president goh: ok. >> [unintelligible] president goh: ok. thank you. i'm going to -- commissioner garcia: miss li? commissioner fung: i asked the appellant whether they had done any form of approaching community boards where neighbors can discuss things and see if they can find some common basis

to have a neighborly relationship. would that be of interest to you? to see if there is an ability to reduce complaints and lived to get there? -- and live together? perhaps your daughter can translate that. >> no. nobody called me. commissioner fung: would you consider that? volunteers service that in the city. >> it's a good idea, but let them come to me and let me do

the stairway. commissioner fung: the stairway is the issue before us. the community boards thing is voluntary by the parties themselves. >> i think that for today's case, we would like to let us do the stairway thing and in the future, she would like to go to the -- commissioner fung: community boards. ok. thank you. president goh: i was going to give you another minute if you have any for one -- a need for one. if you'd like.

>> i would like to ask michael if a new permit is granted for the stairway to be rebuilt that the area be removed so there is not an eagerness to my roof and is -- egress to my roof. the entire stairway should be certified by a structural engineer. president goh: anything more? commissioners, any questions? commissioner hwanpeterson: at wt

point will they be warranted? >> i think it will be required by drawings. the picture showed it at the bottom. >> how would they know it is more than 50% needed to be replaced? we heard lumber being brought into the backyard. it certainly happens in this city. a lot of times, the have done more than 50%. there are engineering drawings. >> what about the stoop issues?

they go to planning. >> i think plan and would do an entire landing structure. it is required out there. and it will be replaced in kind, you are not changing the configuration. there are planning requirements that is the process. >> it will be very hard to pick up. i don't have that as possible. there is tram on the window. i think it is hard to prove.

but they changed the size by 3 inches. president goh: the matter is submitted if you have no other questions. comments? commissioner garcia: i invoke rodney king, why can't we all get along? it seems like we don't really know what is going on. i feel as if i don't really know what is going on. i have great sympathy for the neighbors of all of these issues took place and they were filing these complaints because things were happening that were not dakota. -- up to code. i would feel sympathy for the homeowner and someone was looking over every single thing they ever did.

it seems a shame, i love the idea of community boards. as for this permit, they can go back and ascertain whether or not it has exceeded the 50%. there is no nov issue attached, so that's not an issue. i feel like it would be reasonable because sa picture depicts plants on a roof from another house. the very fact that they have access and someone has done that means they have not respected somebody else's property rights. it is perfectly reasonable for this board and to require that a screen be erected on that's to -- that stoop on that wall, and i don't see how it will do any harm to the enjoyment of that stoop to the neighbors.

all you can ask is to realize who lives next door. they are sensitive to noise and other things that take place on that property. maybe you have been of great neighbor already, but be a little more sensitive to their issues. commissioner peterson: since you suggested the screen, what are you -- commissioner garcia: they can take the form of a trellis. anything that would prevent someone from standing on that's due to be able to reach over and place things on the roof of the appellant cozy house that is right next door. -- the appellant's house that is right next door.

if you put a large plant there, it is not that big of a steoop o begin with and you are limiting the amount of space available. commissioner hwang: i would say that a lot of the comments by vice-president garcia would be the same as mine. i think what is very difficult is how we live. i live in vernal heights. i try very hard to avert my eyes when i see my neighbors eating their breakfast and i try not to look at them. not because all we are unfriendly, but just affording privacy and consideration that we would like for ourselves. that is something that i think everyone should think about. i agree that it has also been

said. neighbors have gotten into it over un-permitted work. it is hard to dial back what might be a hostile relationship and work together as neighbors. i can understand the appellant's perspective once the on permitted work -- un-permitted work, they're not in position to see it or see as a fair response has been incredibly frustrating. i understand that is what brought you here today. i can also see the neighbor's trying to fix a set of stairs that is rotted and dangerous . they hnhee -- need to fix those stairs. it is difficult.

when you see the wood and the work starting, instead of saying, what is going on, pickup the phone and call dbi. it brings dbi into it. everybody should go the mediation and figure out how to get along. it might be helpful in this situation. president goh: do we have a motion? commissioner garcia: i don't know if i am failing on the issue for some sort of device to prevent people from reaching over. president goh: i think it is a good idea, but i could not tell from the pictures where it would go and how it would function. commissioner fung: cumene the vertical screen so that one can't go over? commissioner garcia: that would be fine. would you, as an architect,

suggests something? commissioner fung: it is relatively easy for us to suggest these things, but i am not sure is the root cause. if they had any desire at all to initiate some form of dialogue, they have to bring that force themselves. commissioner garcia: it seemed of all the problems that exist between those neighbors, the one that could be easily dealt with -- i certainly did not think that would solve all the problems and these people would skip into the sunset together, hand in hand. but there seems to be no support for the screen. perhaps the neighbors have not heard the board. they might decide as a good neighbor gesture to do it on their own. but i would move to uphold the permit.

>> on that motion from the vice president to deny this appeal and uphold the permit on the basis it is code compliant. commissioner fung: aye. president goh: aye. commissioner peterson: aye. commissioner hwang: aye. >> the lotus 5-0. department is upheld. >> item 7 was withdrawn. there is no other business. president goh: ok. we are returned. -- adjourned.

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of

care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're

able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that

provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is

bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics.

many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a

lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases.

heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care

early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effecti

>> the mayor, the office of workforce development, kick off a new program which is to engage some of the artists in reinvigorating the streetscapes. organized in partnership with neighborhood based economic development organizations, the art in storefronts taps into the incredible creativity of the artist community to help improve the quality of life and the

business climate in poor neighborhoods. the tenderloin, central market, they view, and the mission's 24 st.. at the launch party, the mayor released the first of 13 projects located on taylor and market street. we were there to capture the celebration and to get a closer look at the newly transformed storefront. >> we have an analyst at saying, you know what, we get it. if we close out and we put some plywood, we know it will have graffiti on it. we know that people will not respect this space. they are opening up their businesses, their buildings and they are saying, let's invite young artists in and let's have these artists go at it in great very visually stunning storefronts. >> this is a pilot project that was started by the mayor as part

of his local stimulus plan in partnership with the mayor's office of economic and work- force development. we carried this space in the mission. we were hired to curate this project. we have been the ones that have been handling all of the day to day working with the artists helping to secure their locations. >> we are doing projects in central market, the tenderloin, the bayview, and the 24th street corridor. >> we are looking at the history of the neighborhood and their ability to translate a the kind of things that go on on a day- to-day basis. >> we have over 200 applicants. it was wonderful to see how many people participated. these people clearly understand the neighborhood. >> this is a very unique

neighborhood. it has always been involved in the arts from early on. of they have seen a lot of the art and what it has done to the neighborhoods. i think that they will still connected to it. they will actually embrace it. i think it will be a good thing for all of us. >> if you are walking in the tenderloin, you'll be able to see this piece that is in front of the original [inaudible] which is a restaurant that has a lot of history. there are exciting projects on market streets. there are two gorgeous minerals as well as six different installations. they are making huge figures that they will be able to see. >> there is a definite level of

appropriateness of stuff i am using. a lot of businesses died in 2009. >> i think i'm trying to deal with the maximum out of space possible. that is surging right now. everyone is doing what they can with what they have. sometimes that introduces a lot of interesting things. there is nothing that inspires quite like this. >> the project benefits both the property owner, the neighborhood, and the artists, all of whom have been effected by the economic downturn. >> this is brand new work. >> we chose artists that had a diverse array of media from home video to coulter, paintings.

>> when people walk around these neighborhoods, they will be able to see works that deal with the history of the neighborhood. they will see works that deal with movement and the works that celebrate some locations. they will be able to see works of that deal with new projects like the san francisco film museum which is a small organization that is starting. this is their first presentation to the public. >> this has introduced us to different organizations. they are building our portfolio. our project centers on a film that was found in 1906. shortly afterwards, the earthquake destroyed the majority of the market street area. that is what we want to focus

on. this is dedicated to film and san francisco history. >> we are having a support network now, this enhances our mission and what we are trying to do it and it will protect us forward. >> i hope that we continue. there are storefronts all over the city. we have been approached by many of them. it is about getting the resources together. >> this calley is working with the san francisco arts commission and building a tool kit. >> this will be an open source body of information. people can download the different things that we had to do with the artists. negotiations with the property owners. there is also the artist selection. people can take it in their own