Community Living Fund
Program Overview
For many years, older adults and younger adults with disabilities have found it difficult, if not impossible, to access the services necessary to allow them to continue living independently in their homes, or to return to community living from institutional placement. In 2007, the City and County of San Francisco launched a $3 million Community Living Fund (CLF), which is being administered by the Department of Aging and Adult Services (DAAS) through Institute on Aging and seven partner organizations.
The CLF program funds home and community-based services, or combination of goods and services, that will help individuals who are currently or at risk of being institutionalized. The program uses a two-pronged approach: (1) coordinated case management; and (2) purchase of services. It will provide the needed resources and services, not available through any other mechanisms, to vulnerable older adults and younger adults with disabilities.
The following groups of people will be served:
- Top priority: Patients of Laguna Honda Hospital (LHH) and San Francisco General Hospital (SFGH) who are willing and able to be discharged to community living.
- Nursing home eligible individuals on the LHH waiting list (some of whom are at SFGH and other hospitals) who are willing and able to remain living in the community.
- Individuals who are at imminent risk for nursing home or institutional placement, willing and able to remain living in the community with appropriate support.
The CLF Process
DAAS Long Term Care (LTC) Intake and Screening Unit
All referrals to the CLF Program will come through the DAAS LTC Intake and Screening Unit, which will be the initial entry point for accessing the fund. This Unit will complete an initial intake eligibility screening and refer those presumed eligible for the fund to the CLF Contractor.
CLF Contractor, Institute on Aging
Through an RFP process Institute on Aging (IOA) was selected as the primary contractor. IOA and its sub-contractors will collaborate to provide the services through the CLF.
The sub-contractors include:
- Catholic Charities CYO
- Conard House
- Curry Senior Center
- IHSS Consortium
- Lighthouse for the Blind and Visually Impaired
- Progress Foundation
- SF Department of Public Health, Health at Home program
The contract with IOA began in April 2007; it is anticipated that the full program will be running by the summer of 2007.
A Partial List of Services Potentially Supported by CLF
- Case management
- Geriatric assessment
- Advocacy
- Transitional living training
- Education of consumers, families, and others
- Additional In-Home Supportive Services (IHSS) hours
- Money management
- Social day services
- Home repairs/modifications
- Transportation: medical appointments and escort services
- Home delivered meals
- Mental health therapy
- Adaptive aides, medical supplies, and non-medical home equipment (like bed pillows)
- Respite care
- Transitional housing
- Services in support of mental health residential treatment
- Adult foster care services
- Protective supervision
- Linkages to primary and acute care
- Disability rights / benefits information and advocacy
- Medication dispensers
- Personal emergency response systems
- Translation/communication services
- Supportive counseling through transition
- Emergency food
- Rehabilitation job training supplies
- Immigration assistance
- Documentation fees (birth certificates, citizenship papers, etc.)
- Adult Day Health Care
- Home health care
- Hospice services
- Physical and occupational therapy
- Durable medical equipment and other assistive technology and devices
- "Patch" funding for transitional housing
- short term residential subsidies in other housing
- "Share-of-cost" assistance to help eligible individuals access Medi-Cal
Eligibility & Fees
- 18 years and older
- A resident of San Francisco
- Willing and able to be living in the community with appropriate supports
- Have income up to 300% of Federal poverty level for a single adult: $30,630 plus savings/assets of $6,000 (Excluding assets allowed under Medi-Cal)
- Have a demonstrated need for a service and/or resource that will serve to prevent institutionalization or will enable community living
- Be institutionalized or be deemed at assessment to be at imminent risk of being institutionalized. In order to be considered "at imminent risk," an individual must have, at a minimum, one of the following:
- A functional impairment in a minimum of two Activities of Daily Living (ADL): eating, dressing, transfer, bathing, toileting, and grooming; or
- Having a medical condition to the extent requiring the level of care that would be provided in a nursing facility; or
- Being unable to manage one’s own affairs due to emotional and/or cognitive impairment.
Specific conditions or situations such as substance abuse or chronic mental illness shall not be a deterrent to services if the eligibility criteria are met.
Contact Information
Jason Adamek, DAAS
Phone: (415) 557-5230
A short referral form is available for client referrals. This can be faxed or emailed to the DAAS LTC Intake and Screening Unit.
Fax: (415) 355-6785
Email: Jason.adamek@sfgov.org
Kelly Hiramoto, Vice President, Community Care Management
IOA Info: (415) 750-4111