accommodate a restaurant so to have the recommendations prepared by the end of the year to that would come up in early 2014 and then the legislation could be introduced early next year. >> that clarifies my question. i'm glad you can have it in the building and not just in the premises. thanks >> although i'll point out that dozens of restaurants in the area don't serve alcohol. most the places are small like a 1 square feet and they don't have booze.

and others and so i don't think it's necessary although i might going go to the irish bank but i want to add a condition they have a liaison person available with a local number or contract number. i think in terms of some of the suggestions that were made by one person who testified who gave his a list. some of them have long been established. for example, one said we should define it to be an eating and drinking place and we can't do that because they only allow uses on the ground floor and we can't restrict it to a

particular use under the code. let's see i think this would require another hearing so far as donating money that's not within our control and the signage is going to be handled through a separate permit to alter. i don't know about complaint if they complain they can call the police. i'll second our taking the dr with the modifications. i think this is somewhat an

analogy there were a lot of conditions involving lcds but the result would not be available until next year so continue it to let the businesses in the area put together a condition list and we'll have a little bit of a better idea where the board s is moving and this maybe compliant anyway but we need to see the decisions >> i'll make a motion to continue it in november. >> give me a date in november. >> commissioners november is fairly wide open you have the

7th, fourteenth and 20th. >> i'll go 14th. >> my only concern is we might not have recommendations in november. >> we don't want to put them out into january but we could have it continued in november if something is getting closer to finishing and we might get more information from the owners. >> commissioners the motion of continuous takes precedent over the decision on the floor. >> as i recall the issues we wanted to discuss was a recommending to clustering and b whether or not the definition of a thousand feet related to a school those were what i recall

where the substance issues and whether or not it's appropriate and if this should change but obviously neither of those issues are at stake there's no clustering are school or education or remotely you'll define them there's a problem. not too long ago we approved a franchise like this and that's locally. so that was actually directly front the street. so i think with this being discre discreetly i feel absolutely comfortable today discussing

this case. if there's other issues to interject we can talk about those but based on what i recall this case is relevant to that >> commissioner moore. >> i have a fleet memory that we also talked about the face of the establishment as the - it faced the street is the security of the shutters or is it ntd more pedestrian friendly green facades that allows the security into the building without making it look like a fortress. so is it in our face or tightened in the backroom and more security and cameras and security guards. i don't know but those are some

of the issues that came up because the negative influence of non-street facing friendly retail facade has a negative effect on the areas. but those were also some of the challenges that supervisor avalos proposed to us >> and also in response to the testimony we've heard from every business owner on that block i would expect if we grant an continuous we'd like hear from others and i think it's important to look at the community sport and from what i can tell most of the community is opposed to this option.

>> most people were at the momently opposed to this and we flew in the face of that opposition and the board of appeals did not. >> okay call the question on the continuous. >> there's a motion and that's on november 14th. (calling names) >> that motion fails commissioners and we can go back to the previous motion that was open the floor and seconded. with conditions as stated by commissioner including the liaison condition. should i read that question.

on that (calling names) so moved commissioners that motion passed commissioners we can move into the final matter important public comment i have no speaker cards >> seeing none, the meeting isç

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 without insurance, it might be more cost effective without insurance, it might be more cost effective aah! i'm a lion! yes, you are. come here. let's see how this looks. hey, how's my little horse? she's a lion. yes, she is. grrr! ha ha! announcer: you don't have to be perfect to be a perfect parent. when you adopt a child from foster care, just being there makes all the difference.

>> all right. good morning, everyone, the meeting will come to order. this the regular meeting of the transportation authority finance committee, i'm cohen and to my left is tang and supervisor david chiu will be joining us and weiner and superviser fer elwill be joining us shortly. >> the clerk of the board is erika cheng and i would like to thank the members of sfgtv