wish child and if you do their heartfelt wish then go to work to make it happen. dismissals is a 5-year-old boy who was diagnosing diagnosed with life without parole when he was 20 months old he's 5 hose now in remission he had his port removed hose monopoly on the chemotherapy. this particular wish the parents wanted to wait until he had energy. i began assigning this wish with the family in march and started

to understand the two miles how are we going to achieve that i made a bold statement into turning this into goth am city. it codify catapulted. so, now it's a much for ininaccurate indicate from the divorce. people starting twoet and reposting and it went viral. it was incredible about make a wish he wanted to be thinking about being batman. there's been a lot of super issues that have happened cross the country but i think that can only happen in san francisco the mayors on board and the city

hall it's an incredible outpouring and i love how san francisco is in the spotlight here and people around the world sending their love to san francisco. you kids we thank you for your encourage and we wish we can erase the pain we hope this is the day of magic and that you'll remember this forever. bat kid forever in san francisco >> san francisco is unique in this way and it's part of our compassion and we have a civic duty to be involved and people are stepping forward if in huge way. it's about san francisco and it's inspired by miles and about every child who has a severe

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

>> welcome to the san francisco historic preservation commission regular meeting. for wednesday, february 5, 2014. please be aware that the commission did not trotter any disruptions and when speaking before the commission if you care to do state your name for

the record. i'd like to take roll president hasz. commissioner wolfram. commissioner hyland. commissioner johnck pr commissioner matsuda and commissioner pearlman. commissioners first on your calendar t is general public comment. at this point the public may address the public with respect to jound agenda items your opportunity when be afforded when the item is reached in the meeting. each member of the public may address the commission up to 3 minutes. i have one speaker card >> richard rothman, please. >> good afternoon, commissioners i'm richard rothman i'm back here again talking about the building at the zoo. they opened the children's playground there so the building

is now assessable and hopeful that that will be opened up and the next thing the recreation and parks department put in a grant for the historic preservation commission for the rec and park and the zoo society to do a study to see how much it would cost could renovate the building and i would hope this commission would ask the staff to send a letter of support to the historic preservation commission fund committee in support of this application. and i still building this building down the road is not a city landmark and should be a city landmark. if people want to know more

about the building i have a facebook page it's called save the mother's building >> thank you. any accountability members of the public wish to comment seeing none, public comment is closed. >> commissioners that places you under departments matter. >> good afternoon, commissioners just a couple of announcements that are on your report. one is that we a couple of weeks ago we had a public meeting to release the that draft for the upper tree canopy on the cities right-of-way e right-of-way. this is for the rec and park department and the urban forest council the first phase has been released and the population there is a second phase we'll be

intifrpt the remainder of the street trees over the next 20 years we want to increase the percentage of trees. so we need to we feel it's important to have a goal of planning on i don't remember the next number but tens of thousands of trees. second an rfp has been issued for a major piece of work that has a lengthy title the boulevard study be feasibility project to look at multi uses of the land development around the cal train yards for cost effective needs for the transcribe that connects it to the transbay looking at

alternative uses for the you rail yard and locations. and looking at that component at the i 2 to see if f interest were benefits for the transportation and land use component. there are a number of studies we're building on including the tunnel alignment but in terms of transportation component to look at it as well as the land use component. it's a major piece of work we received a dwrant from the metropolitan grant society to do the study. we need to take a fresh look at the area and that is the city's future growth in the city. so we think it's timely to do the study but your study went out on friday i believe and we

are going we'll be looking at consultants proposals and i'll be happy to answer questions that concludes my presentation >> commissioner johnck. >> i have a question about the study because i wanted to be sure that the port of san francisco is involved when with we discussed rail in san francisco it's not just for people but cargo too. the port i'm sure you're aware of just got a grant to improve the streets. so i wanted to clarify that and he hope that the port is included in this discussion >> absolutely they're one of the partners at the table. as we receive proposals we'll be getting a technical team that will address some of the ports concerns as well >> great, thank you. >> thank you, thank you commissioner if there's nothing

further we'll move on to the staff report and announcements. >> good afternoon, commissioners tim fry from the department stave a couple of items. i'm sure you're aware of making sure cuss books was approved and the designation ordinance will be in effective thirty days after the approval i want to thank supervisor breed for sponsoring that designation. also soorl the h pc gave a positive recommendation for the st. marys directory and this reclarification will be florescent have been land use committee and staff will be there presenting on behalf of

the historic preservation commission. and finally, in regards to the planning commission no items to report from the previous two hearings to he continued their january 16th election of officers and will take up the meeting tomorrow but they may continue this one more time. i'll keep i updated on the results of that election and finally, excuse me. comment in response to mr. roth man's any public comment? the department ask working with the arts commission the rec and park folks to make sure this commission and the planning department are involved in that study so the planning compassionately commissioners, on that motion commission have not weighed in but we'll keep

you posted posted on our level of concerns if you have any questions, i'll be happy to answer them >> i have 3 4r5shgd designation reports. >> tim fry the memo regarded your landmark designation was included in your packet. a couple of items i want to bring to your attention this is a quarterly report it is for activities ending december 31st. so the swedish american hall we got a letter of support under their society so we've begun the research and basically in negotiation on what parts sure in the ordinance and executed

also we're in conversations that the owners of the newer hall of the crossroads company. the designation report is complete and we'll have it in front of the of you in the future and also the sailors union the panic we is had a conversation with the union and they're interested in having more codifies and it will be scheduled at the end of this month to view the interior and keep you posted on how this proposed designation and page 4 the sunshine school we're working with the pro bono on the designation ordinance and i'm sure you're aware of the school district is supportive of this designation we have to get our

ducks aligned and getting that in a format. on page of the building just changed hands we're reaching out to the new owners to initiate codifies with the new property owners and finally, just to let you know on page 10 there's initiative for the old st. marys directory is located in the process you initialed the designation on adams and there are a couple of others in the cue you'll see shortly i'm happy to answer any specific questions if you have them at this point thank you >> commissioner matsuda.

>> thank you tim for the up to date. i have a few questions about staff i noted 4 names from our staff and out of them is it mary that takes the lead mary brown >> mary and jonathan and richard. >> correct he's on 1499 neglecting street. >> correct. >> what percentage of light is dedicated to the list. >> when we discussed the budget we have one devoted staff person to designations those hours are divided amongst the four. >> irish s rich is not a member of the team but part the quadrant so he's expressed interest in working on the team

so whenever there is interest the planner has the time we would like to let them pick projects as they bottom available. >> both mary and jonathan have a huge plat so i was wondering if there could be more staff time devoted to this is there a priority. >> not necessarily it is a matter of working out the designated ordinance with the property owners and getting the designation report in the right condition to bring before this body. it's why we for sunshine school for example, we have a pro bono and that's how we completed

moeshgz so we'll take advantage of the offices >> i guess this report from if we believe 2013 to july 2013 there are 3 landmarks that were designated that's quite a bit are there similar goals set for this year. >> i don't believe so we can discuss that in the report. i'm sure you're aware of the district take a tremendous amount of time and effort there are not any pipelines in our district but we when we have owner consent but if the commission would like to entertain setting a new numerical goal we're open to

having that discussion >> i'm just one last thing. there's a spelling error on page 8 for k i n l o n >> commissioners you bring up a good point you basically answered 2 it would be great if we did a monthly goal on the hours spent on each of those items so it don't get move forward but unless i set goals that would be great for the commission and a staff to set per hours per month. >> basically those are all except for the golden gate park have zero hours. >> well sunshine school has been on for 7 or 8 years per

bono so we'll follow-up on that. >> let's move on. >> commissioners that will place us under the commissioners, that places you under president reports and announcements. we're now now a to getting a spooind stipend on a monthly basis so is there any way we can assign this state hospital a 501-c >> you can certainly file for direct deposit. >> can we do it before it gets taxes then. >> i can look into that. >> we'll move on so i'll follow-up on the information with the gentleman. >> commissioners item 5 consideration of adaptation of draft minutes for january 29,

2014. >> commissioner. >> i had one discretion on page 6 of 8 item 12 there's a name in parentheses and it should be alc h a u r. so noted >> commissioners any other corrections, notes. any member of the public have any information regarding the members or alternates. seeing none, public comment is closed. >> i move to approve the minutes with the correction. >> thank you. on that motion to adapt the minutes as adapted commissioner hyland. commissioner johnck. commissioner johns. commissioner pearlman. commissioner wolfram and president hasz.

so moved, commissioners, that passes unanimously 7 to zero and palace you under commissioners comments and questions >> i want to see on a future meeting for the agenda. >> we can accept anything on the agenda. >> it's the last item in the group that we put on the agenda for future hearing a discussion will state tax credits the district tax credits and what we can do to help support speak maybe get someone from the commission to talk about that. >> commissioner johns. every year the san francisco museum and historical society how old a history expo usually

we get 30 hundred or more people to come and see an assembly of delays that you put on and standoff by the various historical organizations in san francisco. this year, the mr. fry as homeland that the planning department and the historic preservation commission will be represent represented; is that correct? >> i'm looking at to that booth and i highly recommend everyone attend. march the first and second >> thank you very much commissioners, anything else under this item i'd say evyb