Greater Springfield Senior Services, Inc. 20 9

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Greater Springfield Senior Services, Inc.Annual Report20 9

Helping people live in the setting of theirin-home services will position us to play a key role in a muchchoice has been the focus of Greater Springfield Seniorlarger health and wellness continuum.Services, Inc. (GSSSI) since we were founded in 1972.While new programs and collaborations with the medicalWe are dedicated to maintaining a quality of life for olderadults, caregivers and persons with disabilities. We dothis by providing programs and services which fosterindependence, dignity, safety and peace of mind.community may be on the horizon, GSSSI is committedto providing quality services to people like Eva, Norman,Rosita, Olga and Theresa, whom you’ll read about in thefollowing pages.The contribution of in-home and community-based servicesto the health and wellbeing of consumers is now beingrecognized by policy makers as a Social Determinant ofHealth. Traditionally our healthcare system has emphasizedproviding the best possible care during a medical event.While that remains essential, the focus on nutrition, livingconditions and a safe environment can be just as importantwhen mitigating health risks and improving medicaloutcomes.“Social determinants of health havetaken center stage in recent health policydiscussions because of the growing focuson global payment, accountable careorganizations, and other initiatives focusingon improving population health.”These policy shifts have elder services poised to play a rolein a much larger health and wellness continuum. As weconclude our 47th year and look ahead to the future, weare confident that our experience with providing supportiveYale Global Health Leadership Institute(Taylor, et al, 2015)

Often, many people don’t know where to turn forinformation about aging, disability or caregiving. Since1972, Greater Springfield Senior Services, Inc. (GSSSI)has been helping older adults remain safe and independent in theirown homes by providing a wide range of supportive services.GSSSI is a private nonprofit that serves as both a state-designatedAging Services Access Point (ASAP) and a federally-designatedArea Agency on Aging (AAA).We provide more than 30 programsand services, which are funded by a combination of state andfederal funds, and donations.

From the Executive DirectorJILL KEOUGHEXECUTIVE DIRECTORDuring this past Fiscal Year, Greater Springfield SeniorServices developed a strategic plan which articulated itsmission, vision, target population, and goals. It providedstrategies and an emerging road map for achieving theenvisioned outcomes.This thoughtful process inspired and challenged GSSSI,providing key stakeholders the opportunity to reimaginewhat GSSSI can and should be in a new era of significantgrowth and evolution. GSSSI’s Strategic Planning Committeeworked diligently to articulate a compelling and practicalstrategic plan that will allow the organization to position itselffor continued efficacy, relevance, and sustainability, whileremaining true to the founding vision.GSSSI will continue to build on and recommit to its trackrecord and expertise as an elder service leader in the GreaterSpringfield region, while continue to be a community partnerin providing long term services and supports to individualswith disabilities. We look forward to building upon our coreprograms so we may continue to serve elders and personswith disabilities in new and innovative ways.Over this past year, GSSSI has focused on expanding its reachthrough collaborations with community partners. Specifically,GSSSI serves as a key collaborator in Baystate MedicalCenter’s Health Resources and Services Administration(HRSA) Geriatrics Workforce Enhancement Program. Thiscollaboration enhances the opportunity for workforcedevelopment, case conferencing, and improving the overallpatient outcome.GSSSI, WestMass Elder Care and the Food Bank of WesternMass have formed the Western Mass Food Partnershipin order to reach nutritionally at -risk ACO consumers byleveraging our existing infrastructures.In order to develop the next generation of Case Managers,GSSSI embarked on an internship program with area collegesand universities, giving preferences to Social Work majors.Seven college students, representing four colleges, spenttheir summer learning about the daily challenges of ourconsumers and their caregivers, as well as the programs andservices we can implement to keep the consumer in theirhome safely for as long as possible.The Age and Dementia Friendly movement strives to createwell-designed, livable communities which promote healthyliving and sustain economic growth for residents of all ages.GSSSI served as a catalyst in facilitating and promotingthe value of an Age and Dementia Friendly designationfor cities and towns across our catchment area. This hasbegun by identifying best practices and sharing resources.Collaborations have been established by focusing oncommonalities and facilitating opportunities to join thisexciting movement.This past year was also a year of recognition and distinction.GSSSI was selected to participate in the Executive Office ofElder Affairs CMS Medical Nutrition Therapy Pilot project.We were selected to participate in this project because ofour exceptional track record in providing Nutrition servicesto nutritionally at-risk elders. Medical Nutritional Therapyprovides counseling services by a Registered Dietitian forindividuals with diabetes or kidney disease once a physicianreferral is made. We are excited to provide this new service toour consumers and look forward to its continued expansion.In May 2019, GSSSI’s Adult Foster Care Program earnedits first NCQA (National Committee on Quality Assurance)Accreditation in Long Term Services and Supports. NCQAis a private, non-profit organization dedicated to improvinghealth care quality. NCQA accredits and certifies a wide rangeof health care organizations. It also recognizes clinicians andpractices in key areas of performance.Our commitment to our mission has propelled us to buildupon the core services by adapting to new paradigms andfinding new ways to serve our consumers. We are proudof our past but even more excited by what our 48th year ofoperation brings to the agency and community at large.Jill KeoughExecutive Director

Nutrition ProgramMore than just Meals“We can’t promise you’ll live to the age of 100like Eva and Ken if you get our home deliveredmeals,” says Jennifer Putnam, GSSSI NutritionProgram Director, “but we can guarantee you anutritiously balanced meal once a day.”Eva and Ken were among the 1,550 individualswho received our Meals on Wheels over thepast year. Many factors put elders at nutritionalrisk including depression, limited supportsystems and the inability to shop or preparemeals. Home delivered meals can be thedifference between remaining in one’s ownhome and needing to relocate.There is also the important connection betweenthe person delivering the meal and the recipient.For some seniors who can be isolated, thismay be the only person they see or speak within a day. It also serves as a wellness or safetycheck. Our driver can be the first to notice anemergency or problem.Community Dining Centers are places wherepeople age 60 and over can enjoy good foodand good company. Participants receive anutritious noon meal and have the opportunityto socialize and make new acquaintances.GSSSI’s 16 dining centers are located in seniorcenters, senior housing complexes and otherconvenient places. Some sites offer Kosher andLatino meals as well.Nutrition Counseling provides personalizedin-home supports to help individuals develophealth and nutrition goals that best meet theirneeds. It may help prevent and control chronicdiseases such as diabetes, heart disease,hypertension and kidney disease.Robin Lipson, Acting Secretary of theCommonwealth’s Executive Office of ElderAffairs, visited the Clodo Concepcion Center tocelebrate Meals on Wheels America’s “Marchfor Meals” campaign and the organization’s veryimportant work of addressing senior hunger andisolation. GSSSI has been working with Mealson Wheels for over 40 years and together havedelivered nearly 300,000 meals to seniors in ourcommunity.Home delivered mealconsumer Norman was wisheda Happy 100th Birthday bydriver Jesse Martinez.In honor of her 100th birthday, asurprised Eva was presented witha cupcake and balloon along withher home delivered meal by GSSSImeal driver Ken Gustafson and TracyLandry, program supervisor.

Adult Foster CareAdults over the age of 16 who have chronic medical conditions and are unableto safely live alone can receive the support they need in a home environmentthrough the Adult Foster Care (AFC) program.Rosita and Ramona“We cherish the time we have together,” says Ramona. Her86 year old mother, Rosita, smiles and nods her head inagreement.Morning is their favorite “quiet” time together, before the restof the close knit family wake up and fills the cozy kitchenwith lively chatter and before dog Bella noisily demands to befed. Over cups of coffee, Ramona and Rosita discuss currentevents, politics, and what they are going to do that day. Thedays’ events might include visiting friends, tending to theirflourishing gardens while they chat with neighbors, or evengoing fishing, a long time tradition for them.Ramona credits GSSSI’s Adult Foster Care Program withgiving her the support she needs to care for her mother athome and for improving the quality of life for the both ofthem. They have the security of knowing their GSSSI CaseManager and nurse team are just a phone call away.Case Manager Felicia Cortes, and Registered Nurse AndreaShemesh conduct home visits once a month to ensureRosita’s care needs are being met and note any changes inher condition. They make sure her doctor visits are up-todate and suggest the services of a medical specialist whenneeded.Rosita is also a member of the Senior Care Options (SCO)program through GSSSI. Being eligible for this program hasenabled Rosita to obtain a shower chair, mobility bars, andincontinent care items.Best of all, says Ramona, these services help to keep Rositaout of a nursing home, enabling her to be with family andactive in the community they both grew up in where they“continue to have fun and make priceless memories.”

GSSSI works with family caregivers who are alreadyhelping a loved one. We also match people in need ofcare with qualified host caregivers. Caregivers receivea tax-free monthly stipend, paid time off, and ongoingtraining and support from a Greater Springfield SeniorServices’ Registered Nurse and Case Manager. Best ofall, the participants have a place to call home wherethey receive the care they need.Theresa and JackieImagine having little or no memory of a spouse, children,family or friends. You can no longer take care of yourselfand have no place to live, except perhaps in a long term carefacility.This is the reality for 86-year-old Theresa Ackley, who hasendured a lifelong battle with psychiatric problems. She nowsuffers from dementia and struggles with numerous healthconditions. Thanks to GSSSI’s Adult Foster Care program andJackie, her AFC caregiver, Theresa has found a home and afriend to care for her.Jackie has opened her home and fostered children, adultsand elders for over 21 years. Kara Fink, Theresa’s GSSSI CaseManager, says she was glad to be able to place Theresa inJackie’s care. “She is known as the go-to caregiver for takingin more challenging or complicated cases, such as Theresa,with very few questions asked.”With Jackie as her caregiver, Theresa’s physical needs aretaken care of and she can remain an active member of thecommunity. Jackie prepares her meals, helps with personalcare, shops for necessities like groceries and clothing, andmanages her medications.Jackie says that Terrie, her nickname for her, “goeseverywhere” with her. Several times a week they drive aroundrunning errands, and enjoy walks in the nearby mall and treatsfrom the food court. On nice days they go to the park andhave cookouts.“My friends are Terrie’s friends,” says Jackie. When Jackie’sfriends visit or gather for card games, Theresa sits with themand observes. “We pitched and bought her a beautiful bluebracelet for her birthday,” says Jackie. “She never takes it off. “

Greater Springfield Senior Services, Inc.Programs and ServicesJuly 1, 2018 – June 30, 2019People ServedProgram Name & Definition320 Adult Foster Care (AFC) is a programfor disabled adults who cannot live alonesafely and choose to live in a family settingrather than in a facility. AFC members livewith trained, committed caregivers whoprovide daily care. Caregivers may be familymembers, or non-family members, and arepaid a monthly stipend.170 Ccommunity Choices is a programfor elders who are nursing home eligiblebut who wish to remain at home. To qualify,the person must be enrolled in (or eligiblefor) the Frail Elder HCBS Waiver program.GSSSI Case Managers develop serviceplans, arrange for services, and monitorprogress.24 older adults were served by theANCHOR program (Advocacy &Navigating Care in the Home withOngoing Risks) between February andJune. ANCHOR provides an intensivelevel of care management for elders withbehavioral health needs who are at risk ofinstitutionalization or homelessness due totheir inability to accept services.511 referrals were made to GSSSI, acommunity partner of the Care Allianceof Western Massachusetts (CAWM).The CAWM assists Accountable CareOrganizations (ACO) members accessnon-medical services such as personal careassistance and transportation to medicalappointments, which play an integral part inreducing health care costs for these typesof organizations.210 The Caregiver Support programprovides information, education, andsupport services to assist caregivers inmanaging the challenges of caring for anelderly parent, relative or friend. A CaregiverSpecialist offers in-home, in-office ortelephone consultations.2,656 Clinical Eligibility Screenings(not unduplicated) were conducted byGSSSI nurses for access to skilled nursingfacilities, adult day health programs, or inhome care services that are reimbursed bythe Commonwealth’s MassHealth program.The nurses also conducted screeningsfor non-MassHealth consumers for theEnhanced Community Options program(ECOP).3,112 round trips to medical appointmentswere provided through GSSSI’s CompanionProgram for eligible Home Care clients.31 Congregate Housing is an affordableshared living environment for individualswith physical limitations not requiring 24hour supervision or medical care. It is idealfor people who no longer feel comfortableliving alone but who still wish to beindependent and have privacy. Supportiveservices may include homemaker, personalcare and a shared meal program.184 A Geriatric Mental Health program,made possible through a partnership withBehavioral Health Network, provides anon-site clinician for GSSSI clients. Clientssuffering from mental health issues orsubstance abuse are referred for evaluation,in-home assessment and, where needed,ongoing counseling.76 people completed Healthy Livingevidence-based educational programsabout fall prevention, healthy eating, andmanaging chronic conditions. Two of theprograms were offered in Spanish andEnglish. Healthy Living workshops wereoffered at Seniority House and at the SeniorCenters in Hampden, Palmer, Agawam, andSpringfield.1,710 The Home Care program offersstate-subsidized services throughcontracted providers to eligible elders whoneed assistance to continue living safelyat home. Our Case Managers providein-home-assessments, care planning,information about resources, and ongoingservice monitoring. An additional 266people who were frail enough for nursinghome placement were able to stay athome with enhanced services through theEnhanced Community Options program(ECOP).11,771 Our Information and Referraldepartment provides free information abouta wide range of programs and services forelders, disabled individuals, and caregivers.It also serves as the central access point toGSSSI services.The Long-Term Care Ombudsman programutilizes trained and certified volunteers toprovide advocacy for residents of nursingand rest homes in order to improvetheir quality of life and care. Seventeenvolunteers made 646 facility visits to48,393 residents. This resulted in 1,032volunteer hours and 252 interventions. Theprogram covers 17 nursing homes and 2rest homes.

88 The Money Management programmatches trained and insured volunteerswith older adults who need help writingchecks, balancing their checkbooks, andbudgeting monthly income.Nutrition Services – Meals-on-Wheelsdelivers well-balanced meals to frail,homebound individuals who are at least 60years of age. Community Dining Sites offerhot lunches in senior centers and variouselder housing complexes.MEALS SERVED BY GSSSICommunity Dining Meals. 30,837Home Delivered Meals.245,409Latino Meals. 15,220Kosher Meals.7,806Therapeutic Meals. 16,111MEALS SERVED BY COUNCILS ON AGINGTHROUGH GSSSI TITLE III GRANTSHome Delivered Meals.105,485Community Dining Meals. 43,066605 One Care: MassHealth plus Medicareare health plans for adults with disabilitiesaged 21-64 who have both MassHealthand Medicare coverage. One Care plansmanage enrollees’ care needs through aCare Team which may include primarycare, mental health care, hospital care,specialized care, and long term servicesand supports. GSSSI contracts with theCommonwealth Care Alliance One Careplan and works with enrollees to help themaccess and coordinate the services that arepart of their care plans.215 The Options Counseling program isdesigned to help people make informeddecisions about living at home withservices, living in a community setting thatprovides services, or moving to a nursinghome. When counseling the individual, theOptions Counselor focuses on the person’sgoals and preferences.2,418 The consumer-directed PersonalCare Attendant (PCA) program providesin-home assistance to MassHealthmembers who have a chronic disablingdisease and need assistance with activitiesof daily living. With the help of a GSSSISkills Trainer, consumers (or a volunteersurrogate) learn to direct their own careneeds, including, hiring, training, scheduling,and supervising their own workers.1,812 The Protective Services departmentinvestigates allegations of abuse, financialexploitation, neglect or self-neglect.Working with local hospitals, communityorganizations, and emergency services,GSSSI’s Protective Service Workers assistvulnerable elders in securing supportservices to eliminate or alleviate the abuse.4,157 Senior Care Options (SCO) arecoordinated health plans for MassHealthStandard members aged 65 or older. GSSSIcontracts with six SCOs: CommonwealthCare Alliance, UnitedHealth, FallonNaviCare, Tufts Health Plan, BMC Healthnet,and Senior Whole Health. The SCOsprovide the medical services and programoversight for clients, and GSSSI providesthe community services and supportcoordination. Together we have servedthousands of elders and prevented manyfrom unnecessary institutional placements.119 Individuals received assistance withunderstanding their Medicare, MassHealthand other health insurance options throughGSSSI SHINE-trained staff counselors.Older Americans Act Federal FundingOctober 1, 2018 – September 30, 2019Greater Springfield Senior Services, Inc.serves as an Area Agency on Aging underthe federal Older Americans Act. We striveto serve the most socially and economicallyneedy by providing federal grants toorganizations that deliver a wide array ofservices for people 60 and older. This year 258,138 in Title IIIB grants were awardedto 13 agencies for 14 programs.This year, three “Let’s Re-engAGE” grantswere awarded to alleviate social isolationand loneliness among seniors:“You’re Invited” to the Indian OrchardBranch Springfield City Library offersweekly drop-in programs to engage areaseniors with various group and recreationalactivities, and educational programming.The “Neighbor to Neighbor (N2N)” friendlyvisitor program is designed througha community partnership includingGlenmeadow Retirement Community,Longmeadow Council on Aging,Temple Beth El, First Church of Christof Longmeadow, and the Spiritual CareDepartment at Baystate Medical Center.Valley Eye Radio (VER) has a 39-yearhistory of keeping older adults connected tothe community by providing local news andinformation to listeners who cannot readindependently due to physical impairments.This funding supports an upgrade forantiquated software and hardware toprovide more programming for the visuallyimpaired and expand to reach more people.

State Home Care ProgramOlder adults in our State Home Care Program receive more than assistance with personal care, housekeeping,and grocery shopping. They have their own Case Manager to help them develop a care plan that meets theirchanging needs, arrange and coordinate their in-home services, and monitor the services for quality assurance.Periodic home visits enable the Case Manager to check in on their clients’ well- being.Olga & Sallie Baldwin, Case ManagerFor some clients like Olga, 97, the visits provideeven more.“I told my daughter the classy dame is comingtoday,” says Olga, as she happily recounts a phoneconversation with her daughter who lives in Indiana.The “classy dame” is her GSSSI State Home CareCase Manager, Sallie Baldwin.Sallie was assigned to Olga in September 2014.Now, like old friends, they greet each other withsmiles and hugs. Laughter fills the room as theirconversation flows from books, family stories,and philosophy. According to Sallie, their bondhas grown stronger with the passing years. “It’s arelationship of mutual admiration.”Olga agrees. “Having Sallie as my Case Manager,and the in-home services she arranges for me, havebeen a blessing.”Olga says she has no intention of slowing down, andservices from GSSSI’s State Home Care programhelp support her independence. When she fell in herkitchen, she pressed the button on her emergencyresponse system to summon help. “Luckily, I onlysuffered a cut on my arm,” she said.Olga receives home health aide services throughone of GSSSI’s contracted providers. Sallie regularlymonitors these services to make sure they aremeeting Olga’s needs. GSSSI has provided Olgawith a tub bench, grab bars for the bedroom andbathroom, non-skid mats, a walker specifically madefor small apartments that, according to Sallie, “Olgauses mostly at night when she’s tired, because shecan ambulate fairly well.”Olga also receives hot and cold home deliveredmeals. She said eating is her “favorite time of theday” and she is thankful for her home deliveredmeals. “It’s great to know I can count on having agood meal being delivered.”Good food and talking with good friends andfamily are what Olga says she misses most fromher younger days. Olga grew up in Springfield,surrounded by a close-knit Greek family of foursisters and two brothers, all of whom she outlived.In 1953, Olga became best friends with six peoplewho worked with her husband, and they metweekly for dinner and conversation. They kept upthe tradition for nearly 50 years, until they had allpassed, leaving only Olga.Olga admits she feels lonely sometimes, and shecherishes the visits and check-ins from Sallie,her “classy dame,” because “it feels so good to beremembered, and I plan on staying around for aslong as I can.”

Board of Directors 2018-2019Area Agency on Aging Advisory Council 2019OfficersWilliam AnjosChairAt-LargeJeanne Ahern(Represents CongressmanRichard Neal) SpringfieldJo Ann AsselinAt-LargePaula DubordWilbrahamDoreen HarrisonEast LongmeadowNicole LiquoriMonsonSusan McCarthyWest SpringfieldMoraima MendozaSpringfieldDebbie MichaelsAt-LargePeter Schmidt, President, WilbrahamDaniel Keenan, Vice President, At-LargeLinda Fitzgerald, Vice President, At-LargeBarbara Morin, Treasurer, West SpringfieldFrancis Grimaldi, Assistant Treasurer, At-LargeJohn Shay, Secretary, HampdenPETER SCHMIDTDirectorsPRESIDENTLinda Alston, At-LargePeter Benjamin, At-LargeWilliam Caplin*Sister Mary Caritas, S.P., At-LargeSharon Connor, At-LargeCharlene Drake, At-LargeOlga Ellis, At-LargeLouis Massoia, AgawamFrances M. Miffitt, At-LargeNancy Morales, At-LargeBarbara Morin, West SpringfieldTheresa Govoni Moylan,East LongmeadowJulie Quink, At-LargeJeanette Rodriquez, At-LargeNancy Roque, At-LargeWilliam Sheehan, At-LargeAnne Thomas, At-LargeGloria Wilson, At-LargeSally Wittenberg, At-Large*EmeritusMarge MorganLongmeadowRebecca MoriartyHampdenEllen NepomucenoAt-LargeEmily PerkinsAt-LargeErin PincinceAt-LargeEva PittsingerBrimfieldElaine PuleoAt-LargeMichael SquindoLongmeadowTed WysockiWalesFY 2019 Leadership TeamJill Keough, Executive DirectorMary Beth Dowd, Client Services DirectorAnn-Marie Garner, QA/QI DirectorMary Jenewin-Caplin, Area Agency on Aging DirectorKaren Martin, Community Services DirectorPatricia Young, Administration & Finance DirectorStatement of FinancesTotal RevenuesJuly 1, 2018 – June 30, 2019Executive Office of Elder Affairs. 13,538,638. 43.8%Administration for Community Living . 1,558,012. 5.0%Client Contributions & Co-Payments. 673,427. 2.2%MassHealth. 2,585,066. 8.4%Third Party Contracts & Grants. 12,370,417. 40.0%Other . 209,721. 0.7%Total ExpensesTotal Revenues. 30,935,281. 100.1%Salaries, Fringes & Direct Program Costs. 11,991,375. 40.9%Subcontracts & Subgrants . 15,768,531. 53.8%Management & General. 1,567,861. 5.3%Total Expenses. 29,327,767. 100.0%

Thank You to Our DonorsWe are grateful to the following contributors whosegenerosity helped make a difference in the lives ofthose we serve. We have made every effort to beaccurate. However, if we have made an error, pleaseaccept our apology and let us know.Donations in Honor ofDonations in Memory ofJean and Durham Caldwell –Thanksgiving 2018Jean CaldwellAngela F. CressottiEdward L. DaoustBertha FullerSophie LebidaMuu Van LangMax ZarembaJean and Durham Caldwell –Christmas 2018Durham Caldwell –Father’s Day 2019DonationsElizabeth and Steve BasileCarol BeanMary Kim BelkinBig Y Community GivingBag & Giving Tag ProgramElaine BradyKathy and Gary BretonJean and Durham CaldwellMary K. CaldwellDr. Linda CarmicleMatthew J. Cressotti andTina VandersteelHyman G. DarlingBacon\Wilson Attorneysat LawRalph L. DepanfilisCora H. DouglasJoan ErnstingFamily of Sophie LebidaLaura FellowsGary and Elaine FialkyMarion L. FiorentinoBob & Kathleen Gancarz2019 Annual ReportGreater Springfield Senior Services, Inc.An Aging Services Access Point andArea Agency on AgingGreater Springfield Senior Services, Inc.66 Industry AvenueSuite 9Springfield, Massachusetts 01104413-781-8800 Website: www.gsssi.orgPeter M. HorthBaystate ElevatorCompanyLori KotrbaGerry and Bob LieblaDavid LorenzattiSusan and RobertMontmenyMartha and BobNowakowskiBonnie M. SerinoRobin StewartKathleen A. SullivanElaine M. TauperMr. and Mrs. MichaelUngerGaetana VeneziaWilbraham Middle SchoolPatricia WilderCorinne M. WingardCynthia WrightChris & Gail Zguro &FamilyMarianne ZnojServing the communities of: Agawam, Brimfield, EastLongmeadow, Hampden, Holland, Longmeadow,Monson, Palmer, Springfield, Wales, West Springfield, andWilbraham.GSSSI is an AA/EOE. Its programs are funded in whole, orin part, by contracts with the Massachusetts ExecutiveOffice of Elder Affairs, MassHealth, and private ient Profiles:Design:Printing:Karen MartinSiobhan DowdJohn Murphy CreativeAM Lithography Corp.

Jul 01, 2018 · In honor of her 100th birthday, a surprised Eva was presented with a cupcake and balloon along with her home delivered meal by GSSSI meal driver Ken Gustafson and Tracy Landry, program supervisor. Home delivered meal consumer No

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