suspension of the permit. if you have certain kinds of violations -- good neighbor policy, a habitual problem, you are not cleaning up for the day, if there are noise complaints, you are in the wrong location that you are not permitted for, those are addressed at any time that it may happen. whether you are grandfathered or not. there is a whole process that you would go through for revocation or suspension. dpw would file a notice. you would then have the opportunity to appeal the to the board of appeals, a public hearing opportunity, and your permit can be either reinstated or revoked. if it is revoked and then you come in for a new one, it would be treated as a new permit. >> in terms of feedback, there is often one department granting permits but different

departments have to grant adherence to other things. dpthe department of health would need to make sure that they are operating in a healthy way. there is a way for them to go back to the permiting department, correct? >> yes, the feedback would then go back to them. then they would take the action necessary. >> is there a mechanism through which those complaints are given to dpw so that they can make the decision, as opposed to dpw having to go to other areas to find out? >> i would expect that they would do that as part of that process. we have not set that out in the legislation. >> city attorney? >> i just wanted to respond to those situations where a permit is subject to revocation or

suspension. it is recognized that if a vendor is violating any of the sanitation issues regulated by the department of public health, that is a separate basis where the department can work with dpw and have their permit revoked. there is not only the internal feedback process where dpw is apprised of what other departments are doing. there is also independent authority for the department of public health, fire marshal. >> thank you. let's open this up to public comment. are there any members of the public that would like to speak on items 4 or 5? >> parent-volunteer of the student nutrition and physical activity commission.

i wanted to thank supervisor dufty for being so responsive to our concerns and for keeping the focus on student health and well-being. i wanted to provide some reminders about why our city requires food vendors to stay 1,500 feet from schools without exception. a few years ago, our state was in the forefront of banishing sodas and shivers from school. as soon as those items were removed, a catering trucks moved in to sell food to them. this is not an only in san francisco law, by the way. it is important to understand this limit is also a social justice issue. low income students get free meals in school cafeterias, if they mean the standards under the national school program.

nationwide school cafeterias have commonly offered parallel a la carte sales of food. here in san francisco, our school cafeterias have barely been redesigned so that they offer an array of choices, yet all of the joys of retreat -- meet the requirement for national standards. far more students are eating in the cafeterias now that they have been redesigned. keeping outside vendors a reasonable distance from schools allows equitable cafeteria designed to be successful. and despite funding shortages, the cafeteria fare has been improving, along with all grains and a greater array of choices. mobile vendors do not have to

feed low-income students for the reimbursement amount or paid worker union wages, as our school cafeterias do. by the way, the 1,500 foot limit is not arbitrary. it was set so that kids could still get to a location to buy food or drink. thank you for supporting -- >> thank you. >> i wanted to the knowledge -- >> thank you. >> good morning. i am a nutritionist with the san francisco department of public health. i am also a member of the san francisco unified school district nutrition and physical activity committee. i am here to thank you for retaining the 1500-foot limit

for food vendors. i am also a nutritionist. i am also a latina. there is a lot of obesity and diabetes in the latino community and we now have type 2 diabetes in children. by the time they are in their 30's, they have kidney failure, blindness, and other problems. instead of building families and creating financial stability, they are dealing with premature disability and ill health. the san francisco board of supervisors considers the san francisco unified school district's school policy robust enough to keep these trucks away from schools. support for this ordinance contributes to the academic

success and physical health of these students. we are also building a stronger and healthier foundation for all students in san francisco. thank you for your time. >> kevin westlake. golden gate restaurant association. i am here to speak in support of supervisor dufty. the logic of putting this into dpw is clearly in the public's interest. i think streamlining the permit process so people can understand it more easily and reducing the fees will help all entrepreneurs get easily into the food business. we also appreciate the language in section 1.88 which takes away the light food discussion and talks about similar service. having a food truck pull up in front of a deli would still be a

competition for a brick and mortar business, even if they sell different food items. we want to keep this balanced so that we can have more mobile food carts but also keep taxes and regulations in place for brick and mortar businesses. >> good morning. my name is matt cohen. i run a food vendor network. i just want to thank you, supervisor dufty, for bringing this legislation forward. it out ridge has been fantastic to our particular needs. we appreciate that. when i first got to san francisco and i wanted to start one of these businesses, i worked for six months to try to untangle the rules associated with this.

i could not do it. that is partly the reason why i started the sfcart project. i think this legislation will make easier for people who want to start businesses. every week, i worked with people who started their business in the past year. i think that this legislation will help that process. about the 1,500 foot rule with schools, it is important to note, liquor stores are within 1,500 feet, restaurants are within 1,500 feet. they are not being held up to this standard. it is convenient to talk about it now and but it does not address the concerns in a practical way. thank you.

>> my name is stanley ross. i own san francisco cards and concessions. i was the first food vendor in san francisco in 1974. i just wanted to complement you and supervisor dufty for this, what i consider a good piece of legislation. the most important right you can give to people is the right to make a living. when i started my business, the only thing that i could do was sell my pretzels as art. the word that you all have done, including those of us that have come before and making sure we are grandfathered, the regulations were first written nine years after i was on the street. this is a good ordinance. a lot of people have done a lot of our work on it.

thank you. >> supervisors, i am going to make three points. number one, as you know, we have a small business commission. this issue should come before the small business commission. we do not want to say that there was some small committee who was briefed. they did what they could. it needs to come before the small business commission so that this commission, which i suppose will be in favor of this, can work in a holistic manner across san francisco. as representative, you have not brought this out. i am bringing it to your

attention. number two. those vendors who are grandfathered and paid $9,000, now when it comes for them to renew their permits, they should be compensated. maybe he given a year or two because of their hard work. they paid $9,000 and now it is coming down to $4,000. they should be given a break. no. 3. as much as representatives from the san francisco unified school district say, we have a student representative on the board that should come here and say how they feel. i am talking about high school students. we need to know that. you supervisors should learn how

to get feedback from every segment of the population. there are many entities that know nothing about this. i go to a few of these areas where they sell tacos, and sometimes i have to go a great distance for that. so i am in favor of this. let's do this in a holistic way. thank you. >> possibly the most over the top of all the street food entities. i wanted to point out a couple of things on this 1,500 foot rule. when i started the process of becoming legitimate in the eyes of the city, i worked with

members of the wellness document. i appreciate the idea, especially the argument with the two appeared launch system, to put it crudely, that it does create social issues within the school. however, when it comes down to it, i have to agree with matt cohen of off the grid. until we exclude other businesses from being 1,500 feet away, it is a curious example of what has been undone by this legislation. i feel as if st. food has been singled out. i would like to get they get away from that paradigm. >> thank you.

any other members of the public that would like to comment on item 4 or 5? seeing none, public comment is closed. we have a number of amendments for 4 and 5. can we take them without objection? ok. supervisor dufty? >> i think this is a great hearing. we did not have a huge turnout of mobile food vendors and cart operators. they have come before the committee previously. it is testament to the fact that there has been a strong stakeholder process. i am glad of to clear up the issue as to school nutrition, a couple of points that speakers made, that they do not see these types of restrictions on liquor stores or other food establishments. for the good that this legislation will provide, a lot of opportunity, all of us to

activate many neighborhoods across the city, spaces that could use foot traffic, if far outweighs try to address everything. as we go forward, dpw and other agencies will be able to give us feedback on how the mobile food environment is flourishing. i think it is an important step we are taking today, recognizing that food and cuisine is a big part of what draws people to san francisco. i think it is what enlivens people's days. i am pleased to have these two pieces of legislation that i think will set clear rules that can be implemented well, yet, still give people opportunity. i welcome your support. >> thank you. supervisor avalos? >> i just wanted to thank supervisor dufty for sponsoring

this legislation. it creates easy access for a lot of entrepreneurs who are in the food industry, or to enter the food industry. my legislative aide and was part of earlier discussions on this and felt that it was moving in a good direction. thank you for that. i would motion that we send this for to the full board with recommendations. >> before we take a vote on this, again, i want to thank the supervisor for pulling this altogether, the different entities involved with this issue. i appreciate some of the amendments to our made. i like that we are treating grandfathered permiting. in regards to small business commission's recommendation to change the square footage, distance from the 1500 to 1000, my preference is to keep it where it is. if we do need to revisit that,

that should be done more in conjunction with the school district and other stakeholders, if we were to ever go in that direction. with that, let's move the item forward with recommendations, without objection. item 6 please. >>resolution authorizing the recreation and park department to accept and expend a gift from the john and lisa pritzker family fund for $54,021 annually for fys 2010-11, 2011- 12, and 2012-13, for a total of $162,063, for general operating support of joseph lee recreation center. >> good afternoon, a supervisor.

i would like to present this gift of $54,021 annually for fiscal years 11, 12, and 13, for a total of $162,063. the department's $12.4 million budget shortfall has prompted us to reassess how we structure and deliver our recreation programs. this has afforded us the opportunity to implement a stronger, more efficient delivery model, but in it has also not prevented us from having to close our recreation centers two days a week, sundays and mondays, as of august 16, 2010. as you can imagine, this has had a negative of fact, especially in those neighborhoods that need the services most. in response through their generous donation, and the john

and lisa pritzker fund has been given an award. the joseph lee recreation center holds program for adults, youth, and tots. there are a variety of activities available, including basketball, flag football, table tennis, a teenager hiv prevention program, a homer program, cooking, gardening, our class, dance, and board games. activities for teenagers are offered from 3:30 until 5:00. the cost of operating the joseph lee recreation center is

$378,000 per year. the fund gift of $54,021 per year will allow the center to serve citizens, helping to keep residents engaged in healthy activity. given our department but the challenges, we are grateful for the support. we can no longer do this alone. philanthropic partnerships will allow us to serve all constituencies, but in particular, those underserved communities that need it most. >> thank you. any questions from the committee? why don't we open this up for public comment. any members of the public debt would like to speak? seeing nothing, public comment is closed. thank you again for your presentation and to the family fund for all of their support for our recreation centers. do you know if there are any

other gifts like this in the works? >> we have proposals out to four other people and we could be coming back in the next couple of months with two more. >> if there are no objections, if we could move this forward with recommendations. thank you. madam clark, are there any other items before us? >> no, madam chair. >> we are entering. thank you very much. -- we are 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,