FIND THE BEST IN YOU... AT REXDALE CHC

2018/2019 Rexdale Community Health Centre Annual Report

Rexdale Community Health Centre 2018/2019 Annual Report 1 Children’s program Pharmacy Services

Primary Health Care Services

Pathways Graduation Celebration MESSAGE FROM THE EXECUTIVE DIRECTOR AND BOARD CHAIR

Helping our clients achieve their full potential is a cornerstone of Rexdale CHC’s work— whether it is in the way our primary health care team guides clients to reach health outcomes, or how our health promotions team educates and supports them to achieve a healthy lifestyle, or how our Pathways to Education team shows students the way to academic and post-academic success. We are committed not only to bringing out the best in our clients but to empowering them to bring out the best in themselves.

This year, that commitment to self- pilot project to expand our dental services and support that enhance academic improvement saw us expand our service to include low-income adults between achievement and educational success, and offerings, establish a new service location, the ages of 18 and 65. New partnerships also address the overall health and well- and deepen and grow our relationships also enabled us to reach into Rexdale’s being of youth in the community. as a valued community and health service Francophone community with legal and People caring for a loved one who is ill partner in Rexdale. settlement services. or living with a disability also have a new One significant development this year was Helping clients harness the best in Rexdale CHC program to support them. the move to our newest permanent site themselves requires us to strive for Self-care, avoiding caregiver burnout, and at 222 Dixon Road. This satellite location continuous improvement. This year, Rexdale managing stress are just some of the relevant provides a full range of Rexdale CHC CHC became a member of Connecting topics the caregiver program covers. primary health care and health promotion —a province-wide electronic health The initiatives and the stories of client services. Its location offers convenient record (EHR) system that supports more success that you will read in this report’s access for communities south of our 8 Taber efficient, integrated, multidisciplinary care. pages illustrate Rexdale CHC’s commitment Road site and has quickly become a bustling The EHR reduces costs associated with to lifting our community up. The tremendous service point. duplicate tests and inaccurate information, skill and daily acts of caring shown by our reduces wait times and lets care providers It is where we are delivering a new program staff and volunteers in delivering our services immediately access a complete picture of a for Somali seniors that offers a safe and make finding “the best in me” possible for client’s health. friendly opportunity to reduce their isolation. our clients and our centre. We are grateful Through a range of social recreational We continued to support the Central- to them and to our funders and partners activities, the program supports the West Local Health Integration Network’s for the example they show and ideas and development of social networks for at-risk subregion, working with partners to achievements they have helped bring to seniors, while promoting health, wellness coordinate health service planning, fruition this year. and self-esteem. We hope that by anchoring provide coordinated care planning and As we look to 2020, we will continue to this program at the Dixon satellite, it will ensure the smooth transition of clients support Rexdale, working with new and highlight the location as a senior-friendly hub across different providers. Our staff old partners, identifying and responding to and encourage the Somali community to and board members also took part in evolving needs, and using every tool at our approach Rexdale CHC for their needs. capacity building work with leaders from disposal—from technology to proven best Rexdale Community Hub’s other partner Free chiropractic services are also available practices—to deliver high-quality care and organizations to identify ways we can work at the Dixon Road location, thanks to the best client experience to our community. more collaboratively and support more our partnership with Canadian Memorial meaningful community engagements. Chiropractic College. This much-needed service has been highly used since We continued to roll out new programs for commencing in April 2019. As health youth achievement, such as the STEP+ service providers, we know that an initiative with Kipling Collegiate Institute. It unhealthy mouth can be linked to serious seeks to offset the academic disparities health problems, so we were delighted to in the -The Westway partner with Public Health on a neighbourhood through programs Alexander Lim Safia Ahmed Chair, Board of Executive Director Directors

Rexdale Community Health Centre 2018/2019 Annual Report 3 VISION, MISSION, VALUES AND BELIEFS

Vision Accountability: We do what we say we A healthy and empowered community. will do. We use our resources responsibly to provide equitable access to quality Mission care and services. Our doors are open to support and advocate Collaboration: We work together to find and for the physical, economic, social and implement innovative solutions to meet our mental health and well-being of our diverse community’s needs. We share our knowledge community. We work together with our and celebrate our success. community and partners to improve equitable access to quality care and services. Diversity: We warmly welcome everyone Values and Beliefs from our community. We create an inclusive environment that honours people of all Rexdale CHC is committed to achieving cultures, traditions, faiths, genders, sexual a healthier community. This includes the orientation, abilities, and life experiences. physical, economic, social and mental health of all community members, and is supported Respect: We are kind, polite and caring. by strategic partnerships and collaborations We value each other’s contributions and and the following values and beliefs: abilities. We create a safe place for all.

Quality: We put excellence front and centre for all our programs and services. We strive to deliver the highest standards of practice, while focusing on sustainability, continuous improvement, experiential learning, and celebrating successes.

4 Rexdale Community Health Centre 2018/2019 Annual Report SERVICE PROFILE

85% 100% 87% of clients agree they can get of clients stated they feel of clients indicated that they an appointment at Rexdale comfortable and welcome always spend enough time with CHC when they need one. at Rexdale CHC. their health care provider.

96% 97% 92% 91% of clients feel Rexdale of clients noted that of clients agreed would refer a friend CHC staff are easy to Rexdale CHC has a they were able to get or family member talk to and encourage positive impact on services in a language to Rexdale CHC. questions. the community. of their choice.

86% 90% 93% 95% feel their health care of clients know how of clients agreed the felt the programs provider always to make a suggestion staff help them connect and services tells them about or complaint. to the services and offered by Rexdale treatment options programs they need CHC meet and involves them at Rexdale CHC or their needs. in decisions about in the community. the best treatment

In 2018-19, Rexdale CHC also achieved the following:

47 126 500+ Pathways mentoring sessions Pathways tutoring sessions Naturopathy clients seen

Rexdale Community Health Centre 2018/2019 Annual Report 5 All of our THE BEST ‘‘ insecurities IN… N.J. are now what we find the When N.J. talks about the Pathways to Education Girls’ Group, she exudes most beautiful thoughtfulness and confidence. “My Student- Parent Support Worker Shaniqua said I should parts about check out the group, and if I didn’t like it I wouldn’t have to go. But of course I enjoyed it so much. Growing up in this area, people ourselves.” point down [at you] and there’s not much confidence. I like to be more of a leader than a follower and having that chance to all be an equal in leadership is just great,” she explains.

Through weekly lessons and workshops, the eight-week program focuses on providing Family Caregivers Capacity Building girls from grades 9 to 12 with a well-rounded Funded by the Ministry of Health and Long Term Care and now in its second year, Rexdale CHC’s Family Caregiver Capacity Building project view of how to be independent and healthy is intended to provide training, skills development, social supports and in all aspects of their lives. “It started with to resources for family caregivers. Rexdale CHC has done extensive sessions that were about ourselves, but we community outreach to find family caregivers who are not currently using also did DIY stuff like face scrubs, and went our services and to identify the barriers to participating in our programs and gaps in current program content. We have completed work on monthly on a lot of trips. We also had speakers talking calendars and a program brochure, which is being translated into various about careers and how they went through languages. life. There was a pageant queen who’s now On Board the Discovery Bus an architect and a woman in politics—so very This project took 40 marginalized and socially isolated, ethno-racial different. It really motivated us to go from seniors on a journey of discovery to connect them with each other and something that was our mom’s dream to the community. Seniors were involved in all aspects of the project design, something that we really choose,” says N.J. development and delivery. Through hands-on activities, participants explored Canadian and local history, our neighbourhoods, transportation and civic systems, and arts and cultural offerings. Participants enjoyed It was also valuable socially. “We went from interactive on-site and in-community experiences, as well as support from not knowing each other to us being more a multimedia expert who encouraged and guided them to document their of a family. And that’s what I liked. All of us experiences using a such tools as journaling, photography, videography, social media, etc. A wrap-up community event provided an opportunity were at an equal stage—no one was better to celebrate the participants’ achievements as well as a forum for sharing than the other,” she says. “And Shaniqua and their experiences with the broader community. the other staff were all amazing. It makes Francophone Services me want to be like them when I grow up.” With funding from the Central-West LHIN and participation from the target community, Rexdale CHC collaborated with Reflet Salvéo and Auberge N.J. is more self-assured than ever now. Francophone to launch services for Francophones living in Rexdale. We “It made me a more confident individual. hired a French-speaking doctor on our Primary Health Care team and began health promotion workshops and information sessions about It showed us that, at the end of the day, it Rexdale CHC and other partners’ services. Rexdale CHC also collaborated doesn’t matter how you look or show yourself, with Rexdale Hub partners, Centre francophone de Toronto, Wellfort as long as you’re happy in yourself. Every Community Health Services, and others across the CWLHIN to assist with single individual that was there felt much service planning and integration. more confident and beautiful with ourselves. All of our insecurities are now what we find the most beautiful parts about ourselves.”

6 Rexdale Community Health Centre 2018/2019 Annual Report THE BEST IN… S.J.

When S.J. talks about her struggles of the last few years, it’s hard to believe she is still smiling. “I just felt isolated with everything going on, every single day a new crisis. In and out of the hospital once a week. It was a lot,” she explains.

While asking a counsellor at Rexdale CHC about getting help for a loved one, the counsellor asked, “Do you have anybody to talk to yourself? What you’re going through is stressful on a daily basis.” And that began S.J.’s own relationship with Rexdale CHC.

“I’ve been going to Rexdale CHC for two years now. I started seeing Eden, the psychotherapist, then I moved my family doctor there. I see the chiropractor, the physiotherapist, and take classes there as well. I do all kinds of things there now,” she laughs.

S.J. credits Rexdale CHC, and in particular her therapist, for helping her maintain her optimism. “She made me feel comfortable; she understood. I Tree for Me As part of our efforts to promote healthy, thought of her more like a family member or friend than a therapist. She has inclusive and sustainable lifestyles, Rexdale a way of making you feel good about yourself,” she says. “She reminded CHC’s Urban Harvest Toronto program me that I needed to get out, be around people, and do things I like again.” hosted a Tree for Me event on June 1, 2018, in partnership with Toronto Parks and Tree Foundation (TPTF). The event engaged Through Rexdale CHC, she was able to do that in an unexpected residents and developed their tree planting way. “They suggested I attend a group they offer for seniors, even and maintenance skills. Thanks to a TPTF though I’m not a senior,” says the 53 year old. A self-described people grant, Rexdale CHC provided 103 community members with access to native and fruit person, S.J. found herself invited to a bunch of seniors events and trees, as well as vegetable plants to grow making new friends. “I thought it was hilarious—I’m hanging out with produce on their own. people who are 75, but it’s so fun. I can get along with anybody, and I was helping them and they offered me something too.” Youth Programming BCI QSA is a new program that runs at Burnhamthorpe C.I. during the school day Today S.J. feels in more control. “I got my life back. Going there is like and provides a safe space for youth to a breath of fresh air for me. I should work there because I’m always discuss issues and receive support about promoting the centre in the waiting room: ’Oh, did you know they also challenges and barriers that they face in their daily lives. The space promotes mental and offer this service here?’ and I get people attending things,” she laughs. emotional wellbeing and is the result of a “Just being at Rexdale CHC makes me feel happy. It’s a safe haven.” request from the principal, who recognized the need for a program to support LGBTQ students at that school.

Pathways to Education Rexdale CHC’s Pathways to Education program continued to engage students to achieve educational goals and post- secondary success through mentoring and tutoring programs and the hands-on support of Student-Parent Support Workers (SPSWs).  Using diverse ways to help students build Going to Rexdale the skills to thrive in school and beyond, we offered a Boys Club, Girls Club and Pathways Students Advisory (PSA). With support from ‘‘ CHC is like a partners like Boston Consulting Group we facilitated or co-facilitated sessions with adult mentors to encourage students to breath of fresh take leadership roles, acknowledge their needs and value their voices. In exit surveys, students praised the workshops and the air for me.” support and guidance they received from staff and mentors.

Rexdale Community Health Centre 2018/2019 Annual Report 7 THE BEST IN… D.H.

 The future looks bright for D.H. Being in We learned about the Pathways to Education Boys Group has opened him up to a world of exciting ‘‘ stepping out of opportunities. The 16-year-old athlete likes science, math and English and is still deciding whether he wants to be a lawyer your comfort zone. or work in the trades when he gets older.

If you don’t try Admittedly, D.H. was skeptical about the Boys Group when he first learned new things you’re about it in grade 9, but “I went to a couple of sessions and we were doing not going to know activities on life skills and life lessons. They were things that could relate to me if you like them.” and help me in the future, like how to be presentable in job interviews. It was a very interesting group. After my experience in grade 9, I was happy to do it again.”

As the group explored challenging topics, such as the Criminal Code, the age of consent, and the myths and realities of gang involvement, D.H. learned a lot Pathways Health Careers Fair from the lively dialogue with his peers. Pathways’ Mentoring team organized and facilitated a career fair showcasing “I got to learn how people deal with health care professions for 80 Pathways students. Attendees had the opportunity certain problems and how they learn. to speak to family physicians, dentists, physiotherapists, occupational therapists, nurse practitioners, chiropractors, and others in the health field—some engaging That taught me skills that help me and the students through interactive activities. In addition to hearing from a guest how I learn and deal with my problems. speaker who is an MD candidate and grew up in the community, the fair showed By the end of grade 9 I’d become students how the diversity of the Rexdale community is reflected in health care close to everyone in the group.” roles and how to enter these fields. The event sparked interest in health care from students who had not considered it as a career path. Perhaps the biggest thing D.H. has Student Success gained from the Boys Group is a sense Seventy-eight Pathways students applied to post-secondary institutions. One student won a $2,000 Investing in Your Diversity scholarship and another received of openness to new things. “We learned the Boston Consulting Group summer internship. At the time of writing this report, about stepping out of your comfort zone to only preliminary data on college and university acceptances was available. Of meet people and just try things in general. Pathways’ 395 students, 80 scored 80% or more on their final exams. So I decided to take a business class last Preparing for 2020 year. I wasn’t too sure about it, but I like In the coming school year, Pathways will continue to provide targeted supports it,” he explains. “This year I have picked to students based on their needs, interests and overall goals. Areas of focus will physics and chemistry. We had a bunch include struggling students, completing grade 11 profiles, and exposure to trades and post-secondary school life. The Ace of Trades program—a new collaboration of trades come in—plumbers, engineers with community partners—will expose students to career paths in the trades and and stuff—and I got to talk to them provide information and resources for apprenticeship opportunities. The Pump for one-on-one. It kind of made me want to Post-Secondary program—a collaboration with Big Brothers/Sisters and Pathways pursue that and take the classes to see if group mentoring—will enable 30 grade 10 students to connect with student mentors at Lakeshore. Once a week from October to April, I’ll like it. I feel more confident for next year students will take part in a curriculum that explores post-secondary and career school-wise. If you don’t new try things options and demystifies the post-secondary experience. They will develop goals to you’re not going to know if you like them.” pursue post-secondary education and form a meaningful connection with a post- secondary institution.

8 Rexdale Community Health Centre 2018/2019 Annual Report I’m better in so many ‘‘ ways. It wasn’t easy for me but through Rexdale CHC’s care and advice, I have so much hope.” THE BEST IN… H.S.

Primary Health Care Access When asked about Rexdale CHC and its staff, H.S. Rexdale CHC’s Primary Health Care (PHC) unit continues to enroll new clients and promote greater access to our easily replies, “They are like my second family.” She care. This year, we hired a temporary full-time physician, goes on to explain, “I admire their dynamic. You don’t which enabled us to offer more services at the high- feel like you’re left out, you always feel like there is demand Dixon Road satellite clinic and increase the someone taking care of you and looking after you.” number of evening appointments. Evening appointments are available most days of the week and clients can also call to speak with a physician for after-hours medical A nurse and mother, H.S. turned to Rexdale CHC after moving services. We began piloting a walk-in clinic at the Rexdale to the neighbourhood seven years ago. “When I found out I was Hub on Tuesday afternoons, and moved our Saturday clinics to the Hub to provide better access where and pregnant, I needed prenatal care. I had used a CHC near our when we have most demand. The clinical team initiated, last home so looked for one here and found Rexdale CHC.” completed, or updated 160 coordinated care plans for clients with complex care needs and Rexdale CHC’s H.S. was very glad to find the centre. “I had a lot of issues during community pharmacy at our 8 Taber Road location continues to provide a range of services including that pregnancy. The staff were very helpful and supportive medications review and medication reconciliation. throughout all my pregnancies,” she explains. Her third child is now 10 months old, but “After I had her, I was diagnosed with General Primary Care Services post-partum depression. So I saw the therapist at Rexdale CHC. Our sexual health clinic moved from Albion Mall to the Rexdale Hub to accommodate more clients and efficiently I can’t thank her enough. It wasn’t easy for me but through use clinical resources. The clinic also expanded to 222 Rexdale CHC’s care and advice, I have so much hope.” Dixon, and is being provided once a week at each Rexdale CHC location. We met or surpassed our performance targets for breast, colon and cervical cancer screenings H.S. has become stronger and healthier with the centre’s and conducted annual influenza vaccinations. support. “I saw their physiotherapist for a while. I feel like that has helped me so much, and I just saw the chiropractor Specialized Primary Care Services for the first time last week.” She and her children are Rexdale CHC’s Chronic Disease Management (CDM) team continues to offer mobile clinics and Diabetes all clients, and she doesn’t hesitate to sing the centre’s Education services to ’s seasonal praises to others. “I recommend so many people to go workers who face multiple barriers to receiving care. We here! Last week I took a relative who just arrived in country. provide physiotherapy at our Dixon Road location and Even they said, ‘Oh my gosh, they are so amazing.’ And chiropody services through two chiropody students. We added a temporary chiropodist from February to it’s not only the care providers, it’s the office staff too.” May 2019, and urgent same-day appointment spots to meet the growing demand for foot care services. Our According to H.S., “I’m better in so many ways. The staff chiropody team offered more than 500 offloading devices, including air cast walkers, custom made orthotics and have always been there for me, always willing to help. I feel orthopedic shoes, to clients with a diabetes foot ulcer or so safe. If we ever move, I will still travel here!” she says. at high risk for developing one. Guided by a new CDM , the Chronic Disease Management team conducted joint outreach and integrated program planning with diabetes nurses, diabetes dietitians, chiropody, physiotherapy, and community nutrition services. The team also provided in-person services, 41 telemedicine visits, and community education and workshops.

Rexdale Community Health Centre 2018/2019 Annual Report 9 THE BEST IN… F.D.

To say F.D. is an active senior is an understatement. “I am not working any longer so I have all the time, but I’m more busy now than I was before,” she says.

A regular attendee of Rexdale CHC’s Instead we get to be a huge family with seniors programs, she loves the different languages and cultures.” connections that the centre has created for her. “Rexdale CHC is a Although she has been part of the comfortable home. You feel relaxed seniors program for many years, F.D. when you step in to take part in any still cherishes one of her first memories of the activities. I’m happy to be a of Rexdale CHC, which took place  member of the seniors group. I look during the ice storm of 2013. Her Happiness forward every day to coming to 8 Taber power had gone out and “just as I Road. Happiness cannot be bought, was thinking, ‘What to do next?’, my ‘‘ cannot be but it can be found at Rexdale CHC,” phone rang. It was Wendy, the seniors she says in a piece she wrote about coordinator at Rexdale CHC. She gave bought, the centre called The Freedom Palace. me her phone number and said I could call any time. I really felt moved. Hardly but it can The variety of activities offered by anyone would do that, but they thought the seniors program have given F.D. about everyone outside. It shows be found the freedom to learn, explore, make Rexdale CHC doesn’t just operate at 8 new friends and feel engaged. She Taber Road but goes far beyond that.” at Rexdale takes part in the exercises, listens to guest speakers, enjoys lunch with the With her seniors program schedule, F.D. CHC. other seniors, plays bingo and sings always feels supported. “I always like ” in the choir. “When we sing we forget to be active. Instead of staying at home all our problems and health issues, and eating and watching television, if we have any. Rexdale CHC makes I’m out of the house. I appreciate it possible for us to attend different Rexdale CHC for the service they programs by providing TTC tickets. This provide us. They add spice to my life.” eliminates seniors from being isolated.

Seniors Programming The Health Promotion team in partnership with the Primary Health Care team conducted a chair yoga program and health promotion talks for seniors, as well as an exercise program for high-risk seniors at our 222 Dixon Road site.

Healthy Kids Community Challenge For three years, Rexdale CHC and local partners have run HKCC programs along four themes to help kids make healthier decisions. Run. Jump. Play. Every Day. promoted family physical activity through 23 programs that reached more than 200 children and 200 staff and volunteers. Water Does Wonders encouraged choosing water over sugar-sweetened beverages. Choose to Boost Veggies & Fruit launched at a community block party in Rexdale where attendees learned about food security initiatives, community food programs, caterers, and food growing opportunities. As part of this theme, Cooking with Kids provided 48 interactive cooking sessions to children and families living in Rexdale. This theme’s Growing with Kids Initiative also taught more than 5,000 children and their families how to grow vegetables and herbs in community spaces and in their homes. Finally, Power Off and Play! aimed to reduce screen time and encourage physical activity, recreation, the arts and nature play, such as hiking and exploring local parks and rivers.

Rexdale Foodie Fest Foodie Fest has become one of Rexdale CHC’s premier events, attracting more than 5,000 people for a day of physical activity, healthy foods and fun. This year’s event wrapped up the Healthy Kids Community Challenge (HKCC) and included pavilions to promote all four HKCC themes. The event featured 40 interactive booths and community residents received free nutritious foods and learned how to cook to encourage family time and discourage eating while watching screens.

10 Rexdale Community Health Centre 2018/2019 Annual Report THE BEST IN… A.C.

 A.C. and her family moved to from Portugal in When we were 2013. The family loves nature, sports, movies, reading and God, but despite the abundance of these things in Canada, ‘‘ struggling, Rexdale adapting was a struggle. “I got sick and depressed— especially in winter,” says A.C. “I began to experience CHC was the best anxiety. I was unaware of Rexdale CHC, and struggled with these conditions for about a year. Then a friend told me experience we had about Rexdale CHC and how it could help our family.”

in Canada and it is At the centre, A.C. found the support she and her family needed to live the healthy lifestyle they enjoy. still happening.” “They absolutely helped us. The centre provided us with a family doctor and an amazing skilled dentist for our kids through the pilot project,” she says. “Without the pilot project’s support, we could never afford to have even basic dental care,” she explains.

Dental Care It’s the personal relationships that stand out to A.C. though. In partnership with Toronto Public Health (TPH), “I love the doctors – every doctor. We are so grateful for their Rexdale CHC implemented a dental pilot program for support. They are very sensitive and I can actually say that low-income clients between 18 and 65 years of age we have a relationship with our doctors. There’s empathy. It’s who have urgent dental needs. At the request of CHCs, the Board of Health approved the pilot to determine amazing. I feel so spoiled, me and my family, to have these the demand for services, and from March 1, 2018 to doctors in our lives always giving valuable advice,” she says. February 28, 2019, 148 clients made 242 dental visits to our clinic. During the pilot project, 99% of the clients Having medical and dental care significantly reduced either had their chief dental complaint addressed or their treatment was in progress. More than 90% of the A.C.’s stress as she and her husband built their new life clients were satisfied with the care they received and in Canada. “It absolutely improved our lives. When you 87% felt that their dental treatment will improve their move somewhere that you don’t have status, you don’t overall health. Final project evaluation and next steps are currently being discussed with TPH. feel like a person – you don’t matter for the country. You feel so lost. Rexdale CHC were the pioneers to make us Partnerships feel like a person. When we were struggling, that was the In partnership with Humber River College we offered best experience we had in Canada and it is still happening. free massage therapy sessions to clients, and chiropractic services through a partnership with It returns a smile and dignity to people in our situation.” Canadian Memorial Chiropractic College. Another new partnership with Positive Change offers counselling “All I can say is thank you to all of the Rexdale CHC to women who have lost children to violence, and staff because they are all amazing,” says A.C.. educational sessions with high-risk youth. Clinical services at the Dixon Road site are now complemented by settlement counselling sessions through Rexdale Women’s Centre once a week, physiotherapy and community nutrition services are also offered at the Dixon Road site.

Rexdale Community Health Centre 2018/2019 Annual Report 11 INDEPENDENT AUDITORS’ REPORT

The accompanying summarized statement Statement of financial position for the twelve months ending March 31, 2019 of financial position and statement of revenues and expenditures are derived ASSETS March 2019 March 2018 from the completed financial statements of Rexdale Community Health Centre as Current Assets at March 31, 2019 and for the fiscal year Cash $ 538,742 $ 625,346 ended on which we expressed a qualified Long-term investments – current portion 460,553 895,151 opinion in our report dated June 26, 2019. Accounts receivable 246,672 398,095

In common with many not-for-profit Prepaid expenses 123,564 212,860 organizations, the Centre derives a 1,369,531 2,131,452 portion of its revenue from donations, the completeness of which is not susceptible to Long-Term Investments 802,125 661,229 satisfactory audit verification. Accordingly, our verification of these revenues was limited Property and Equipment 5,593,280 4,070,131 to the amounts recorded in the records of 6,395,405 4,731,360 the Centre. Therefore, we were not able $ 7,764,936 $ 6,862,812 to determine whether any adjustments might be necessary to revenues, excess of revenues over expenditures, and LIABILITIES cash flows from operations for the years Accounts payable and accrued liabilities $ 908,279 $ 1,413,542 ended March 31, 2019 and 2018, current Accounts payable – Central West LHIN 44,021 75,520 assets as at March 31, 2019 and 2018, Accounts Payable – Ministry of LTC 4,259 7,3 4 0 and net assets as at April 1 and March 31 for both the 2019 and 2018 years. Our 956,559 1,496,402 audit opinion on the financial statements for the year ended March 31, 2018 was NET ASSETS 6,808,377 5,366,410 modified accordingly because of the possible effects of this limitation in scope. $ 7,764,936 $ 6,862,812

We conducted our audit in accordance Consolidated statement of revenues and expenses for the twelve months with Canadian Auditing Standards. Our ending March 31, 2019 responsibilities under those standards are further described in the Auditor’s ASSETS Responsibilities for the Audit of the Financial Central West LHIN funding $ 6,935,202 $ 6,797,711 Statements section of our report. We are independent of Rexdale Community Health Sundry income 729,696 623,742 Centre in accordance with the ethical Other project grants 2,752,942 3,079,747 requirements that are relevant to our audit of 10,417,840 10,501,200 the financial statements in Canada, and we EXPENDITURES have fulfilled our other ethical responsibilities in accordance with these requirements. Salaries 4,116,366 4,072,186 We believe that the audit evidence we have Benefits and relief 770,453 759,224 obtained is sufficient and appropriate to General and operating 1,638,847 1,597,383 provide a basis for our qualified opinion. Rent and maintenance 973,868 855,382 Hennick Herman LLP Project grant expenses 2,744,930 2,973,105 Chartered Professional Accountants 10,244,464 10,257,280 Licensed Public Accounts Excess of Revenue over Expenditures $ 173,376 $ 243,920 Richmond Hill, Canada June 26, 2019 Amortization 334,034 241,983

12 Rexdale Community Health Centre 2018/2019 Annual Report SERVICE STATISTICS

Clinical and Health Promotion Services, Fiscal Year 2018-2019

3% Sexual Health Clinic 42% 3% Primary Health Care Physiotherapy 3% Clinical and Nutrition Client Services

4% 31% Foot Care Client Support* 14% Diabetes Education

2% Polish 31% Spanish

2% Farsi *Other languages include Italian 3% Portuguese and Mandarin. Service in a Language Other 21% South Asian 6% Other non-English* Somali languages Than English include Hindi, Urdu, Punjabi, 9% South Asian* Tamil & Gujarati.

9% French 17% Arabic

3% Community and Capacity Building 54% Seniors Program Community 12% Programs and Pre and Post Natal Health Promotion Nutrition Program 17% Diabetes Prevention & Health Promotion 14% Children, Youth & Family 3,648: Group sessions 55,727: Total number of attendees

Rexdale Community Health Centre 2018/2019 Annual Report 13 FUNDERS AND DONORS

Thank you to the following funders and donors who have supported our work, and to the many partners with whom Rexdale CHC has collaborated to help Rexdale residents achieve their best possibilities.

FUNDERS Elvira Vargas Career Foundations Lynett Funeral Home Centennial College Federal Funders Older Adult Centre Central West Community Employment and Social Ms. Sania Zahid Care Access Centre Development Canada Spectrum CHUM City Public Health Agency of Canada Symcor City of Toronto The Toronto Dominion Bank • Employment Social Services Provincial Funders Woodbine Entertainment Group • Ontario Disability Support Program Central West Local Health • Tower Renewal Integrated Network (CWLHIN) • Waste Management Ministry of Children and Youth Services (Yorktown) PARTNERS CMHA (Canadian Mental Health Association) Ministry of Health and Long Term Care Access Alliance Multicultural CMHA Peel Ministry for Seniors and Accessibility Health & Community Services Community Choice Pharmacy Albion Islington Business CSM Municipal Funders Improvement Area Daily Bread Food Bank City of Toronto Albion Library Alzheimer Society Dovercourt Boys and Girls Club • Community Service DSO (Disability Services Ontario) Partnership (CSP) Arbor Memorial EduCare Self Care Studio • Social Development - Healthy Kids Art Manuel House Community Challenge (HKCC) Arthritis Society Elmbank Junior Middle Academy • Social Development - Urban Harvest Asthma Society of Canada Elmbank Community Centre • Solid Waste Management Division Athabasca University Elspeth Heyworth Centre for Women Boston Consulting Group Ernestine’s Women’s Shelter Other Funders Braeburn EarlyON Child Children’s Centre Canada Red Cross Society and Family Centre Etobicoke Falls Prevention Coalition Pathways to Education Canada Canadian Association of Etobicoke Services for Seniors Toronto Foundation Retired Persons (CARP) FAME (Family Association for Toronto Parks and Tree Foundation Canadian Business College Mental Health Everywhere) Tropicana Community Canadian Memorial Families For A Secure Future Services Organization Chiropractic College Family Service Toronto Canadian Diabetes Association Focus on Youth Canadian Hearing Society Food Reach DONORS Canadian Mental Health FoodShare Toronto Association Toronto Friends and Advocates Ann Scobie Canadian National Institute for the Blind Father Henry Carr Bell Canada Canadian Red Cross GANZ Gift Ideas Brescia Canadian Tire – Kipling Canadahelps.0rg and Albion stores George Brown College Castle Honda Canadian Training Institute George Hull EarlyON Child and Family Centre Dasd Contracting Inc. CANES Community Care

14 Rexdale Community Health Centre 2018/2019 Annual Report Giant Tiger Parks, Forestry and Recreation Toronto and Region Glow Academy – North Kipling CC Conservation (TRCA) Greenholme Junior Middle School PFLAG (formerly Parents, Families Toronto Catholic Children Aid Society and Friends of Lesbians and Gays) Green Saver Toronto Catholic District School Board Philips Lifeline Hearing Solutions Toronto Children’s Aid Society Pizza Pizza Heart To Home Meals Toronto Community Positive Change Toronto Initiative Housing Corporation Heart & Stroke Foundation Prevention Of Elder Abuse Toronto District School Board HSBC Coalition (PEACE) Toronto Fire Services Humber College Punjabi Community Health Services Toronto Foundation Insuranceland Queen’s Plate Steering Committee Toronto Hydro Kipling Acres Long Term Queens University Care Residence Toronto Library Services-Albion Reconnect Community Toronto Parks People Kipling Collegiate Institute Mental Health Services Toronto Police Service LAMP Community Health Centre Rexdale Alliance Church Toronto Public Health Leave Out Violence Everywhere Rexdale Community Garden Legal Aid Ontario Toronto Public Health Rexdale Community Legal Clinic Geriatric Dental Team LGBTQ Youth Line Live Green Rexdale Employment Services Toronto West Seventh Day Living Well Restaurant Rexdale Food Access Committee Adventist Church Maple Leaf Foods Rexdale Second Harvest Toronto Services for Seniors Medic Alert Rexdale Women’s Centre Toronto Supportive Housing Medix College (Toronto) REXPride Toronto University Metrolinx Ryerson University Toast Master International Michener Salvation Army UCAP Midaynta Seneca College Unifor Ministry for Seniors and Accessibility Sheridan College UNISON Health & Community Services Ministry of Transportation Solid Waste (City of Toronto) Humber Mosaic Homecare & Community Spectrum Health Care University of Toronto Resource Centre Spring Board Urban Harvest: Rexdale VIBE Arts Mount Sinai Health Systems – Reitman Centre St. Elizabeth’s Mobile Crisis Volunteer Toronto New Leaf Foundation Nexus Holidays St. John’s Ambulance Walden University NIWIC Mount Sinai Hospital St. Stephen’s Mediation Services West End Midwives Nordix Pole Walking Canada StART- Street Art Toronto West Glen Junior School North Albion Collegiate Institute Steeles L’Amoreaux Youth West Humber Collegiate Institute Empowerment North Kipling Community Centre West Park Senior Mental Stonegate Community Health Centre Health Services Health Justice Project Symcor William Osler Geriatric Outreach Team Community House Syme 55+ Centre William Osler Health System North York Food Harvest TAIBU CHC Woodbine Entertainment Group Nucleus Media Inc. TECH Coaches Woodbine Family Health Team OCAD The Canadian College of YMCA (GTA) Older Adults Centres Naturopathic Medicine Association of Ontario York Town Child and Family Centre The Etobicoke Children’s Centre Ontario Ministry of Finance York University The Next Best Phase - Royal LePage Ontario Network for Prevention York West Active Living Centre of Elder Abuse (ONPEA) Collegiate Institute Youth Without Shelter Osteoporosis Society of Ontario

Rexdale Community Health Centre 2018/2019 Annual Report 15 16 Rexdale Community Health Centre 2018/2019 Annual Report STAFF AND VOLUNTEERS

Thank you to the many volunteers who shared their time and talents to help us provide services to the Rexdale community.

Partnering with Arts Etobicoke and Mural Routes, Rexdale CHC members volunteer to make art for a mural to beautify the sound barrier wall at Finch West between Kipling and Islington.

Rexdale CHC Staff

Pathways Camara Edwards Meenu Gupta Meenaz Mansuri Ravneet Kathuria – Primary to Education – Student Parent – Tutor – Student Parent Site Support Worker Health Care Support Worker Support Worker Abdikarin Jimale Leticia Animodi – Ruwaida Muddei – Adib Ali – Physician Dodd Mohamud Outreach Worker Mohamed Hassan – Site Support Worker – Student Parent Adna Egal – – Student Parent Program Facilitator Support Worker Lekesha Edwards Shaniqua Clarke Chiropodist Support Worker – Student Parent Musheraf – Student Parent Angela Brown- Almut Brenne- Ifrah Saeed – Tutor Support Worker Khan – Tutor Support Worker Knight – Student Davies – Nurse Parent Support Farah Abdi Lenore Simbulan N’Kosi Whyte – Stephen Watson Practitioner – Summer – Mentoring Program Facilitator – Tutor Worker Coordinator Aqsa Arshaad – Program Tutor Coordinator Alesha Anderson – Natalie Pozo – Sunita Kak – Relief Chiropodist Ernest Addo Lilian Obazei – Site Student Parent Tutoring Coordinator Site Support Worker Aynur Gurbanova Sarkodie – Tutor Support Worker Support Worker Anisa Mohamud Tanya Iskierski – – Director of – Tutor Indira Kumaralagan Madina Wasuge – Ormie Shikany – Project Coordinator Primary Health – Administrative Director of Pathways Program Facilitator Bashir Mohamed Yogindra Chanchall Baredu Abdulshekur Assistant to Education – Student Parent Omar Ahmed – – Program Facilitator – Registered Support Worker Jeetesh Chitanna – Maria Cruz – Program Facilitator Nurse – DEC Site Support Worker Program Facilitator Asha Ulusow – Tutor Phu Ta – Program Cheryl Mercuri – Asma Mohamud – Kashish Gupta Facilitator Physiotherapist IT Support Assistant – Tutor *Contract/Locum staff

Rexdale Community Health Centre 2018/2019 Annual Report 17 Claudia Scarangela Yulian Pavlyuk – Lia Christensen Administration – Dietitian Locum Chiropodist – Event Planning VOLUNTEERS Agnes Magpantay – & Fundraising Dean Roehl – Medical Secretary Physician Assistant Board of Administration Health Annette Mosheel Lou Clarisse Directors Amina Abdi Debbie Gilmore – Promotion – Relief Medical Toa – French Alexander Registered Nurse Secretary Amal Choghri Ahmed Jama – Language Services Lim (Chair) Dipti Sharma Youth Outreach Asha Elmi – Relief Arielle Mahase Program Worker Angelina Brathwaite – Registered Worker Medical Secretary Asha Ahmed Nurse – DEC Martha Morales – (Vice-Chair) Althea Martin- Debby Khan – Azeez Afusat Iyabo EPPNNP Worker Sheila Baroro Hervina Dosanjh – Risden – Director of Medical Secretary Monira Begum Registered Nurse Maryan Barre (Treasurer) Health Promotions Doomeli Singh – Emma Busjhillos Himja Upadhyay – Community Nadini Sankar- Anthony McGovern Medical Secretary Faduma Yussuf – Locum Health Worker Peralta – Project Emelin Brown- Physiotherapist Miriam Merino – Karen Osagie Fadima Mohamed Management McLaughlin Katherine Gibson Assistant Seniors Program (Secretary) Fatuma Maqsood Worker – Facilities – Physician Ayan Yusuf – Coordinator Alex Battick Grace Anane Latoya Rowe – HKCC Program Megan Diercks Hugh Williams Joe Yoon – HKCC Partner Evette Kyei-Marfo – Registered Nurse Coordinator Safia Nur Ahmed Rama Kadri Coordination Medical Secretary Linda Akuamoah- Basil Jardine – Support Worker Henry Bouclair – Antoinette Clarke Ravenne Rivera Baoteng – Dietitian StreetArt Artist Natalia Pellew – Maintenance Worker David Opare Yuli Parrage Lisa Neilson Besma Chowdhury Program Assistant Hodan Wais – Alexandra Boasie – Dietitian – Urban Harvest Olivia Brambridge Clinical Assistant Pathways To Miles Smith – Coordinator – Health Promotion Jimit Thakkar – IT Board Education Physician Channonjah Administrative Support Worker Community Abrar Dabbagh Edwards – Program Nancy Toofani Assistant Jose Garcia – Data Liaison Adekalu Balogun – Dietitian Assistant Pascal Lumbala – Management Bina Israni Alan Bui Deanna Berry – Nicole Sookhai French Language Coordinator Joza Spark Case Worker Alan Surtees – Physician Services – Leila Omar – Kimberly Roach Alexia Valela Nina Coutts – Relief Devika Persaud Community Medical Secretary – Youth Worker Laura Faiczak Alyssa Smith Registered Nurse Health Worker Liberty Hacala – Sonia Stellato Nimira Lalani – Easter Angeles – Preety Sharma Human Resources Amina Major Manager for Chronic EPPNNP Worker – EPPNNP Generalist Suzan Hall Amina Aly Disease Prevention Eden Abraham Coordinator Lousin Lazarian – Ted Berger Amtoj Kaur and Management – Mental Health Rhonda Tremblett – Medical Secretary Anita Wilson Andrea Nelson Therapist Nirmala Mahipal Children’s Worker Monira Begum Shawn Bhimsingh Anthony Alberreli – Registered Ella Litwin – Client Rupa Gosh – – Relief Medical Prashant Kumar Apirami Nurse – DEC Support Worker Seniors Program Secretary Manal Salman Kamalendiren Petra Alexis – Nurse Fadumo Abshir Worker Naima Omar – Relief Areefah Dukhi Practitioner Geire – Data Sajeda Aziz – Medical Secretary Entry Clerk Clinical Ayda Sarkisian Radhika Mohan – Seniors Program Nasra Yassin – Erica Anders Ben Juarez Registered Dietitian Ferdinand Akpro – Assistant Relief Medical Rochelle Either – French Language Sara Bhatti – Secretary Ancella Clarke Brianna Ramlagan Services Health Registered Dietitian HKCC Planning Nimo Noor – Bernice Preprah Bronwyn Mckenzie Promoter Rory Goodman – and Evaluation Diabetes Education Cassandra Neili Carlo Panero Manager for Chronic Folashade Coordinator Program Assistant Cassie Agyekum Caroline Ramo Orimalade – Health Disease Prevention Shamim Hussein – Safia Ahmed – Eakanth Catharine Khushaba Promotions and Management Program Assistant Executive Director Mathralakan Program Assistant Cassidy Baijnauth Samira Abukar Souad Toma – Relief Salimata Kone – Hana Ali Hawa Nur – Seniors Christina Bonas – Chiropodist Program Assistant Corporate Admin Program Assistant Ilham Mahdi Chris Mckneown Selam Amare – Suad Aden Secretary Helen Lim – Seniors Kinga Bransk Cyrina Santello Nurse Practitioner – Volunteer Shazia Maqsood – Program Assistant Kristine Oliver Shelly Clarke – Coordinator Medical Secretary Cyrus Zahedi Grace Anane – Mashal Smith Nurse Practitioner Tania Fernandes – Siman Abdilleh – HR Danielle Punnett Relief Program Simone Stothers – Health Promoter & Payroll Assistant Melissa Victor Daniel Di Salvo Support Registered Nurse Tania Fyke – Food Thandi Wong – Pauline Pursue, Dhaval Rughani Lashane Small – Sonali Srivastava Service Worker Medical Secretary Tammy Bedian Elisa Romeo Children’s Program – Physician Tiffanie Francis Wilman Caceres Uranne Jarquin Emmanuel Nti Assistant – Relief Program Sonia Hernandez – – Bookkeeper Viola Rawana Farah Abdi Registered Dietitian La-Tifah Young – Assistant Senior’s Support Tracy Zhang – Mirza Yasir Frank Cirinna Sumaya Farah – Wendy Caceres- Finance Manager Assistant Ifrah Saeed Registered Nurse Speakman – Layal Ashkar – Seniors Program Ifrah Mohamed Tetiana Snopok – Program Assistant Registered Nurse Manager *Contract/Locum staff

18 Rexdale Community Health Centre 2018/2019 Annual Report Imanuel Warner Omar White Abdishakur Hilowle Esther Oyewunmi Mackenzie Wright Princeton Ojiegbe Brown Pavithira Abu Mohamed Erica Roy Maharaine Khan Radhika Jain Hadi Yehia Kumaralagan Abubakar Issa Fatima Maqsood Malti Khan Richa Modi Hamdi Aden Princeton Ojiegbe Akhari Risden Gabrielle Fordjour Martha Liliana V Ravneet Kathuria Hao Wang Rakesh Alesha Anderson Gunjan Sondhi Maria Alvarado Rehana Akthar Harleigh Lindsay Ramakrishnan Alex Sahar Gupta Tarun Mariam Touma Rihana Akther Harmanjit Sandhu Satveer Sonia Alexandre Mcgucki Hafsa Shire Mavis Clarke Rosalyn Magpile Nanuwa Hongwen Liu Ali-Akow Jabriel Halima Ibrahim Meena Gupta Rosalene Nelson Saida Elmi Harpreet Bains Alvn James Estrella Hana Qowrah Megan Roberts Rupaali Kumar Saciida Hilowlie Jenny Diep Amos Sookoo Hanna Mohamed Melissa K Ryan Fuentes Jessica Panta Sabreen Bhalagamwala Amal Choghri Hasina Juma Melissa Kulznie Saad Wasey Jasakarn Malhi Ravneet Sidhu Ana (kitchen) C Hawa Mohamed Misbah Maryam Dar Sadia Yala Johanni Peralta Ramanbir Dhaliwal Anisa Sheikh Hayley Lindsey Mohamed Ali Sacida Hilowle John Brady Suman Dhillon Anita Simjanovska Helen Pheiv Lim Montiel Raquel Safia Abdulkader Joanne Chang Samantha Silva- Ashley Watson Henna Banwait Modupe Balonle Safia Aziz Josh Alberelli Gonzales Asha Hersi Idiris Abdi Sode Sajeda Aziz Jolypha Williams Stephanie Sciulli Ashley Madrid Icizhaicaicattil Mohamed Abdi Anisa Salad Jorge Rodriquez Shaniqua DK Clarke Ariel VanCampen Bijimol Mubeyra S Safia Abdulkader Justin Kim Shamsi Rashid Au Jeremy Ines Caello Cruz M. Izaura Parda Salem Yaco Karandeep Bath Shanoi Mundle Ayan Ali Irene Nakasala Muddei Ruwaida Sandir Mubeyra Kawenvir Singh Sabina Asirfi Bahja Ibrahim Irs Quello Omug Mukhtar Abdi Sherifat A. Kassim Keri Michaud Sorit Seid Bandlish Samridhi Jamal Lewis Mulki Jumale Sheeraz Ullah Kiran Darhani Sasha Hartig Batulla Sheikh Jashley Tapereria Mustafa Omar Steve Buckley Kristine Lorzano Remo Fid Beverly Toussaint Jenkins Akilah Nasim Rezania Sim Lidder Lilian Obazei Rupaali Kumar Bianca Lasalandra Jessica Riehm Nawal Jalala Ahmad Simone Orlan Mahawa Taylor Thomas Cascone Bilal Farah Joan Ambris Najma Naslarani Sixn Lang Manpreet Atwal Venita Campbell Brianna Tawiah Kachhia Minal Naomi Edwards Son Hee Jin Marian Farah Vincent Kazibwe Bustillos Ximena Kessie Love Nadina Ramsook Sudi Yusuf Megan Medeiros Vanessa Gould Cabdirahman Abdi Khadija Aziz Nazik Deniz Suzanna Tinglin Melissa Kuzne Xheni Lila Clementina Michael Kifaya Mohamed Nicholas Ram Victoria Boateng Michael Beaini Climaco Ana Lakeisha Bennett Nimo Noor Viola Rawana Mike Bruen Program and Diya Dhaunkal Lana Kalani Obianuyu Iyere Yazan Kawar Mukhtar Abdi Special Events Ellen Buckley Lazarian Lousin Odillie Arrey Yolanda Castro Nina Govaert Abdikadar Aden Eng Kaitlyn Louna Andeson Paloma Dulinen Yusuf Sheikhali Olajumoke Abdiraman Esmahan Mohamed Reid Prutha Raje Yusuf Ulusow Shodunke

The Honourable M.P. (third from left) brings greetings at Rexdale CHC’s Annual 2018 Seniors Holiday Party Event.

Rexdale Community Health Centre 2018/2019 Annual Report 19 www.RexdaleCHC.com

@Rexdalechc @P2ERexdale

Head Office 8 Taber Road Toronto, ON, Canada M9W 3A4 T: 416-744-0066 F: 416-744-1881

Kipling and Dixon 222 Dixon Road, Unit 301 Toronto, ON, Canada M9P 3S5 T: 416-744-6312 F: 416-744-1451

Rexdale Community Hub 21 Panorama Court, Unit 15 Toronto, ON, Canada M9V 4E3 T: 647-288-0281 F: 647-288-0284

Central West Local Health Integration Network