understanding and could be more useful and i think the same thing with any agency that does work with children i'm think of dcyf for instance the department of children and youth and their families they should have at some point something that summarizes for them i'm looking here at another example -- the report notes that in san francisco the number of dentists per 100 thousand people is 219 which actually pretty high compared to the state average of 85 you know so and yet it points out that -- and this number has increased it was 139 in $200,0005. however, there are many people in this city who

still don't have access to a dentist. so how do we use that information to inform, you know, where we invest and what decisions we make? so that's what i'm talking about. >> yeah i think that could be a good follow up item for us. that is a great follow up item for us and i want to say while we talk about the master plan being a product of the department of public health and planning department so for example a lot of the data you see there did come from the department of children and youth and their families and aging adult services so we tried to do in this report not to ignore preexisting information that has come out of other agencies but intended to pull all those data sources together so i think you are absolutely correct but i want you to be sure that we've done

our best to make this an incl u.s. ive report. >> the impet u.s. is on the agencies themselves i think you guys have done an incredible job and now it's incumbent on us to make sure that all the agencies are as informed as they can be chances are they are because they were involved in this process and participated and shared information with you but i want to make sure that happens. supervisor mar. >> i was going to say the rapidly aging population and how critical long-term care and

the planning counsel their work help s us understand for budgets for the department of aging adult services and like the long-term plan are critical i like how there's ethnic breakdowns and other demographic breakdowns too so looking at obesity by ethnicity and neighborhood is really helpful and a lot of our revenue generating planning as well i did want to ask about the affordable care act i know you quickly mentioned that but can you quickly comment on what may happen when january 2014 hit and see how we're going to -- how many more people will be covered and the challenges with difficult to reach populations as well to make sure there's maximum coverage as there can be with currently un insured.

>> i can get that but however the primary changes is we're going to have more folks who are insured. folks will now be in a more traditional medical home so we do have quite a number of providers here but they will see more patients because they will be able to be reimbursed for that care, at a higher rate than previously. >> so even those folks not subject to the individual mandate or do not qualify for coverage under the affordable care act will have access to care if they choose to participate in healthy san francisco and folks transitioning from healthy san francisco into expanded medi-cal and we know more people accessing care through

covered california the state's exchange and the poverty level will be eligible for subsubsidies under it as well and the department of public health has been working and preparing months and months and months for this transition and pretty well positioned to accommodate the changes as they come come january 2014. >> actually i had another question about technology and i know the even just more online diagnosis so people don't have to come in directly but within the master plan was there a look at with technology change how that's impacting our healthcare service delivery system? >> sure. the health systems

assessment and embedded in that assessment you will find a section on technology and there's a couple of different ways this is going to impact going forward. under affordable care act providers need to be using electronic records so providers can easily share information across jurisdictions a as appropriate so that's one change that's certainly going to be happening and in addition to that so for example remote appointments with providers if you are not able to get there whether it's web based or phone based or something like that and to be honest i don't know about plans for current plans for expansion but that's something we address in the plan and seen as a promising opportunity really to

increase access to vulnerable populations to make sure they get the care they need. >> great. colleagues any other questions? i think that there's so much information here i think it's just really impress ive and incredible and i want to thank you for all the work you have done and for the outreach and the reason why we had a 41 member task force is because we wanted to have every possible group and segment of the population represented in some way and i think you know we managed to do that but that also made it a lot more difficult to move this forward so -- >> thank you for the exciting opportunity. >> on the question of the incentives i don't know if the board has an appetite for pursuing something like fee

deferral -- >> great thank you very much and just a final question in terms of you know the two agencies that have a key role here the department of public health and planning commission -- have there been presentations to those commissions and i'm sure they are aware of the key findings and recommendations that were made. why don't we open it up to public comment. seeing none public comment is closed. >> colleagues do you have any other comments or thoughts? supervisor mar. >> thank you for making the $200,000 page document and 3 year process digestible and even the changes that you are

making -- it just really is helpful and i'm really impressed i know it takes a lot of time to do that too but i really appreciate that thank you so much. >> what i've heard from everyone including people who are not necessarily so thrilled about this legislation is that a lot has been learned about san francisco and the healthcare needs of the city of the individual groups and individual neighborhoods and i certainly would encourage my colleagues to go through the report because you can learn a lot about how your individual neighborhoods are served and populations are served and when you look at the national picture, there is no jurisdiction in this country that has this level of analysis that we have so this really provides a road map in a way that no one else has so i'm

very proud of that and again wouldn't have happened without the incredible work of the planning department and department of public health so colleagues can we have a motion to file this hearing? hold on sorrow y, it's actually a resolution adopting the master plan and running and so can we have a motion to approve the resolution so motioned by supervisor yee if we can take that without objection thank you very much. >> mr. clerk if you can please call the third item. >> the resolution of the city and county of the city of san francisco's plan for 20 three.

>> great and here we have a presentation from bill widimyer from hsa. >> good morning supervisors. the item before you is a resolution approving san francisco's fiscal year 2012 and 2013 refugee services plan this plan is submitted to the board annually as a requirement for funding. the allocation totalled 186 thousand and 235 dollars the services provided under the plan are targeted to single adults or married couples without children who are not eligible for other programs. the refugees social

services funds will be used for refugee cash assistance and achieving economic self sufficiency. and offered for 12 months maximum. the funds would support services that would aid refugees and maintaining employment developing work related skills and earning a wage with benefits where possible the employment services funds will be used to provide skills training and english language training and job readiness embedded in the language training. second, the older refugee discretionary grant these funds will provide supportive social services for up to 44 disadvantaged seniors aged sixty and above to access existing mainstream resources

and or obtain citizen ship services to increase their level of self sufficiency and independence and integration into the community and third targeted assistance discretionary grant funds to subsidized employment for 4 refugees for 4 to 6 months learning basic job skills following instructions critical thinking adapt ability and judgment and decision-making and will be performed at a san francisco non profit agency that provides clients with basic job skills for 15 hours a week these services are for refugee participants who have difficulty in obtaining employment due to at least one of the following

criteria experiences social or psychological conditions suffering medical conditions that impede the ability to find employment. i'm available to answer questions and the refugee coordinator is here as well. >> colleagues do we have any questions? >> supervisor yee. >> just a quick question. what's the refugee population look like now these days? >> the refugees in san francisco are about 15 families and they are settled through a catholic charities agency and the reason it increased in the past 2 years is because of housing and the office of

resettlement determines how many are coming to san francisco but eighty percent of the population we serve is a asylums. >> i'm sorry where again? >> they are coming from 26 different nationalities but we're serving the main ones in san francisco are from five different countries. >> which are what? >> we have some russian, mongolians and china, and ethiopians and some. >> i've been out of this picture for a while it seems like the numbers have really shrunk from -- >> yes used to be managed by

the private industry counsel and in $200,0006 we took over because they dissolved and the reason it was transferred to us is because of the limited funding and we were not considered one of the counties that were settling most of the refugees so we're one of the 10 impacted counties and not receiving as much money as in the past so decreases from 2 million dollars to 156 per year. >> okay thank you. >> thank you very much. is there any member of the public who wishes to speak? seeing none we'll close public comment. >> without objection the resolution is approved. thank you very much to the entire staff for the work they do

thank you very much. >> mr. clerk do we have any other business before this committee. >> we have no other items. >> thank you very much the meeting is adjourned. thank you very much and enjoy your day. >> hi, i'm with building san francisco. and we have a special program of stay safe today where we're going to talk about what you can do to your home after an earthquake to make it waterproof and to be more

comfortable. we're here at spur in san francisco, this wonderful exhibit of safe enough to stay. and this is an example of what your home might be like after an earthquake. and we have today with us ben latimer from tvan. thank you for joining us. >> thank you. >> we'll talk about things you can do you don't have to be a professional contractor to make your home more livable after an earthquake. >> i want to talk about things a homeowner can do. we have comfort and we have things like a little bit of maybe safety if your front door is ajar and waterproofing if you have a leak in your roof, or if you have broken glass on the window. >> so unr, one of the most important fib use is keeping outside out and inside in. let's look at windows.

>> let's assume this window is broken in the earthquake. we have wind and rain blowing in. one of the most important things you need to do as a homeowner is secure the plastic properly. if you just take staples or nails and put them into the plastic, we're going to get a strong wind and rip it right off. what i'm going to have somebody do is they're going to have -- this is an old piece of shingle. you might have -- everybody has a piece of wood in their basement. it doesn't have to be fancy. they take out this rusty screw begun, and hopefully you have one of these. >> there is one at the neighborhood support center. >> at the neighborhood support center. you're going to wrap this plastic around this board, take your screw. and then screw that in. >> you need a permit for this? >> you do need a permit for this. and you can contact the former head building inspector to get that permit. that's it. now when the wind blows, it's tight and it's not going to

pull through, having a single point of contact. >> great. what about this door? take a look at this door. what can you do? let's say it doesn't shut tight. what can you do? >> for the sake of argument, we're on the inside. i can't lock my door at night. i have a very similar, very similar idea. i'm going to take my 2 by 4. i can put it across the jamb in the door. one. two. maybe i want another one up here, maybe another one down there. but i can go to sleep. and that quickly, i can get it off in the morning. >> terrific. what about the roof up here? we see people throw blue tarps over their roof after an earthquake. that seems reasonable. >> i think the blue tarp is reasonable. the things that people want to know that they need to know is if you have multiple tarps, how you overlap. starting from the bottom and moving up so that you're

overlapping this way. so, rain running down doesn't slide under your tarp. >> right. >> and the same technique we did over here, as silly as it may sound, wrapping the end of that blue tarp with your board and then securing that if you can underneath, if you have to on top is fine. but making sure that you don't have an area where the wind is going to get under and bill owe that tarp. >> the wind can rip it right off. >> and then you're back up there again. >> let's go inside and check out what we can do inside. >> old fun. here we go. >> so, ben, i see you have nails, universal tool right here. >> man's best friend. duct tape. let me show you a couple things we can use this for after an earthquake. this window right here, because it's off kilter, we have open seams all along. i have a lot of air coming through. i want to stay comfortable at night. i want to keep that air out. it's as simple as that, all the way around. >> excellent. >> now i don't have any air coming in. let's say this one is one that would annoy me.

everything is a little off. my doors won't stay closed. i take a piece of my favorite duct tape here, close it up. and at least it will stay out of my way when i'm trying to live throughout my day. if we're not talking about pressurized water, we're talking about just the drain, sometimes they're going to get a crack here. >> right, sure. >> and you're going to get a leak. duct tape around that is going to help us get through until we can get a plumber out and get that fixed as well. let's say we only have electricity in one room, so we're running extension cords across the house. if i'm going to run an extension cord from one room to the other, i don't want kids tripping on it. i don't want to trippon it. i take my trusty duct tape, tape it to the floor, and i don't have to worry about it getting kicked. >> great, great. look at this. let's look at the duct tape here because we see a big -- >> yes. in the event of an earthquake, i don't think we're going to have too many -- too much debris that's safe to put into a plastic bag, even as strong as it might be. these are called vice bags.

this is what they use to put rice and things when they ship it. this is something where i take my glass, i can take broken pieces of wood, i can take anything sharp and fill it. and it's not going to puncture and come out. it's not going to fall all over the floor. i've not going to have it sticking out, maybe scratch myself, cut myself or anything like that. these are a great thing to have. >> you have a little go-to box for emergencies. that's great. thanks very much for joining us, ben. it's really been interesting. and i want to thank you all for joining us here at the spur urban center. and we'll see you again >> just a few steps away from union square is a quiet corner stone of san francisco's our community to the meridian gallery has a 20-year history of supporting visual arts. experimental music concert, and also readings. >> give us this day our daily

bread at least three times a day. and lead us not into temptation to often on weekdays. [laughter] >> meridians' stands apart from the commercial galleries around union square, and it is because of their core mission, to increase social, philosophical, and spiritual change my isolated individuals and communities. >> it gives a statement, the idea that a significant art of any kind, in any discipline, creates change. >> it is philosophy that attracted david linger to mount a show at meridian. >> you want to feel like your work this summer that it can do some good. i felt like at meridian, it could do some good. we did not even talk about price until the day before the show. of course, meridian needs to support itself and support the community. but that was not the first

consideration, so that made me very happy. >> his work is printed porcelain. he transfers images onto and spoils the surface a fragile shes of clay. each one, only one-tenth of an inch thick. >> it took about two years to get it down. i would say i lose 30% of the pieces that i made. something happens to them. they cracked, the break during the process. it is very complex. they fall apart. but it is worth it to me. there are photographs i took 1 hours 99 the former soviet union. these are blown up to a gigantic images. they lose resolution. i do not mind that, because my images are about the images, but they're also about the idea, which is why there is text all over the entire surface. >> marie in moved into the mansion on powell street just five years ago. its galleries are housed in one of the very rare single family

residences around union square. for the 100th anniversary of the mansion, meridian hosted a series of special events, including a world premiere reading by lawrence ferlinghetti. >> the birth of an american corporate fascism, the next to last free states radio, the next-to-last independent newspaper raising hell, the next-to-last independent bookstore with a mind of its own, the next to last leftie looking for obama nirvana. [laughter] the first day of the wall street occupation set forth upon this continent a new revolutionary nation. [applause] >> in addition to its own

programming as -- of artist talks, meridian has been a downtown host for san francisco states well-known port trees center. recent luminaries have included david meltzer, steve dixon, and jack hirsch man. >> you can black as out of the press, blog and arrest us, tear gas, mace, and shoot us, as we know very well, you will, but this time we're not turning back. we know you are finished. desperate, near the end. hysterical in your flabbergastlyness. amen. >> after the readings, the crowd headed to a reception upstairs by wandering through the other gallery rooms in the historic home. the third floor is not usually reserved for just parties, however. it is the stage for live performances. ♪

under the guidance of musical curators, these three, meridian has maintained a strong commitment to new music, compositions that are innovative, experimental, and sometimes challenging. sound art is an artistic and event that usually receives short shrift from most galleries because san francisco is musicians have responded by showing strong support for the programming. ♪ looking into meridian's future, she says she wants to keep doing the same thing that she has been doing since 1989.

to enlighten and disturbed. >> i really believe that all the arts have a serious function and that it helps us find out who we are in a much wider sense than we were before we experienced that work of art. ♪ ♪ ♪ tick. tick. tick. tick. tick. tick. tick. tick. heat waves. massive heat waves. tick. severe droughts. tick. tick. tick. tick. tick. tick. devastating... devastating hurricanes. tick. tick. tick. tick. tick! tick! tick! tick! tick! tick! our future... tick! tick! is up... to you. tick. go to fightglobalwarming.com while there's still time.

listen, your story line, it makes for incredible tv drama. thing is, your drug use is too adult for the kids, so i'm going to have to block you. oh, man. yeah. [inhales] well, have a good one. you're a nice lady. >> good afternoon everyone. this is the december 13th 2013 meeting of the lafco for the city and county of san francisco our clerk is miss lisa miller could you please call the role. >> commissioner breed.