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Committee on Aging Meeting Minutes Thursday, November 29, 2018 Page 3 Case Managers, 2 -Part -Time Field Staff/Social Service Specialists, and a three-quarter (3/4) Time Registered Nurse Case Manager. Their structure is a 501(c) III; they have 4 -Board members experienced in elder affairs; any "extra money" they accrue goes to building a rainy day reserve fund. It was noted by Lito Asuncion that SFS provides both care coordi- nation and case management; where in other Counties the two are separated meaning they need double the staff. Karen is happy to answer other questions - send them to Meizhu who will forward them along. We will hear more about case management services from Kimo at the special December 18"' meeting. 8. AREA PLAN: Debbie Wills, Aging Planner Debbie gave a power point presentation on her findings so far that will help develop the County priorities and the specific program elements in the County's 4 -Year Area Plan (the 5 overall priority areas for the State remain the same). By using diverse sources and methods including research on national, State and County data on the elderly population, surveys of service providers, interviews with key informants, review of program evaluations, and focus groups with seniors, she will be able to get a pretty accurate needs assessment. She showed us the results of the agency survey as well as the Congregate Meal survey, showing us that some issues have gained importance and some are less important than a few years ago. Hopefully it reflects that some needs (like transportation) are better met. The biggest prob- lem is the lack of person power - the shortage of CNAs and qualified home service staff. The wages and benefits are too low to attract good workers! Some of the problems will re- quire legislation to solve. 9. LEGISLATIVE ISSUES — Jim Cisler, PABEA Jim Cisler showed us a letter documenting the history of attempts to get unannounced in- spections for nursing homes. Many homes that should not be operating still are! This is an issue that we may want to work on in the coming year. 10. AGENCY AND DISTRICT NEWS AND UPDATES 11. ANNOUNCEMENTS 12. NEXT MEETING: Wednesday, January 30, 2018 at 10:00 a.m.