Community Living Fund
The CLF program funds home and community-based services, or a combination of goods and services, that help individuals who are currently at risk of being institutionalized. The program uses a two-pronged approach: (1) intensive case management; and (2) purchase of services. CLF provides needed resources and services, not available through any other mechanisms, to vulnerable older adults and younger adults with disabilities.
CLF serves the following groups of people:
- 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.
DAAS Intake and Screening Unit
All referrals to the CLF Program go through the DAAS Intake and Screening Unit, which is the initial entry point for accessing the fund. DAAS will complete an initial intake eligibility screening and refer those presumed eligible for the fund to Institute on Aging (IOA). IOA and its partners will collaborate to provide services through the CLF.
IOA partners 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
Services are provided based on a plan of care and are individual specific. CLF is the payer of last resort. All other resources must be used prior to CLF purchasing services.
Services potentially supported by CLF include:
- Adaptive aides, medical supplies, and non-medical home equipment (like bed pillows)
- Additional home care hours
- Adult day services
- Advocacy
- Case management
- Counseling services
- Disability rights / benefits information and advocacy
- Documentation fees (birth certificates, citizenship papers, etc.)
- Durable medical equipment and other assistive technology and devices
- Education of consumers, families, and others
- Emergency food
- Geriatric assessment
- Home delivered meals
- Home repairs/modifications
- Immigration assistance
- Linkages to primary and acute care
- Medication dispensers
- Money management
- Personal emergency response systems
- "Patch" funding for transitional housing
- Protective supervision
- Respite care
- "Share-of-cost" assistance to help eligible individuals access Medi-Cal
- short term residential subsidies in other housing
- Supportive counseling through transition
- Transitional housing
- Translation/communication services
- Transportation: medical appointments and escort services
- 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 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 are not be a deterrent to services if the eligibility criteria are met.
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 Intake and Screening Unit.
Fax: (415) 355-6785
Email: Jason.adamek@sfgov.org
Susan Garbuio, Director, IOA Community Living Fund
IOA Info: (415) 750-4111