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HomeMy WebLinkAboutMINUTES - 02082011 - C.72RECOMMENDATION(S): ACCEPT the 2010 Annual Report of the Advisory Council on Aging for the period of January 1, 2010 through December 31, 2010, as submitted by Employment and Human Services Director. FISCAL IMPACT: None BACKGROUND: On June 18, 2002, the Contra Costa County Board of Supervisors adopted Resolution No. 2002/377, requiring that each regular and ongoing board, commission and/or committee shall annually report to the Board of Supervisors on its activities. accomplishments, membership attendance, required training and certification programs and proposed work plan/objectives for the following year. The attached report fulfills the requirement for the Advisory Council on Aging. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/08/2011 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, District I Supervisor Gayle B. Uilkema, District II Supervisor Mary N. Piepho, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor Contact: Earl Maciel 3-1648 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 8, 2011 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Earl Maciel C.72 To:Board of Supervisors From:Joe Valentine, Employment & Human Services Director Date:February 8, 2011 Contra Costa County Subject:Accept 2010 Annual Report of the Advisory Council on Aging CONSEQUENCE OF NEGATIVE ACTION: The Advisory Council on Aging will be out of compliance with Board Resolution 2002/377. CHILDREN'S IMPACT STATEMENT: None ATTACHMENTS Annual Report CONTRA COSTA COUNTY AADDVVIISSOORRYY CCOOUUNNCCIILL OONN AAGGIINNGG ANNUAL REPORT JANUARY – DECEMBER 2010 CONTRA COSTA COUNTY Of- ficers: ƒ Mim Carlson, President ƒ Shirley Krohn, First Vice President ƒ Barbara Russell-Cambra, Second Vice President ƒ Gail Garrett, Secretary ƒ Arnie Kasendorf, Treasurer Current Roster of Members as of December 1, 2010: Deborah Card Mim Carlson Kellie Collins Maura Connell Rudy Fernandez Barbara Fineberg Gail Garrett Beatrice Gaylord Linda Groobin Lori Hefner Gerhard Heinrich Charles Hester Jan Howe Vernon Jones Arnie Kasendorf Joanna Kim-Selby Shirley Krohn Robert Leasure Alberto Lemos Sue Littlehale Kay McVay Richard Nahm Robert Nolan Earle Ormiston Gerald Richards Joyce Rios Terrese Robison Barbara Russell-Cambra Richard SanVicente Edward Schroth Barbara Seaver Gerald Sharrock Heather Stark Jessica Thomas Laurie Ulrick Beverly Wallace Patricia Welty Advisory Council on Aging December 10, 2010 2010 Annual Report 4 Advisory Council Objectives The Council shall provide a means for countywide planning, cooperation and coordination for individuals and groups interested in improving and developing services and opportunities for older residents of this county. The Council provides leadership and advocacy on behalf of older persons and serves as a channel of communication and information on aging issues. The Council advises each: the Area Agency on Aging (AAA) on the develop- ment of its Area Plan, the Bureau of Aging and Adult Services, Employment and Human Services and the Board of Supervisors. The AAA Area Plan is based on unmet needs and priorities experienced by older persons, as de- termined by assessments and input from the senior network throughout the County. Advisory Council on Aging December 10, 2010 2010 Annual Report 5 ANNUAL REPORT TABLE OF CONTENTS REPORT PAGE - President’s Report 7 Committee Reports - Planning 9 - Membership / Nominating 11 Work Group Reports - Health 13 - Senior Mental Health 14 - Housing 15 - Legislative Advocacy 16 - Transportation 18 Special Reports - Senior Nutrition Program 21 Advisory Council on Aging December 10, 2010 2010 Annual Report 6 Advisory Council on Aging December 10, 2010 2010 Annual Report 7 PRESIDENT’S REPORT January – December 2010 The Contra Costa County Advisory Council on Aging advises the Area Agency on Aging on all matters related to the development and administration of senior programs in accor- dance with the mandates of the Older Americans Act. The Council is comprised of 40 members, appointed by the Board of Supervisors in partnership with local cities and commissions on aging, the Membership Committee of the Council and a designated ad- visory group: the Nutrition Council. A majority of the Council membership must be age 60 and older. Members represent the geographic, economic, disability, cultural, sexual orientation and ethnic diversity of the County. Meetings The Advisory Council meets the third Wednesday of most months, 9:30 am until 12:00 pm at 500 Ellinwood Way, Board Rooms A/B Pleasant Hill, California. Attendance at full Council meetings continues to be excellent. The Advisory Council has lacked a quorum only once in 34 years. Committees and Work Groups The Advisory Council has several committees and work groups that facilitate its goals. The Executive Committee consists of officers, committee and work group chairs, and the immediate past Council President. Membership on committees requires Advisory Coun- cil membership. However, work groups are open to all members of the community. Please see the individual committee and work group reports attached hereto for specific information on their priorities, activities, accomplishments and goals for 2010. Highlights of Council Focus in 2010 Marketing Team A new ad hoc (Marketing Team) was established in January 2010 to develop awareness of the Advisory Council on Aging and senior issues in Contra Costa County. The Team prepared an excellent power point presentation for members to use when talking be- fore groups and city councils. They also developed a marketing plan to engage all Coun- cil members in marketing activities. Executive Committee After completing a new set of By-laws and officer job descriptions in 2009, the Executive Committee took another step to focus the work of the Advisory Council with a facili- tated exercise that included all members and had the goal of developing a set of priori- ties and expectations of members. This will be shared with all prospective members, current members, and cities and commissions that appoint members. Advisory Council on Aging December 10, 2010 2010 Annual Report 8 Ethics Training: All then current members of the Council updated their AB 1234 training and new members are taking the training as they are appointed to the Council. Again, due to diminished resources, we are accomplishing this through the available free online training and testing. All certifications are properly maintained and set-up for follow-up when renewals are required. Collaborations: The Council actively collaborates with other organizations and many Council members serve some of these organizations as well. We work cooperatively with Contra Costa for Every Generation (CCEG); Central, West and East County Senior Coalitions; the IHSS Public Authority Advisory Committee; Meals on Wheels of Contra Costa, Inc.; Rehabilitation Service of Northern California (Mt. Diablo Center) and Para- transit Coordinating Council. 2011 Priorities Pursue budget and funding security for senior programs and support services. Continue our community Stroke Campaign to educate the public about stroke, especially long-term recovery of stroke victims. Pursue more focus by the Mental Health Department on the mental health is- sues of older adults and encourage increased emphasis on MHSA (Proposition 63) funding proposals which address the needs of all ages - including seniors. Encourage the coordination and more efficient use of transportation resources across the county. Continue to advocate strongly for meaningful health insurance and health care reform. Respectfully submitted, Mim Carlson, President Advisory Council on Aging December 10, 2010 2010 Annual Report 9 PLANNING COMMITTEE REPORT January – December 2010 Meeting Time and Location The Committee meets on the first Tuesday of each month from 9:30am to 12noon at 500 Ellinwood Way, Corner Conference Rm., Pleasant Hill, CA or a site visit. Chairperson: Richard SanVicente co-chaired with Jan Howe Staff: Ruth Atkin, Staff Monitor and Jamie Ray, Secretary Purpose The Planning Committee works closely with the Area Agency on Aging to develop an Area Plan for providing services that benefit older adults and makes recommendations for contracting out additional program services/funding. The Committee hears annual contractor program reviews to monitor progress. Duties and Responsibilities: 1. Bring local needs to the attention of the planners 2. Assist staff in review of ongoing programs, contracted service providers, etc. 3. Annual participation in program evaluations is required. 4. Assist in review for proposal process 5. Regular attendance at all Planning Committee meetings is required. Committee Members Mim Carlson Jan Howe Edward P. Schroth Beverly Wallace Maura Connell Joanna Kim-Selby Nick Rodriguez Richard SanVicente Jessica Thomas Laurie Ulrick Gerald Sharrock Membership in the Planning Committee is for Advisory Council members exclusively. This committee strives to have broad representation with respect to geographic areas, ethnicity and background of experience. Activities and Accomplishments The Planning Committee successfully accomplished all its goals for 2010: 1. Met with every provider contracted with the Area Agency on Aging to continue reviewing programs and their performance to ensure effective use of allocated funds. Advisory Council on Aging December 10, 2010 2010 Annual Report 10 2. Offered suggestions and improvements to programs and program monitoring as appropriate. For example: facilitated a new policy requiring that the fiscal agent/fiduciary and a senior coalition chair-person be separate entities. Addi- tionally the fiscal agent became separate from a coalition’s leadership and rec- ommended the utilization of a single fiscal agent to manage all three coalitions. Also, began development of a Committee maintained tracking system of contrac- tor data, separate from staff monitoring reports. 3. Held committee meetings at 3-three provider locations, (Guardian Adult Day Center, Mt Diablo Adult Day Center, Contra Costa Food Bank) to keep in touch with current issues. 4. Support Executive Committee with the above information and make recommen- dations as appropriate 5. Recruited to increase Committee membership to a maximum of 10 members. Respectfully submitted, Richard SanVicente. Co-Chair Planning Committee Jan Howe. Co-Chair Planning Committee Advisory Council on Aging December 10, 2010 2010 Annual Report 11 MEMBERSHIP/NOMINATING COMMITTEE REPORT January – December 2010 Current Committee Memberships Beverly Wallace Chair Arnie Kasendorf District I (also Nominating Committee) Gerald Richards District II (also Nominating Committee) Richard Nahm District III Earle Ormiston District IV (also Nominating Committee - Chair) Patsy Welty District V - Member at President’s Discretion Gail Garrett Council Secretary (non-voting member) Rudy Fernandez District V (also Nominating Committee) Robert Leasure, M.D. (Nominating Committee only) 2010 - New Council Members Added Jessica Abrams Member at Large Kelly Collins Local Committee: City of Pleasant Hill Charles Hester Local Committee: City of Concord Robert Leasure, M.D. Member at Large (See ‘Transferred Seats’ Below) Sue Littlehale Local Committee: City of Orinda Kay McVay Member at Large Robert Nolan, M.D. Local Committee: City of Lafayette Joyce Rios Local Committee: City of Pinole Terrese Robison Local Committee: City of Oakley Heather Stark Local Committee: City of Alamo/Danville Laurie Ulrich Member at Large 2010 - Resignations from the Advisory Council Audrey Bramhall Wes Franklin Esther Nicastro-Capon Nick Rodriquez Betty Segura-Pierce Lori Turner 2010 - Council Members Who Transferred Seats Robert Leasure, M.D. (Local Committee: Danville/Alamo to an open MAL Seat) Current Vacancies The following cities have vacancies on the Advisory Council: Pittsburg and Clayton. Cur- rently, there is one opening for a Member at Large seat #20. Advisory Council on Aging December 10, 2010 2010 Annual Report 12 Emeritus Former member, Leon Morphew was awarded Emeritus Status. 2010 Nominating Committee At the December 17th meeting of the Advisory Council, the Nominating Committee will present a recommended slate of officers for calendar year 2011. Nominations will again be taken from the floor (as was done at the October meeting.) Election and installation of officers will take place on December 15, 2010. The Membership Committee would like to extend our sincere appreciation to our great support staff, Susan Brown, Jaime Ray, Ruth Atkin and Lori Larks from the Area Agency on Aging. Respectfully submitted, Beverly Wallace, Chair Advisory Council on Aging December 10, 2010 2010 Annual Report 13 HEALTH WORK GROUP REPORT January – December 2010 Goals for 2010 1. Continue our community effort to educate about stroke, especially the next phase of long-term recovery, including caregiver issues. 2. Monitor and advocate for all legislative efforts regarding geriatric health and long term care insurance programs, especially any new ones from State and Fed- eral governments. 3. Continue monitoring of Nursing and Board and Care Facilities. Advocate for ade- quate funding for the Ombudsman program. 4. Assess and augment information provided through the Contra Costa Area Agen- cy on Aging. 5. Monitor other aspects of senior health issues and take appropriate action. Presentations Members explored educational presentations to present before the full ACOA: 1. Director Herb Schultz, Region 9 Medicare (CMS) Western USA -- 9/15/10 (de- ferred to 2011) 2. NAMI – coordinating presentation for January 2011 3. Dr. Barger and Dr. Heinrich - STEMI protocols, programs, certified Stroke centers in the county, etc. – coordinating 2011 4. Mike Kerns, Medical Home Model – John Muir, September workgroup presenta- tion. Ongoing Projects Recruitement and retention of workgroup members. Lori Turner, RN have stayed with the Health Work Group after resigning from ACOA. New members: Ed Schroth, Kay McVay and Laurie Ulrick Pending members: Heather Stark, Dr. R. Nolan Chairs/Membership Ann Dzuna and Jan Howe, RN Co-Chairs Alberto Lemos Beverly Wallace Gerhard Heinrich, MD Lori Turner, RN Ed Schroth Gerry Richards Robert Leasure, MD Kay McVay, RN Joanna Kim-Selby Respectfully submitted, Jan Howe, RN Co-Chair MENTAL HEALTH WORK GROUP (Merged) Advisory Council on Aging December 10, 2010 2010 Annual Report 14 January – June 2010 Mission Raise awareness of the need to create an integrated mental health system of care for all older adults. Goals for 2010 1. Find out what services currently exist; what are the available resources for older adults in Contra Costa and the immediate vicinity? 2. Develop a model of what we believe an ideal system would be (assuming no fi- nancial or other barriers exist.) 3. Advocate for necessary change. 4. Raise awareness of the need to create an integrated mental health system of care for all older adults. Accomplishments in 2010 In June of 2010, the workgroup merged with Contra Costa Health Services Consolidated Planning Advisory Workgroup (CPAW). Respectfully submitted, Mim Carlson, President Advisory Council on Aging December 10, 2010 2010 Annual Report 15 HOUSING WORK GROUP REPORT January – December 2010 Activities and Accomplishments The Housing Work Group was unable to accomplish its goals in 2010 due to the lack of leadership from a chairperson. In May 2010, the Advisory Council President received support from the Advisory Council to initiate talks with the Executive Director and Board President of Contra Costa for Every Generation (CCEG) to merge the two Housing Work Groups of these agencies. There was enthusiasm from CCEG and a meeting was held in July 2010 to begin the process. However, CCEG merged with Senior Helpline Services in September 2010 and the talks of a Housing Work Group merger were put on hold until later in the year. Respectfully submitted, Mim Carlson, President Advisory Council on Aging December 10, 2010 2010 Annual Report 16 LEGISLATIVE ADVOCACY WORK GROUP January – December 2010 Mission To research, develop strategy and recommend action to the Advisory Council on Aging concerning legislative issues of importance to seniors in Contra Costa County. Contacts, personal and in writing, will be maintained with the appropriate legislative representa- tions and sponsoring organizations. 2010 Work Group Goals/Priority Areas Federal legislation for Universal Health Care Elder Justice Act Institutional abuse issues Ombudsman Funding Continue educational sessions for seniors on protecting themselves from fraud, scams and Identity theft State budget issues 2010 Key Accomplishments “Adopt-A-Bill” - Each member of the work group identifies, tracks, and reports on progress of a bill(s). Letters were prepared and submitted in support of the following legislation: Letters were sent in support of: AB 724, AB 1806, AB 2114, AB 2555, SJR 20, SCR 74 and SB 810. Co-Chair Shirley Krohn continued Communities Against Senior Exploitation (CASE) pres- entations to organizations, i.e. Soroptomist Club in Antioch, Sunrise Assisted Living in Walnut Creek, John Muir Caring Hands organization, Live, Laugh and Love event at the Pleasant Hill Community Center. These presentations are conducted throughout the county to provide education and information to seniors on how to protect themselves from fraud, scams and ID theft. California Senior Legislature (CSL) Distributed flyers supporting CSL Code 402 (Tax Form: ‘CA Fund for Senior Citizens’) pro- viding funds to continue the California Senior Legislature. Submitted Proposals: Repeal of the sunset clause on financial institutions’ mandated re- porters. Establishing an independent long term care ombudsman organization in Cali- fornia. Establishing a long term care insurance program in California, implementing the CLASS Act from the health care bill. Uniformed logo for Defibrillator signage to be dis- played outside of buildings where the defibrillators are installed, in public view. Senior Volunteer Month honoring senior volunteers in May: SCR 74 submitted by Joan- na Kim-Selby, Senior Senator was passed. Advisory Council members were formally honored by members of the Contra Costa County Board of Supervisors. Supported Stroke Education Campaign for the State of California. A new Senior Assembly member Gerald Richards was elected to serve a 4-year term. Advisory Council on Aging December 10, 2010 2010 Annual Report 17 Collaborations The Legislative Advocacy Work Group works closely with California Commission on Aging (CCOA) and the Triple-A Council of CA (TACC) and California Alliance for Retired Americans (CARA.) 2011 Calendar Year The Work Group will hold nine meetings from January thru June, August and November. Likewise, the group will recess during the months of July, October and December of 2011. Respectfully Submitted: Joanna Kim Selby – Co Chair Shirley Krohn – Co Chair Advisory Council on Aging December 10, 2010 2010 Annual Report 18 TRANSPORTATION WORK GROUP January – December 2009 Senior Mobility Action Council – SMAC The Council’s Transportation Workgroup works within a collaborative known as the Se- nior Mobility Action Council (SMAC). Members include transportation providers, stake- holders and community activists interested in improving transportation for seniors. Membership and Staff Earle Ormiston Advisory Council on Aging: Chair Marketing Team, Chair Nominating Committee and Co-Chair Senior Mobility Action Council (SMAC), Co - Chair Transportation Initiative/Contra Costa for Every Generation (CCEG), Member Para Transit Coordinating Council (PCC) of Contra Costa County Transportation Authority (CCCTA), Member Transportation Access Committee (TAC) working on Mobil- ity Management Center Project, Member Concord Senior Center Advisory Council Tighe Boyle Transportation Consultant, Co-Chair (SMAC), Member (TAC) Virginia Brunk American Association of Retired Persons (AARP) and Vice President and Executive Board Member Concord Senior Citizens Club Veronica Conley Oakland Department of Motor Vehicles Cindy Dahlgren Administrative Manager, County Connection John Garamendi, U.S. Congress Congressman Garamendi is on the Transportation Committee. The following people from his staff have asked to join our Team: Mi- chelle Gault – District Director’s Office and Brian Hockey, a Field Representative who handles transportation Issues in California Leg- islature in Sacramento. Linda Groobin Advisory Council on Aging. Manager-Caring Hands-John Muir Health-Walnut Creek Ralph Hoffman Bus Ambassador County Connection Gretchen Hansen Manager Rossmoor Transportation. Member Transportation Initia- tive (CCEG) Sue Littlehale Advisory Council on Aging Mary Lou Laubscher Facilitator, Monument Corridor Action Team Barbara Russell-Cambra Advisory Council on Aging and East County Senior Coalition Barbara Seaver New Member - Martinez Community Advocate Debbie Toth Executive Director, Northern California Center for Adult Day Health Care, member (PCC) Sandy Warren Executive Director, Senior Outreach Services Elaine Welch Executive Director-Senior Helpline Services (A newly formed Organ- ization which now includes (CCEG). Co-Chair Transportation Initia- tive (CCEG) Ray Zenoni Meals on Wheels Advisory Board, Caring Hands Pleasant Hill Representative Jamie Ray Area Agency on Aging Staff Advisory Council on Aging December 10, 2010 2010 Annual Report 19 Purpose Continue assessment and active advocating for Contra Costa County senior transporta- tion issues/options. Develop goals and action steps to help address these needs and advocate for fulfillment of these goals in the Transportation Service System. GOALS for 2010 1. Develop an action plan to combat Contra Costa County transportation funding issues and service cuts by the State of California. 2. Re-launch the Ilene Lubkin Contra Costa County senior transportation awards pro- gram for volunteers and providers. 3. Work on improving East County transportation options. 4. Advocating and supporting the mobility management center project for Contra Costa County. 5. Aggressively recruiting transportation team members (providers, agencies and advo- cates) 2010 Key Results Successful re-launch of the popular Ilene Lubkin Senior Transportation Awards program. This year’s winners in the Senior Volunteer category: ED and RUTH ROTH—27 Years serving Meals on Wheels to provide nutritious meals to homebound seniors. RALPH HOFFMAN –Outstanding Bus Ambassador for County Connection. EARLE G. ORMISTON – leadership and advocacy throughout Contra Costa County by serving a senior transpor- tation special team consisting of Barbara Russell-Cambra, Linda Groobin and Janet John- son. Members worked in the East County communities trying to develop a unified ap- proach to many senior transportation issues now faced by seniors living in this area. Mobility Management Centers Process in Contra Costa County Three Team members: Earle G. Ormiston, Tighe Boyle and Elaine Welch are active members of the Transportation Access Committee (TAC) formed by County Connection to oversee the outside transportation consultant’s survey and analysis of transportation options available throughout Contra Costa. The project is in close connection with AC Transit who services part of Western C.C. County. The consultant’s review is scheduled to be completed in late 2010 and will then be reviewed by (TAC) and AC Transit before members can determine next steps. SMAC has also re-instated our Project Grid Process to help monitor and direct our various transportation projects. This involves using a spread sheet to outline project goals, people involved and target dates. Tighe Boyle at- tended a special transportation, social-medical service summit in Oakland. Both medical and transportation representatives were involved in this highly interactive, productive session. Advisory Council on Aging December 10, 2010 2010 Annual Report 20 Future Outlook The workgroup is discussing concentration upon Senior Driver Program as one of the major projects for 2011. Cooperating with and getting involved in the Livable Communi- ties Project is another area that we will be considering next year. Members will continue to play an active role in the building of a Mobility Management Center concept in Contra Costa County. Respectfully Submitted, Earle G. Ormiston, Co-Chair Transportation Work Group Advisory Council on Aging December 10, 2010 2010 Annual Report 21 NUTRITION COUNCIL January – December, 2010 The Nutrition Council has a designated seat on the Advisory Council on Aging. The life span of the average American has increased dramatically. Studies show that a good diet in later years reduces risk of osteoporosis, high blood pressure, heart disease and certain cancers. Seniors might need less energy, but they need just as many of the nutrients found in food and our program meets or exceeds the required daily allowance. Budget cuts have not diminished the high-quality meals we serve. Purpose The Senior Nutrition Program’s goal is to provide delicious, nutritious meals for home- bound seniors and for those who eat lunch at the various Contra Costa cafes. Socializa- tion with seniors with similar interests is also important to the Senior Nutrition Program as there are many seniors who live alone. The network of drivers, nutritionists, commu- nity partners, volunteers, donors and advocates are a formidable force against senior neglect and malnutrition. We deliver more than a meal; we are delivering hope to homebound elders. Results For more than 39 years, the Contra Costa Senior Nutrition Program and its companion agency, Home Delivered Meals, has provided health and wellness safety nets for thou- sands of seniors. The program serves adults with AIDS and those who have a disability, allowing them to live independently, well into their 70’s, 80’s, and 90’s. Milestones The milestones for 2010 were the following and remain the same for 2011: Contra Costa County menus exceed the Department of Aging and Title VII USDA recom- mendations. Emergency meals are still being delivered every six months. The Emergency Meals Program is funded entirely by our nonprofit; including steps taken to develop meals that are nutritionally balanced, as well as suitable for claiming under Title III regulations. Meals will be claimed as meals served with the initial delivery, and then again each six months when the old meals are replaced with new meals. The quality of these e-meals is very good and most of the products actually have as long as a three-year shelf life. Two outreach workers were employed to reach out to seniors living in West and Central Contra Costa County who qualify for the Program and may not know they are eligible. Advisory Council on Aging December 10, 2010 2010 Annual Report 22 Goal for 2010-2011 We have not yet had the ‘surge’ in need for Meals on Wheels services predicted for No- vember or December 2010 and fostered by seniors who could be losing their In Home Support Service. Our hope is to be prepared in case the ‘surge’ does indeed happen. We would like to increase participation in all Contra Costa cafes. Many seniors are still un- aware of the different locations of the cafes. We are committed to informing senior cit- izens about the wonderful advantages of their spending time with peers in a safe, friendly environment. At this time, we are actively recruiting additional volunteer driv- ers so that more homebound elders can be served. We could not serve one half of the meals we deliver without the services of our volunteer drivers. Respectfully Submitted, Gail Garrett, President Nutrition Council Representative Advisory Council on Aging Advisory Council on Aging December 10, 2010 2010 Annual Report 23 Advisory Council on Aging December 10, 2010 2010 Annual Report 24 Photo: Jaime Ray