SUBJECT
Title
ADOPT RESOLUTION FOR, AND AUTHORIZE ACCEPTANCE OF, OLDER ADULT SERVICES ADDITIONAL REVENUE AGREEMENTS AND GRANTS FOR FISCAL YEARS 2022-24 (DISTRICTS: ALL)
Body
OVERVIEW
The San Diego County Board of Supervisors (Board) has demonstrated a long-term commitment to enhancing programs focused on the safety and well-being of older adults and persons with disabilities. The County of San Diego (County) Health and Human Services Agency, Aging & Independence Services serves as the region’s federally designated Area Agency on Aging and administers these programs. On May 10, 2022 (5), the Board approved the Fiscal Year 2022-23 revenue agreements to fund various programs supporting older adults and persons with disabilities, allowing them to remain safely in their homes and access needed community resources. These services support the goals and objectives established in Aging & Independence Services’ 2020-2024 Area Plan which was approved by the Board on July 7, 2020 (7). Additionally, these services align with the Aging Roadmap, the County’s regional plan to ensure that the region has programs and communities that equitably support the needs and celebrate the contributions of all older adults in San Diego County. Per the requirement of the California Department of Aging (CDA), this item requests the Board adopt a resolution and authorize acceptance of $3,952,730 of additional revenue from CDA for July 1, 2022 through December 31, 2024 to further support these programs and services.
In June 2022, the CDA allocated an additional $1,847,701 to the County through the Older Adults Recovery and Resilience Fund to further support the Dignity at Home Fall Prevention program, the Older Californians Nutrition Program and Intergenerational Activities program, and the Family Caregiver Support program. In addition, $2,105,029 was allocated to the County through the Home and Community Based Services Senior Nutrition Infrastructure Grant to enhance, expand and increase senior nutrition infrastructure in San Diego County.
If approved, today’s actions would authorize the acceptance of additional grant funding and authorize the Clerk of the Board to execute revenue agreements upon receipt. These actions support the County’s vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that are most vulnerable, as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe and thriving communities. This will be accomplished by ensuring the County will continue to receive federal, state, and other funding to administer needed programs and services for older adults and persons with disabilities. Additionally, today’s action supports the Board’s strategic initiatives, by upholding practices that align with community priorities and improve transparency and trust while maintaining good fiscal management of County resources.
RECOMMENDATION(S)
CHIEF ADMINISTRATIVE OFFICER
1. Approve and authorize the Clerk of the Board to execute, upon receipt, the Older Adults Recovery and Resilience revenue agreement (IF-2223-23) and the Home and Community Based Services Senior Nutrition Infrastructure revenue agreement (NI-2223-23) from the California Department of Aging.
2. Authorize the Clerk of the Board, subject to the approval of the Agency Director, Health and Human Services Agency or designee, to execute all required documents related to the revenue agreements in Recommendation 1, including any extensions, amendments or revisions thereto that do not materially impact either the program or the funding level.
3. Adopt a resolution entitled A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO THE CALIFORNIA DEPARTMENT OF AGING REVENUE AGREEMENTS.
EQUITY IMPACT STATEMENT
There are approximately 959,000 San Diegans over the age of 55, and by 2030, that number is expected to grow to more than 1.1 million. San Diego County’s over-85 population is projected to diversify and grow faster than any other age group. The County of San Diego (County) Health and Human Services Agency, Aging & Independence Services (AIS) provides a wide array of services to meet the needs of this growing population and ensure the welfare of older adults, caregivers, and persons with disabilities. To ensure the needs of the community are sufficiently met, AIS will continue to seek community input and feedback through public hearings held annually during the development of the Area Plan, a planning document required by the California Department of Aging to receive Older Americans Act funds. Community input and collaboration is also obtained through Aging Roadmap community teams, comprised of community members, experts and County staff to develop and implement goals in five priority areas of the Aging Roadmap. Today’s recommendations will allow the County to continue administering vital programs and services for older adults and persons with disabilities, improving the quality of life for equity-seeking groups of all ages to include, black, indigenous, and people of color (BIPOC), women, people with disabilities, immigrants, and the LGBTQ+ community.
FISCAL IMPACT
Funds for this request are not included in the Fiscal Year 2022-24 Operational Plan in the Health and Human Services Agency. If approved, this request will result in estimated costs and revenue of $1,581,092 in Fiscal Year 2022-23 and estimated costs and revenue of $1,581,092 in Fiscal Year 2023-24. The total amount available through the revenue agreements is $3,952,730 through December 31, 2024. HHSA will use existing appropriations for the $1,581,092 in Fiscal Year 2022-23. The remainder of the revenue will be included in future Operational Plans. Funding sources come from the Older Adults Recovery and Resilience Funding and the Home and Community Based Services Senior Nutrition Infrastructure Grant. There will be no change in net General Fund cost and no additional staff years.
BUSINESS IMPACT STATEMENT
N/A
Details
ADVISORY BOARD STATEMENT
The Aging & Independence Services Advisory Council reviewed this item at their regular meeting on July 11, 2022, and recommended approval.
BACKGROUND
According to the California Department of Finance’s population projections, of the nearly 3.4 million people currently residing in San Diego County, approximately 959,000 are adults aged 55 or older. By 2030, the number of adults 55 years and older in San Diego County is expected to increase to more than 1.1 million. Additionally, the fastest growing age group in San Diego County, those 85 years and older, is projected to increase from an estimated 70,234 in 2022 to over 97,000 in 2030. The San Diego County Board of Supervisors has maintained a commitment to programs that ensure the welfare of older adults and persons with disabilities in San Diego County. The County of San Diego (County) Health and Human Services Agency, Aging & Independence Services administers these programs.
In June 2022, the County was notified that additional funds were being allocated from the California Department of Aging (CDA) to enhance, expand and increase senior nutrition infrastructure in San Diego County and to further support the ---Dignity at Home Fall Prevention, the Older Californians Nutrition Program and Intergenerational Activities, and the Family Caregiver Support programs.
Today’s actions request authorization to accept additional funding for these programs which benefit older adults and persons with disabilities throughout San Diego County. Additionally, today’s actions request approval to adopt a resolution relating to the CDA revenue agreements to expand existing programs and implement new programs to support the health, safety, and wellness of residents of all ages.
California Department of Aging Revenue Agreements Requiring a Resolution:
OLDER ADULTS RECOVERY AND RESILIENCE (OARR) FUNDING FOR THE DIGNITY AT HOME FALL PREVENTION PROGRAM ($524,850)
The OARR funding for the Dignity at Home Fall Prevention Program has made available additional funds to expand fall prevention interventions for older adults including fall-prevention modifications, education, outreach, and training to reduce falls in older adults and adults with disabilities.
OARR FUNDING FOR THE OLDER CALIFORNIANS NUTRITION PROGRAM AND INTERGENERATIONAL ACTIVITIES ($1,192,744)
The OARR funding for the Older Californian Nutrition Program (OCNP) and Intergenerational Activities provides funding to strengthen older adult’s recovery and resilience from the severe isolation and health impacts experienced while staying at home due to the COVID-19 pandemic. The need for home-delivered, nutritious meals has increased dramatically due to the pandemic. With the stay-at-home orders lifted and the state reopening, the need remains for additional home-delivered meals and resources to reestablish community-based meal sites. The OARR funding will support local Area Agencies on Aging and their service providers in serving more meals to more older adults to help bridge the significant food gap that exists in California. Additionally, the OARR funding is intended to support Area Agencies on Aging and their service providers in developing partnerships and efforts, including the planning, development, and implementation of intergenerational activities that connect OCNP participants with younger generations. Mutually beneficial intergenerational activities promote greater understanding and respect between generations and strengthen older adult’s recovery and resilience from the isolation and health impacts from the COVID-19 pandemic.
OARR FUNDING FOR THE FAMILY CAREGIVER SUPPORT PROGRAM ($130,107)
The Family Caregiver Support Program provides a local, multifaceted system of support services to unpaid family caregivers of older adults, and grandparents, or other older relatives, with primary caregiving responsibilities for a child through access assistance, information services, respite care, supplemental services, and supportive services (i.e., assessments, counseling, support groups and training). The OARR funding will strengthen older adults and caregivers’ recovery and resilience from the severe isolation and health impacts experienced while staying at home during the COVID-19 pandemic. OARR funding will serve as an additional resource to help aid the transition of older Californians back into their local communities, which will reduce isolation, loneliness, and mitigate other health concerns.
HOME AND COMMUNITY BASED SERVICES SENIOR NUTRITION INFRASTRUCTURE GRANT ($2,105,029)
The Home and Community Based Services Senior Nutrition Infrastructure Grant Program will provide funding to enhance, expand, and increase senior nutrition infrastructure in California. The intent is to fund capacity and infrastructure improvement grants for senior nutrition programs under the Mello-Granlund Older Californians Act. This grant opportunity shall prioritize purchasing, upgrading, or refurbishing infrastructure for the production and distribution of congregate or home-delivered meals, including but not limited to production-scale commercial kitchen equipment, food delivery vehicles, equipment to expand capacity for providers, and warming, refrigeration, or freezer capacity and equipment.
LINKAGE TO THE COUNTY OF SAN DIEGO STRATEGIC PLAN
Today’s proposed actions support the County of San Diego’s 2022-2027 Strategic Plan Initiatives of Sustainability (Resiliency), Equity (Health), and Community (Quality of Life), and the regional
Live Well San Diego vision by continuing services that assist vulnerable older adult, disabled residents, and military veterans of San Diego County.
Respectfully submitted,
HELEN N. ROBBINS-MEYER
Chief Administrative Officer
ATTACHMENT(S)
ATTACHMENT A - A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO THE CALIFORNIA DEPARTMENT OF AGING REVENUE AGREEMENTS