^ Office supplies (paper, binders etc.) (2879); educational supplies for use of Coalition, Network, Work 
Groups, and project staff (6000). 

I_ Travel: 5070 

> Local travel: Mileage and fast passes for staff within the jurisdiction (1000 miles@ $.32= 320 + $100 for 
r" parking fees, 420) Out of State Travel: Travel to attend required CDC meetings in Atlanta (Airfare: 1 100 x 
Q 1 staff x 3 meetings = 3300) Hotel, food and misc. travel expenses: @150/day x3 days =1350) 

h- Other Expenses: 55,790 

CO 

Copying/Printing: Reproduction of project materials. (2200) 

>H Meeting/Event supplies: Purchase of refreshments, paper goods and other supplies for project meetings 
y including those of the Coalition, Network, Work Groups and Project services. (1 1 ,000) 

£= Office Space Rent: Rent of facilities for groups and meetings and rent of off-site office off site, 1000 per 
Z month at BTWCSC and 1000 for leased/rented space x 12 month. (24,000) 

2 Telephone, Pagers and ISP/DSL : 139 per month for DSL (1668,) 121 per month for use of phone 
H equipment (1452), 79 per month for phone service (948) , Pager Rental of 3 pagers @35 each x 12 

< months (1260) 

Utilities: Utilities at BTWCSC and at off-site leased/rented space, 600 per month for BTWCSC to cover 
scavenger, water, electricity, gas and 316 per month to cover electrical at rented space. (1 1 ,000) 

Office furnishings: miscellaneous office furnishings (chairs, tables, etc) (2261) 

Indirect Costs: 17472 

insurance (4000); equipment repair (1000); building upkeep, 2 sites (6000); audit (2000), executive 
oversight (4472) 



H 

O 
O 



: :-;c 338 (Rev.4/96) Page 1 

""'"' -: Dae "r-: lonsecuiivsiy at the bottom throughout r he application. Do not use suffixes such as 3a, 

17 



Attachment III 

File Number: Fage 1 of 2 

(provided by the Board of Supervisors 



Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a 
Department to accept and expend grant funds. 

1 . Grant Title: SevenPrinciples (REACH 2010) 

2. Department: Department of Public Health, Community Health Services, Community 
Health Education Section. 

3. Contact Person: Virginia Smyly Telephone: 581-2423 

4. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $900,000 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency; Centers for Disease Control and Prevention (CDC), 
b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: This is a demonstration project to eliminate 
racial and ethnic disparities in infant mortality rates. Community action for health 
improvement, direct support services to parents, social marketing/community 
awareness, and provider training will focus on four predominantly African 
American neighborhoods and on health care providers serving those, 
communities 

9. Grant Project Schedule: 

Start-Date: 09/30/01 End-Date: 09/29/02 

10. Number of new positions created and funded:'' 7.63 

1 1 . If new positions are created, explain the disposition of employee(s) once the grant 
ends: The disposition of the new positions will depend on the receipt of an additional 
two years of grant funding, If a renewal is not awarded, positions will be eliminated. 



i 0/22/200 1 



18 



Attachment ill 
^age 2 of 2 — 



12a. Amount to be spent on contractual services: $360,000 



b.) Will contractual services be put out to bid?: No 
c.) If so, will contract services help to further the goals of the department's 
MBE/WBE requirements? : Yes, 1 contractor mets the MBE requirements 
d) Is this likely to be one-time or ongoing request for contracting out? Ongoing 
through end of demonstration project period 

13a. Does this budget include indirect costs? Yes 

b. If no, why are indirect costs not included? : 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds 

on direct services 
[ ] Other (please explain): 

14. Any other significant grant requirements or comments: None 
**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[ X] Existing Site(s) [ X] Existing Structure(s) [ X] Existing 

Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) 

or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have not 
reviewed the proposal. 



orjyiayor's Office of Disabili 
/Trim YL^ 



Departmental orjyiayor's Office pfJDisability 
Reviewer: 



Norman Nickens Deputy Director 

Date Reviewed: it -3 * - «• ( 



Department Approval: • 

Mi t c h Katz, M.D. Director of Health 



(Name) (Title) 



(Signature) 



[ 0/22/2001 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Item 4 - File 01-2226 

Department: 
Item: 



Amount: 
Grant Period: 

Source of Funds: 
Required Match: 
Indirect Costs: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend retroactively supplemental grant 
funds in the amount of $361,547 for projects funded under 
the Seroepidemiology and Surveillance Cooperative 
Agreement with the Centers for Disease Control and 
Prevention to analyze and disseminate results of ongoing 
HIV studies and support new research relating to 
AIDS/HIV in San Francisco; for the period of January 1, 
2001 through December 31, 2001. 

$361,547 

January 1, 2001 through December 31, 2001 (One year, 
See Comment No. 1) 

U.S. Centers for Disease Control (CDC) 

None required. 

A total of $20,743 of indirect costs, consisting of $6,817 in 
the first supplemental award, $5,572 in the second 
supplemental award and $8,354 in the fourth 
supplemental award, is included in the $361,547 subject 
grant award. These $20,743 of indirect costs represent 
approximately 18% of the total modified direct costs of 
$115,933 for the four awards, consisting of $28,897 in the 
first supplemental award, $34,826 in the second 
supplemental award and $52,210 in the fourth 
supplemental award. There are no indirect costs included 
in the third supplemental award because the $32,015 
grant award was a deferral from the initial award, which 
included indirect costs. 

The U.S. Centers for Disease Control (CDC) has awarded 
the Department of Public Health (DPH) four 
supplemental grant awards totaling $361,547 to DPH's 
existing $2,333,502 Seroepidemiology and Surveillance 
Cooperative Agreement with the CDC. If the proposed 
four supplemental grant awards are approved, the 
Cooperative Agreement between DPH and the CDC would 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



on 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

total $2,695,049. According to Mr. Guiliano Nieri of DPH, 
DPH is receiving supplemental grant funding for the DPH 
to conduct additional HIV/AIDS studies. 

The first supplemental award of $35,714 was awarded in 
June of 2001 and provided additional funding for salary 
and fringe benefits for a .30 FTE Epidemiologist in DPH's 
HIV Incidence Study, a study that seeks to determine the 
rate of HIV infection in men who have sex with men in 
San Francisco. The second award of $40,398 was received 
in July of 2001 and consisted of additional funding for 
DPH's Core HIV/AIDS Surveillance, an ongoing effort to 
collect data on new HTV/AIDS cases in San Francisco, 
including additional funding for .50 FTE positions 
associated with DPH's Core HIV/AIDS Surveillance and 
the HIV Testing Survey (HITS), a study which seeks to 
determine the opinions of at-risk populations to HTV 
testing programs. These .50 FTE positions consist of a .10 
FTE Epidemiologist for Core HIV/AIDS Surveillance, a 
.10 FTE Program Coordinator for HITS, a .05 FTE Data 
Entry Operator and a .25 FTE Health Worker. 

The third award of $32,015 was received in September of 
2001 and consisted of funds for the HIV Incidence Study 
that were deferred from the initial award until the CDC 
approved the protocols governing research on human 
subjects. This $32,015 in funding would support $27,945 
in stipends for participants in the HIV Incidence Study 
and $4,070 for a Memorandum of Understanding with 
San Francisco General Hospital to conduct a records- 
based study of new cases of HIV infection. 

The fourth award of $253,420 was also received in 
September of 2001 and consisted of (1) $60,564 for a new 
HITS study in the Transgender Community, including 
salary and fringe benefits for .75 FTE Public Service 
Aides and .25 FTE Project Coordinator, stipends, travel, 
and office supplies, (2) an additional $40,000 for the 
contract with Westate Corporation, a for-profit private 
firm, for identifying and recruiting subjects for the HIV 
Incidence Study and other HIV studies and (3) $152,856 
for University of California — San Francisco's Urban 
Men's Health Study, a study that examines the health of 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

men in large metropolitan areas who have sex with men 
(See Comment No. 2). 

Budget: The proposed budget for these supplemental grant funds 

is as follows: 
First Supplemental Award 

.30* FTE Epidemiologist Salary $21,237 

Fringe Benefits 4.940 

Personnel Subtotal $26,177 

Supplies 300 

Local Travel 420 

Postage 650 

Promotions and Advertising 1.350 

Total, Direct Costs 28,897 

Indirect Costs 6.817 

First Supplemental Award Total $35,714 

Second Supplemental Award 
.10* FTE Epidemiologist $7,097 

. 10* FTE HITS Program Coordinator 6,251 

.05* FTE Data Entry Operator 2,286 

.25* FTE Health Worker 10,336 

COLA 3% 779 

Subtotal Salaries 26,749 
Fringe Benefits 6,492 

Personnel Subtotal 33,241 

Office Supplies 585 

Copying 1.000 

Total, Direct Costs 34,826 

Indirect Costs 5.572 

Second Supplemental Award Total 40,398 

Third Supplemental Award 

San Francisco General Hospital Record-Based Study $4,070 

Stipends for Participants in Studies 27,945 

Third Supplemental Award Total 32,015 



Fourth Supplemental Award 






HITS Study: 






.75* FTE Public Service Aides Salary 


$21,336 




.25* FTE Project Coordinator 


16,404 




Fringe Benefits (25% of Salaries) 


9,435 




Personnel Subtotal 




47,175 


Office Supplies 




300 


BOARD OF SUPERVISORS 



BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Local Travel 


735 




Stipends 


4,000 
Total Direct Costs 52,210 




Indirect Costs 


8,354 






HITS Study Subtotal 


60,564 


Contractual 






Westate Corperation 40,000 




UCSF 


152,856 






Contractual Subtotal 


192,856 




Fourth Supplemental Award Total 





253.420 

Total Project Budget $361,547 
*Total of 1.8 FTE positions 

Comments: 1. The subject grant period is for the period January 1, 

2001 through December 31, 2001 and the proposed 
resolution provides for retroactive acceptance and 
expenditure of the $361,547 in grant funds consisting of 
four installments of supplemental funds. Mr. Nieri 
reports that as of January 1, 2002, $268,968 of the subject 
grant funds from the four supplemental awards have been 
expended. The unexpended balance of $92,579 consists of 
$60,564 for a study of HIV Testing Survey (HITS) in the 
Transgender Community, $4,070 for the Memorandum of 
Understanding with San Francisco General Hospital for a 
records-based study and $27,945 in stipends for 
participants in the HIV Incidence Study. Mr. Nieri 
advises that DPH has informally received CDC approval 
to use the $92,579 of unused funds in 2002 to conduct the 
HTV Testing Survey and the records-based studies, as 
well as to conduct the portion of the HIV Incidence Study 
that requires stipends to be paid to participants. 

Mr. Nieri advises that DPH is requesting approval of the 
subject supplemental grant funds from the Board of 
Supervisors subsequent to the conclusion of the grant 
period and subsequent to most of the grant funds having 
been expended because DPH was unaware that approval 
from the Board of Supervisors was required for such 
supplemental grant funding. 

2. The above budget allocates a total of $192,856 in 
contractual services. According to Mr. Nieri these 
contractual services consist of $40,000 in the fourth 
supplemental award to augment the existing $324,455 

BOARD OF SUPERVISORS 

budget; ^nalyst 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

contract with Westate Corporation and $152,856 in the 
fourth supplemental award for a contract with the 
University of California - San Francisco (UCSF). Mr. 
Nieri reports that an additional $40,000 was added to the 
existing $324,455 contract with Westate Corporation, a 
for-profit private firm, to identify participants for DPH's 
HIV studies by conducting telephone surveys of men who 
have sex with men in San Francisco, for a total contract 
with Westate Corporation of $364,455. According to Mr. 
Nieri, Westate Corporation has an existing contract with 
DPH, which was originally awarded on a sole source basis 
because of Westate Corporation's expertise in identifying 
subjects for research studies. 

Mr. Nieri reports that $152,856 was awarded to UCSF for 
the Urban Men's Health Study, a study that examines the 
health of men in large metropolitan areas who have sex 
with men. According to Mr. Nieri, DPH is serving as a 
pass-through agency for these $152,856 of funds because 
the CDC generally provides these funds only to cities and 
counties with high incidence of HIV/AIDS and requested 
that DPH provide these funds to UCSF. Mr. Nieri notes 
that this is a study conducted solely by UCSF and the 
DPH is not involved in the study. 

3. The subject supplemental funds provided funding for a 
total of 1.8 FTE positions. The proposed resolution 
stipulates that all positions created under the subject 
grant be "G" coded, or grant-funded positions, that would 
terminate when the subject grant expires. 

4. The above budget allocates $27,945 in the third 
supplemental award of $32,015 for stipends for 
participants in the HIV Incidence Study. Mr. Nieri 
advises that these funds will provide a series of stipends 
for approximately 500 men who have sex with men to 
participate in various HIV/AIDS studies. Mr. Nieri states 
that each participant in a phone survey will receive $20 
for their participation. If a phone participant does not 
report being HIV-positive and agrees to take an oral HIV 
test, Mr. Nieri advises, he will receive an additional $30. 
Mr. Nieri reports that if a participant who takes an oral 
HIV test and also agrees to receive the results of the test, 
such participants will receive an additional $40. Mr. Nieri 



BOARD OF SUPERVISOR 






BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

further reports that if the oral HIV test results 
demonstrated that the participant was HIV-positive, the 
participant would receive an additional $50 if the 
participant agreed to have blood drawn. Mr. Nieri advises 
that if the blood drawn shows evidence of a recent HIV 
infection and the participant is willing to have more blood 
drawn, such participants are paid an additional $50. 
Therefore, a participant in this study could receive a 
maximum of $190 in stipends. Mr. Nieri advises that 
given the customary rates of participation in such surveys 
and the incidence of HIV-infection in San Francisco, only 
approximately 10 participants would receive the full $190 
stipend. Mr. Nieri notes that, to date, this HIV Testing 
Survey study will not be conducted until February of 2002 
and, therefore, the stipends have not been paid. 

The above budget allocates $4,000 in the fourth 
supplemental award for stipends for participants in the 
HITS study in the Transgender Community. According to 
Mr. Nieri this $4,000 would provide $25 stipends to 160 
individuals in the study. 

5. The Attachment is the Grant Information Form, 
provided by Mr. Nieri, which includes the Disability 
Access Checklist. 



Recommendation: 



Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



File Number: Attachment 

(Provided by Clerk of Board of Supervisors) ^ a 8 e -1- Ot 2 

Grant Information Form 

(Effective January 2000) 
Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1. Grant Title: Supplemental funds to CDC Seroepidemiology and Surveillance Cooperative Agreement: 
U62/CCU906255: Supplemental Numbers 10-2; 10-3; 10-4; and 10-5. 

2. Department: Public Health, AIDS Office, Seroepidemiology and Surveillance Section 

3. Contact Person: Giuliano Nieri Telephone: 554-9130 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: 10-2 $35,714; 10-3 $40,398; 10-4 $32,015; 10-5 
$253,420, for a total amount of $361 ,547. 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable): N/A 

7a. Grant Source Agency: Dept. of Health & Human Services, Centers for Disease Control and Prevention 

b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: #10-2, $35,714 HIV Incidence Study (HIS) for salaries of existing 
employees who had not been sufficiently funded in the original CDC award. HIS is a large population- 
based survey of men who have sex with men (MSM) conducted in collaboration with researchers at UCSF 
to determine HIV incidence in the San Francisco MSM community; #10-3, $40,398 a) Additional funding for 
Core AIDS/HIV Surveillance for detailed analysis and dissemination of the Behavioral Risk Factor 
Surveillance Survey (BRFS). The BRFS is a community-wide telephone survey of the general population of 
San Francisco to determine behavioral risk for HIV infection. Core AIDS Surveillance is an ongoing 
program that collects and reports information on newly diagnosed AIDS/HIV cases, b) Funding to increase 
existing HIV Testing Survey (HITS) Program Coordinator's hours from 80% to 100%. HITS is a survey of 
populations at risk for HIV infection to determine their opinions and relationship to HIV testing programs, c) 
Additional funding for miscellaneous expenses associated with conducting AIDS/HIV Surveillance. #10-4, 
$32,015 Funds deferred in the initial award for the HIS Study. Funds will be used to pay stipends that will 
be given to HIS Study participants. These funds are still restricted pending submission of IRB approved 
protocols to CDC. #10-5, $253,420 a) $60,564 for a study of HIV Testing Behavior in the Transgender 
Community. A portion of these funds pays for six part-time Public Service Aides (PHAs), whose primary 
responsibility will be to interview study participants. The study will be conducted over a three-month period 
and the part-time employees (who will be representative of the community being studied) will be hired for 
only three months. Also, part of these funds will pay a portion of the salary for three months for the 
existing HITS Project Coordinator. Also included are funds for stipends to be paid to the participants, staff 
travel, and office supplies, b) $40,000 supplements our contract with Westate Coorperation (a contractor) 
to allow us to have a larger sample size for our HIS Study, c) $152,856 requested by CDC to pass through 
to UCSF to supplement the Urban Men's Health Study (not our project). 



26 



Attachment 
Page 2 of 2 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: 1/1/01 End-Date: 12/31/01 

10. Number of new positions created and funded: Six part-time as-needed PHAs for three months to conduct 
HITS in the Transgender Community. The PHAs will participate in a community assessment process, conduct 
key informant interviews, develop and prepare study materials, and conduct field recruitment and interviews. 
They will also participate in data cleaning and in the presentation and dissemination of findings. 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? : We will find 
other funding sources or inform employees to find new positions. 

12a. Amount budgeted for contractual services: $196,926 

b. Will contractual services be put out to bid? : No 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? : One time 

13a. Does the budget include indirect costs? [X] Yes [ ] No 

bl If yes, how much? $20,743 

b2. How was the amount calculated? 16% of total modified direct costs 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 

**DisabiIity Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[x] Existing Site(s) [x] Existing Structure(s) [x] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 
Comments: 

Departmental or Mayor's Office of Disability Reviewer:, 



Date Reviewed: 



^/"7 . /?. Norm Nickens Deputy Director 



Department Approval: 



(Signature) 



Mitchell Katz, M.D. _ Director of Health 



/HiMmI I \ 



(Signature) 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Item 5 - File 01-2230 

Department: 

Item: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, in 
accordance with Section 951b(3), Title 9, of the California 
Code of Regulations, to revise the FY 2001-2002 Substance 
Abuse and Crime Prevention Act County Plan, without 
subsequent Board of Supervisors approval. 

On November 7, 2000, California voters approved Proposition 
36, the Substance Abuse and Crime Prevention Act of 2000 
(SACPA), which requires that certain non- violent drug 
possession offenders receive substance abuse treatment 
rather than incarceration. Start-up funds of $60 million were 
made available for counties in FY 2000-2001. California 
counties were required to begin providing such substance 
abuse services on July 1, 2001. The State appropriates $120 
million annually beginning on July 1, 2001, to California 
counties to cover the costs of providing these substance abuse 
services. Although SACPA has no sunset clause, under 
Proposition 36, specified SACPA funding ends after the 
State's FY 2005-2006 (July 1, 2005 to June 30, 2006). 
Continued funding of such SACPA services after July 1, 
2006, becomes subject to the State's budget process at that 
time. 

In order to receive State funding for SACPA services, each 
county needs to (1) agree to comply with the provisions of the 
SACPA; (2) establish a local Substance Abuse and Crime 
Prevention Trust Fund; (3) assure the State that all funds 
allocated pursuant to the SACPA will be deposited into that 
Trust Fund; (4) designate a lead agency within the City to be 
responsible for the coordination, development and 
implementation of the SACPA; and, (5) submit an annual 
County Plan, describing the processes, services and 
expenditures for implementing the SACPA each fiscal year. 

On March 5, 2001, the Board of Supervisors approved an 
ordinance (File 01-0061) to establish the Substance Abuse 
and Crime Prevention Trust Fund and designated DPH as 
the lead agency. On May 29, 2001, the Board of Supervisors 
approved the FY 2001-2002 County Plan (File 01-0923) 
which described how the criminal justice and treatment 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

28 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

systems would work together to provide eligible individuals 1 
with substance abuse services under the SACPA (See 
Comment No. 2) beginning on July 1, 2001. 

Mr. James Stillwell of DPH advises that SACPA also 
requires that any revisions made to an existing annual 
County Plan must be approved by the local, designated, 
approval authority, which is currently the Board of 
Supervisors. According to Mr. Stillwell, an existing County 
Plan would be revised if (a) additional State funding becomes 
available whereby such additional funding would change the 
amount and/or type of services provided under an existing 
County Plan; or if, (b) the State changes the terms of SACPA, 
which could affect the amount and/or type of services 
provided under an existing County Plan. Currently, any 
revisions to the FY 2001-2002 County Plan would need to be 
approved by the Board of Supervisors. 

Approval of the proposed resolution would transfer such 
revision approval authority of the FY 2001-2002 County Plan 
from the Board of Supervisors to the DPH. Mr. Stillwell 
advises that giving DPH the authority to approve revisions to 
the FY 2001-2002 County Plan, without subsequent Board of 
Supervisors approval, would permit DPH to respond quickly 
to changes in the SACPA legislation or any additional 
funding that the State may provide during FY 2001-2002 
which would result in revisions to the amount and/or type of 
services available to eligible individuals (see Comment No. 
4). According to Mr. Stillwell, under the proposed resolution, 
the Board of Supervisors would still have approval authority 
of future annual County Plans. 

Comments: 1. According to Mr. Stillwell, the State set aside $2,298,950 

in SACPA start-up funds to San Francisco for FY 2000-2001 
and allocated $4,435,113 in FY 2001-2002. Mr. Stillwell 
advises that any unspent funds can be carried forward to 



1 All persons who are convicted of the offenses specified by State statute and who meet the State 
statute's criminal history requirements are entitled to the treatment-related conditions of the 
probation under the SACP Act. A person is ineligible if (a) s/he has completed serving a felony (other 
than a non-violent drug-related felony) or a misdemeanor involving physical injury or the threat of 
physical injury within the past five years; (b) s/he has been convicted of a misdemeanor not related to 
the use of drugs, or any felony in addition to the non-violent drug possession charge; (c) the current 
offense involved the use of a firearm, in addition to non-violent drug possession; and. (d) s/he has 
already been convicted twice of non-violent drug possession and has been found by clear and 
convincing evidence to be unamenable to any and all forms of treatment. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

29 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

future fiscal years. Mr. Stillwell further advises that it is 
anticipated that the State will allocate approximately 
$4,435,113 annually through FY 2005-2006, when State 
funding for the SACPA will become subject to the State's 
budget process for continued implementation of SACPA. 
According to Mr. Stillwell, it is uncertain at this time if 
counties would be required to continue providing such 
substance abuse services after FY 2005-2006, if funding is 
not available. 

2. Under the FY 2001-2002 County Plan, a potential client of 
the drug treatment program under the SACPA would 
progress through the justice and treatment systems in 
specific stages after conviction in the justice system. Those 
stages are: (1) Assessment, Placement and Treatment: after a 
person has been convicted or entered a guilty plea, the 
individual receives an assessment of the severity and 
complexity of his or her substance abuse problem within 
seven days. The assessment is conducted by the Treatment 
Access Program (TAP), a program of the Community 
Substance Abuse Services in the DPH (see Comment No. 5 
below). Following assessment, the Court/Board of Prison 
Terms sentences the individual to treatment as a condition of 
probation/parole. At that point, the individual is sentenced 
and actually becomes eligible for dedicated treatment 
resources. The placement of the individual is authorized and 
coordinated by TAP. The treatment provider prepares a 
treatment plan for the individual and submits that plan 
through TAP to the Adult Probation Department or the State 
Department of Parole (Probation/Parole). The plan includes 
an array of appropriate substance abuse services and may 
include ancillary services, such as literacy training, family 
counseling and vocational training services; (2) Reporting 
and Monitoring: TAP is responsible for tracking an 
individual's treatment progress and reporting quarterly to 
Probation/Parole. Monitoring by TAP and Probation/Parole 
ensures that individuals receive the most appropriate 
treatment services and that treatment providers are in 
compliance with SACPA requirements. If an individual is 
determined to not be sufficiently motivated to continue with 
treatment such determination is reported to Probation or 
Parole for consultation with TAP on what is a more 
appropriate treatment plan or if a motion should be filed to 
modify or revoke probation; and, (3) Completion of Treatment 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

and Dismissal of Charges: Upon an individual's successful 
completion of his or her treatment plan, TAP is responsible 
for verifying and preparing a report of compliance to 
Probation/Parole, the District Attorney and the individual's 
defense counsel. According to Mr. Stillwell, individuals are 
eligible for dismissal of charges upon successful completion of 
the treatment program. 

3. According to Mr. Stillwell, the development of the FY 
2001-2002 County Plan was an extensive collaborative 
community-based planning process that began in January of 
2001. The planning process involved representatives from 
the Board of Supervisors, the District Attorney's Office, the 
Trial Courts, the Department of Public Health, the 
Department of Human Services, the Adult Probation 
Department, the State Department of Parole, the Sheriffs 
Department, the Police Department, the Controller's Office, 
the Mayor's Office of Neighborhood Services, the Mayor's 
Criminal Justice Council, the community, the Treatment 
Demand Council, advocacy groups, substance abuse 
treatment providers and the faith community. 

4. According to Mr. Stillwell, on October 11, 2001, State 
Senate Bill 223 (Burton), providing monies for drug testing of 
clients under the SACPA was signed into law. Mr. Stillwell 
advises that on November 9, 2001, the State released the 
requirements that counties must meet to receive these funds, 
which included submitting a revised County Plan to the 
State by January 10, 2002. Mr. Stillwell further advises that 
under the Burton Bill, San Francisco would receive an 
additional $325,554 in SACPA funds. 

As required by SACPA, an outside advisory committee, 
representing the Public Defender's Office, the Mayor's Office, 
the Trial Courts, Probation and Parole and other impacted 
stakeholders, reviewed the revisions to the FY 2001-2002 
County Plan and approved the changes at its December 19, 
2001 meeting. The delegated approval authority, which is 
currently the Board of Supervisors, must approve these 
changes in order to receive the $325,554 in additional 
SCAPA funding. In the attached memorandum, Attachment 
I, Mr. Stillwell advises that the State was aware of the short 
timeline for submitting the revised FY 2001-2002 County 
Plan and advised that DPH request that approval authority 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

to revise the FY 2001-2002 County Plan be transferred from 
the Board of Supervisors to DPH. According to Mr. Stillwell, 
the State has agreed to award San Francisco the additional 
$325,554 in SACPA funds if the proposed resolution is 
approved by the Board of Supervisors and submitted to the 
State by February 15, 2002. However, Mr. Stillwell advises, 
if the proposed resolution is not approved, then the City 
would lose the $325,554 in additional SACPA funding. Mr. 
Stillwell advises that DPH will spend the additional 
$325,554 SACPA funds as follows: 

Urine Toxicology for SACPA Clients 

3,333 tests (33 per day for 5 months) @ $15/test $50,000 
Additional Assessor/Case Management/ 

Administrative Support for SACPA 100,000 

Additional Treatment Resources for SACPA 175,554 

Total $325,554 

Attachment II, provided by DPH, is a copy of the revised FY 
2001-2002 County Plan, which DPH will submit to the State 
on January 10, 2002. 

5. Under the Community Substance Abuse program, TAP 
places individuals in drug treatment programs run by 
community-based organizations. The DPH currently 
contracts with 45 community-based organizations to provide 
substance abuse treatment programs on behalf of the DPH. 
Mr. Stillwell advises that using the SACPA funds, DPH 
modified existing substance abuse treatment contracts with 
14 of the 45 community-based agencies so that treatment 
services were available as of July 1, 2001. Such modifications 
were limited to agencies with existing contracts for State 
licensed or certified drug and alcohol treatment programs, as 
required by the SACPA. Mr. Stillwell advises that such 
initial funds were awarded on a sole-source basis, as 
approved by the Health Commission, to expedite the 
establishment of the program. These contract modifications 
are funded from the SACPA Start-up funds of $2,298,950 and 
the FY 2001-2002 SACPA funds of $4,435,113. Mr. Stillwell 
further advises that other existing contracts may be modified 
as additional agencies acquire the required State license or 
certificate on a sole source basis and any new contracts 
would be awarded on a competitive bid basis. See the 
Attachment, provided by Mr. Stillwell, for a list of the 14 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

community-based organizations and the amount of funds 
currently awarded under the SACPA Program. 

6. According to Mr. Stillwell, the SACPA prohibits local 
jurisdictions from supplanting funding for existing drug 
diversion programs in San Francisco. Currently, there are 
two existing drug-diversion programs for pre-guilty plea 
defendants (a) Drug Diversion for defendants with first-time 
felony drug possession offenses; and, (b) Drug Court for 
repeat offenders with multiple eligible charges. Mr. Stillwell 
advises that the SACPA funds will not replace or supplant 
the funds for these two existing drug diversion programs and 
that the SACPA probation and drug treatment program is for 
individuals who have been convicted of certain non-violent 
drug possession charges. 

Recommendation: Approval of the proposed resolution, which will transfer 

approval of revisions to the FY 2001-2002 County Plan from 
the Board of Supervisors to DPH, is a policy matter for the 
Board of Supervisors. 



SOARD OF SUPERVISORS 
BUDGET ANALYST 



Attachment I 
Page 1 of 3 



Department of Public Health 

Community Substance Abuse Services 



TO: Maureen Singleton 

FROM: James Stillwell 

DATE: January 2, 2002 

RE: Response to Questions in Reference to File 01-2230 




Allocations of the Current Plan 

See attached spreadsheet: Proposition 36 Treatment Contract Allocation. 

Nonprofit Organizations Contracted with Since the Issuance of the Last Report 

CSAS continues to contract with the following agencies for the provision of the Substance Abuse 
& Crime Prevention Act (SACPA): 



Asian American Recovery Services 
Bayview Hunters Point Foundation 
Community Awareness & Treatment 
Services (CATS) 
Haight Ashbury Free Clinics 
Horizons Unlimited 
Iris Center 
Jelani, Inc. 



■ Mission Council 

B Morrisania West 

New Leaf 

' Ohlhoff Recovery Program 

B Potrero Hill Neighborhood House 

° Walden House 

B Westside Community 



Since the last report, Bay Area Addiction Research & Treatment, Inc (BAART) decided not to 
contract with CSAS due to the financial reporting requirements. 

Response to Question Regarding Comment 1 

Under SACPA, after FY 2005-2006, will counties be required to continue to provide such services 
if it is not funded? 

While the funding for SA.CPA expires after 2005, the provisions of the law do not. Unless new 
legislation or initiatives are introduced that modify sentencing provisions, people will still be 
eligible for treatment. 



34 



Attachment I 
Page 2 of 3 



Response to Question Regarding Comment 4 

Wlty has it taken 3 months to submit the resolution to the BOS? 

The State Department of Alcohol and Drug Programs released the requirements counties must 
meet to receive funds under SB 223 (Burton), Chapter 721, Statutes of 2001, on November 9 th . 
The decision was made at that time that a month was not sufficient to revise the plan in 
collaboration with impacted stakeholders as required by Section 95 15, Title 9, CCR. The State 
has been mindful of the short timeline and advised that we request the delegated approval 
authority, which most Counties requested and received when submitting the original plan. 

The State's deadline for the plan is January 10 th . If the resolution is approved, it must be 
submitted by February 15 th to receive the funds. 



Response to Questions in Reference to File 01-2230 
January 2, 2002 

35 



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36 




Attachment ' 
.rage i of 2" 
City and County of San Francisco 



Revision 1- The assessment process that wiM be used to determine the placement 
for treatment of eligible defendants, including the need for additional services that 
may improve the effectiveness of treatment: 

The majority of all assessments will be administered by the Treatment Access Program 
(TAP), a unit of Community Substance Abuse Services (CSAS). 

TAP has the responsibility to obtain and maintain up-to-date assessments. 
Assessments will not be re-done on the same client by different assessors. Whenever 
possible, TAP will accept assessments conducted within 6 months, administered by 
Drug Court, Sheriffs Department, Probation or other sources using a similar 
standardized instrument. 

The Addiction Severity Index (ASI) will be used as the core assessment. It will be 
modified as necessary to ensure an efficient and effective assessment process. 

San Francisco has an extensive system of treatment programs. A comprehensive array 
of substance abuse services will be offered to clients under the provision of the Act and 
will include the following: basic drug abuse education, mentoring, alternative life skills 
training, outpatient services, intensive outpatient and day treatment, residential 
treatment, and, methadone maintenance. 

The Act provides for literacy training, family counseling and vocational training services 
to clients in instances when the assessment indicates that they are necessary. DPH is 
fully committed to providing these enhancements to the basic substance abuse services. 
DPH will use its professional services contracting method for providing ancillary 
services. 

The need for ancillary services will be identified through the 14-Day Treatment Services 
Review ("TSR") form, administered during assessment, and communication between the 
client and TAP and the client and the treatment provider. 

A portion of the funds available through the Senate Bill 223 will be used to hire an 
additional Assessor/Case Manager and to purchase an additional 40 slots in outpatient 
treatment. 



Revision 2= The criteria used by the county, utilizing the tools available through 
contract enforcement, to monitor and enforce the quality of drug treatment and 
other sen/ices provided: 

Through annual contract monitoring and site reports, CSAS ensures that appropriate 
sen/ices are available to alcohoi or other drug dependant individuals when they are 
ready to participate in a program. Services focus on: offering client focused services; 
responding to community needs; ensuring equal access; maintaining commitment to 
Culturally Competency; integrating the service delivery system; and, promoting a range 
of services. 



Abuse, and Crime Prevention Act 2 




City and County of San Francisco 



Attachment II 
Paee Z ot 3 



Annual site/program reviews and reports include State and County treatment standards. 
Each program follows a court-mandated protocol of client satisfaction surveys, which are 
analyzed and repeated annually. 

Each treatment contract has specific, measurable quality outcomes and indicators, such 
as length of time in treatment and client disposition at end of treatment episode. These 
objectives are measured and repeated annually. 

In addition to CSAS monitoring, the protocol between TAP and Probation/Parole will 
ensure that clients receive the most appropriate treatment services and that treatment 
providers are in compliance with the requirements set forth under the Act. 



Revision 3= How drug testing will be used as a treatment tool: 

SACPA clients will be tested twice a month with either self-administered or lab 
processed tests. 

Urine testing is useful in measuring any discrepancy between the client's stated goal of 
abstaining from alcohol and drugs and their actual use. With that finding, drug testing 
creates and opportunity for counseling and intervention. It is not the sole determination 
for any clinical decision. 



Revision 4- The county's treatment goals for eligible parolees and probationers, 
as well as the process the county will use to report on the number of eligible 
parolees and probationers provided drug treatment and other services as 
determined by their assessment: 

Treatment goals are based on an individual assessment which aims to provide the client 
with an appropriate level (modality) and duration of treatment in order for the client to 
successfully arrest drug use and related involvement in the criminal justice system. 

TAP will assume primary responsibility for tracking the treatment progress of clients and 
reporting quarterly to Probation/Parole. Reports will provide an update of the client's 
status in treatment. 



Revised County Plan for the Substance Abuse and Crime Prevention Act 3 

38 




Attachment II 
Page 3 of 3 



City and County of San Francisco 



Fiscal Plan of the Revised San Francisco County 
under the Substance Abuse Treatment and 
Accountability (SATTA) Program 



Column A 


Column B 


(1) COUNTY ALLOCATION FOR SATTA 


$325,554 


(2) COUNTY PLANNED EXPENDITURES 




(3) Drug Testing 


$50,000 


(4) Other Authorized Purposes 


$275,554 


(5) TOTAL 


$325,554 


(6) PROGRAM SERVICE PROJECTIONS 




(7) Number of clients to be served 


333 


(8) Number of tests to be administered 


3,333 


(9) Projected average cost per client 


$1,515 


(10) Projected average cost per test 


$15 



Revised County Pian for the Substance Abuse and Crime Prevention Act 

o9 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Item 6 - File 01-2259 

Department: 

Item: 



Amount: 
Grant Period: 
Source of Funds: 

Required Match: 
Indirect Costs: 

Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Community Mental Health Services, to accept and expend 
federal SAMHSA Mental Health Block Grant funds in the 
total amount of $3,198,952 from the State Department of 
Mental Health to improve the system of care for seriously 
emotionally disturbed children and mentally ill adults in 
San Francisco, including those with a diagnosis of a dual 
disorder of mental illness and substance abuse; for the 
period of July 1, 2001 to June 30, 2002. 

$3,198,952 ($2,110,871 appropriated in the FY 2001-2002 
budget and $1,088,081 in additional funds) 

July 1, 2001 through June 30, 2002 (One Year, See 
Comment No. 1) 

Substance Abuse Mental Health Services Administration 
(SAMHSA) Block Grant distributed by the State 
Department of Mental Health 

None required. 

The terms of the subject grant prohibit the inclusion of 
indirect costs. 

SAMHSA Block Grant funds in the amount of $3,198,952 
have been allocated to the City to improve the system of 
care for seriously emotionally disturbed children and 
severely mentally ill adults in San Francisco, including 
those with dual diagnosis, or a diagnosis of a dual 
disorder of mental illness and substance abuse. The 
subject $3,198,952 of grant funds consists of $2,110,871 of 
SAMHSA grant funds that have been appropriated for FY 
2001-2002, $402,260 of SAMHSA funds carried forward 
from the FY 2000-2001 SAMHSA grant and $685,821 of 
additional SAMHSA grant funding for dual diagnosis 
programs. 

According to Ms. Louise Rogers of DPH, grant funded 
activities would include the following: (1) expanding 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

access to community care and diverting individuals from 
institutional care, (2) providing mental health education 
and outreach, (3) referring individuals to appropriate 
mental health treatment, (4) providing crisis case 
management services for individuals discharged from 
institutional care who have not yet begun ongoing mental 
health treatment, (5) evaluating hospitalized individuals 
to determine their readiness for discharge, (6) ensuring 
that DPITs Community Mental Health Services 
authorizes treatment and pays service providers, (7) 
creating a dual disorder training curriculum to provide 
ongoing training to mental health care providers and (8) 
funding for dual disorder specialists to provide additional 
treatment capacity for dually disordered clients in City- 
operated mental health clinics. 

Budget: A summary budget for the total $3,198,952 of grant 

funding is as follows: 

Personnel (24.25 FTE positions) 1 $1,354,645 

Mandatory Fringe Benefits (26% of Salaries) 352,532 

Contract and Operating Expenses 2 $1.491,775 

Total Budget $3,198,952 

Attachment I, provided by Ms. Rogers, provides additional 
budgetary details to support the $3,198,952 budget. 

Comments: 1. The SAMHSA Block Grant has been awarded to DPH 

through the State Department of Mental Health each 
year for more than ten years. The proposed resolution 
would allow the DPH to accept and expend the full 
amount of $3,198,952. The subject $3,198,952 will allow 
the program to expand from the current fiscal year 
$2,110,871 approved SAMHSA grant funding by 



1 Includes the following: (1) 20.0 FTE positions already approved in the original FY 2001-2002 
SAMHSA Block Grant as approved by the Board of Supervisors, (2) creates 4.25 new FTE positions 
and actual payroll which has increased costs from the original budget 

2 Includes the following: (1) $891,527 in contractual expenses, $470,833 which was already approved 
by the Board of Supervisors and $420,694 in additional contractual expenses, (2) $315,400 for new 
computers and software, $100,000 which has already been approved by the Board of Supervisors and 
$215,400 in additional computer equipment, (3) $174,848 of approved funds for the Family Mosaic 
Project, a case management program for seriously emotionally disturbed children, (4) $110,000 in 
equipment, $50,000 of which has already been approved by the Board of Supervisors and $60 : 000 in 
additional expenses for wheelchairs and disabled access to showers at San Francisco General 
Hospital. 



BUDGET ANALYST 
41 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

$1,088,081 due to an additional $402,260 of SAMHSA 
grant funding that would be carried forward from FY 
2000-2001 and $685,821 that was awarded to fund dual 
diagnosis-related treatments which Ms. Rogers 
anticipates will become part of the on-going SAMHSA 
Block Grant allocation to DPH. 

Ms. Rogers advises that the $2,110,871 of SAMHSA Block 
Grant funds have already been appropriated in DPH's FY 
2001-2002 budget. Ms. Rogers further advises that the 
remaining $1,088,081 of SAMHSA grant funds have a 
grant period of January 1, 2002 through June 30, 2002. 
The proposed resolution should, therefore,- be amended to 
provide for retroactive acceptance and expenditure of the 
subject grant funds. 

2. The subject grant funds the following existing 20.0 FTE 
positions, shown in Attachment I: 



DPH Personnel 

Clerk Typist 

Sr. Clerk Typist 

Jr. Administrative Analyst 

Consumer Analyst 

Sr. Physician Specialist 

Registered Nurse 

Mental Health Educator 

Social Worker 

Psychological Social Worker 

Marriage, Child & Family Counselor 

Sr. Psychological Social Worker 

Subtotal Existing Positions 

Fringe Benefits 

Total Existing Personnel 





Number 






of 


Budgeted 


Class. 


Positions 


Salary 


1424 


2.5 


$92,893 


1426 


1.0 


39,134 


1820 


1.0 


42,175 


1822 


2.0 


113,466 


2232 


1.0 


125,000 


2320 


2.5 


173,030 


2822 


1.0 


66,964 


2910 


3.0 


152,133 


2930 


2.0 


89,171 


2931 


3.0 


201,583 


2932 


L0 


71,356 




20 


$1,166,905 

303.395 

$1,470,300 



BOARD OF 



SUPERVISORS 



BUDGET ANALYS r 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

The subject grant would fund the following new 4.25 FTE 
positions at DPH for six months, as shown in Attachment 
I: 







Number 








of 


Budgeted 


DPH Personnel 


Class 


Positions 


Salarv 


Principal Accountant 


1654 


.25 


$16,939 


Clinical Psychologist 


2574 


1.0 


37,044 


Psychological Social Worker 


2930 


3.0 


133.757 


Subtotal New Positions 




4.25 


$187,740 


Fringe Benefits 






49.137 


Total New Positions 






$236,877 


Grand Total - Salaries and Fringe 


Benefits 




$1,707,177 



According to Ms. Rogers, the new 4.25 FTE positions 
would increase DPH's capacity to treat dually disordered 
clients and improve the DPH's mental health delivery 
system. As stated in the proposed resolution, the 24.25 
FTE positions are designated "G", or grant-funded 
positions that would terminate when the subject grant 
expires. 

3. The additional grant funds would provide $420,694 in 
additional funding for contractual services. According to 
Ms. Rogers, DPH would allow the West Bay Filipino 
Multi-Service Center to carry forward $12,606 of unused 
funds from its previous FY 2000-2001 contract with DPH 
to its current FY 2001-2002 contract with DPH of 
$60,000, for a total contract of $72,606. Ms. Rogers 
advises that this contract would fund outreach, mental 
health education and linkage to mental health services for 
Filipino families. 

Ms. Rogers states that the Baker Places and the Conard 
House would each have their current contract with DPH 
amended by $100,000 to provide case management and 
support for mental health clients in their independent 
living facilities. With the additional $100,000 to each 
organization, Ms. Rogers advises that the Baker Places 
contract with DPH would total $6,326,575 for FY 2001- 
2002 and the Conard House contract with DPH would 
total $4,111,002 for FY 2001-2002. 

BOARD GF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Ms. Rogers advises that the Richmond Area Multi-Service 
Center and the Asian American Recovery Services would 
each have their existing contract with DPH amended by 
$37,500 for dual disorder counselors at each site. Ms. 
Rogers further advises that with the additional $37,500, 
the Richmond Area Multi-Service Center's contract with 
DPH would total $2,901,184 and the Asian American 
Recovery Services contract with DPH would total 
$4,817,342 with the additional $37,500. 

Ms. Rogers advises that the Westside Community Mental 
Health Center would be awarded two contracts, a $70,000 
contract and a $30,000 contract, for a total of $100,000. 
Ms. Rogers further advises that the $70,000 contract 
would provide training, consultations, and $20,000 in 
stipends for seven chnicians-in-training. According to Ms. 
Rogers, each clinician-in-training would receive a $2,857 
stipend to assist in living expenses while receiving 
training in treating dual disorder patients. Ms. Rogers 
notes that the $30,000 contract with the West Side 
Community Mental Health Center would provide 
temporary housing, food and clothing for clients that have 
recently been discharged from mental health institutions. 

Ms. Rogers notes that the Research in Special Education 
(RISE) program would receive an additional $33,088 to its 
current FY 2001-2002 contract of $165,000, for a total 
contract of $198,088. Ms. Rogers advises that RISE would 
provide mentoring and tutoring for children in DPH's 
Family Mosaic Project, a case management program for 
seriously emotionally disturbed children. This contract 
was awarded on a sole source basis, according to Ms. 
Rogers, because RISE is the only provider in San 
Francisco of mentoring and tutoring services to seriously 
emotionally disturbed children. 

4. Attachment II is the Grant Information Form, provided 
by Ms. Rogers, which includes the Disability Access 
Checklist. 

Recommendations: 1. In accordance with Comment No. 1, amend the 

proposed resolution to provide for retroactivity as follows: 



BOARD OF SUPERVISOR; 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

a) on page 1, line 5, in the title, insert 
"retroactively" after "to accept and expend" so 
that the phrase reads "to accept and expend 
retroactively"... 

b) on page 1, line 24, insert "retroactively" after 
"to accept and expend" so that the phrase 
reads "to accept and expend retroactively"... 

2. Approve the proposed resolution, as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 
45 



Attachment I 
Page 1 of 3 



Stata of California 



F ederal Grant Oetailed Program Budget 



SAMHSA BLOCK GRANT 



Department of Mental Health 



Health & Human Service* A gency 



MH 1779 RSV(3/99) 



COUNTY: San Francisco 



SUBMISSION DATE _30 ; Jun-01 

"pyoT-bi 



FISCAL YEAR: 



CONTACT PERSON: Sieve Seidman 



TELEPHONE NO.: 



PROGRAM NA ME: Adult System of Cara /Fam lly Mosaic Project 



PROVIDER NUMBER(S): N/A 



STAFFING 



TITLE OF POSITION 



FTE 



Last Approved- 
Budget 00-01 



Requestor 
Change 



3; 



SEE ATTACHED 



10- 



11 



Total 



f 



12. Total Staff Expanses (aum llnea 1-11) 



24.25 



1,229,190 



477,987 



1,707,177! 



13'Consultant Costs 



14i Filipino Family Therapist 



70,000 



431,606 ; 



501,606 



15i Consultants Transitional Youth 



1 6i Dual Dignosis Older Adult 



17' Equipment (Where feasible lease or rent) (itemize) 



18; Vehicle Purchase 



180.000 i 



(130,000)1 



50,000 



191 Wheelchairs 



40,000 



40.000 



201 



211 Computers & Software 



100,000 I 



215.400 



315,400 



22! 



23 : 



24> 



25 1 



26 



27' 



28iTravel. Per diem. Mileage & Vehicle Rental Lease 



29i 



30. Other Expenses 



31 Client Flexible Funding 



50,000 



50.000 



Disabled Access to showers SFGH 



20,000 



20,000 



33i 



32: Family Mosaic (see attached) 



431,681 



33,088 



514,769 



35i 



36 1 County Administrative Costa 



37 1 



38; NET PROGRAM EXPENSES (SUM LINES 12-37) 



2.110,871 



1,088.081 



3,193.952 : 



39iOther Funding Sources: Federal Funds 



40l Non-Federal Funds 



41. Total Other Funding Sourcesfsum Iine339&40)) 



42GROSS COST OF PROGRAh4S(oum llngggf and 41)" 



2,110,871 



1,038,081 



3,193,952 



DMH APPROVAL 



TERI NEWBY 



Telephone: (915)654-3254 



Date: 



Total Gross Cost for Fy 01/02 Includes roll over of ungrounded funds from Fy 0O/01 



In the amount of S573.737. 



Attachment I 
Page 2 of 3 





SAMHSA BLOCK GRANT 




■ ■ 


SUU of California 










Hearth k Human Sendees Atgnn™ 


0« part merit of Mental Health 















Federal Grant Detailed Program Budget 










-- - — — . 


MH W79REV(:V99) 










SUBMISSION DATE IG.Nrwi 1 





COUNTY: San Francisco 










FISCAL YEAR: FvQi^w — 


CONTACT PERSON: Loutsa Roqers 










■ , 1 u '.;;.* 

TELEPHONE NO.: (4 1 5125S.34 1 R 

PROVIDER NUMSERfS): n/a 


PROGRAM NAME: Adult Syntam of Csro 




















' " — 


STAFFING 






1 


2 


3 


TITLE OF POSITION 




FTE 


Last Approved 
Budget 00-01 


Request or 
Change 


Total 


1 1424 Clerk Typist 




2.5 


60.043 


32.850 


92.893 


2 1426 Sr. Clerk Typist 




1.0 


43.212 


(4.078). 


39,134 


3 1654 Princioal Accountant 




0.25 




16.939 


16.939 


4 1820 Jr. Adm. Analyst 




1.0 


• 


42.175 ■ 


42.175 


S 1822 Consumer Analyst 




2.0. 


98.970 ■ 


14.496 


113,466 


6 2232 Sr. Physician Specialist 




1.0: 


51.419 • 


73581 : 


125.000 


7 2320 Registered Nurse 




2.5 • 


70.490 ■ 


102540 = 


173.030 


8 2574 Clinical Psychologist 




1.0 




37,044 • 


37,044 • 


9 2822 Mental Health Educator - 




1.0 


56.158 


10.806 


66.964: 


102910 Social Worker 




3.0 


138,372 


13,761 : 


152.133 


11 2930 Psych Social Worker 




5.0 


59.163 


163.76S . 


222.923 


12 2931 Marriage. Child & Family Counselor 




3.0: 


183.391 


18.192 ' 


201 ,583 


13'2932 Sr. Psych Social Worker 




1.0- 


88.607 


(17.251)1 


71,356 • 


14 Temporary Salaries (P103) 






93.426 


(93.426)1 


. 


15'Premium Pay(24 hr. Mobile Crisis) 






30,000 


(30.000)1 


. 


16 Mandator/ Fringes 26% 






255,939 


96593' 


352.532 . 


17i 


18;ToUI Start ExcHiMMlaum line* M7| 


1 


24 JS 


1,229,190 1 


477.967 • 


! 1,707.177 • 


191 • : 


20 M*dlcai Sarvicaa Contract* 






70.000 1 


431.606 1 


501.506 : 


2i,Westbay_ 


72.806 1 




' . 


• 


' j 


22ilnstituto Familiar 


24.000 1 . 




■ : 






23> Mental Hearth Board 


3O.OO0! 








• 


24iBaker/Conard •Coooerative Housing 


200.000 i 


. 






I 


25iRAMS/AAR's • counselors 


75,000: 










26'Westside -TralningConsultatiorVstipends \ 


70,000 1 










27' Wesislde - Temporary housing 


30.000 1 








! 


281 


291 


30 Equipment 


31 Vehicle Purchase ! 






180.000 1 


(130.000)1 


50.000 


32I Wheelchairs lor disabled Indigent dientsi 








40.000 1 


40.000 


33 1 Computers: 






100.000 


(100.000)1 




34 1 Com outs r Server 






! 


25.000 1 


25.000 i 


35i Computers 








237,600 ! 


237,600 i 


36 1 Printers ■ 


■ 






13.800 i 


13,800 ! 


37' Workstation/desk & printer tables 








27,000' 


27.0CO . 


381 Oatalines ! 


1 




; 


12.OOO: 


12.000 : 


391 ! ' 


40! Otter Expenses: 1 


41 iWestsnte- C8«nt Flex Funding 


: 




50.000 1 ■ 


' • 


50,000 


42 : Oisabled aceaaa to showers SFGH 






. 


20.000 


20.000 ' 


43 1 


44| 












4SI • < 


daiCourrry Adminlslnstlvo Costa •• 






• 


• 




47: NET PROGRAM EXPENSES (SUM LINES 18-46) 




1,629,150 


1,054.993 


2.584.183 : 


AS: Other Funding Sources: Federal Funds i 1 • ! 


491 Non-Fedaral Funds . 


50' Total Other Funding Sourcssfsum Iines48 & 49) 




. 




. • 


51 .GROSS COST OF PROGRAMS/ sum linos 47& 50)" 




1,329,150 ■ : 


1, 054.833 


2.6S4.1S3 1 




Total Grcsa Coat lor Fy 01/02 Included roll ovrjf 0* unex&anded fundo from Fy 00/01 


In the amount of 8540,643 i 






DMH APPROVAL • TERI NEWBY 










Tsleorvons: 


(916)554.3254 


Oats: 




i 



Attachment I 
Page 3 of 3 



SAMHSA BLOCK GRANT 


" 


atiteofCaHfomla 




Hearth 4 Human Swvtcsa Aosncv 


Department of Hartal llesMi 


• 


i- — 


•* ■" - 


Federal Grant Detailed Program Budget 






— " " ~ - 


MH 1779 REV(3/OT) 




SUBMISSION OATE 


T6^Nov'loi~ 


■ — 


COUNTY: San Francisco 




FISCAL YEAR: Fy 01-02 


CONTACT PERSON: Philip Tse 




TELEPHONE NO.: (415)255-3637 


PROGRAM NAME: Family Mosaic Project 




PROVIDER NUMBER(S 


): N/A 








— -. -_ . 


■staffing 


1 I ; 2 


3 • 


TTTLE OF POSmON FTE 


Last Approvedl ' Request or 
Budget 00-01 j i Change 


Total 


. 11 


— > ' 




■ 21 






31 ! 


* • 




41 , ! 


51 ; . i 


! : 


61 . ! ! . 


; | 


7! ! ■ i ! 


81 : ! !l i 


91 : ! ! 


i ' i 


101 I 


i i ! ; 


111 




i i i 


121 ■ j ] 






i i 


131 i 






| i 


151 i 






i ! 


17 1 Total Start Expense* (sum lines 1-16) | 


- 


- 


i 




18 








i 




19 


Equipment 








i 




20 


Copier 




6,000 


- 




6,000 




21 


I 












22 


! i 




i 






23ISuppiies i 






i 




24 1 Postage & other supplies i I 


6,500 


- 


1 6,500 




25 ; ! 




I • 




26 1 


I 




' I 




27ITravel 


i 




! i 




28 1 Client Transportation 


41.296 


- 


41,296 




29i ; i 


i 


, J 


30 1 Other Expenses 


102.611 | 




j 102.611 




31 1 Rent 


8,301 I 


- 


i 8,301 




32) Telephone 


500 


- 


500 | 


33 1 Duplication & Printing 


! 9,640 


- 


! 9,640 | 


34 1 Miscellaneous 


' ! 


-!i I 


| 35 1 Subcontracts (see attachment) 


i 


! 308,8337 


33,088 


I i 339,921 I 


36 1 




! ! 


37 




i 




I i I 


I 38 


County Administrative Costa 


! 




i I I 


| 39 1 NET PROGRAM EXPENSES (SUM UNES 17-38) 


481,681 I I 


514,769 j 


40 1 Other Funding Sources: Federal Funds I 




i i ! 


41 1 Non-Federal Funds I 




! il II I 


42lTotal Other Funding Sourest sum Iines40-41) 




, 43|GROSSCOSTOFPRG^R&^aumlki^3Sar^42)"| I I I 


I ! I ■ ! 


I ; : i 


I I | DGSHAPP^C 


VAL j TERI NEWBY 


I : : 


i | ! Telephone: 


! (916)654-3254 I 


I 


i ! Date: I i ! 


1 1 i 


: ! ! I 


Total Grose Cost for Fy 01 -32 Includes rolt-ovs? of ur 


tsE^jrfdsd ftsirtds to? Fy &3-01 


i ! : 


in the amount xA S33.0S3. j i ! j 


! II : 


i ! ' 


• i 


1 



File Number: 



Attachment _ II 
Page 1 of 3 



(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept 
and expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: SAMHSA Mental Health Block Grant 

2. Department: Department of Public Health, Community Mental Health 

3. Contact Person: Louise Rogers Telephone: 255-3416 

4. Grant Approval Status (check one): 

[ X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $3,198,952 (approved FY 01-02 allocation of 
$1,939,394 plus $573,737 carry forward from FY 00-01, plus $685,821 dual diagnosis set-aside). 

6a. Matching Funds Required: $0 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: Federal Substance Abuse Mental Health Services Administration 

b. Grant Pass-Through Agency (if applicable): State Department of Mental Health 

8. Proposed Grant Project Summary: 

This SAMHSA block grant proposal has been revised to incorporate an additional $685,821 
allocated by the State Department of Mental Health to San Francisco for dual diagnosis services 
and resubmitted to the Board of Supervisors. The grant is used to improve the system to provide 
mental health services to seriously emotionally disturbed children and severely mentally ill adults. 
In addition to the components supported by the on-going grant, the additional funds will be used to 
develop dual disorder treatment capacity within the existing service delivery system. This includes: 
a) hiring one 2574 psychologist to develop a dual disorder treatment curriculum and implement an 
intensive training initiative of clinics; b) hiring three 2930/31 social worker/marriage, family therapists 
to provide additional treatment capacity for dually disordered clients; adding two dual disorder 
counselors to contracted mental health clinics; and c) certifying mental health providers to provide 
and bill for substance abuse services and certifying substance abuse providers to provide and bill 
for mental health services to encourage development of dual disorder programs. In addition, the 
grant includes a new .25 1654 accountant and one-time funds for items to improve the 
infrastructure of the mental health delivery system: computers and printers, vehicles, wheelchairs 
for disabled clients, improvements to disabled access to showers at SFGH inpatient psychiatric 
units, start-up costs for cooperative housing arrangements. 



49 



Attachment II 
Page 2 of 3 



9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

The portions of the grant that were already approved by the Board of Supervisors are underway. 
The portion of the grant related to the new dual disorder initiative will have the following schedule: 

Start-Date: 1/1/02 End-Date: 6/30/02 

(It is expected that the grant will become a part of the on-going State allocation to the Department in 
future funding years.) 



10. Number of new positions created and funded: 4.25 (in addition to previously created 20 in base 
grant) 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? : It is 
expected that these grant funds will become a part of the ongoing annual allocation provided by the 
State Department of Mental Health, so the end for the grant should not create a funding problem. 

12a. Amount budgeted for contractual services: $891,527 of which $420,694 is new and $470,833 is 
part of the base (already approved) grant. 

b. Will contractual services be put out to bid? : Expansion of current contracts. 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : 

d. Is this likely to be a one-time or ongoing request for contracting out?-: Ongoing 

13a. Does the budget include indirect costs? []Yes [X]No 

b1. If yes, how much? $ 

b2. How was the amount calculated? 

c. If no, why are indirect costs not included? 

[X ] Not allowed by granting agency [ ] To maximize use of grant funds on direct 

services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 



"Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

"X ] Existing Site(s) [ ] Existing Structure(s) [X ] Existing Program(s) or 

oervice(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 



50 



Attachment II 
Page 3 of 3 
[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the 
proposal and concluded that the project as proposed will be in compliance with the Americans with 
Disabilities Act and all other Federal, State and local access laws and regulations and will allow the full 
inclusion of persons with disabilities, or will require unreasonable hardship exceptions, as described in 
the comments section: 

Comments: 



Departmental or Mayor's Office of Disability 

Reviewer: Norman Nirkens Dppiify Director 

(Name) (Title) 



Date Reviewed: 



ix -hi- of 



--y^U /Zs 



(Signature) 



Department Approval: 

Mitchell Katz. M.D. Director nf Hpalth 

(Name) (Title) 




(Signature) 



A 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Item 7 - File 01-2260 

Department: 

Item: 



Amount: 

Grant Period: 

Source of Funds: 
Required Match: 
Indirect Costs: 

Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend retroactively a grant in the amount 
of $315,828 for the first year of a three year grant from 
the Centers for Disease Control and Prevention (CDC) for 
HIV prevention intervention research on the efficacy of 
condom skills building and to enter into an agreement for 
the use of these funds; for the period of September 30, 
2001 to September 29, 2002. 

$315,828 

September 30, 2001 through September 29, 2002 (One 
Year, See Comment No. 3) 

U.S. Centers for Disease Control 

None required (See Comment No. 2). 

$4,972 (22.2 percent of Salaries of $22,368, See Comment 
No. 1) 

The subject grant provides funding to design and 
implement an intervention program to reduce the 
incidence of STD infections for individuals who are 
seeking diagnosis and treatment for STD infection and, 
therefore, are considered to be at high-risk for STD 
infections. The project will work with patients and health 
care providers at the San Francisco City Clinic in focus 
groups to design a program that educates high-risk 
individuals about the use of condoms. After the 
educational component is designed, the project will seek 
to educate individuals seeking treatment for STD 
infections at the San Francisco City Clinic, which is 
located in the South of Market area. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 






Budget: 



The proposed program budget is as follows: 



Grant Funds 

.50 FTE Lab Assistant $22,368 

Fringe Benefits (25% of Salaries) 5.592 

Subtotal Personnel $27,960 

Lab Supplies 25,000 

Condoms • 10,370 

Travel 2,400 

Advertising 4,284 

Incentives 6,500 

Postage 600 

Contract with Center for AIDS Prevention Studies 233,742 

Total Direct Costs 310,856 

Indirect Costs 4.972 

Total Grant Budget 



Comments: 



$315,828 



1. The proposed resolution authorizes retroactive 
acceptance and expenditure of the first year of the three - 
year subject grant. Grant funds will also be included in 
the DPH's budget in FY 2002-2003 in the amount of 
$286,411 and in FY 2003-2004 in the amount of $288,602. 
Over three years, Ms. Lyn Fischer of DPH advises that 
the total amount of grant funding would be $890,841. Ms. 
Fischer further advises that the Centers for Disease 
Control did not include indirect costs in the award for the 
second and third years of the subject grant. 

2. As shown in the above budget, $233,742 is allocated for 
a contract with the University of California — San 
Francisco's Center for AIDS Prevention Studies (CAPS). 
The subject contract would develop, implement and 
evaluate the intervention program to evaluate the efficacy 
of the proposed program in reducing the incidence of 
STDs among San Francisco City Clinic clients. The 
contract was awarded on a sole source basis because 
CAPS collaborated with DPH on the grant proposal and 
provides expertise in STDs and behavior modification for 
the proposed grant program that cannot be locally 
obtained elsewhere. 

3. Ms. Fischer advises that although the subject grant 
period was to begin on September 30, 2001, the proposed 
resolution is coming before the Board of Supervisors only 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
53 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

now, over three months after the subject grant period was 
to begin, because DPH did not receive the award letter 
until after the subject grant period was to begin and, 
then, administrative delays at the University of 
California - San Francisco further delayed submission to 
the Board of Supervisors. Ms. Fischer further advises 
that, to date, no funds have been expended. 

4. As shown in the above budget, $6,500 is budgeted for 
incentives for participants in the project to assist with 
enrollment in the project. Ms. Fischer advises that these 
incentives would include coupons for Safeway and movie 
vouchers. Ms. Fischer further advises that each incentive 
would be a $5 value, allowing the project to reach 1,300 
participants in the first year. 

5. The subject grant would fund .50 FTE of a Lab 
Assistant position. The proposed resolution states that 
this position should be a "G" coded, or a grant-funded 
position that would terminate when the subject grant 
expires. 

6. The Attachment to this report is the Grant Information 
Form, provided by DPH, which includes the Disability 
Access Checklist. 

Recommendation: Approve the proposed resolution. 






I 



BOARD OF SU?E5 T 7iSORg 
BUDGET ANALYST 
54 



Attachment 
Jtege 1 of "2 



File Number: 

(provided by the Board of Supervisors 



Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a 
Department to accept and expend grant funds. 

1 . Grant Title: Efficacy of Condom Skills Building Demonstrations for HIV/STD 
Prevention 

2. Department: Department of Public Health, Population Health and Prevention, 
Sexually Transmitted Disease (STD) Prevention and Control Services 

3. Contact Person: Wendy Wolf Telephone: 487-5501 

Lyn Fischer Telephone: 487-5518 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $901 ,544 total for 3 years 

$315,828 for the first year 

6. a.) Matching Funds Required: $0 

b.) Source(s) of matching funds (if applicable): N/A 

7 a.) Grant Source Agency; Centers for Disease Control and Prevention 
b.) Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: To determine whether a single session, group 
based condom skills intervention is effective in reducing incident STD infections at 
three and six month intervals among patients seeking services at the STD Clinic. 

9. Grant Project Schedule: 

Start-Date: 9/30/2001 End-Date: 9/29/02 

10. Number of new positions created and funded: .50 FTE 

1 1 . If new positions are created, explain the disposition of employee(s) once the grant 
ends: Staff will be told that the position is for a limited period of time and will only be 
refunded if additional funding is identified. All efforts will be made to transition interested 
and qualified staff into vacancies of similar positions once funding is exhausted. 



55 



Attachment 
i'age 2 of 2 



12. a.) Amount to be spent on contractual services: $233,741 

b.) Will contractual services be put out to bid?: No. The contract will be sole sourced 

to the Center for AIDS Prevention Studies. 

c.) If so, will contract services help to further the goals of the department's 

MBE/WBE requirements? : N/A 

d) Is this likely to be a one-time or ongoing request for contracting out? One-time 

request to approve a three year contract. 

13 a.) Does this budget include indirect costs? Yes 

b.) If no, why are indirect costs not included? : 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds 

on direct services 
[ ] Other (please explain): 

14. Any other significant grant requirements or comments: None 



**Disability Access Checklist*** 

15. This Grant is intended for activities at (check all that apply): 

[ X] Existing Site(s) [ X] Existing Structure(s) [ ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or 

Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have not 
reviewed the proposal. 

Departmental or Mayor'sjDffice of Disability 



layor^Ofi._ 
Reviewer: /^i^ Y A^*~ 



Date Reviewed: 



Norman Nickens 



Department Approval: 




(Signature) 



\4u*if/ 



Deputy Director 



Mitchell Kate, M.D. 



Director of Health 



(Signature) 



56 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Item 8 - File 01-2261 

Department: 

Item: 



Amount: 
Grant Period: 
Source of Funds: 
Required Match: 
Indirect Costs: 
Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Pub He Health 
to accept and expend retroactively one-time funds in the 
amount of $65,000 from the Centers for Disease Control 
(CDC) and Prevention supplemental to the CDC 
Prevention Cooperative Agreement to reduce HIV and 
HCV risk behaviors of injection drug users and others at 
risk for Hepatitis C and to enter into an agreement for the 
use of these funds; for the period of January 1, 2001 to 
December 31, 2001. 

$65,000 

January 1, 2001 through December 31, 2001 (one-year) 

U.S. Centers for Disease Control and Prevention (CDC) 

None required 

$8,965 (16% of Total Direct Cost of $56,035) 

The U.S. Centers for Disease Control (CDC) and 
Prevention has awarded the Department of Public Health 
(DPH) a one-time supplemental grant award totaling 
$65,000 to complement DPH's existing CDC Prevention 
Cooperative Agreement for the grant period from January 
1, 2001 through December 31, 2001. The existing 
Agreement is for $10,907,138 such that if the proposed 
$65,000 supplemental grant award is approved, the 
Cooperative Agreement between DPH and the CDC would 
total $10,972,138, as shown in Attachment I. 

The Prevention Cooperative Agreement seeks to improve 
the health of, and reduce the HIV and HCV (AIDS and 
Hepatitis C virus, respectively) risk behaviors of Injection 
Drug Users, and others at risk for Hepatitis C. This would 
be accomplished through testing and counseling for HCV 
and HIV, and referrals to appropriate services. According 
to Mr. Steven Tierney of DPH, to further the goals of the 
Agreement, DPH is receiving supplemental grant funding 
for one full-time Health Worker III. The Health Worker 



BOARD OF SUPERVISOR 



BUDGET ANALYST 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

would provide HCV antibody testing, HCV antigen 
testing, and promote Hepatitis C prevention, as part of 
DPH's prevention and counseling package. 

Budget: The proposed budget for the supplemental grant funds is 

as follows: 

1.0 FTE (Health Worker III position) $45,497 

Fringe Benefits (23%) 10.538 

Subtotal Direct Costs $56,035 

Indirect Costs 8,965 

Total $65,000 

Comments: 1. Although the proposed agreement period is from 

January 1, 2001 through December 31, 2001, according to 
Mr. Tierney, DPH has not yet accepted or expended any of 
the subject funds. 

2. Mr. Tierney advises that DPH is requesting approval 
of the subject supplemental grant funds from the Board of 
Supervisors subsequent to the conclusion of the grant 
period because the CDC did not award these 
supplemental funds until the end of the Federal Fiscal 
Year, which ended on September 30, 2001. Therefore, 
DPH did not receive notice of the supplemental grant 
award from the CDC until late October of 2001. 
According to Mr. Tierney, the CDC has agreed to extend 
the grant period for one-year ending December 31, 2002. 
Therefore, the proposed resolution should be amended to 
extend the grant period through December 31, 2002. 

3. According to Mr. Tierney, the Health Worker III would 
act as a Project Coordinator to collect data and implement 
protocols to ensure appropriate collection and transport of 
blood specimens, in addition to providing counseling and 
testing at local health centers. The proposed resolution 
stipulates that this is "G" coded, or a grant funded 
position which would terminate when the grant expires. 
Mr. Tierney states that DPH would seek funding from 
other sources or terminate the position once the grant 
period ends. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

58 



•s ■. 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

5. Attachment II is the Grant Information Form, provided 
by Mr. Tierney, which includes the Disability Access 
Checklist. 

Recommendation: Amend the proposed resolution to reflect the extended 

agreement period from January 1, 2001 to December 31, 
2002, and approve the resolution, as amended. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
59 



Attachment I 
Page 1 of 1 



TERMS AND CONDITIONS OF THIS AWARD 

The purpose of this amended Notice of Award is to provide supplemental funds of 565,000 as 
requested in the letter dated August 1 0, 2001 . The requested amount of S65 ,000 is comprised of new 
funds. All other terms and conditions remain the same. 





Year 16 




Year 16 




Original 




Revised 




Award 


Change 


Award 


Salaries &_W.ages. 


.52,153,236 


345,497 


$2,198,733 


Fringe 


499,551 


10,538 


510,089 


Consultants 








Equipment 


56,600 




56,600 


Supplies 


30,254 




30,254 


Travel 


35,182 




35,182 


Other 


• 53,751 




53,751 


Contractual ■ 


7,649,467 




7,649,467 


Total Direct 


SI 0.478.041 




$10,478,041 


Indirect 


429,097 


8,965 


438,062 


Total Award 


SI 0.907.138 


S65.000 


SI 0.972.1 38 



PLEASE REFERENCE YOUR AWARD NUMBER ON ALL CORRESPONDENCE. 






60 



Attachment II 

File Number: Page 1 of 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

(Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Supplemental funds to CDC Prevention Cooperative Agreement: U62/CCU902017: 
Supplemental Numbers 16-2. 

2. Department: San Francisco Department of Public Health, AIDS Office, 

HIV Prevention Section 

3. Contact Person: Steven Tierney Telephone: 554-9998 

4. Grant Approval Status (check one): 

[x] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for: $65,000 

6a. Matching Funds Required: $0.00 
b. Source(s) of matching funds (if applicable): 

7a. Grant Source Agency: Dept of Health & Human Services, Centers for Disease Control and Prevention 
b. Grant Pass-Through Agency (if applicable): N/A 

8. Proposed Grant Project Summary: $65,000 will pay a full-time Health Worker III to provide HCV antibody 
testing and promote the hepatitis prevention component at the Neighborhood Health on Wheels (HHOW) 
mobile health clinic and HCV antigen testing at collaborating community health clinics as part of an HCV 
prevention and counseling package. Thus will reduce HIV and HCV risk behavior among Injection Drug Users 
(lDUs) and others at risk for hepatitis C and improve the health of IDUs by providing testing and counseling for 
HCV antibody and antigen and referrals to appropriate services, to increase the number of people tested for 
HIV. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 

Start-Date: Jan 1, 2001 End-Date: Dec 31, 2001 

10. Number of new positions created and funded: One. A Health Worker III will work as a Project Coordinator 
to be responsible for all data collection and implementation of the protocols as well as testing and 
counseling provided at the local health centers; to work with the nursing staff of the health centers to 
assure appropriate collection of blood specimens and transport to the SFDPH Laboratory. 

1 1 .If new positions are created, explain the disposition of employees once the grant ends? We will find other 
funding sources or inform employee to find new position. 

12a. Amount budgeted for contractual services: 

61 



Attachment I ! 
Page 2 of 2 

b. Will contractual services be put out to bid? N/A 

c. If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? N/A 

d. Is this likely to be a one-time or ongoing request for contracting out? N/A 
1 3a. Does the budget include indirect costs? [x ] Yes [ ] No 

b1. If yes, how much? $8,965 

b2. How was the amount calculated? 16% of total modified direct cost 

c. If no, why are indirect costs not included? 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 



"Disability Access Checklist*** 

15. This Grant is intended for activities at (check ail that apply): 

[x ] Existing Site(s) [x ] Existing Structure(s) [ x] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ ] New Program(s) or Service(s) 

[ ] New Site(s) [ ] New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer: / \^1fW^ 





Norman Nickens Deputy Director 

Date Reviewed: / X ~~ / ? — o r 



Department Approval: 



wZ 



i-y\si/ "\jf i 




Mitchell Katz, M.D. / Director of Public Health 



62 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

Item 9 - File 01-2262 



Department: 
Item: 



Department of Public Health (DPH) 

Resolution authorizing the San Francisco Department of 
Public Health, Community Mental Health Services 
(CMHS) to accept and expend retroactively funds in the 
amount of $353,022 for the first year of a three year grant 
from the California Department of Mental Health 
(CDMH) and the San Francisco Private Industry Council 
(SFPIC) to reduce youth violence and substance abuse in 
San Francisco; for the period of July 1, 2001 to June 30, 
2002. 



Amount: 
Grant Period: 
Source of Funds: 

Required Match: 
Indirect Costs: 

Description: 



$353,022 

July 1, 2001 through June 30, 2002 (One-year) 

$ 75,522 - California Department of Mental Health 
277,500 - San Francisco Private Industry Council 
$353,022 Total 

None required 

$7,552 (10% of $75,522 grant from the CDMH. Indirect 
costs are not allowed by the SFPIC.) 

The proposed resolution authorizes the Department of 
Public Health (DPH) to accept and expend the first year of 
a three-year grant from the CDMH and the SFPIC. The 
subject grants would fund the mental health component of 
the Youth Development and Crime Prevention Initiative, 
which would provide youth development services for 70 
clients annually, ages 14-21, who have been recently 
released from, or are at risk of entering into the juvenile 
probation system. According to Mr. Philip Tse of the 
DPH, a variety of health and vocational services such as 
individual therapy, mentoring and tutoring would be 
provided by two multidisciplinary care teams from DPH's 
Community Mental Health Services division, at four 
SFPIC Youth Opportunity Centers. The SFPIC Youth- 
Opportunity Centers, located in San Francisco, are sites 
that assist at risk youth to transition into the community. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

63 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 



Budget: 



The budget for the subject grant funds for FY 2001-2001 
are as follows: 



Expenditure 


SFPIC 
Grant 
Funds 


CDMH Grant 
Funds 


Total 


Personnel 

Fringe Benefits @ 25% 
Personnel 


$222,000 

55.500 

277,500 


$45,752 
11,438 
57,190 


334,690 


Operating Expenses 




5,780 


5,780 


Contractual Cost 




5,000 


5,000 


Indirect Cost 




7,552 


7.552 


Total Project Cost 






$353,022 



Attachment I, provided by Mr. Tse contains additional 
budgetary details for the Youth Development and Crime 
Prevention Initiative. 



Comment: 



1. Mr. Tse reports that the subject grant is the first year 
of a three-year grant. Each year, the grant award is 
anticipated to total approximately $353,022, and to have 
a similar project budget. Although the grant period is 
from July 1, 2001 through June 30, 2002, according to Mr. 
Tse, the subject grant funds have not yet been accepted or 
expended. 

2. Mr. Tse advises that DPH is requesting approval of the 
subject grant funds from the Board of Supervisors six- 
months subsequent to the beginning of the grant period 
because the SFPIC did not award these grant funds until 
October 3, 2001 due to a lengthy grant funding 
negotiation period. In addition, the Health Commission 
did not approve the subject funds until late November of 
2001. Mr. Tse advises that the SFPIC and the CDMH has 
agreed to allow any unused funds from the grant award to 
be carried over into the second and third years of the 
grant. 

3. According to Mr. Tse, the proposed 2.0 FTE Mental 
Health Clinicians would participate in the two 

BOARD OF SUPERVISORS 

BUDGET ANALYST 
64 



Memo to Public Health and Environment Committee 

January 8, 2002 Public Health and Environment Committee Meeting 

Community Mental Health Services multidisciplinary 
care teams by providing mental health services at the four 
Youth Opportunity Centers. They would conduct mental 
health assessments, and coordinate and provide needed 
treatment. Mr. Tse also notes that the .5 FTE Evaluator 
and 1.0 FTE Evaluator Assistant would act as health care 
analysts to design project evaluations, collect data, and 
prepare evaluation reports. 

The proposed resolution stipulates that these are "G" 
coded, or grant funded positions which would terminate 
when the grant expires. Mr. Tse notes that DPH would 
seek other funding sources to continue the positions, or 
they would be terminated at the end of the grant period. 

4. Mr. Tse reports that the subject grant would fund 
$5,000 in contractual services. According to Mr. Tse, a 
consultant would be selected to provide a minimum of ten 
training sessions on various aspects of mental health and 
substance abuse. Mr. Tse states that, as of the writing of 
this report, the consultant has not yet been selected, but 
this $5,000 contract would likely be awarded on a sole 
source basis in order to expedite the hiring of an 
experienced consultant with expertise in providing youth 
development and mental health training. 

5. Attachment II is the Grant Information Form, provided 
by Mr. Tse, which includes the Disability Access 
Checklist. 



Recommendation: 



cc: Supervisor Maxwell 
Supervisor Yee 
Supervisor Leno 
Clerk of the Board 
Controller 
Ben Rosenfield 
Ted Lakey 



Approve the proposed resolution. 



&K 






Harvey M. Rose 



, 



BOARD OF SUPERVISOR? 
BUDGET ANALYST 



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66 



Attachment II 

File Number: Page 1 of 2 

(Provided by Clerk of Board of Supervisors) 

Grant Information Form 

=3 (Effective January 2000) 

Purpose: Accompanies proposed Board of Supervisors resolutions authorizing a Department to accept and 
expend grant funds. 

The following describes the grant referred to in the accompanying resolution: 

1 . Grant Title: Youth Development and Crime Prevention Initiative 

2. Department: Population Health and Prevention 

San Francisco Community Mental Health Services - Child, Youth & Families Section 

3. Contact Person: Sai-Ling Chan-Sew Telephone: 255-3439 

4. Grant Approval Status (check one): 

[X] Approved by funding agency [ ] Not yet approved 

5. Amount of Grant Funding Approved or Applied for. Total of $353,022 

6a. Matching Funds Required: None 
b. Source(s) of matching funds (if applicable): N/A 

a. Grant Source Agency: California State Department of Mental Health - $75,522 

b. San Francisco Private Industry Council - $277,500 

8. Proposed Grant Project Summary: The Youth Development and Crime Prevention Initiative provides a 
model of coordinated and comprehensive services for youth who are engaged in, or at high risk of, 
committing juvenile crime. The project will serve youth ages 14-21 who have the characteristics of: a) 
previous court commitment to Log Cabin Ranch School, and b) a previous court commitment to any other 
out of home placement or youth who have been identified by probation as being at serious risk of a court 
commitment to placement out of their family home. Youth who are accepted into the program will receive 

a full assessment and case plan from one of the Project's two muitidisciplinary care teams. Each youth will 
receive intensive support services and wrap around assistance as well as age appropriate youth 
development and employment services at one of the three Workforce Investment Commission's Youth 
Opportunity (YO SF!) Centers. 

9. Grant Project Schedule, as allowed in approval documents, or as proposed: 
Start-Date: 7/1/01 End-Date: 6/30/02 

10. Number of new positions created and funded: 5.5 FTEs 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? N/A 

12a. Amount budgeted for contractual services: $5,000.00 

b. Will contractual sen/ices be put out to bid?: No. Sole Source. 



C-J 



3 



Attachment II 

c. Ifso, will contract services help to further the goals of the department's MBE/WBE Page 2 2 

requirements?: N/A 
d. Is this likely to be a one-time or ongoing request for contracting out?: Three years 

1 3a. Does the budget include irTdirect costs? [ X] Yes [ ] No 

b1 . If yes, how much?: $7,552 

b2. How was the amount calculated?: 10% of Total Direct Costs of $ 75,522 

c. If no, why are indirect costs not included?: N/A 

[ ] Not allowed by granting agency [ ] To maximize use of grant funds on direct services 

[ ] Other (please explain): 

14. Any other significant grant requirements or comments: 

"Disability Access Checklist*** 

1 5. This Grant is intended for activities at (check all that apply): 

[ ] Existing Site(s) [ ] Existing Structure(s) [ ] Existing Program(s) or Service(s) 

[ ] Rehabilitated Site(s) [ ] Rehabilitated Structure(s) [ X] New Program(s) or Service(s) 

[ ] New Site(s) [ j New Structure(s) 

16. The Departmental ADA Coordinator and/or the Mayor's Office on Disability have reviewed the proposal 
and concluded that the project as proposed will be in compliance with the Americans with Disabilities Act and 
all other Federal, State and local access laws and regulations and will allow the full inclusion of persons with 
disabilities, or will require unreasonable hardship exceptions, as described in the comments section: 

Comments: 



Departmental or Mayor's Office of Disability Reviewer: Norman Nick ens Deputy Director 

(Name) (Title) 

T^r fa ■ 

(Signature) 

Date Reviewed: /i- -/ */- o / 



Department Approval: Mitchell Katz, M.D. Director of Health 

(Name) . (Title) 

(Signature) 



68 



£\ Dr. Carlto 
^BOARD of SUPERVISORS [«[ ^j^pj fjgT J 21 ) San 




[All Committees] 

Government Document Section 

Main Library 



Tel. No. 554-5184 
Fax No. 554-5163 

TDD/TTY No. 544-5227 



MP. 80 
/ 

L-H PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 



/^NOTICE OF CANCELLED MEETING 



<£ 



SAN FRANCISCO BOARD OF SUPERVISORS 



NOTICE IS HEREBY GIVEN that the meeting of the Public Health and Environment 
Committee scheduled for Tuesday, January 22, 2002 at 10:00 a.m. at 1 Dr. Carlton B. 
Goodlett Place, Room 263, City Hall, San Francisco, California, has been cancelled. 



Gloria L. Young, Clerk of the Board 



DOCUMENTS DEPT. 

MH 1 8 2002 

SAN FRANCISCO 
PUBLIC LIBRARY 



01-18-02A1 1 :33 RCVD 



Cancelled Meeting Notice/Ad 2/1/01 



c 



. 



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* BINDERY LTD* 

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