11:22:14  Good morning everyone, I am 
Kelly Carpenter, and the 
11:22:18 program manager for adult 
services in Nevada County.
11:22:22  This morning the 
presentations,
11:22:27  I just thought were great. 
It really sets the stage for 
11:22:31 what we want to do on a local 
level.
11:22:34  Adult services is partnering 
with FREED,
11:22:38  and we really want to move 
forward and develop our local 
11:22:42 playbook for our community. 
So we are going to start
11:22:46  doing this work in our

11:22:50  click meetings, and that is 
our community, living 
11:22:52 independent Council meetings.

11:22:54  So if you are not on that 
email chain,
11:22:57  go ahead and let us know

11:22:59  and then we can make sure 
that you are included in that.
11:23:04  We want to probably - we are 
going to kick it off
11:23:08  - more than likely in 
September, August is a little 
11:23:12 ambitious. 
But it is there that we want 
11:23:15 to do all of the work that we 
need to do to develop our 
11:23:20 initiatives, to develop what 
we need to see and our 
11:23:24 community, over the next 5 to 
10 years.
11:23:26  We are starting background 
work, and excited
11:23:29  about this project.

11:23:32  And need everyone's input

11:23:36 , because it is super 
important to have a lot of 
11:23:39 input from different people.

11:23:41  With that, I thought I would 
just start throwing out there
11:23:45 , primary issues

11:23:47  that you feel that you see 
in our community
11:23:50  where we may have holes in 
our basket of service
11:23:54  that we need to bring 
attention to.
11:24:11  Anyone?

11:24:28  SPEAKER: You can just unmute 
your self
11:24:31  and speak.

11:24:42  SPEAKER: I will just say,

11:24:45  some of the issues we will 
be addressing a really similar
11:24:52  with the master plan on 
aging. We are going to be 
11:24:56 looking at the housing 
issues, health issues, 
11:24:58 inclusion and equity 
opportunities, caregiving and 
11:25:00 affordability. 
We are going to use those
11:25:03  initiatives that were built 
at the state level
11:25:06  to bring it down to our 
county level.
11:25:08  And really build on those, 
and making things that are
11:25:12  very specific to our rural 
community.
11:25:15  And that is why I asked the 
question in the prior session,
11:25:20  I was excited to hear they 
have worked with rural 
11:25:23 counties. 
And probably that information 
11:25:25 that we could get from other 
states
11:25:28  and rural counties might be 
super helpful for us to 
11:25:32 develop

11:25:32  a plan for our community 
going forward as well.
11:25:36  As far as another

11:25:37  question to think about

11:25:43  if you have heard of any 
successful practices or 
11:25:46 programs, or models that you 
have heard from other 
11:25:50 communities

11:25:51  that maybe we could bring 
forward and talk about in our 
11:25:55 community, and get some 
traction on that to be able 
11:25:59 to add to our local playbook.

11:26:01  Has anybody heard of any 
other programs, how they 
11:26:04 handle things differently? 
That might be helpful for our 
11:26:07 community?

11:26:11  SPEAKER:

11:26:20  I know we could probably use

11:26:23  low barrier housing

11:26:24 , I think

11:26:26  the Pacific Northwest, 
Seattle area
11:26:28  has been successful

11:26:33 . 
There is probably data to 
11:26:35 support

11:26:36  the success and the savings

11:26:39  associated with low barrier 
housing.
11:26:45  SPEAKER: That is a great 
suggestion Valerie. I like 
11:26:48 that.

11:26:51  And someone put in the chat,

11:26:54  more geriatricians and 
specialists
11:26:58  and neurologists, and 
absolutely. I agree.
11:27:01  We see lots of clients

11:27:06  that do need that extra 
special care
11:27:11  and that we just do not have 
those resources here. It is 
11:27:15 very difficult to get a 
cognitive evaluation for an 
11:27:18 elder in our community.

11:27:20  Especially when they are 
resistant about going to the 
11:27:23 doctor. 
So it is at that home level
11:27:26  that would be great

11:27:28  to have more support.

11:27:30  SPEAKER: And transportation.

11:27:33  to medical appointments

11:27:35 , currently

11:27:38  without specialists here 
people have to travel.
11:27:42  out of town. 
That can be a barrier.
11:27:45  SPEAKER: Absolutely.

11:27:48  SPEAKER:

11:27:49  Kelly

11:27:51  also to address the

11:27:56  national need, but 
especially locally
11:27:59 , for caregivers

11:28:01  and caregiver assistance.

11:28:07  Training areas and training 
programs
11:28:12  for caregivers

11:28:16  expectations. 
Of course always for those who
11:28:18  enter this career

11:28:25 , the money, the funding, the 
waitress, the benefits.
11:28:28  There are so many levels

11:28:30  right now of caregivers

11:28:32 , there is the paid caregiver,

11:28:34  the family

11:28:36  IHS caregiver,

11:28:38  the non-paid caregiver,

11:28:40  and across the

11:28:45  board, the need for training 
programs
11:28:49  for all of them. 
There are so many categories
11:28:53  of safety sitters, who will 
go into the home
11:28:57  or even drive along to a 
doctor's appointment
11:29:00 .

11:29:01  They really have very little

11:29:05  understanding of the 
situations
11:29:09  that could potentially occur

11:29:12  in that setting. 
As well as
11:29:14  the certified

11:29:16  hands on

11:29:18  caregiver.

11:29:22  I think we have to build in 
some way
11:29:26  to motivate through education

11:29:31  about the commitment

11:29:32  of a caregiver.

11:29:35  And what it takes to be a 
caregiver.
11:29:40  SPEAKER: And also 
compensation.
11:29:45  Right now it seems like 
people who work in the IHS
11:29:50  system or even in private 
home health
11:29:52  agencies,

11:29:54  there is an upper limit of 
pay
11:29:56  that is very low.

11:29:59  If they could advance, 
perhaps
11:30:01  they would see more benefit.

11:30:04  SPEAKER: Absolutely.

11:30:06  All very good points.

11:30:09  I know the master plan on 
aging is looking out
11:30:12  that at the caregiver level.

11:30:14  So hopefully in the near 
future,
11:30:17  we can see some improvement 
in that area.
11:30:22  Because definitely we need 
them. So important for our 
11:30:26 community.

11:30:26  I have some raised hands 
here. I do not know who was 
11:30:31 first so I will start with 
Lisa. SPEAKER:
11:30:34  Hello.

11:30:36  I just wanted to bring up an 
issue
11:30:41  that I think is of concern 
locally, and that is mental 
11:30:45 health crisis.

11:30:47  Support, and especially 
after this last year, I think 
11:30:51 people are still kind of 
crumbling.
11:30:54  And just wanted to bring up 
that issue of concern.
11:30:58  Thanks.

11:31:01  SPEAKER: Thank you. 
That is so important.
11:31:05  Janice?

11:31:06  SPEAKER:

11:31:09  Hi.

11:31:11  I just want to mention that

11:31:15  I think following the master 
plan on aging,
11:31:20  because there is so much 
need out there, I think it 
11:31:24 sets that foundation to 
follow those categories that 
11:31:26 are focusing on housing, 
caregiving, but an area that 
11:31:30 I think affects our rural 
community
11:31:32  in comparison to other 
counties that are larger,
11:31:35  is the workforce. 
And what are we doing
11:31:37  for economic development for 
the workforce.
11:31:41  We are very lucky that we 
have
11:31:44  a community college

11:31:46  in our area. 
Yet I still see
11:31:49  a lack of workers.

11:31:52  Going into the aging field.

11:31:58  So working with bringing 
that awareness that we need 
11:32:01 to educate the next 
generation of people that are 
11:32:05 going to be working

11:32:06  in agencies with older 
adults and people with 
11:32:09 disabilities. 
I think it is going to be key.
11:32:12  I think we also have a huge 
opportunity
11:32:15  as Sacrament of State 
University is going to be 
11:32:19 opening

11:32:21  a campus classroom County, 
opportunities to collaborate. 
11:32:24 Because something that happens

11:32:26  whether it is at the entry 
level or whether it is at the 
11:32:33 geriatrician level, the 
workforce if we are not 
11:32:33 preparing for it, is not 
going to be here.
11:32:37  And I think as we are all 
agent, even if we are in our 
11:32:42 30s and 40s, we need to start 
thinking about what we are 
11:32:46 going to do to prepare the 
next generation that is going 
11:32:50 to take care of us. 
SPEAKER: Absolutely. Jan?
11:32:53  SPEAKER:

11:33:03  We have services

11:33:08  for people who can really 
afford them, and we have a 
11:33:12 little bit of services likee

11:33:14  IHS and public service are 
people who do not have any 
11:33:18 money, but we have a huge

11:33:20  population particularly in 
this county that fall in the 
11:33:24 middle. 
And I think that has to be a 
11:33:27 big area of focus, is what we 
do for our folks
11:33:32  that cannot afford private 
pay and are not quite poor 
11:33:35 enough for IHSS? 
SPEAKER: Thank you for 
11:33:38 bringing that up. 
That is very valid. We see 
11:33:40 that, we are seeing that more 
so each year
11:33:44  in adult protective services.

11:33:45  And it is an issue.

11:33:48  Because you are right. 
And so often times
11:33:51  those folks are just left to 
flounder.
11:33:56  Because they do not qualify 
for IHSS,
11:33:57  they are not able to provide

11:34:00  the private care they need 
in their home, so we are 
11:34:04 seeing those cases open and 
close and open and close, 
11:34:08 just trying to support them 
the best that we can with 
11:34:12 what we have available. 
But I see that he definitely 
11:34:15 increasing more each year. 
Thank you for bringing that 
11:34:19 up.

11:34:19  Let me check the chat.

11:34:23  Someone had asked

11:34:27  is there entry-level 
caregiving training? Carolyn,
11:34:32  I think you do some of that, 
and also connecting point 
11:34:36 does some of that. 
SPEAKER: That is correct.
11:34:40  Hospice used to do it but 
they are no longer doing it.
11:34:45  And I know the hospital 
foundation
11:34:50  sponsors a series of 
classes, usually it is March 
11:34:53 and April, for caregivers. 
And it is free to
11:34:57  caregivers.

11:34:57  It is very practical.

11:35:02  And skill centred.

11:35:07  But those can afford home

11:35:10  caregivers already. 
We at this time do not have a 
11:35:13 formal educational

11:35:15  institute of any kind

11:35:18  that France caregivers

11:35:25  -- that trains caregivers 
from basic certification
11:35:28  program. 
The state
11:35:31  nursing do and they are 
certified by the state,
11:35:35  but there is always that

11:35:38  commitment to the 
institution that is providing 
11:35:41 that education

11:35:42 , that you will stay on as an 
employee
11:35:46  in their facility.

11:35:49  What concerns me,

11:35:52  is those who are putting 
themselves
11:35:56  out there as caregivers,

11:35:57  are not

11:35:59  adequately trained.

11:36:05  That concerns me for their 
well-being, for their health, 
11:36:09 as well as for

11:36:10  those who hire them into the 
home.
11:36:14  And much of the caregiving 
that is going in that I am 
11:36:19 aware of,

11:36:20  is by mouth, or "Yes I have 
a list" or
11:36:25  personal referrals.

11:36:29  And that is what I want to 
call the
11:36:32  underground network for 
caregiving.
11:36:36  SPEAKER:

11:36:39  Thank you for that 
information.
11:36:50  There was another question 
in the chat. Do we have any 
11:36:54 caregiver unions active in 
this area? There is an IHSS 
11:36:57 union for the IHSS 
caregivers. I do not know how 
11:37:01 active they are specifically 
around training, I know that 
11:37:04 this is a hot topic in the 
master plan on aging. So I 
11:37:09 expect we are going to see 
more of that in the coming 
11:37:13 year. 
Which is super helpful. -- 
11:37:15 Hopeful. 
Because I think that is 
11:37:18 valued. 
And it also gives the IHSS 
11:37:20 caregiver or any caregiver 
more of an income letter to 
11:37:24 go ahead and climb. 
They become more experienced.
11:37:27  I will do one more chat, 
then I will get to the hands 
11:37:31 again. 
How do we get on the email 
11:37:34 chain for the click meeting?

11:37:36  If you can go ahead and just 
add, I think that would be 
11:37:41 easiest to go ahead and add 
your email here. And then we 
11:37:45 will make sure you are 
included in that next click 
11:37:49 meeting that goes out. 
Right now, we are doing those 
11:37:52 virtually, but we probably 
will do a hybrid maybe this 
11:37:56 fall. 
So me back in person, it is 
11:37:59 always nice to see people in 
person. I will go back to 
11:38:03 hands. 
Evelyn? SPEAKER: Hi. I am new 
11:38:06 to Nevada County, I have been 
here a year in June. Came 
11:38:10 from Sonoma and before that 
Contra Costa and before that 
11:38:14 Southern California. 
I have been my aunt's 
11:38:16 caretaker, and IHSS provider 
for 12 years now.
11:38:20  So I have kind of been in a 
lot of different counties.
11:38:25  I knew when I came here I 
was coming rural, but I was 
11:38:30 surprised to find that 
helping hands
11:38:32  was the only adult day centre

11:38:39 . 
My aunt has dementia. So she 
11:38:41 does need a law facility.

11:38:42  -- Locked facility.

11:38:47  I am wondering if there are 
plans. I am in Al Jazeera, so 
11:38:52 it is a helping hands is a 
little further, I am planning 
11:38:56 on going and checking it out. 
Are there any plans in 
11:39:00 previous counties that I 
lived in
11:39:04  I was always able to get her 
into an adult day centre 
11:39:08 which also, which I loved, 
had a medical facility.
11:39:12  So it was great

11:39:13  that all of her basic 
medical needs
11:39:17  were there, scheduled at the 
day centre.
11:39:21  I keep hearing about the need

11:39:26  for training and caregivers, 
and I did an online
11:39:29  program at Cal State

11:39:31  East Bay for human 
development, with an emphasis 
11:39:34 on gerontology, and I was 
shocked
11:39:38 . 
There were hardly any
11:39:41  upper-level university 
classes
11:39:44  in gerontology,

11:39:47  I really had to search to 
find
11:39:51  what I found at Cal State 
East, and that was coming 
11:39:55 from Southern

11:39:58  California and then moving 
up here. So it is a sad state 
11:40:02 that we are not prepared for 
our age and community.
11:40:08  But hopefully grassroots 
starts a lot, and everybody
11:40:11  putting in their input,

11:40:13  the bulk and get rolling 
with that. Because coming up 
11:40:17 here,

11:40:22  I know I can from larger 
populated areas,
11:40:24  but I am stretching out and 
making phone calls everywhere
11:40:28  to try and find

11:40:29  programs and respite

11:40:34  and qualified caregivers to 
come in
11:40:36  and assist.

11:40:38  So I hear everybody.

11:40:46  SPEAKER: Thank you Evelyn, 
for that question and 
11:40:49 information. 
You are absolutely correct. 
11:40:51 Right now it is helping 
hands. We did have one other 
11:40:55 program, but it was a long 
time ago, and was not able to 
11:41:00 be financially sustained. 
But going forward, it is such 
11:41:03 a need. 
SPEAKER: Talking about those 
11:41:05 middle-of-the-road insured 
people,
11:41:07  definitely doing some kind 
of a
11:41:09  sliding scale

11:41:12  would possibly make it more

11:41:15  available. 
SPEAKER: Absolutely. Thank 
11:41:17 you.

11:41:19  SPEAKER: You are welcome.

11:41:21  SPEAKER: I could respond to 
that
11:41:25  Evelyn. 
Hi, it is nice to meet you. 
11:41:28 We have talked on the phone. 
SPEAKER: As we have Carolyn.
11:41:32  SPEAKER: Helping hands does 
work on a sliding scale
11:41:36 , and their goal within the 
next six months
11:41:39  is to have an area

11:41:41 , a safe, secure area

11:41:47  for the client who suffers 
from
11:41:51  the dementia wandering 
syndromes
11:41:53 . 
And they have been working on 
11:41:56 that

11:41:56  for quite a while. 
But then COVID hit.
11:41:59  And shut everything down.

11:42:02  But in their overall plan,

11:42:05  they are hoping to provide 
that secure area
11:42:10  for those who have that need 
to wander.
11:42:17  At our office, we break 
things up into
11:42:20  the Alta Sierra community,

11:42:22  the leg while wood community,

11:42:24  and the Lake of the Pines 
community,
11:42:28  that lies someone outside

11:42:31  and in what we call

11:42:33  a protected community

11:42:37  that are very statistically 
very high
11:42:43  and senior care and in 
senior caregivers.
11:42:47  In grass Valley and Nevada 
city,
11:42:50  there was a dense 
concentration
11:42:53 . 
But then we also have what we 
11:42:56 call the outliers.

11:42:59  Up in the rural trees.

11:43:01  That are so isolated.

11:43:06  And for the county that has 
the most aging population
11:43:10 , it is a disappointment

11:43:14  to see that we are not 
addressing those needs.
11:43:19  SPEAKER: It is an exciting 
challenge to meet. That is 
11:43:23 how I look at it.

11:43:25  SPEAKER: Absently. 
So come to the click meeting.
11:43:30  And welcome to our County, 
Evelyn. SPEAKER: Thank you. 
11:43:33 SPEAKER: Looks like Jan has 
another question.
11:43:43  No? 
Your hand was up.
11:43:45  I see some emails

11:43:47  in the chat, which is great.

11:43:52  There is a link for the 
classes that connecting 
11:43:55 points has come.

11:43:59  And there was a question, we 
have a little bit of time, 
11:44:04 how about a senior setter -- 
Centre
11:44:06  here in Nevada County? 
Is Janet still on the line 
11:44:11 connecting want to speak to 
that? SPEAKER: Yes
11:44:13 , we are working on a senior 
centre
11:44:17  as everybody knows, this 
community is
11:44:19  almost a retirement 
community.
11:44:25  We have one of the largest 
senior population per capita 
11:44:28 and we do not have a senior 
centre. So our agency, or 
11:44:32 nonprofit has been working on 
establishing a senior centre. 
11:44:36 We have a facility

11:44:38  now the hard part is how do 
we began construction, how do 
11:44:43 we raise the funds? 
And I think that is where our 
11:44:47 County, our cities, and 
really just the community, 
11:44:50 can compute

11:44:52  come together to support the 
senior centre. The goal is to 
11:44:56 bring all of those resources 
and you have a place for 
11:44:59 seniors to go, get 
nutritionally balanced
11:45:02  meals,

11:45:06  but also access to a daycare 
or caregiving resource. And 
11:45:10 really focus on the 
prevention. We really want to 
11:45:13 focus on prevention and 
helping our seniors not get 
11:45:17 to the point that they need 
Meals on Wheels or need to go 
11:45:21 into an assisted living or 
nursing home. So a lot of 
11:45:25 work is going on behind the 
scenes to make this happen.
11:45:29  I would encourage all of you 
if you want to be part of 
11:45:34 committees that are helping 
us to design the Senior 
11:45:37 Centre, one of the things 
with senior centres across 
11:45:41 the US, is that they are 
usually financed by county or 
11:45:45 city. 
And in our community it is 
11:45:47 going to be a balance with 
everything. How do we make 
11:45:51 our senior centre 
sustainable? And we are 
11:45:54 focusing on treating a coffee 
shop business model, so that 
11:45:57 we can help set the cost of 
that senior centre. Because 
11:46:01 we can only raise so much 
donations to meet the needs. 
11:46:05 A lot of work is going into 
it. Go free to send me your 
11:46:10 email in the chat and I can 
connect you two are 
11:46:14 committees that are working 
on that. But our goal is to 
11:46:18 hopefully have one pretty 
soon. SPEAKER: Thank you for 
11:46:21 that information. 
In addressing the question.
11:46:23  Let me check the chat one 
more time, looks like we have 
11:46:28 it covered. 
We have a few more minutes. 
11:46:30 We have a hand raised. 
I just see you as I phoned 
11:46:35 (Laughs).

11:46:46  SPEAKER: This should be our 
last speaker. SPEAKER: OK, 
11:46:50 can you unmute? 
There you are. Good.
11:46:52  SPEAKER:

11:46:54  I just wanted to say that 
during the pandemic, I was 
11:46:58 very lucky to have a brother 
living in Washington DC.
11:47:01  It was amazing the number of 
programs they have available
11:47:05  by Zoom.

11:47:09  One was yoga, another is

11:47:12  technology, lady from the 
library that gives it
11:47:15  every Tuesday.

11:47:18  Just amazing number of 
programs
11:47:20  that Washington DC's

11:47:25  organization has available 
to whoever, but especially 
11:47:28 for the seniors.

11:47:29  SPEAKER: Thank you.

11:47:32  SPEAKER: I wish we had the 
same here. SPEAKER:
11:47:36  Well, we will build it. 
We can build it,
11:47:39  we will try.

11:47:47  It looks like we are almost 
out of time. I just want to 
11:47:51 thank everybody for your 
participation. I took notes 
11:47:54 as far as your comments, 
really good suggestions. I 
11:47:58 encourage everyone to 
participate at the click 
11:48:00 meeting. 
That is where we are really 
11:48:03 going to do the hard work to 
get this plan developed for 
11:48:07 our county. 
And I will go ahead and turn 
11:48:10 it back over to Carl. 
Thank you.
11:48:14  SPEAKER:

11:48:26  Can you repeat that, Carl?

11:48:30  SPEAKER:

11:48:41  Sorry, we will now go back 
to the main room.
11:49:06  You can either get there by 
clicking the link I just put 
11:49:10 in the chat

11:49:23  or from the participants page

11:49:26  on the conference website.

11:49:37  Thank you, and see you back 
there in a moment.