Life Enrichment Committee December 9, 2025
M AGENDA REPORT TO: Jestin D. Johnson FROM: Sofia Navarro City Administrator HSD Interim Director SUBJECT: Addendum to Affiliation Agreement between University of San Francisco and City of Oakland DATE: November 10, 2025 City Administrator Approval Date: RECOMMENDATION Staff Recommends That The City Council Adopt A Resolution: Authorizing the City Administrator 1) To Accept A Gift of In-Kind Services Pursuant To The Affiliation Agreement With The University Of San Francisco School of Nursing and Health Professions To Implement Nurse-Led And Public Health Initiatives To Expand Health And Wellness Access, Student Engagement And Community Programming For Older Adults At An Estimated Value Not To Exceed $150,000 Per Year For Up To Three Years And 2) To Negotiate And Execute Any Additional Agreements Required To Facilitate Receipt Of The In-Kind Services EXECUTIVE SUMMARY On September 11, 2025, the City of Oakland Human Services Department (HSD) and the University of San Francisco School of Nursing and Health Professions (USF SONHP) entered into an Affiliation Agreement to collaborate on innovative strategies that address tadult population. While the umbrella Affiliation Agreement enables collaborative planning and program development, an Addendum approved by City Council is required to authorize implementation of the initiatives and student placements. This Addendum authorizes the execution of: Nurse-Led and Public Health Initiatives to serve priority populations and communities Placement of undergraduate and graduate nursing and public health students to implement the project.
Jestin Johnson (Nov 20, 2025 18:15:12 PST)
11/20/2025
Jestin D. Johnson, City AdministratorSubject: Addendum to Affiliation Agreement between University of San Francisco and City of OaklandDate: November 10, 2025 Page 2 Life Enrichment Committee December 9, 2025
Coordination of program evaluation, community engagement, and policy -friendly ecosystem. Approval of this proposed services, support social connection, and build workforce pathways in nursing and public health -all without direct City financial outlay. BACKGROUND / LEGISLATIVE HISTORY discussions with USF SONHP to address increasing community health and safety convened a joint strategic planning session with Oakland Senior Center Advisory Council members, staff, and university leadership to co-design actionable strategies. older adults that will prioritize historically underserved and marginalized communities: Health & Safety Engagement and Confidence Reducing Social Isolation Empowerment and Advocacy Mobility and Health Management Community Trust On September 11, 2025, the City entered into an Affiliation Agreement with USF SONHP to formalize this partnership. The Addendum, now before Council, authorizes the implementation of the Nurse-Led and Public Health Initiatives, as outlined in the Exhibit A). ANALYSIS AND POLICY ALTERNATIVES signaling important implications for planning and service delivery as residents age. The U.S. Census Bureau estimated Oakland population in 2023 at 441,032, with residents aged 65 and older making up 14% (over 62,420 people) of population. Between 2010 and 2020, the city grew by nearly 13%, adding close to 50,000 residents to its census. While overall growth slowed in the years following the 2020 decennial population count, the notable demographic shift in the rapid growth of the older adult population in Oakland cannot be ignored. Residents aged 65 and older increased by Jestin D. Johnson, City AdministratorSubject: Addendum to Affiliation Agreement between University of San Francisco and City of OaklandDate: November 10, 2025 Page 3 Life Enrichment Committee December 9, 2025
more than 41% between 2010 and 2020, far outpacing the 9% growth seen among after 2020, those aged 65+ continued to rise, increasing by an additional 1.5%, while the population younger than 65 declined slightly. This trend has resulted in older adults 14% in the most recent estimates. Figure 1. Oakland Population % Growth Rates by Age Group These demographic changes highlight a pressing reality: Oakland is becoming an older increased needs will follow suit. The growth in the senior population, particularly those in the older cohorts, points to an urgent need for investments in community-based long-term services and supports to keep Oakland residents safe, healthy, and engaged as they age. Approval of this proposed Addendum will advance the Citywide priority of responsive, trustworthy government through the implementation of five key areas: 1. Health and Wellness Access & Prevention 2. Digital Literacy & Connected Seniors 3. Social Connection & Safety 4. Workforce Development
Jestin D. Johnson, City AdministratorSubject: Addendum to Affiliation Agreement between University of San Francisco and City of OaklandDate: November 10, 2025 Page 4 Life Enrichment Committee December 9, 2025
5. Policy and Data Collaboration Primary project sites include the Senior Centers in Downtown Oakland, North Oakland, West Oakland, and East Oakland. Satellite sites include libraries, faith-based organizations, mobile wellness hubs, and other community-based locations serving high-need neighborhoods. Without approval, USF SONHP students would not be formally placed to support program implementation, and the City would forgo more than $100,000 in annual in-kind contributions. By approving this proposed Addendum, Oakland gains expanded service capacity, improved health and well-being, and increased workforce partnership at no direct cost to the City. FISCAL IMPACT The Addendum generates in-kind contributions valued at approximately $104,500 annually through student internships, workforce placement, and faculty coordination. Student Type Students Hours Estimated Value BSPH 10/semester 80 hrs./student/semester $32,000/semester MPH 5/year 250 hrs./student/year $56,250/year BSN 6/semester Varies $16,250/semester There is no direct City General Fund expenditure associated with this action. All student placements are considered in-kind contributions, and no monetary payments will be made for Intern services. PUBLIC OUTREACH / INTEREST No additional outreach was required beyond standard City Council noticing procedures. However, this initiative builds upon months of collaborative engagement with senior center advisory councils, community stakeholders, and USF faculty. COORDINATION This report and legislation have been reviewed by the Office of the City Attorney, the Budget Bureau, and the City Administrator's Office. PAST PERFORMANCE, EVALUATION, AND FOLLOW-UP This is the first Addendum under the umbrella Affiliation Agreement. Program evaluation will be conducted quarterly through a joint HSDUSF SONHP task force, measuring participation rates, wellness outcomes, isolation indicators, and program reach.
Jestin D. Johnson, City AdministratorSubject: Addendum to Affiliation Agreement between University of San Francisco and City of OaklandDate: November 10, 2025 Page 5 Life Enrichment Committee December 9, 2025
SUSTAINABLE OPPORTUNITIES Economic: Expands service delivery without City cost, provides a pipeline for future health workforce. Environmental: Neutral. Race & Equity: Older adults in Oakland including people facing disparities due to race, age, language, disability, gender, and other inequities feel safe, healthy, included, and connected in the community by having access to the resources and supports they need to age well and live ACTION REQUESTED OF THE CITY COUNCIL Staff Recommends That The City Council Adopt A Resolution: Authorizing the City Administrator 1) To Accept A Gift of In-Kind Services Pursuant To The Affiliation Agreement With The University Of San Francisco School of Nursing and Health Professions To Implement Nurse-Led And Public Health Initiatives To Expand Health And Wellness Access, Student Engagement And Community Programming For Older Adults At An Estimated Value Not To Exceed $150,000 Per Year For Up To Three Years And 2) To Negotiate And Execute Any Additional Agreements Required To Facilitate Receipt Of The In-Kind Services. For questions regarding this report, please contact Ana Bagtas, Manager, Aging & Adult Services Division, at (510) 238-6794. Respectfully Submitted, Sofia Navarro Interim Human Services Department Director Prepared by: Ana Bagtas, Human Services Manager