compensate the people who can't live in their apartments because of the noise of 17 hours a day for 5 1/2 years. president miguel: thank you. >> i'm kevin kitchingham with the bernal heights neighborhood coalition. we represent more than 30 organizations and have grown out of community members literally coming to our door step concerned about the long-range development plan for cpmc and its disproportionate impact on the community. there are many issues at stake here and the document before you is the result of a lot of hard work by the planning department. there are numerous criticisms of

the study itself, glaring deficiencies. this is about fairness, whether or not san francisco is a just and equitable community and city for all. we have an extremely profitable corporation that have decided that health severances to the poorest san franciscan is not as important as profit. we have a developer that has decided that those who can pay 100% of the obligation for the impact that their project will cause, profit is more important. though cpmc bought their property on the van ness corridor years after the special use district was in effect, they decided that rather than honoring the law and the planning code of the city requiring that they provide housing at a rate of three-to-one on the corridor, profit matters most. instead of making sure that one of the few hospitals that serves the southeast sector of the city

is sustainable with mixed services for neighborhoods with the highest concentration of youth and profitable, instead profit is the most important. instead of engaging in honest open discussion about alternative 3a, they reject it because profit is most importantly. bernal heights neighborhood center and the coalition of san francisco demands that equitable healthcare access be mandated where 100% of the developer's obligation of the existing code, particularly that in the van ness special use district be met and st. luke's be rebuilt to its current licensed 270 bed capacity at a minimum so it can be around for another 100 years to continue to serve san francisco's working class neighborhoods. keep in mind that cpmc made $150 million last year. it's time for them to get serious about their obligations under the law and engage with the community rather than trying to maximize profit off the backs

of the poor. thank you. president miguel: thank you. >> good evening, i'm tina shots for the filipino community center. i am a part of the baba san francisco, advocating for the rights and welfare for filipinos, especially for those underserved and advocating for their basic rights including access to jobs. we stand in solidarity with the filipino community center, a good neighborhood coalition and national alliance for filipino concerns. now a growing coalition of more than 40 organizations and individuals including the filipino community, church, labor and student leaders and other community supporters. these groups represent thousands of filipinos concentrated in some attender line and excelsior

neighborhoods of san francisco and the larger san francisco bay area filipino working community that are employed or may have been potentially employed by cpmc. we stand firmly with those who are expressing in the community and in this room today alarm and outrage over a very serious socio-economic and health impact of the cpmc's development project and the planning downsize of st. luke's hospital. the issue we are raising today is specifically related to the permanent jobs that will be created by cpmc's plans for healthcare in san francisco and in particular the permanent jobs of registered nurses. you all may be as alarmed as we are to learn there is evidence of an alleged practice of racial discrimination and discrimination based on national origin against hiring filipino and foreign graduate nurses at st. luke's hospital. through signed declarations by three nurses, managers and

supervisors, nursing managers and supervisors, we have learned tadiana corner, vice president of nursing allegedly told these supervisors and managers, "you are not to hire any filipino nurses. the filipinos are always related and know each other and that's not good. you're not to hire them." "it is hard to understand them and be understood by them." "do not hire foreign graduate nurses." these are very qualified nurses who are being discriminated against. when we learned of this in the filipino community, we interviewed nurses and one of the supervisors to verify this was said and reviewed data provided to us by the california nursing association indicating a severe drop in the rate of hiring of filipino nurses since the beginning of 2008. and when these discriminatory statements were made, any of us

who have been to hospital facilities in san francisco and around the u.s. know two things, one, that filipinos are overrepresented in the healthcare industry at rates upward ofen its, 30%, 60% in some areas. president miguel: thank you. >> can i say my demands? president miguel: you can submit the written comments. thank you. >> thank you. >> my name is diane smith with project management advisers and we were retained by daniel bernham court at one daniel bernham court. you heard from their general manager. they chose p.m.a. because we have numerous projects around the country and especially in san francisco. we manage the development of one rincon hill, the argent and poke

and one embarcadero across from the ballpark and they wanted to take a pragmatic approach to understanding their concerns rather than being surrounded by cpmc's cathedral hill campus. for instance, their concerns are all under the purview of sequa in terms of vibration and noise and dust and as helene noted, we've reviewed the e.i.r. and are planning on submitting our formal comments. i don't go over them here. we submitted our concerns also directly to cpmc and we're currently in discussions and are hopeful that we will come to agreement on how to mitigate them but in particular to our experience in construction, we're providing through our formal comments some more specific mitigations that can reduce the impacts of noise and vibration that may not have been identified or that were not identified in the e.i.r. and these are practical and rational

and come from working in the construction industry and being development managers in real estate so we hope that those considerations are adopted. thank you. president miguel: thank you. >> my name is fran taylor. i've lived within walking distance of st. luke's for over 30 years. my mother died there. and i want to see that hospital continue to survive. and i'm worried that this plan will just reduce st. luke's to a shell that will eventually wither away. one of the arguments that cpmc is giving for cutting services and beds at st. luke's is that the census has never filled the number of beds that are there now. but the confusion in the neighborhood about what's available at st. luke's has been pervasive over the last several years because services are

getting cut and i was at a meeting once there that ended at 8:00 p.m. and i couldn't figure out how to get out of the hospital because the doors are locked. what kind of hospital locks its doors at 8:00 and you have to look for a worker to guide you out to the e.r. and so o.the strategy seems to be like that of a grocery store chain that buys an outlet in a poor neighborhood that it really doesn't want. it doesn't really want this supermarket, so it takes the stock off the shelves. and people stop shopping there because they never know whether they'll be out of milk today or won't have bread today and then after the shoppers stop coming, the chain can say, there's no demand. now, this is what's happening. and i want to point out that a few of the arguments in favor of the d.i.r. spule speak to keeping at a viable size. the people, the doctors who

spoke about the need for speed, to get those pediatric emergency patients to a hospital quickly, every minute counts. tough luck for the engleside, too bad for excelsior. the same with the clinics in the tenderloin and china town who were happy the hospital would be close to them. i'm happy for them but what about us? what about us in the southern part of the city who will have a boutique hospital for maybe a few years and as far as the jobs issue, this is not a jobs versus neighborhood issue. i want jobs. i want those plumbers working, i want all of those people who spoke about their jobs through the job training programs to keep their jobs. and i think we all want the construction workers to have their jobs. well, nobody wants this project to die. we just want it to be fair. president miguel: thank you. malcolm young, norah green,

orlando raille, stefan tenia. >> i think i'll pass for norah green. my name is nato green. president miguel: sorry. >> norah green is me in drag. i'm nato green with the california nurse's association and coalition for health planning. we believe that the draft environmental impact report is seriously deficient for deciding essentially on the first page not to look at healthcare because all of the arguments about why the plan should go one way or the other are healthcare arguments and this body unfortunately cannot kick that can down the road to somebody else and c.n.a. having looked at it, what we see is that the cpmc is asking for a lot of concessions from the city from a land use and city planning point

of view to build a cathedral hill and the question is are the healthcare benefits so overwhelming and what is the evidence for that and we believe the evidence is that they're not. one of the key healthcare issues we wanted to raise is the issue of costs, which is completely out of it. i don't know if you saw the article in august 20 in "the chronicle" about sutter and monopoly pricing that this is a plan that will raise healthcare costs for everyone, including the taxpayers of san francisco and their health plans, the health plans for city employees. so if there's not a serious analysis of the aspects of hospital design that will drive cost of healthcare for the entire population of the city and possible mitigations from a cost point of view, the plan will be deficient. secondly, the whole argument about seismic compliance is fraudulent and cpmc has been in the capitol logging for a bill that will extend seismic deadlines and they were telling people in the capitol that we

don't want to have to rid -- we're not going to be able to comply because there's too much opposition to the plan and we need an extension. they are completely capable of complying with the seismic deadlines if they're willing to resolve conflicts. but rather than doing that, they're risking that the building fall down on patients. we don't think cpmc should get preferential treatment on seismic deadlines compared to hospitals that have worked out issues in order to get the buildings approved on time but it gives a lie that there's an issue that there's a concern about the hospital being seismically safe. thank you for your time. president miguel: thank you. >> we're going to take a 10-minute break. 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, and for the safety of myself and the patients. i would please ask you to consider this in your discussion, thank you. president miguel: thank you. mary, tina, jason free. >> hi, my name is mary, and i work at st. luke's. i will not say too much more than what has been said. only currently at st. luke's do we have this segregated care. we have people who are poor, who