it's important not to shut out charitable care and to have only a high-end facility. this should be part of a city wide plan as well. a big issue for cathedral hill itself is transportation and the future capacity of our already stressed transit public system. this impact meets serious mitigation, both capital and operating costs. alternative 3a, which can plunge, the scale of the van ness plan and to the capacity of transportation in san francisco should be the preferred alternative along with preparing a city wide plan so you have more context for reviewing these proposed changes. thank you. >> thank you.

>> she will be next. >> good afternoon. my name is sister elaine jones and i live in the tenderloin. i am here to let you guys know that my husband and i, mr. arthritis and i, have a very hard time getting across streets. i was coming down van ness to take the 47 bus. it took me 65 seconds to get across the street. and then this guy decided he wanted to -- because he saw a parking space, he wanted to cut in front of me, almost killing me just to get this parking space. i mean it's based on common sense. the seniors in that area, it takes time to get across the street. the common sense is the impact on these seniors, it's not going

to help us. it's going to make us worse. we are going to end up isolated because we can't get out of our rooms to go down the street because we are in fear of our lives. and also the health and safety of the senior citizens. it's just like you telling them, well, let's breathe in all that bad air. it's just based on common sense. if you take your time and sit out there or walk down van ness, that's one of the busiest streets, other than market street. i don't understand it. where are you going to put the ambulance? where are you going to put the people? where are you going to put the trucks and all this stuff? where are you going to put them, you know? if someone wants to gets to the hospital, they don't have a way to get there except being in the ambulance. that costs money for us. it just really don't make sense.

and i want to ask you guys to look at the common sense of this whole thing. it doesn't benefit anybody but the rich, and i'm sorry, that's the way i feel, because i have suffered with mental illness, they are not going to accept me in that hospital. i am going to have to end up going all the way to san francisco general hospital because i am poor. it's not benefiting me. so why do i want this? look into it. look deep into this because it's going to impact more seniors than anybody else. i'm sick of them picking on the scene yores, thank you. president miguel: thank you. [applause] clerk: ok. if we can hold applause. there are a lot of people and the more you applause, the more you delay this hearing. president miguel: do the people that just came in wish to speak?

>> good afternoon examinationers, my name is carol. i am a senior, and i have lived in tenderloin for almost 14 years. i am proud of my community. that's why i also want to see a proper residence. today i want to share and express my concern about the proposed cathedral hill hospital. as a senior, i am worried about the proposed care. does it mean the seniors in low income families will be accepted

in this facility? we need a hospital that accepts seniors of low income. we want to make sure that medical and medical patients can also obey in the cpmc facilities. the same applies for st. luke's hospital. st. luke's must ensure health care is provided to all communities. therefore i am demanding that cpmc assure us they will not ignore the community. we want the cpmc to sign a community benefits agreement and build [unintelligible] thank

you. president miguel: thank you. >> good afternoon, mr. commissioner. my name is felicidas, a resident of 201 first street and a member of the tenderloin community association. we are here today to voice our concern regarding the proposed cpmc project to construct a health care facility in van ness and gary. considering this development in our community, but this

development should benefit all the residents. traffic is congested in this area. this area is main route of public transportation. transportation will be much -- it will be impacted, and traffic will be congested. and people who commute daily in their respective destinations

will experience hardship. there are solutions to be made by cpmc. we demand that cpmc must upgrade it's existing hospitals. like sutter and st. luke's, instead of downgrading. even one-third of their hospitals, because they have already had good services to the community. and we should also increase primary care access in our

community. for clinics, and long-term care communities, in providing that kind of care in their hospitals [buzzer. president miguel: thank you. >> i just come to ask that they put back st. luke's hospital. my children were born there. and all our community leaders there. we don't ask for charity. we just ask for service. they were born here and they need that service. all the community there in bernal heights. i really thank you for letting me let you know we do need better hospitals.

thank you. president miguel: thank you. [speaking spanish]]speaking spanish] >> the services we have received there at st. lukes to keep on continuing. that's all we ask. president miguel: thank you.

>> those of you that have read written statements and may not have had a chance to finish them or even if you have, if you want to submit that paper, your written statements to the secretary, that would become part of the record. so if you wish to leave those statements with the secretary, please do so. >> good afternoon, my name is helene delanini. i am the association manager for a residential and commercial condominium building on the corner of van ness and post. we have 245 residential units, and 103,000 square feet of commercial space. our residential population is approximately 325 people, including a number of children, as well as some seniors. our commercial tenants include a

number of medical offices that utilize highly sensitive equipment such as laser for eye surgery and ultrasound. we are literally surrounded by cpmc's project. on the south side of our building is the main hospital side. on the north side is a medical office building. and across van ness diagonally is a medical office building at van ness and gary. our tenants and residents have a number of concerns, about what it would be like to be surrounded by this construction the next five years, as well as the long-term impacts the hospital and the medical buildings will create for our community. earlier this year we initiated discussions with cpmc. we voiced our reasonable and rationale concerns about

specific impacts that the project will have a our residents now and tenants in the future. our dialogue continues. cpmc indicated they are willing to make certain draft conversations, we hope this will result in specific mitigations. our team has reviewed the environmental impact report and has practical solutions to the findings that were significant but were not assigned any mitigations, especially related to noise and traffic. we will be submitting a letter of comment which will describe and support or suggestions. we hope the planning staff adopts these into the project's conditions of approval if not developed in the final eir. we look forward to tenning this dialogue of our prospective neighbors, and make sure that

cbmc will do the right thing for its most closest and heavily impacted neighbors. thank you. >> thank you. >> my name is jessica wiemar, and i have been a registered nurse for 33 years, i spent 33 of those years with cpmc. i would like to discuss with published san francisco health goes that were in the "chronicle's paper today, and how that is at odds what cpmc proposes. the first goal on the list is to increase access to quality medical care. with the closing of cpmc, the it will make it difficult for

the underserved to get their health care. the next concern is the stopping of the spreading of infectious diseases. these people will have to travel further on public transportation and this will expose more people to infectious diseases and may increase the use of ambulance services. the behavioral health care, they are already decrease in the beds at st. luke's and davies campus and there is also a plan for the pacific campus to decrease the number of the beds. also to raise healthy children, the california campus has one of the only pediatric emergency rooms in the city and that would be closed down.

also to have improved health and access for people with disabilities. by eliminating debts and hospitals and to where this is underserved and eliminating the california medical center, this will be more to the call for patients to get to the hospital. they are also eliminating the subacute and acute rehab services and they're also removing dialysis. another goal on the list is to eliminate health disparities. i think that this will only increase the disparities of health care in san francisco and put a burden on the lower income

people to try to get access to health care. thank you. >> thank you. buckham >> . -- >> .

-- >> our future depends on cathedral hill. we need to hospitals that are safe for our community. we need to support to make this happen. if they are not allowed to build the hospital, the majority of the medical facility will be forced to close. we will lose access to health care. we are proud to announce that after 21 months of bargaining, we won a new contract of unprecedented job security. job training, job protection for seven years, job protection has been guaranteed well beyond a life of the contract.

we need you to stand with us. we support to the project because this will improve safety and this will double the number of earthquake-safe beds in the city. san francisco only has 600 of the 1000 that are required. our new hospital will incorporate the medical advancements, shorten overall hospital stays and increase access for patients with disabilities. this will also centralized sites at the davies and cathedral hill campuses.

the services will also be expanded. this includes a 25% increase in overall capacity and the number of staff to dense throughout the center. cpmc has committed to charity care and will increase their support for metical patience. this will also give access for the underserved mission, tenderloin, and western addition neighborhoods. those will help the local economy. >> thank you.

kosh >> good afternoon, commissioners. i will continue. this will serve as an economic stimulus for the city creating new jobs and 6500 health care jobs and encourage new business. the plan would be paid for entirely through private funds and require no public financing. most of the medical center will be forced to close in 2015 without improvement. the resulting loss of jobs and

access to quality health care would be devastating. we urge you to join us in making to make a plan to rebuild this a reality. our jobs and community rely on this. and thank you. >> thank you. >> hello, commissioners. i appreciate that. it teaches people for you today. i am the manager for the north of tenderloin benefit district. the proposed development is something that has concerned residents of the central city for several years and that good

neighbor coalition formed in order to address these concerns directly. we began our work by surveying over 700 residents in five languages to spoke loud and clear about their priorities and concerns. they express the four major areas of concern -- access to quality health care, increased opportunities for affordable housing, local economic development, the privatization of education opportunities and economic opportunities. when the master plan was presented, the development was declared to be a tremendous opportunity and resources for the tenderloin. we were disappointed and offended that they ignored the impact of the development upon the tenderloin.

seeing difficult to see how they make claims and then deny that they have any impact. the good neighbor coalition surprised to find that they are a sin to be granted a complete exemption from the special use district requirements. assuming that this makes the draft sufficient for, this is a wonderful opportunity for cpmc to come to a legally binding resolution that reflects the concerns of the committee but we cannot engage in these discussions if this environmental impact report does not validate our acknowledge that our community exists.

>> if you have spoken, please leave the room. thank you. >> good afternoon, commissioners. i am part of the good neighbor coalition and part of the community housing partnership. i would like to reach out to deal with regards to the good neighbor coalition which is focused on maximizing the local

slashbin hospitals. this is also one of the policy studies in the area particularly in the existing local hiring. all the people living in the tenderloin. hopefully, they will pay attention to what i'm saying. i think you. thank you -- thank you. >> thank you.

>> we are presenting a good neighbor coalition. we are coalition of residence. i am here to talk about the housing issue with regards to the tenderloin neighborhood. the draft is deficient in terms of addressing the housing issue. there is no mention of the van ness area plan. this is almost forgotten after that. we would like to see this addressed. this project would represent a huge introduction of corporate dollars into our neighborhood and that will significantly alter our community. the impact of the number of jobs that would be brought in to the community on housing, that alone will force a community

that is marginal and already at risk of displacement. we are really asking the commission to take a close look at the area plan and we would like this to be drafted. as community organizers and members, we have been doing a lot of outreach and education to see how our community feels. people were curious why this has been ignored. our community is a very closely watching the situation to see what kind of enforcement will be brought to some already existing lines to see if the developer will not have to follow the law.

weakening to ask the planning commission to make sure that this area it is in force and that the housing requirement is as well. thank you. >> thank you. >> i am the director of the city collaborative. i wanted to give you a copy of the little saigon can traffic study said that you can read to this. we take issue with two parts of the draft. in terms of the way that this assesses traffic flow and the impact that this will have within the tenderloin area. thst