dockets of the current commissioners that these matters would both go to commissioner dejesus. since she is not here. i'm not trying to be funny, but to balance the duck -- balance the pocket, and subject to reassignment, that would be my recommendation. i am sure i will be getting a phone call tomorrow morning about this. there is nothing further on 4a. 4b is scheduling of items identified for consideration at future commission meetings. president marshall: alrighty. i think the lieutenant has let us know that august 11 is law

enforcement appreciation night with a game at the giants? >> that is correct. president marshall: i guess asking if we want to continue that this year. that would be august 11. vice president mazzucco: if it would let officers attend the game, i would be in favor of that. commissioner hammer: i have attended the game before and the giants put on a good production. our law enforcement officers families who died in the line of duty in oakland, san jose, san francisco, the surrounding areas, it is a class act. it in honor of those officers and officers who want to attend, i think that would be a good idea. president marshall: i think that is agreed by everyone. commissioner hammer? commissioner hammer: thank you. two minor matters.

we had discussion here about the possibility of tweaking the rules in terms of discipline. one of the weaknesses is the hearing officer procedure, the case is set out, it floats, and it drags on at times. there's also a provision that the hearing officer then files a report with us. i'm told that can take two, three months at times. i like to put on an agenda of discussion and possible action on two possible tweaks to that. one is setting a timeline on a case that is set to a hearing officer, perhaps 14 days or so, that if a trial date does not come up we could come back to us. the second would be the hearing so that within 10 days, a much shorter report. we'll have to read these transcripts. i don't think we need somebody else to read them and digest them to read them ourselves. i like to put on the agenda a couple of minor tweaks to that hearing officer provision so

what would work better for us. i am open to whatever commissioners would want. vice president mazzucco: i agree. it also made to expedite it further, maybe we should ask for the hearing officer to come to the commission in closed session and have the hearing officer explain to us what their position on the case is without having to put it in writing. obviously, the ultimate decision is made by the commission after reviewing evidence and transcripts. the written report is merely a recommendation, and to do that verbally and is much more expeditious. commissioner hammer: that is a better idea than i have. we want the flavor, the color of what happened. there is no reason we cannot have a 10-minute oral report. i just see that sometimes we wait three times for the report and we have to read the transcript anyhow. whatever is best, so we could put that on the agenda, i think would be a change we should talk about. president marshall: so review

and craft something? is that readily agreeable? commissioner hammer: i would be happy to. president marshall: i am assuming we discussed this with occ? commissioner hammer: there was a meet and confer. president marshall: so we want run into that issue if we tweak it. why don't we get that all of that in order before you bring it back, ok? commissioner hammer: i will work with commissioner mazzucco, and if we have to me, i would add to process. am i would just like it at a signing a commissioner to each and every case, even if there is a hearing officer, just like the regular court world when you have a magistrate judge is still assigned to a regular judge.

so the commissioner does not do much work, but there should be someone tasked with knowing what is going on. commissioner hammer: we will put that in the draft as well. the only thing i would suggest, i know we are ready have in the rules the first meeting of the month we get the full reading of all the cases on the docket. i think it would be helpful to us, one of the numbers that came out i think the last count, there were 10 officers on light duty because of discipline charges pending. that is far down, but that is costing the city a lot of money and gives less people for the chief to deploy on the street. i think if lieutenant bradley could help us prioritize that it, so they can get back on the street or which it -- or whatever should happen with them. perhaps lieutenant riley can report back on the first meeting in august. president marshall: all right, anything else? all right, we will take public

comment on the item 4 a * b. none. we will move to item no. 5. >> item number five, mr. president, is public comment on all matters pertaining to the closed session. closed session is described under items 7a, b, and c. 7a is pursuant to government code 54957 administrative code 67.10, personal exception, discussion and possible action to adopt findings of fact supporting the commission's decision given march 17, 2010 in case number kmo d08-013 and jwf c08-014.

the second item is pursuant to government code 54957 and 67.10, discussion only conference with legal counsel anticipated litigation. the city as defendant, number of potential cases being one. president marshall: i don't think we're going to need item 7c. we will just plan to go into closed session on a and b. so we move to item no. 6. >> item six is to vote on whether to hold closed session. vice president mazzucco: so moved. commissioner hammer: second. president marshall: without objection, so ordered. we will move in to closed section here. >> ladies and german, the commission will be retiring into closed session at 6:15 p.m. on items 7 and b on the agenda. it president marshall:

[6:52] >> commissioner, it is 6:52 p.m. and the police commission is returning from item's 7-a and 7-b. commissioners mazzucco and hammer are here. and with permission, we could mope move to heam 8. vice president mazzucco: item 8. >> item 8 is vote to elect whether to delose any or all discussion held in closed session. >> item 9. >> item 9 is adjournment. vice president mazzucco: and the

meeting is adjourned. secretary reilly: and the meeting is adjourned at 6:52 meeting is adjourned at 6:52 p.m. [beeping] voice: ready. ready. ready. ready. ready. announcer: it can be a little awkward when your friend tells you he's been diagnosed with a mental illness, but what's even more awkward is, if you're not there for him, he's less likely to recover. i'm here to help, man, whatever it takes.

voice: ready. 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 effectiti >> i have been a cable car grip for 21 years. i am a third generation. my grand farther and my dad worked over in green division

for 27. i guess you could say it's blood. >> come on in. have a seat. hold on. i like it because i am standing up. i am outside without a roof over my head and i see all kinds of people. >> you catch up to people you know from the past. you know. went to school with. people that you work with at other jobs. military or something. kind of weird. it's a small word, you be. like i said, what do people do when they come to san francisco? they ride a cable car. >> california line starts in the financial district. people are coming down knobbhill. the cable car picks people up.

takes them to work. >> there still is no other device to conquer these hills better than a cable car. nobody wanted to live up here because you had to climb up here. with the invention of the cable car, these hills became accessible. he watched horses be dragged to death. cable cars were invent in san francisco to solve the problem with it's unique, vertically challenged terrain. we are still using cars a century old >> the old cable car is the most unique thing, it's still

going. it was a good design by then and is still now. if we don't do something now. it's going to be worse later. >> the cable cars are built the same as they were in the late 1800's. we use a modern machinery. we haven't changed a thing. it's just how we get there. >> it's a time consuming job. we go for the quality rather than the production. we take pride in our work and it shows in the end product. >> the california line is mostly locals. the commuters in the morning, i see a lot of the same people. we don't have as tourists.

we are coming up to street to chinatown. since 1957, we are the only city in the world that runs cable cars. these cars right here are part of national parks system. in the early 1960's, they became the first roles monument. the way city spread changed with the invention of the cable car.

>> people know in san francisco, first thing they think about is, let's go >> being a pedestrian in san francisco is not easy for anybody. >> [inaudible] people push tables and chairs outside the sidewalk. >> i have to be careful not to walk the sidewalk. it is very hard.

>> sometimes people get half way across the intersection. >> you have to be alert because there is always something coming up that you need to know about. >> i learned to listen to the traffic patterns. sometimes i notice the other pedestrians, they are crossing, on occasion, i have decided i'm going to cross, too. i get to the middle of the intersection, and i find out that the light has changed. >> we need to be able to work and go from one place to the other and have public transportation. the world needs to be open. >> people on disability has the task of addressing all the disability. when we are talk about the

sidewalks, ramps, we have very specific issues. for people blind and low vision, we have the issue of knowing where they are and when the cross. it can be hit or miss. >> at hulk and grove, that sound the the automatic -- it helps people cross the street safely. >> now we have a successful pedestrian signal. >> i push the button, i get an audible message letting me know that i need to wait. when it is safe to cross, not only am i going to get an audible indicator, this button

is going to vibrate. so it tells me it is safe. there is the driller sound and this trigger is vibrating. i am not relying on anything but the actual light change, the light cycle built into it. >> it brings san francisco from one of the major cities in the u.s. to what is going to be the lead city in the country. >> city working on all sorts of things.

we are trying to be new and innovative and go beyond the ada says and make life more successful for people. >> disability rights movement, the city has the overall legal obligation to manage and maintain the accessibility and right of way. with regards to the curb ramps, bounded by a groove border, 12-inch wide border. for people with low vision to get the same information. the shape of the domes, flush transition between the bolt bottom of the ramp and gutter.

>> we have a beveled transition on the change in level, tape on the surfaces, temporary asphalt to fill in level changes, flush transition to temporary wood platform and ramp down into the street under the scaffoldinging. detectable ramps. they are all detectable. nothing down below or protruding that people are going to get snagged up on. smooth clean that nobody is going get caught up on. >> our no. 1 issue is what we see here, the uplifting and shreufting to concrete due too

street tree roots. here is another problem we have with street trees. if i have i was a person blind, this would be an uncomfortable way to find out. >> we don't want to create hazards. >> sometimes vendors put sidewalk cafes where people push the chairs too far out. >> sometimes it can be impassable. so much foot traffic that there is no room for a wheelchair or walker to go by. >> san francisco is a lively street life, it can be