president miguel: i will repeat the last few names that i called. malcom young orlando real, stefan tenant. secretary avery: if the president has called her name

already, come to the microphone. president miguel: absolutely. >> thank you. my name is nicole. thank you, my name is susie. i am the president of the children's commission. i understand how much fun you are having right now. i am also here as the rector of child development center at cpmc. i am a pediatric psychologist, and we had over 17,000 visits of children from the bay area and the city and county of san francisco. i think it is important to note that our center is a developmental center for children and adolescents, and we see every child and family regardless of their ability to pay.

consequently, with the 17,000 visits, we have over 350 families on the waitlist for developmental care. as well as where we are located is currently on van ness. that is a clinic at st. luke's hospital, and we have another clinic in bay view at the bayview pediatric clinic to serve that community. our work has gone on for approximately 10 years. we have partnered for pediatric services with the academy, st. anthony's foundation, as well as glide. we are now in their preschool, serving three- and 4-year-old. we are currently in discussion and have been the last year, with many of the providers to

identify the gaps in pediatric services for children and families. and within this community workgroup we are coming up with a definitive plan to address those gaps. as you commissioners are fully aware, the tenderloin is the largest concentration of children of families in the city and county of san francisco, and as a result of that, this is where the child development center has really focused, within the last 10 years, our efforts to serve that community. in closing, i just want to state that we will continue our commitment to expand our services to the children, not only of the tenderloin but to the other communities in san francisco. we are currently partnering with the multidisciplinary assessment center at san francisco general,

to be able to treat those children birth to 5 who need those services. i encourage your support of the cpmc project, particularly for the children and families. thank you. >> good evening, president miguel and commissioners. my name is mary. i was called a little earlier. i am a nurse and current vice- president for services at california pacific medical center. i appreciate the time to address you again on these important issues. i believe this project has been thoroughly analyzed and i respectfully urge you to accept it. i am also here to address cpmc 's continuing commitment to skilled nursing beds for patients in the future.

we are very much committed to continuing our skilled nursing bad service. now and for future patient populations -- bed service. in 2009, we saw 87 skilled nursing patients each day over the three campuses. as a result of discussions we have had with health commission , the long term coordinating council, and the aging and adult services over the last 18 months, we are again, reiterating, fully committed to providing up to 100 skilled nursing beds, which is more than we are currently using, now and in the future. there are plans underway to try to identify where the are, but we don't have a fully utilized yet. in addition, we will not exacerbate the bed shortage for

skilled patients in the city. we agree that is a concern, that everybody else has closed their beds, and we don't want to exacerbate that problem. we have committed publicly that we will not convert existing community but-based beds to our needs. that would not be a reasonable alternative. i also commit to maintain what i think it is very helpful and productive conversations with health commission. these conversations will go on. we will continue operation of the sick beds at st. luke's and at the california campus until we fully identified where those beds should be for the long term. table 2.2 in the draft eir will be updated to reflect that no sick beds have been relocated, which is consistent with the commitment not to reduce

sickbeds. in addition to traditional care, we are committed to continuing our work with all community agencies, testing for alternatives to care, other ways to treat patients so they are not always in a hospital bed. we think we have to do more of that in the future. thank you for your time and attention. president miguel: thank you. >> hello, my name is paul. i have lived there 37 years and i am here to urge you to ok this project. it will bring thousands of jobs to the area on a pay scale and it will also contribute to the tax base and the gross receipts tax. as far as the so-called traffic problems, all the streets have worked flawlessly in the 37 years i have been here.

the hospital has 85-story underground parking system that would take care of the parking problem -- and has a five-story underground parking system. i have never encountered a problem. i urge you to approve this through the proposed project. thank you. it president miguel: thank you. >> good evening. i am the chief administrative officer at st. luke's campus, and i will be brief. a few points i would like to reiterate. i was here before, and plan for it looks is viable. i have been closely involved with the architectural design and i would remind you that prior to cpmc acquiring st. luke's, it was about to close. it will allow for growth. the decision to make today will

impact the campus. we are building beds, so i can attest there is room for growth. we have a vibrant partnership with sfgh for orthopedic surgery and we're making changes today. it was evident in a recent survey, one of the best in the history of st. luke's as well as the system. our nurses worked very hard. there are also others who did not come today, but i would invite you to come and visit and know that st. luke's is here for the entire community, the underserved as well as the insured, and it will also be affordable and function as a hospital as well. thank you for your time. president miguel: thank you. barbara, alex? >> you have the sheet of paper,

which is also on the website, which means the supervisor is committed to what is on there. now, st. luke's, being staffed at the traditional level, -- i hope to serve on the committee of budget and finance. it makes sense that state with stays open. i am hoping that st. luke's will be staffed at its current level or greater so that if i'm elected, i don't have to try to deal with it legislatively. it would make people happier. as a matter of promoting public safety, one of the things that was not mentioned was in the event of disaster, it is very possible that rubble could

block access to the hospital. in that case, we would want emergency rooms open at other locations, just as a matter of saving lives. in terms of the housing situation, it turns out that there is a building down van ness that used to belong to aaa. i think for the city to produce a revenue bond to buy that building, re-zone it and put apartments and there would be feasible, but it would be better if cpmc did it. it would accommodate that section that people are talking about with respect to not providing housing for the people who work at the hospital tuesday and. that is most of it. -- at a hospital to stay in. yes, a hospital is not staffed

with veteran nurses. we will have wrongful death lawsuits. if we did not address that at this time, whether we are fiscally responsible or not, we are morally responsible for that. it seems to me that cpmc has made the commitment to work with the california nursing association to provide the staffing necessary to ensure the safety of patients. thank you very much. and whatever decision you make, i am sure that you'll make a lot of people unhappy. if elected supervisor, i will have a long conversation with you guys. have a good day, and thank you very much. president miguel: thank you. jimmy, borden, jose morales?

some of them have duplicate cards. nancy evans, mary ann haley, jackie. ian burke, charlie lavery, margaret, fran taylor? barbara, rick hampton, darren brown, barbara lopez?

>> good evening. i am barbara savage. i have been a registered nurse over 35 years. my concerns are many, but i will speak to the situation of traffic. for the safety of myself and my patients, i am going to carry gloves with me when i take the buses around the city. as a non-driver, i use buses exclusively and travel van ness almost weekly. traffic congestion is so common that they take a book with me so i have something to do. i work labor and delivery at cpmc california campus. we have 18 labor beds, and usually three-five patients -- three-five guests for each patient. after delivery, the patient goes to post part of for mother and

delivery care and we have approximately 50 beds. that is 150 cars coming to visit the patients. itadd to this the cars of doctors, nurses, what a challenge. history and research has educated us to know that the support of family and patients results in a quicker recovery and better outcomes. we want people to get visitors. we want people to stay with them. i am very concerned about patient safety. transporting a patient far away from their community will cause unnecessary stress. we have already had a patient come to us in triage, barely making it to the bathroom to deliver with us, and barely made it because of traffic. that is why i am keeping gloves with me when i travel the buses, an