|Public Authority Mission Statement|
|The mission of San Francisco's IHSS Public Authority is to provide and promote a service delivery model of consumer-directed in-home support that maximizes the potential of older adults and people with disabilities to live independently and participate in their communities.|
|Back to top|
|Public Authority Objectives|
|Although a legal entity separate from the City and County, the Public Authority was established by San Francisco Ordinance No. 195-85 under California Welfare and Institutions Code section 12301.6. These laws require this unique public agency to: |
- Create and operate a registry to provide lists of screened workers to IHSS consumers for potential in-home employment
- Arrange training and support services for both workers and IHSS consumers
- Become employer of record for IHSS independent providers, allowing worker organization and union representation
- Provide formal opportunities for consumer and worker leadership in program and policy development
- Participate in the overall improvement of personal assistance services*
San Francisco's Public Authority brings together IHSS consumers and workers in partnership to foster the development of high-quality personal assistance services. The governing body of the Public Authority serves as a meeting ground for consumers, workers, and representatives of city government.
* Personal assistance services is more broadly defined than IHSS services, and includes assistance to persons of all income levels in carrying out activities that could be performed by themselves were it not for their disabilities.
|Back to top|
|Public Authority Organization|
|The Public Authority is a collaborative effort that involves many individuals and organizations. Organizations that have provided guidance and support to the Public Authority include: |
The Public Authority is guided by a Governing Body consisting of City representatives and a majority of users of personal assistance services.
As of May 2012, the Public Authority has seventeen staff members, most of whom are responsible for providing support services to IHSS consumers and workers.
|Back to top|
|Public Authority Costs|
|Together, the Authority and DAAS IHSS administrative staff supported delivery of nearly 21.0 million service hours to San Francisco IHSS consumers in Fiscal Year 2012-13. Over $317.2 million dollars were spent to provide these home care service hours to older adults and people with disabilities. Most of those funds (84%) were used to pay wages and employer payroll taxes for IHSS providers.|
The Authority received and spent $51,618,000 (the remaining 16%) in FY 2012-13. The largest portion of these funds, $49,287,000 (95.48%), was used to pay for benefits for IHSS workers: $46,770,000 for health benefits (94.89%) and $2,517,000 for dental benefits (5.11%). The Authority spent $1,159,400 (2.14%) for worker trainings, registry services, IP criminal background checks, and payroll processing, plus other program and miscellaneous expenses. The balance of the funds ($1,171,600 or 2.38%) was spent for staff payroll, benefits, taxes and expenses.
|Back to top|
|Public Authority Staff Responsibilities|
|There are currently sixteen staff members at the Public Authority. Eight provide registry and support services to IHSS consumers and workers. Multi-lingual staff capabilities include English, Cantonese, Chiuchow, Mandarin, Russian, Spanish, Toisanese and Vietnamese. |
The Executive Director reports to the Governing Body, staffs committees, manages and evaluates ongoing operations, and works with other organizations to identify and address policy, program and funding options. There are two Program Managers: for Central Registry Operations and for Special Projects. The Executive Assistant aids the Executive Director in her tasks.
The Administration Unit, headed by the Fiscal & Operations Manager, manages the day-to-day operations and the administration of health and dental benefits for all independent providers. The Fiscal & Operations Manager is also responsible for developing and managing the annual budget. The Benefits Coordinator's primary assignment is to manage eligibility information for IHSS IP health and dental benefits. The Support Services Counselors perform the day-to-day Registry work (supporting the crucial consumer/IP relationship by providing referral lists for hiring purposes and other advice), inform the community about the Registry, and recruit Registry workers. The Central Registry Operations Program Manager oversees the Registry and its On-Call Services. Home care provider applicants for the Registry are encouraged to take training courses at the Training Academy for Personal Caregivers and Assistants (TAPCA) that focus on IP work. The Special Projects Program Manager oversees and advises Peer Mentors providing support for those IHSS consumers transitioning to independent living in the community.
The Public Authority works with a number of consultants for legal counsel, audits, and program development. RTZ Associates has provided technical assistance in a broad array of areas from the beginning of Public Authority development: computer programming and information services; fiscal operations; staffing and organizational structure; legislative and policy analysis; and program design, development, and evaluation through the Board and all Committees.
Staff Members (as of October 2013):
- Donna Calame, Executive Director: Donna Calame became a lawyer out of a desire to effect change in health-care policy and its delivery system. This led to her involvement in the establishment of the San Francisco IHSS Public Authority and eventual selection as its founding director. Through her work here, she has met many extraordinary colleagues, who have taught her much about the arena of human and civil rights for people with disabilities. In September 2003, Donna was elected the first President of the California Association of Public Authorities (CAPA). She is continually grateful for and challenged by each phase in the development of the IHSS Public Authority.
- Patrick Hoctel, Executive Assistant: Patrick Hoctel moved to the Bay Area in 1982 from Tucson, Arizona. He serves as Donna Calame’s Executive Assistant. Born and raised in New Orleans, he previously worked at the Department of Aging and Adult Services (DAAS) and as an editor at the Bay Area Reporter. In 2001, he received a master’s in Gerontology from San Francisco State University. Patrick lives in the Dogpatch area of Potrero Hill with his partner of many years and their two children.
- Loc Chau, Fiscal & Operations Manager: Loc Chau oversees information systems, human resources and finances for the Public Authority. His responsibilities include accounting, budgeting, financial reporting and management of agency assets. Prior to his job here, Loc spent over 13 years in the Bay Area nonprofit sector, holding various management positions in finance and accounting. He received his B.A. and M.B.A. from San Jose State University.
- Bill Fricker, Program Manager - Consumer Peer Mentor Program & Special Projects: During his previous management work with local nonprofits (Schools, Mentoring and Resource Team and Support for Families of Children with Disablities), Bill Fricker demonstrated his commitment to ensuring the continued success of organizations with high-quality operations. Bill now welcomes the opportunity for his skills and experience to complement those of the staff here. He earned his undergraduate and graduate degrees from Northwestern University, and he worked for 12 years as a consultant prior to entering the not-for-profit arena in 2001. He lives in San Francisco with his two teenaged daughters.
- Maria Olivares, Program Manager - Central Registry Operations: Maria Olivares was born in Managua, Nicaragua, and moved to San Francisco as a child. Maria has worked in nonprofits for over 30 years, including a 20-year stint at Swords to Plowshares. Along the way, she also earned a B.A. in Social Sciences from San Francisco State and a law degree from Hastings College. Maria and her husband live in San Francisco and have two adult children. She describes her job as “challenging…not only doing team building with staff but also empowering the consumers, educating them about their rights and what services are available to them. I really believe that empowering people is what creates social change.”
- Shirley Chan, Benefits Coordinator: Shirley Chan works as the IHSS Public Authority Benefits Coordinator. Born in Hong Kong, she speaks Cantonese in addition to English. She previously worked at Self-Help for the Elderly. Shirley is happy to answer any questions you might have concerning your health and dental benefits, including eligibility requirements.
- Cheryl Durley, Payroll/Operations Coordinator: A native San Franciscan, Cheryl Durley was born and raised in the Bayview-Hunters Point area, where she still resides. Prior to coming to IHSS Public Authority, she worked at San Francisco General Hospital’s Outpatient Administration unit, United Airlines and for then Supervisor Sophie Maxwell’s office. Her experiences in these different positions eventually lead to her becoming an Administrative Assistant here; she is now the Payroll/Operations Coordinator for the Authority. Cheryl enjoys the variety of people on the IHSS staff and sees her job as an opportunity to help older adults and people with disabilities.
- Jessica Nguyen, Livescan Records Technician: Jessica Nguyen came to the United States from Vietnam with her family in 1990. They originally settled in Mobile, Alabama, before moving to Austin, Texas. She now lives in Union City, California. Prior to joining the Public Authority, she worked for 10 years as a loan processor in a mortgage firm. She is taking classes toward her B.S. in Accounting from Golden Gate University. Jessica has a son and enjoys traveling in her spare time. She says that what she likes best about her job is helping providers resolve any problems they're having with the fingerprinting process.
- Yvonne Cunningham, On-Call Administrative Coordinator/Program Assistant: Yvonne Cunningham was born in Managua, Nicaragua, and moved to San Francisco as a youngster. She has two adult sons and two grandchildren. Yvonne has a 40-year work history. Twenty of those years were spent at Columbia Pictures as an Office Manager/Secretary, and ten were spent at the State of Missouri-Department of Revenue (San Francisco office) as a Secretary. Before joining the Public Authority, she worked at Sword to Plowshares as the Administrative Coordinator. When asked about her job here, she replies that she "really enjoys working with staff and assisting callers over the phone."
- Claudia Grubler, Support Services Counselor: Claudia Grubler was born in Aguascalientes, Mexico. She worked as a Spanish tutor for two years at City College of San Francisco, while studying graphic design. Claudia has extensive experience as a Spanish/English translator, interpreter and telephone interviewer. As a Latina and a quadriplegic, she has found it particularly rewarding serving her communities in her work at the IHSS Public Authority. She also serves as a representative of the Affiliated Disabled on the San Francisco Paratransit Coordinating Council (PCC) Executive Committee.
- Shelia J. Auzenne, Support Services/On-Call Counselor: Shelia J. Auzenne was born in Alabama and has lived in the Bay Area most of her life. She now resides in the southeast section of the City with her husband. They have an adult daughter. Shelia has extensive experience in the nonprofit sector. She worked as a Case Manager for the Northern California Cancer Center (BACCIS) project and in a similar capacity at other agencies thoughout San Francisco (Bayview-Hunters Point Senior Services, Christian Church Homes, Catholic Charities and IHSS Consortium). Shelia notes that "advocacy is my niche. I receive a great deal of satisfaction from helping others."
- Xiao Ying Li, Support Services/On-Call Counselor: Xiao Ying Li comes from a Chinese immigrant family. She was born in China in Guang Dong Province and has lived in San Francisco for the past thirteen years. She, her husband and two children reside in Fremont in the East Bay. She speaks Cantonese, Mandarin and Toisanese. Xiao has worked with older adults and people with disabilities since graduating from high school. She enjoys working with these communities. Her previous job was as an Information & Referral Specialist at Network for Elders. Xiao states that "while I am empowering my clients, they are empowering me at the same time. We are learning from each other."
- Irina Selskaya, On-Call Program Coordinator/Support Services Counselor: Irina Selskaya was born in the Republic of Georgia. After obtaining a degree in Education, she worked in the Ukraine as an editor for the Center of Scientific and Technical Information and as an instructor at the College of Business Administration. Since 1998, Irina has been a Support Services Counselor at the IHSS Public Authority. She combines professional experience with a devoted commitment to the mission of the agency by meeting the needs of both workers and consumers.
- Moon Van, Support Services Counselor: Moon Van was born in Vietnam of Chinese parents. Before coming to IHSS in January 2000, Moon worked for the Unified School District, Housing Authority and the Chinese Newcomers Service Center. She speaks Mandarin, Cantonese, Vietnamese and Chiuchow. In her role as Placement Coordinator for the IHSS Public Authority, Moon’s goal is to continue to use her language capacity, experience, skills and knowledge to serve the community.
- Vladimir Etalis, Support Services/On-Call Counselor: Vladimir Etalis was born in Baku, the capital of Azerbaijan. Eighteen years ago, he came to the United States with his wife and son from the former Soviet Union; they now live in South San Francisco. In the U.S., Vladimir has worked as both a Mechanical and Software Engineer and in Customer Service, as well as working as an IHSS Independent Provider (IP) for eight years. He also served as an SEIU-UHW steward, fighting for the rights of older adults and people with disabilities and other IP's. When talking about IHSS consumers, he explains that he enjoys "making their current lives brighter."
- Emilio Ramirez, Support Services/On-Call Counselor: Emilio Ramirez was born in Guatemala City, Guatemala. He also has family ties to El Salvador and Guangzhou, China. He has lived in San Francisco on and off for about 15 years, and now lives with his wife and two-year-old son in the Excelsior District. He is fluent in Spanish and English. Emilio attended medical school in El Salvador for four years and became a CNA in the U.S. He worked as a home-care provider for five years, caring for clients, including those with terminal cancer, with a wide range of medical, psychological and social needs. He is a dedicated husband and father and considers his family a source of great joy. Emilio's mission in life is to help others, no matter the difficulties, and he is passionate about serving those most in need.
|Back to top|
|Public Authority Governing Body|
|The Public Authority Governing Body is the official board designated to govern the Public Authority and make legally binding decisions on its behalf. The members include one Commissioner recommended from each of three San Francisco Departments: the Department of Aging and Adult Services (DAAS), the Department of Human Services (DHS), and the Department of Public Health (DPH); one member recommended by the Mayor's Disability Council; a majority of current or past users of personal assistance services; and IP home care worker representatives. In order to have representation from the entire consumer population, the consumers are nominated with an eye to diversity, and aging and younger (over and under 60, respectively) adult populations have equal representation. |
Governing Body Members (as of April 2012):
- Board President: Alice Wong, Younger Consumer
- Vice President: Kenzi Robi, Younger Consumer
- Treasurer: Tatiana A. Kostanian, Mayor's Disability Council
- Secretary: Patricia Webb, Younger Consumer
- Gustavo Serina, Commissioner, Dept. of Aging & Adult Services
- Kelly Dearman, Commissioner, Department of Human Services
- Elva Moran, Worker/Provider Representative
- Mike Boyd, Senior Consumer
- Luis Calderon, Younger Consumer
|Back to top|
|Public Authority History|
|In the early 1990's, consumers, workers and advocates of In-Home Supportive Services around the state were looking for ways to improve the quality of the IHSS program. Some barriers to improvement were clear: difficulty for consumers in finding screened workers, very low wages for the workers, virtually no worker benefits, and a lack of training opportunities for both consumers and workers. They developed the idea of a Public Authority, an innovative way to address these concerns, and advocated for laws that allowed establishment of a public authority as a county option. As of January 2003, the existence of an IHSS employer-of-record (a Public Authority role) has been mandated for most counties by statute.|
In May 1995, the Board of Supervisors of San Francisco City and County voted to create the first Public Authority with an independent Governing Body to manage and deliver in-home supportive services (IHSS).
From the beginning, San Francisco's Public Authority was a collaborative effort among consumers, workers, and other community advocates. These advocates were joined by the Department of Human Services, the county agency responsible for administering IHSS. A community agency, the IHSS Task Force of Planning for Elders in the Central City, received initial monies from the state and United Way grants to hire consultants for technical assistance in planning. With the guidance of a consumer-majority Governing Body and the newly hired staff, the Public Authority opened its doors to begin registry operations in September of 1996. On-Call services were begun in December 1997, medical benefits for IPs in March 1999, dental coverage in January 2000, and expanded consumer support services in late 1999. In December 2000, county-only funds were provided to allow use of the Registry for private pay consumers on a sliding scale fee.
|1991 ||PECC IHSS Task force is established, having identified a need to focus on this crucial program |
|1993 ||State law allows counties to form public authorities |
|1994 ||Board of Supervisors passes resolution to draw down $250,000 in state funds to explore public authority option; $50,000 spent in planning |
|May 1995 ||Ordinance to establish IHSS Public Authority in San Francisco |
|July 1995 ||Consultants begin Central Registry design project |
|October 1995 ||First meeting of the Governing Body of the Public Authority |
|January 1996 ||IHSS hourly wage increase, 58 cents over minimum wage ($4.83) |
|February-July 1996 ||Initial Public Authority staff positions filled and office opened |
|May 1996 ||Independent providers vote to have Health Care Workers' Local 250 of SEIU be their union. First union contract ratified by IP workforce |
|Late July 1996 ||First worker applications for Registry are recorded for screening |
|Late September 1996 ||First consumer referral lists created of screened, matched workers |
|October 1996 ||With minimum wage increase, IHSS wage now only 36 cents over minimum wage ($5.11) |
|October 1996 ||Public Authority and Local 250 undertake interest-based bargaining |
|March 1997 ||With another minimum wage increase, IHSS wage now only 29 cents over minimum wage ($5.29) |
|July 1997 ||Board of Supervisors appropriates additional funds to keep IHSS wage 54 cents above minimum wage ($5.69) |
|December 1997 ||Emergency worker replacement (on-call) service begins |
|July 1998 ||Board of Supervisors raises IHSS wages to $7.00 an hour and commitment to health care benefit |
|March 1999 ||San Francisco Health Plan (SFHP) HealthyWorkers offered to IHSS workers |
|October 1999 ||IHSS wages increased to $9.00 per hour |
|January 2000 ||Dental Plan available to IPs |
|June 2000 ||Consumer Mentor program started |
|July 2000 ||IHSS wages increased to $9.70 per hour |
|December 2000 ||Registry services offered to private pay consumers on sliding scale fee basis |
|June 2001 ||PA Executive Director Donna Calame elected Co-Chair of SF Hospital Discharge Planning Task Force |
|April 2001 ||Wage increase to $10.00 per hour |
|September 2001 ||PA begins extending On-Call services to the San Francisco Senior Center's Homecoming Project |
|September 2001 ||PA hosts 3rd Where there's a Will, there's a Way Conference, 663 individual and 51 agency participants. (First two were in 1999 and 2000, respectively) |
|April 2002 ||PA launches an IHSS enrollment campaign targeting San Francisco Latinos and culminating in April with Latino IHSS Awareness Month |
|August 2002 ||IHSS wages increased to $10.10 per hour; Registry software becomes Internet-based |
|October 2002 ||Vision and Voice newsletter reaches 20,000 consumers and workers |
|February 2003 ||California Association of Public Authorities (CAPA) is formally established; PA Executive Director serves as interim President |
|March 2003 ||PA begins offering health and safety classes to workers in collaboration with the Shirley Ware Education Center of SEIU Local 250 |
|June 2003 ||Website is re-designed and updated |
|July 2003 ||PA's Consumer Mentor Program plans training workshops |
|July 2003 ||Continuing level of HEALTHYWORKERS benefits preserved by PA paying higher premium |
|September 2003 ||PA Executive Director is elected as CAPA's first president |
|September 2003 ||PA hosts 4th Where there's a Will, there's a Way Conference, with over 750 individuals and 54 agency participants |
|October 2003 ||Vision and Voice newletter reaches 25,000 consumers and workers |
|October 2003 ||Worker wages increase to $10.17 per hour |
|November 2003 ||PA begins collaboration with the Shirley Ware Education Center of SEIU Local 250 to create a suite of trainings for home care workers and to provide stipends for workers who attend the classes |
|December 2003 ||Worker wages increase to $10.28 |
|January 2004 ||PA launches new Worker Training Program in collaboration with the Shirley Ware Education Center of SEIU Local 250, IHSS Consortium, and Arriba Juntos. In FY 2010-11, the PA began cooperating with the development by the Department of Aging & Adult Services (DAAS) of a Training Academy for Personal Caregivers and Assistants (TAPCA) |
|September 2006 ||PA hosts fifth Where there's a Will, there's a Way Conference, with hundreds of IHSS consumers and IP's in attendance, plus an extensive Resource Fair|
|July 2007 ||PA hosts "got RIGHTS? Fulfilling the Promise of Human and Civil Rights for People with Disabilities" symposium, which attracts over 200 federal, state and Bay Area policymakers, legislators, IHSS directors, agency representatives, consumer advocates, home care workers, and city and state department officials, who come together to share ideas about how to best fulfill our nation's legal and moral obligations to people with disabilities |
|January 2008 ||Worker wages increase to current rate of $11.54 per hour. (This amount includes both wage and paid time-off) |
|October 2008 ||The PA's Consumer Peer Mentor Program is re-instituted to provide support services to San Franciscans with disabilities transitioning from institutional living to the community. Many of the individuals who initially benefit from the program are long-term residents of Laguna Honda Hospital |
|June 2011 ||Vision and Voice newsletter reaches 39,000 consumers and workers |
|July 2011 ||PA holds "IHSS Under Pressure: Community Living at Risk" conference, with hundreds of IHSS consumers and their workers in attendance. The conference, which celebrates the PA's 15th anniversary, focuses on the future of IHSS as well as how to best advocate for the program |
|June 2012 ||Vision and Voice newsletter reaches 40,000 consumers and workers. Alerts them to state's plan to "lift and shift" IHSS into Managed Health Care Organizations. |
|September 2013 ||Worker wage increases to $11.75 per hour. This amount includes both wage and paid time-off (PTO). |
|Back to top|