is that she could try another restaurant type, just by switching the business model a little bit. it would be allowed to sell alcohol. or we suggested she could wait until the legislation sponsored by supervisor farrell was passed, and then she could see it as a large fast-food restaurant. -- she could seek it as a large fast-food restaurant. supervisor mar: i can see the vacancies from the fillmore hardware to elsewhere. i really applaud supervisor farrell for moving this forward. any other comments, colleagues? so on the amendments, without objection on the amendments? [gavel] then, is there a motion on the

item? so it is moved with a positive recommendation. thanks. thank you, everyone. madam clerk, please call item no. 3. clerk: item 3, an ordinance amending the sentences, planning code -- the san francisco planning code section 409. supervisor mar: i believe that mr. yarne is here? >> taken as a whole, these amendments further strengthen the development impact legislation that was previously approved by the board, unanimously approved by the board of supervisors, in june of last year. actually, it was not unanimous.

it was a 10-1 vote. these do a few things. first, they clean up vestiges of old language that were left over that we did not catch in the first round, and that language clarifies, these changes clarify about the issuance of first -- as defined in the building code. you'll see substantial changes throughout this draft, where we have left in all language, and it has been replaced with first construction document. -- left in old language. there were adjustments in section 409 of a planning codes, and if you remember back one year ago, -- in section 409 of the planning code. there was a summary of how many fees we have collected, how many in-kind improvements, so you get

a global look at how our impact fee is working or is not working, as the case may become and as part of the report, we suggested there be an annual adjustment to correct for inflation. you may also recall, we did not have an automatic inflation adjustments, so many fees have grown stale and in some cases have fallen below the break that is actually appropriate for the service -- fallen below the rate. to summarize, these changes make it clear that all adjustments for inflation must be implemented by january 1 of every year. two, that the infrastructure inflation adjustment itself must be published on november 1 each year by the capital planning committee, and also, which is not obvious in the language,

that notice be given no later than december 1 every year prior to the january 1 of the adjustments taking place, so that is what all of these changes do. and then two other small technical things. we also asked that the mayor's office on housing also have their fee adjustments be published in the same report and done at the same time. you'll see some language affecting sections 413 and 450 of the planning code, -- 413 and 415. finally, there is some additional language related to the market opctav -- octavia. unfortunately, some things were removed, and they have been put back in place. finally, there are some uncodified sections that would

allow something to occur in april this year because we missed the previous cycle. that is at the very end of the legislation, and we would also exempt any fees that have been recently done. there is a city-wide impact fees study done by -- as required by the impact act, and we will not require that that phoebe adjusted -- that that fee be adjusted, but everything will be updated as one effort in the future, and that will give the land use committee and the planning commission eight view on the total development requirements so that you can make decisions more strategically. there is one requested change that i failed to mention. we need to add on page 18 of

the packet, it has to do with the timing of the mayor's office on housing, publishing their proposed annual fee adjustments. if you go to line 5 of page 18 of the legislation, instead of singing commencing on january 1, 2012, -- instead of saying commencing on january 1, 2012, we would like to change that, and continue on that line, no later than november 1 -- excuse me, december 1 of each year. so this is it a -- this is aligning things. the report must be circulated by december 1. there was a mistake in the way this was drafted. supervisor mar: so mr. yarne, can you repeat the page and

line number again? >> yes, changing january 1, 2012, and then continuing on in the sentence, where it says january 1 of each year, december 1 of each year. supervisor mar: maybe pages are not aligning with my copy. >> i am sorry. ok, section 413.6, sub b, first line, sub b. apologies. the print out must be different. supervisor mar: ok. >> are you able to find that? section 413.6. supervisor mar: and i think on my copy, it is page 17, but i have the dates, setting

different dates for the deadlines. >> that is right. do we have corrected copies on file with the clerk? -- correct copies? we want to change it from january to december 1. changing it to december 1, 2011, and then the second change changes january to december. it currently says january 1. we would like to change it to december 1 of each year. supervisor mar: ok. i think on my copy, it is page 17, 19, so there is. thank you. -- so there it is. any other comments, mr. yarne? >> no, and i am available for comments. i think the planning department has something.

supervisor mar: thank you. miss rogers? >> ms. rogers, from the planning department. they heard this and recommended approval. without further modifications. supervisor mar: thank you. colleagues, are there questions? and thank you, mr. yarne for addressing the clean-up language. is there anyone from the public who would like to speak? seeing none, public comment is closed. so, colleagues, on the amendments, without objection? i have a motion on the item? supervisor wiener: i move

forward with a positive recommendation. supervisor mar: madam clerk, anything else? clerk: no, mr. chairman. supervisor mar: thank you, everyone. meeting is adjourned.

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you can log onto he library of congress website and let the journey begin. 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