security for dph.pdate with regards to the progress made on the security management plan and the areas ñ2 well as continual work of [indiscernible] and the security staffing ne lide.ank you. in fiscal year 22-2we have reported that the 11.4 of deputy sheriff fte had been reduced and a update that sheriff a weekly basis provide with progress on and recruiting status, however they continue face challenges with regards to filling the 21 remaining fte's. we also report the 22-23 that the program was fully implemto turnover and hiring barriers, the in 11.8 vacant positions.year fiscal out of the 11.8 vacancies they able to fill 8.4 of those vacancies even with the 4 remaining fte's, bert intervention increased by percent and rounding increase nearly from 2800 to over 3,000. next slide. of the bert bram was ted in 22-23, this was actually the first year the emergency department bert program the 3.4 vacancies, rtover 6,000 patient patient interventions and had nearly 2800 e intervention in the sheriff office.

basal price, director of security for dph.ll give a update with regards to the progress made on the security ma the areas of security equity as well as continual work of [indiscernible] and also the security staffing training plan. next slide. and next slide. thank fiscal year 22-23, we have reported that the 11.4 of the deputy sheriff fte had been reduced and to provide a update that sheriff office continues on provide with progress on hiring status, however they continue to face challenges with filling the 21 remaining fte's. we also report in the 22-23 the was fully implemented, however due to turnover and hiring barriers, the result in 11.8 vacant positions. this past year fiscal year 23-24, bert out of the 11.8 vacancies they were able to fill 8.4 of those vacancies and even ewith the 3.4 remaining fte's, bert intervention increased by 92 percent and rounding consultations increase nearly from 2800 to over 3,000.ps ch phase of the bert bram was implemented in 22-23, this was actually the first year full year of emergency

basal price, director of security for dph.e a update wito the progress made on the an and the areas of security equity as well as continual work of [indiscernible] and also the security staffing training next slide. and next slide. thank you. in fiscal year 22-23, we have reported that the 11.4 of the deputy sheriff fte had been reduced and to provide a update that sheriff office continues on qí a weekly basis provide with progress on hiand recruiting status, however they continue to face challenges with regards to filling the 21 remaining fte's. we also report in the program was fully implemented, however due to turnover and hiring barriers, the result in 11.8 vacant positions. this year fiscal year 23-24, bert out of the 11.8 vacancies they were able to fill 8.4 of those vacancies and even with the 3.4 remaining fte's, bert intervention increased by 92 percent and rounding consultations increase nearly from 2800 to over 3,000. next slide. each phase of the bert bram was implented in 22-23, this was actually the first year fu

this is directed city not directed just at dph.are some departments that not not be as far along not as regulated as we are,soi think a part was bringing everyone up to same level, but curious to see in terms of what these and how different they will be from our current monitoring policies. yoso much. >> i think we need to hear when you w something about that. other commissioner comments? commissioner guillermo. >> thank you for the prezen presentation. i sit on the finance and committee,b it is always really good to be able to hear much and often about the process and the responsiveness that you have had to the committees concerns and questions that have come over the years now and particularly, more recently. thank you for that. appreciate the it ilsponses. mine is more a commentary then a question. i do have one specific question. i always have remind myself that san francisco--the department is responsible for the city and county of whicis no different other counties or other cities and so the complexity and the scope with whic

the scope of work is rt of dph long-term plan to convert building 5 new outpatient care consolidatedecialty clinics on or off campus to unlike more typical e ontract is asked to deliver 6 [indiscernible] one of the typical proj allows public works to select a not based on lowest price but finding most qualified based on project experience and approach to be in the position to be most successful. the six projects seismic up grade, recaention, public health laboratory, it infrastructure, psychiatric emerand clinical laboratory. selected because of the complexity of hospital construction. the need bord prior to construction start for complicated phasing logistics and inspection control plans performed reviews and investigation as well as develo the seismic upgrade enlargement and work scope coordinated oing construction activities for lab, pes and by utilizing the method, we are working with one general contractor able to plan construction activities for all projects which avoids the you are working with multiple general contractors that a common project site. all the tasks are performe

this is directed city directed just at dph.ere are some department perhaps not not be as far along not as regulated and so i think a part was bringing everyothe same level, but curious to see in terms of d how different they will be from our current h. >> i think we need to hear about that. other commissioner comme >> thank you for ishz. presentation. i sit on the fi committee,b it is always really good to be able to hearmuch and often about and the responsiveness that you have committees concerns and questions that have come up over the years now and more recently. thank you for that. it mine is more a commentary then a question. have one specific question. i always have that san francisco--the department is responsible for the city and san francisco, which is no different from i think what is other counties or other cities and so the complexscope with which this department has monitor cont multiples of difficulty and i think because we rely so much e non profit sector that makes, which is--ha levels of competency and resource

dph levereraged funding from the 2020 neral recovery bo funds as well as sfgh ifun donation funds.ct of record is bureau architecture with works and [indiscernible] in lbe architectural f public works targeting to achieve final completion for all projects by second quarter 2026. all projects included are part 2016 building 5 component. thof work is part of dph long-term plan rt building 5 into new outpatient care center, consolidated specialty clinics on or to building 5. more typical public works contracts, the contract is asked to deliver 6 permitted [indiscernible] one of the typical project delivery method. allows public works to select a general contractor not based on lowest but finding the right partner most qualified on project experience and approach to be in the position to be most success the six projects are seismic up grade, relocation, public health laborato it infrastructure, psychiatric emergency service and clinical laboratory. selected because of the mp hospital construction. the need to have a contractor on bord prior to construction start for complicated phasing

public works is working with dph to the project and targeting to proceed to by 2026 2027.r cost reductionfor the it infrastructure. the original scopeng the build ouf outelectrical low voltage infrastructure for the building and existing and new teledata rooms. the scope for the determined to be higher priority as needed to support the isting and new teledata rooms. implement the electrical and low voltage scopes in the and possibly incorporate into future of the 25 million increase to cost contingency, million is needed to complete the bidding tructure. the remaining 16 million is for public received and not approved of future change t completion. the 572 calendar day ration contingency is needed to allow completion ofseismic upgrade and pes targeted to achieve final completion seconof 2026. project team is always trying to better be able to more accurately forecast construction budgets for the brilding projects.with operational [indiscernible] ng code issues make it challenges. these are factors contractors increase pricing for perceived risk ect themselves. the project

blwith dph to complete design of the project and targeting to proceed to construction by 2026 27.ical low voltage infrastructure for the building and [indiscernible] for existing and new teledata r. the scope for the project was determined to be higher support the functionality of existing and new ledata rooms. dph is identifying strategy to implement the electrical and low voltage scopes in the phased manner and possblinto future project scopes. of the 25 million increasto cost contingency, approximately $9 million is needed to bidding for pts and it infrastructure. the remaining 16 million is needed for public received future change order ringe to project completion. the 572 calendar day increase to duration contingency needed to allow completion of seismic upgrade and pes rgeted to achieve final completion second quarter of 2026. project team is always trying to better calibrate our cost estimate to be able to more accurately forecast construction budgets for the brilding projects. working with ational [indiscernible] unforeseen conditions, [indiscernible] existing code issues

dph was awarded approximately 1.3 million for a three year grant period from march 1st, 2024 throughbruary 28th, 2027 to implement the advancing racia as program. this program includes increased social services and substance usco services for the black african american community with opioid use disorders, as well as improvements for our local surveillancef related related to fentanyl this program, dph intends toprod approach to addressing racial disparities in overdose related fatalities through two main programs. the first of these,d.e san francisco african american faith basedoalition to implement a peer led navigation program in the bayview hters point neighborhood for new and existing clients receiving medications for opioid use disorder or mood, and this will be in partnership with o. tops mobile methadone clinic, also located in the bayview hunters point neighborhood, the second program, d.p, will work to strengthen our relationship with the office of the chief medical examiner, or ocm, to improve data driven, equitfo overdose response interventions, including the expansion of

dph is seeking retroactive approval to accept these funds.e award letter was initially received on deer 2023, for a project start date of march 1st, ond discussion between d.p.h, thelly administrator regarding the hiring authority for the position to be funded at ocm. through this grant, it was thatt was not required and that position authority existed. d.p.h then brought this item to the board. after going through the fiscal approval process, including going tocoroller's ofw and approval. dph respectfullyve approval of this item, thank the supervisors again for your time today and welcome any questions? thank you. vice chair mandelman. no questions, but i would like to be added as a thank you. and seeing no other name oc comments on this item. yes. if we have members of the public present today who wish to address this committee regarding this item number three, now is your opportunity. madam chair, we have no speakers. thank you. seeing no speaker, public comment, seeing no public and with that,c comment is now colleagues, i would like to m

dph is seeking retroactive approval tohe award letter was initially received on dece 8th, 2023, for ach 1st, 2024, there was prolonged discussion between d.p.h, the controller's office and the city administrator regarding the hiring authority for the position to be funded at ocm. through this grant, it was determined that an aso amendment was not required and thattion a. d.p.h then brought this item to the board. after going through the fiscal approval process, including going to the controller's office for review and approval. dph respectfully requestsro approval of this item, thank the supervisors again for your time today and welcome any questions? thank you. vice chair mandelman. no questions, but i would like to be added as a co-sponsor. thank you. and seeing no other name on to public comments on this item. yes. if we have members of the public present today who wish to address this committee regarding this item number three, now is your opportunity. madam chair, we have no speakers. thank you. seeing no speaker, blic comment, seeing no public comments. public comment is now clo

, public works is working with dph to identify s to complete enabling projects that relocate staff ctionsociated with asand reduce labor productivity at this point, i know mr. prmoo regarding whetherreilding 5 versus replacement. i went go into more detail and swer any other questions you have regarding that topic. the last slide is just reminder of why public works is here today. public work requesting consideration anto approve increase to contract contingency and approve future modifications and that concludes my presentation for today an available to answer questions you may have. thank you. >> thank you very much for your presentation and we also wanted to thank you all three of us for last week's tourof the construction site and all the multiple projects you described today. the difficulty of pe construction work safely and efficiently in active hospital setting and extensive site mitigation it requires was eye opening to put it mildly. punt intended, but the surgical precision public works and contractors ha vetoto keep the hospital safe and clean was ag it was a shock. a pleasant

dph is seeking retroactive approval to accept these funds.he received on december 8th 2023, for aect start date of march 1st 2024, there was prolonged discussion between d.p.h, the controller's office and the hiring authority for the position to be funded grant, it was determined that an required and that position authority existed. d.p.h then brought this item to the board. after going the fiscal approval process including going to the controller's office for review and dph respectfully requests retroactive approval of thiservisors again for your time today and welcome any mandelman. no quut i would like to be added as a co-sponsor. thank you. and seeing no other name on the roster, let's go item. yes. if we have members of the public present tomittee regarding this item number three, now is your opportunity we have no speakers. thank you. seeing speaker, public comment, seeing comment is now closed and with that would like to move this item to full board with recommendation and a roll call please. and on that motion to forward to t positive

the scope part of dph long-term plan to convert 5 into new outpatient center, consolidated specialty clinics on or off campus 5. unlike public works contracts, the contract is asked to deliver [indiscernible] one of the pical project delivery method. allows public works a general contractor not based on lowest price the right partner most qualified based experience and approach to be in the position to be most successful.seismic up public health laboratory, , psychiatric emergency service and clinical selected because of the complexity of hospithave a contractor on bord prior to start for complicated phasing logistics and inspecti performed reviews and investigation well the seismic upgrade includes column enlargement and work scope and completed with ongoing construction activities fo public health lab. by utilizing working with one general uction activities for all projects which avoids n you are working with multiple ors that need to share a common project site. all the tasks are performed by the cmgc as part of pre-construction construction start. slides provide a status update o

we gave it for chemical analysis for salt, it showed 0.3-0.2 grams per liter, that is, according to dphis household drinking water, we managed to find such a vorizon-bearing layer. the successors of the soviet union, we completed and created everything, this enemy is simply breaking everything, that is, i have no doubt that the system will be restored, we will build it all back, kokhovskaya hydroelectric power station or platinum, we need a justification, do we need a power station, or platinum, a faster way gravity type construction, platinum will be restored to... we tried to plant these plants in the park in the village, this pre-park area, two stadiums, entrances to the villages, all this was done by us for the residents of the village, so that people understand that the village is not there old broken farms, the farm has 11 thousand hectares sown with wheat, soybeans, corn, the land is leased from the finger-pickers, who, despite the formazhor. this machine is powered by a well, the well is located, well, from one and a half kilometers. on each cart, an electric motor operates a ge

gave it to a chemical analysis for salt , it shows 0.3 0.2 grams. per liter, that is, according to dphousehold drinking water, we managed to find such a vorizon-bearing layer, we will not name the settlements where it is located due to ethical considerations, but this water can solve the problem of high-quality household water supply for 60% of the territory of kherson regions. so it is possible to collect 200,000 cubic meters of water per day with one billion cubic meters, which used to flow through the channel, of course, it is not comparable, however temporarily, until the front is pushed back. from the dnieper, this can partially save the situation, the country has one global goal now - having achieved all the goals set by itself, the result of these goals specifically for us will be the pushing back, pushing back the front line the opportunity to start full-fledged work, unlike the enemy, we are the successors of the soviet union, we have always built and created, this is the enemy simply breaks everything, that is, i have no doubt that the system will be restored, we will build i

water, gave it to the chemical. salt analysis showed 0.3-0.2 grams per liter, that is, according to the dphs hospital water, we managed to find such a vortex-bearing layer, we will not name the settlements where it is located for ethical reasons, but this water can solve the problem of high-quality hospital water supply from 60% of the territory of the kherson region, so you can collect 2,000 cubic meters of water per day with one billion cubic meters. which previously flowed through the canal, of course, not compare, however, temporarily, until the front has moved away from the dnieper, this can partially save the situation, the country has one global goal now - having achieved all the goals set by itself, the result of these goals specifically for us will be the movement of the movement of the front line, the opportunity to begin full-fledged work, unlike the enemy, we are the successors of the soviet union, we built the federation, created, it is the enemy who simply destroys everything, that is, i have no doubt that the system will be ... but we will build it all back, the kokhovskaya h

term by two years, from february 28, 2026, for a total agreement term of 29, 2028; and to authorize dphto enter into amendments or modifications to the contract prior to its final do not materially increase the obligations or liabilities to the city and are necessary to effectuate the purposes of the >> roll call. >> on item n, aye. supervisor stefani, aye. supervisor chan, aye. supervisor engardio, aye. supervisor mandelman, aye. supervisor melgar, aye. supervisor peskin, aye. there are 10 ayes. >> the resolution madam clerk, let's go to our 2:30 special commendations and sadly start. special order commendation goes our fire chief, chief [applause] ly announced her intention to retire at the of next month. she started even before i in 1994 as a firefighter emt and of firefi and battalion chief before elevated in the rotunda 5 years ago. re chief in 2019 and exhibited professionalism, extensive experience dedication to public service in the san francisco fire service.years of devoted service to the city, she ear recognition for distinguished record in public service. the number one-i se

we definitely want residents to remain vigilant, be aware of the high-risk status by dph and in theiro maintain minimal risk exposure. we have closed parks, public parks and fields in our towns from dusk till dawn as a precaution. >> john: so the director of public health, as we pointed out, said this is the first time in four years. why are conditions suddenly right for this this year? >> it tends to go in cycles, is what i'm told. about every 4-5 years, it does come around, especially in massachusetts. swamps are most affected, and we seem to be a nice breeding ground for that. so we are seeing an uptick. we are definitely on top of it. we want to make sure, again, the public remains vigilant, know the precautions, know what to do, how to avoid the high peak times, and what to do personally. >> john: so up there, eastern equine encephalitis pure down here in the washington, d.c., area it's west nile virus. a very famous victim of west nile is anthony fauci. he thinks he was bitten by an infected mosquito in his backyard pure how do you know if you've gotten one of these diseases? my

million, with twoe a behavioral health services site and the psychiatric emergency services, and so dphacquiring a site on t to expand the existin already on treasure island to increase it beds and design has been . construction documents have been completed as well, but about midxe not spent the 2020 funds yet. we've been spending other funding sources first, but expect to construction starts the psychiatric emergency services renovations, construction has begun and it willatient capacity and kind of make it more comfortabl for patients. and again, we have not started spending the 2020 bond funds yet, as we received 2016bond funds that we're using up first and construction should be completed in spring of 2026. that's it. that's our portion. good morning. committee members. my name is joanne park and i am the real estate directorf homelessness and supportive housing allocated 147 million, and we issued 30 million to date. we expect bonds to occur late 25 or early 26, based the first bond issuance funded the acquisition of our first transitional age youth navigation center at in 2021. d

two years, from february 28, 2026, for a total agreement term of march 1, 201 2028; and to authorize dph into amendments or modifications to the contract prior to its final execution by all parties that do not materially increase the obligations or liabilities to the city and are necessary to effectuate the purposes of the >> roll call. >> on item 24, supervisor ronan, aye. ped supervisor stefani, aye. supervisor chan, aye. supervisor engardio, aye. supervisor mandelman, aye. supervisor melgar, aye. supervisor peskin, aye. supervisor preston, aye. there are 10 ayes. >> the resolution d. madam clerk, let's go to our 2:30 special commendations and i sadly start. special order commendation goes to our fire chief, chief jeanine nicholson. [applause] who recently announced her intention to retire at the end of next month. she started even before i 1994 as a firefighter emt and of firefighter paramedic lieutenant, captain and battalion chief before elevated as chief downstairs in the rotunda 5 years ago. apointed the 26 fire chief in 2019 and exhibited professionalism, extensive experience ca

and 90 days what support is available to the tenant is this ablepartner with dph with clutter?ner there are is tuations willing to work with the provider onsite, you know, get together and they work with the tenant and they take care there are situations where we get to the department involved and that's exactly the plan that we have. >> great, and so, so, i guess, to ask my questions, who is determining when clutter is too much and how? if you know? >> that at this point, that's the, the inspector decides if clutter is blockin houbl be have support for the tenant. >> i want to really this, a lot of issues, the public coearlier i witnessed, when we're to provide services, they're not--if we're framing this as like, this is an inspection to unit inhabitable, they have their side of the responsibility but if we're exercising as somebody coming in like, jordan said and really kind of policing and which a lot of people who don't have adequate training are due to lack of xhaoerns. so is there a mental and favor al and cultural sensitivity available to the inspectors that they will b

behavioral health services site and to expand and renovate t ems at the zuckerberg general hospital, and so dphng a site on treasure island to expan existing 172 stepdown beds already on treasure island to increase it to 242 total stepdown beds and design has been completed. cots have been completed as well, but construction will begin aut mid 2026 and we have not spent the 2020 funds yet. we've been spending other funding srces first, but expect to start spending when construction starts in 2026. and for the psychiatric emergency services renovations, construction s expt will double the patient capacity and kind of make it more comfortable and private for pats we have not started spending the 2020 bond funds , as we received 2016 bond funds that we're using up first and construction should be completed in of 2026. that's it our portion. good morng. my name is joanne the real estate director with the department of homelessness and supportive housing, hsh was allocated 147 million, and we have issued 30 million to our nf bonds toccurate 25 or early 26, based on projected construction schedules,

to expand and renovate the psychiatri emergency services at the zuckerberg general hospital, and so dph acquiring a site on treasure island to expand the existing 172 stepdown beds already on treasure to 242 total stepdown beds and design has been completed. construction documents have been completed as well, but construction will begin about mid 2026 and we have the 2020 funds yet. we've been spending other funding s to start spending when construction starts in 2026. and for the psychiatricency services renovations, construction has begun and it will expand. it will double the patient capacity and kind of make it more comfortable and private for patients. and again, we have not started spending the 2020 bond funds yet, as we received 2016 bond funds thatt and construction should be completed in spring of 2026. that's it. that's our portion. good morning. committee members. my name is joanne park and i am the real estate director with the department of homelessness and supportive housing, hsh was allocated 147 million, and we have issued 30 million to our next issuance of bonds to occu

services site and to expand and renovate the psychiatrics at the zuckerberg general hospital, and so dphuiring a site on treasure island to expand the existing 172 stepdown beds already on treasure island to increas to 242 total stepdown b been completed. construction documents have been completed as well, construction will begin about mid 2026 and we have not spent the 2020 funds yet. we've been spending other funding sources first, but expect t start spending when construction starts in 2026. and for the psychiatricvations, construction has begun and it will expand. it will double the patient capacity and kind of make it more comfortable and private for patients. and again, we have not star spending the 2020 bond funds yet, as we received 2016 bond funds that we're using up first and construction should be completed in spring that's it. that's our p good morning. committee members. my name is joanne park and i am thctor with the department of homelessness and supportive housing, hsh was we have issued 30 million to date. we expect our next issuance of bonds to occur late 25 or on proje

if the departms, i believe that came out and the due is december 2024, we will be work withing our dphpartners on that. >> awesome, thank you. >> thank you, commissioner guerrero.laguana.thank you, commissioner guerrero, i'm here because of the benefits what you said beautiful and well said thank you. so i have threlated to data displays in our graphs. on slide also sent some questions which i receivve that will be circulated all with the reread it allowed here. but specifically is there a possibility, this is think you're the right person to talk to about this.that we can a category for self sustainingother words, has not requiring subsidies anymore? >> the reason i ask, you have ons who at run time were the these service sxz now self sustaining, that's not always going to be possible and often possible for a verity of whatever reasons.it is possible, we should optimize and we should to approaches may increase the hood that people may be self staining but the first part what is not measured is not approved. can we get a month over month >> yeah, give us a little bit of context on? >>

believe that came out and the due is december 2024, we will be work our dph partners on that. >> awesomethank you. >> thank you, commissioner guerrero. commissioner laguana.thank you, commissioner guerrero, i'm here because of the benefits what you said was you. so i have three suggestionsto data displays in our graphs. on slide 17 i also sent some questions which i received the answers to, i believe that will be circulated all with the rest read it allowed here. but specificallyis there a possibility, this is directedto you or whoever, i think you're the right person to talk to about this.ity that we category for self sustaining, in not requiring subsidies anymore? do that. >> the reason i ask, you have commissioners who at run time were the aries of these service sxz now self sustaining, that's obviously, to be possible and often will not a verity of whatever reasons.possible, we should optimize and we should be attention to to icies and approaches may increase the likelihood that people may be self part what is not measured is not approved. can we get a month over month chwe can do th

. >> item 2 resolution approving amendment no. 3 to the agreement between positive resource health (dph5,891 for an amount not to exceed ears, from february 28, 2026, for a total agreement term of march 1, 2018, through february 29, amendments or modifications to the contract prior to its final execution by all parties that do not materiallincrea the obligations or liabilities to the city and are necessary to effectuate the purposes of the contract or this resolution. >> roll call. >> on item 24, supervisor safai, aye. supervisor stefani, aye. supervisor dorsey, aye. supervisor engardio, aye. supeis mandelman, aye. supervisor melgar, aye. supervisor peskin, aye. pervisor es there are 10 ayes. >> the resolution is adopted.le will sadly start. my first commendation goes to our fire chief, chief jeanine nicholson. yl [applause]ç ■s intention to retire at the end of ■] she started even before i did in 1994 a firefighter emt and transitioned through the ranks of firefighter paramedic lieutenant, captain and battalion chief before elevated as chiedostin the rotunda 5 years ago. she was apoint

depa >> yes, i believe that came out and the due date is december 2024, we will be work withing our dph that. >> awesome, thank you. >> thank you, commissioner guerrero. commissioner wi laguana. >> thank you, commissioner guerrero, i'm here because of the benefits what you said beautiful and well said thank you. so i have three related to data displays in our graphs. on slide 17 i also sent some questions which i received the answers to, i believe that will be circulated all with the rest of you, i don't read it allowed here. but specifically is there a possibility, this is whoever, i think you're the right person to talk to about this. is there a possibility that we can a category for self sustaining, in other words, has not requiring subsidies anymore? >> the reason i ask, you have two commissioners who at run time were the beneficiaries of these service sxz now self sustaining, that's obviously, it's not always going to be possible and often possible for a verity of whatever reasons. but where ever it is possible, we should optimize and we should @6beto to what policies and approache