table >> i want to jump on board the 6 foot set back we had 5 and i can't remember from the hr dr decision so we're set back at least 6 feet. >> so the set back has occurred. >> absolutely. absolutely that's a beautiful idea at all skinny became but 6 feet is a lot to work with. we have my clients here right now we can ask them >> thank you there's no need. >> thank you. commissioners if there's nothing further there's a motion and second not to take dr on that project (calling names) >> commissioner moore.

>> can we add to find a landscape softening to add to the impacts i get that's a - something we should look at. >> so on the revised motion to not take dr with the suggestion to incorporate landscaping on that motion (calling names) so moved, commissioners, that that motion passes 6 to zero and places you on public comment. i have no speaker cards >> any member of the public wish to speak on this item. seeing none, public comment is closed. meeting adjourned.

and i'm pleased to mention to the commissioners we have a break on 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 effective ♪ ? an incredible program because we take regular kids teach them the love of the game. we have no emphasis on winning we only have an emphasis on learning and trying as hard as

they can that's it and the chips fall where they may. when students leave our program whether or not adults or kids they'll have a mechanical understanding of what they have. you don't have to be 7 feet tall or be super faster but you do need skwil. once you teach kids how to have control over the tennis courts they'll master. please invest

>> we are approving as many parks as we can, you have a value garden and not too many can claim that and you have an historic building that has been redone in a beautiful fashion and you have that beautiful outdoor ping-pong table and you

have got the art commission involved and if you look at them, and we can particularly the gate as you came in, and that is extraordinary. and so these tiles, i am going to recommend that every park come and look at this park, because i think that the way that you have acknowledged donor iss really first class. >> it is nice to come and play and we have been driving by for literally a year. >> it is kind of nice. >> all of the people that are here. ♪

>> in addition, there will be significant negative impact on san francisco's neighborhood parks. our park system, which is very well used a cassette such a great park system, has dog play areas that are heavily heavily used and we already have a situation where some of our dog parks are so heavily used that there sometime tension among dog owners and dog walkers, tension between with dogs and without dogs. for example, i been working folks with upper douglas.part, which

at certain times of day will have 100 dogs and our. that is not uncommon. in terms of some of our heavy usage dog parks. the number of dogs it can use, [inaudible] is reduced. those dogs are not going to disappear. they and their owners or walkers will simply go to a city park and we will see additional usage and tension. the [inaudible] 2 years ago have not done this analysis but in its current proposal reported to analyze the impacts on city parks if this plan goes into affect. unfortunately, that analysis appears to be inadequate. it basically indicates neighboring parks, parks that are close by, it will be impacted. we know people from all over san francisco, marin, san mateo county, utilize these properties even if they don't

use live close by. so i think there will be impact well beyond the immediate adjacent parks. so, i look forward to the hearing today and to the consideration of this resolution. colleagues are there any opening comments you would like to make? >> thank you supervisor would get another of a lot of folks to speed on the sulky my comments brief. but i mainly wanted to cosponsor this hearing because as a district that borders ocean beach there will be a significant impact to many of our residents. even currently. walking that allowed either on the shore off leash north of [inaudible] and south of [inaudible]. a lot of the portion will be impacting our district residents. i believe that according to the department care and controlled are in there about 120,000 dogs in san francisco. while i do believe in a balanced approach in moving forward, i do want to make sure that previous hearing

we understand what the impact will be on our surrounding recreation and park area as well. thank you very much and i look forward to hearing your comments >> thank you. supervisor obelisk >> i would like to [inaudible] >> there we go. thank you colleagues. i neglected before can we have a motion to excuse supervisor kim and shoe from this hearing? >> okay >> if we could take that without objection. great. okay, were going to start the hearing today by hearing from a few presentations and then we'll move to public comments. i 1st would like to, and i will say that i have bgg nra attended today we would've given them probably the 1st in terms of making the presentation. we were also prepared to give a timeslot to in the beginning environmental organizations but they informed us they would not be attending as well. so, 1st i like to call up samantha rojas.

she is with congressman jackie speer. for each of these initial presentations we will provide a 4 min. and the timer will be gone. so ms. ross, thank you for being here >> thank you. 1st of all thank you supervisor winner. i want to thank you for holding this hearing. i think that your argument about the dramatic shift that's going to be taking place in our region is off leash dog licking if it's restricted a spot on. i think that it's incumbent that am speaking for congressman jackie spears, of course, as elected officials and employees within the national park service, we need to recognize that we have an obligation to provide services for all taxpaying americans. this exploiting an opportunity for one group to use one part or another would violate our public chart. there should be significant on barges were sufficient areas, rather to walk their dogs off leash,

honest, and to walk with no drugs at all. i find it unacceptable that the preferred alternative provided by the gg nra dog management plan does not provide for off leash usage in many areas and i urge the nps modified to modify the plan to allow for greater access to such racial opportunities. the plan significantly restricts off leash voice command dog walking in many areas of my district were off leash dog walking had occurred for decorates. i believe that is the responsibility of the national park service to work cooperatively with the local jurisdiction in which our parks are located. in this situation, as you mentioned, we have recreational areas that are in a urban metropolitan area and reflect the needs of users inviting there. supervisor, as i have in the past, i want to renew my offer to assist you in working with the national park service. nps needs to cooperate with local jurisdiction. hopefully, the city's comments, my own, and

the users of nps will create a dog management plan that recognizes the need for both governmental agencies to serve the public multiple needs. last week, constituents and my desert extension of the public comment. given the recent government shutdown since [inaudible] the actual plan itself, right here, 2700 pages, i too believe that additional time for comment and analysis should be allowed by nps. but constituents have requested a public comment period be extended to at least february 17. thank you again for supervisor winner and staff. supervisor obelisk, and supervisor came for your leadership on this front. i look forward to partnering with you on this issue. thanks >> thank you ms. ross. faq congressman speer. jeter got not >> i just want to know we actually do have a board rule at the board supervisors not to

clap or goal or otherwise, just to make sure that everyone has an equal opportunity people can always do a thumbs-up or thumbs down or finger wave. thank you. >> next like to invite up sally stevens, commissioner sally stevens who is the chair of the commission of animal control and welfare. >> can we bark? thank you for holding this hearing. people have been walking with their dogs for over 50 years long before he became the gg nra. in 1972 the gg was created and this is a direct quote "to expand maximal extent possible the outdoor recreation opportunities available to the region." in several citizens voted in 1972 command over ocean beach land then to the gg nra it was only after promised

officials promised in the chronicle they preserve recreational uses of the part. in 1979 they formalize the pet policy that allowed dogs to be off leash and only 1% of this 80,000 acres. the it was created and managed for decades for recreation. the 1980 gen. management plan offered a realistic view of the gg rna is causing much of the land was quote, "man created landscape significantly altered by the military." the [inaudible] should be managed for high visitor use. that make sense. over the years unfortunately, the administration has changed its mind and now sees recreation is a bad word. in 2011 they released a draft of a new gen. management plan which yet to be finalized because the vast majority of their land, about 90% including most of the ocean beach and most of for constant to be managed as nature zones. which they defined as areas with low visitor use them a few amenities, controlled access, where people expect backcountry

types of visitor experiences and where challenge risk and testing of outdoor skills would be important to most visitors. this is an ocean beach in fort constant. nature zones make sense in a remote wilderness like yosemite park but they're absurdly located in the city limits within san francisco. the administration wants recreation out. also in 2011 they released a dog management plan that would cut or you can want with your dogs on i 1% of their land by 90%. public comment was overwhelmingly likely one opposed to the plan. do the board of supervisors voted to oppose it. we asked [inaudible] to do a thorough study. to accommodate the criticisms they announced they would redo the plan. we expected significant changes. we did not get them. the new dog management plan released last month is essentially the same as the old 2011 plan with only minor archly