lots and lots of red tape we've been successful on lombardy street you're probably aware of the cover for human trafficking as far as we were told and prostitution and it was using the cover of tan a tan salon so luckily they're shut down i believe about 6 months ago and this regulars and the ordinance that is written did nothing to incorporate tan and acupuncture and other businesses that are a front for illegal activity over the last 20 years my business and i have received prescriptions from care from the health care provider and specialists and physical therapists and others we provide a valuable real service keeping

san francisco pain free i understand the importance of him trafficking and prostitution i'm asking for the legislation to separate logically from legitimate businesses as the ordinance is written that is intent to stop illicit businesses to graft the issues of human trafficking without putting the hardship an legitimate businesses such as the city does for mental health workers and other providers thank you. >> thank you hello, i'm jennifer the owner of the massage and bodywork in selma we've been this since 2003 and employ administrative assistant and others like my

colleagues, we had a difficult time finding the right locates and obviously went through the liability chaendz we've even let our massage establishment go when it came up with a new policy all the therapists are certified we hope that again, we have more time to fought this and work together additional i'm excited about the meeting but businesses like mine that has the legitimate establishment and they know is a legitimate practice are we're going to into or go through the process and spend $900 going through a long process of permitting when we were in good standing with a good massage establishment i want to put that on the table as well thank you.

>> thank you. >> good afternoon. my name is is jeremy i'm a massage therapist moved to san francisco one year ago today for about 13 years api i've been a massage therapist thank you for fighting against human trafficking it's an awful problem but my worries is a lot of loopholes in many states trying to integrate yourself going to push away really good therapist and so many amazing therapist so for the first time in 13 years i've concerned opening up a business this is an exciting time for massage therapist with those businesses it's my fear you'll push away legitimate businesses

and make that more difficult to get started that's all i'll say thank you. >> that concludes any slips i have for public testimony. >> so commissioners we're prepared for questions to any of the presenter or any comments do you wish to begin. >> so thank you for the presentation and i'll the comments i want to first say that i am a strong supporter to fight any human trafficking and sex trafficking you know especially explosions of minor and vulnerable population with that said, i am unclear how or

why we continue to relate the two issues i think that a lot of the you know like audience that made public comments mentioned that already because for instance, when we're talking about massage parlors at least it didn't include the reflexion plays i see all over the city a lot of time i'm not quite sure i venture to i guess a lot of time are actually you know like new immigrants 101 come to the city and work in those a places for legitimate reasons so the second we start like think that almost half of those places are like illicit massage parlors that puts a really negative like

impression on like i think that a lot of the practitioners and folks have spoken to that that stigma that you know a lot of times like people already face also the other pices piece i'm not quite sure maybe you can answer about the regulations zoning regulations like all i have to do is look at your iphone there's a click of a bottom and have a massage therapist come to our house how will be that governed you know like under this regulation and again, you you know like my concern here is that from a public health interest we really want to be sure to do a few different things like protect

the volume vulnerable we want to do preservation including std and hiv prevention how do we integrate that into this regulation i think there's a lot of interesting confrontations hamil i'm not sure how much has been involved in the practitioners and the human trafficking that maybe they also have other additional solutions to contribute to this conversation so that's what you have thank you. >> thank you commissioners other. >> i'm sorry do you want me to answer some the questions and wrote down a few things i'll work backgrounds speaking to the applications technology applications that link people to services if you're going to

provide a serve there is a form you get from the department of public health that gives us a permit that provides massage establishments we permit that it if so not a physical location an out call permit. >> what's that. >> an out call permit and so anyone can get awe it. >> you have to go through a permitting process there's no physical location but anyone can get an out call permit that allows an operation for the one you mentioned and the second talking about what massage it is spelled out clearly i don't have it memorized but through rubbing or meeting or pressure put on the body we do any type of busy we have a massage establishment.

>> it includes all the methodology practices. >> i'm pretty much the pressure they're putting in massage. >> so all those psychiatrist practices like the place in the malice. >> i want to talk about the immigrant and practitioners as the department of public health we've been licensing practitioners for a long time longer than c mc the one thing that's great we give it in multiple languages and people come in person and take written tests it is only in english and one other language we try to gear our prashgs licenses through a difference population and talking about protecting the health of a virtual population

and for the outreach workers they can they can they can cease the needs on a personal basis with that person. >> thank you commissioner singer oh, commissioner pating first. >> dr. i have 3 questions the first regarding i want to make sure i understand the concerns the mass acknowledge community i appreciated all the letters they were informative regarding the cost you said the costs are one hundred and 17 to staff up for our own internal regulations. >> that will be the additional revenue we'll receive from the additional permits and licenses of the c mp c establishment it

covers the costs currently because of the sb 731 we were not able to recover one hundred percent of the costs there was a ceiling if we wanted to go and inspect the establishment by removing that exemption and the ability to have a cost recovery fee it will there our revenue by $117,000 and basically that will be neutral so we'd be able to recover one hundred percent of costs. >> my understanding from the letter that someone presented the initial costs was the 681. >> that's to apply for a permit it is 681 and the annual is $12 a year. >> two fees. >> yes. when your a new business the permit applications you go through that is 681 and

every year have a license to renew is $1,200. >> it's good for us and a platt. >> in addition a planning referral where again, we talked about the police department background check we're looking at to go see if we can use alternated ones a planning referral for new businesses the fire department and other departments have to come in. >> other comments the amt c were not revolved in the amendment is that true or not true. >> supervisor tang's office has been leading the legislative outreach i've gotten copies of the suggestions i'm trying to put together a fact sheet to answer all the questions i've

taunted within my presentation the amendments that without the possibility of parole jeopardizes height where feasible meet the request of the massage therapy fees. >> has b there been conversation. >> i've meet meet with them and sxhauvengz office is in discussion. >> i'll make a third comment understanding our duty are responsibility is regulation of the policies by the cheater and that the problem we're looking at it the issue of illegal activity specifically trafficking what is the current thought around 09 means to address the trafficking issue library the impoverishment involving the police and other ordinances that bear on the issues specifically of trafficking can i comment on the

dual approach or multiple approach. >> this goes beyond looking at human trafficking tlargs been a lot of focus that is one of the most serious impacts but we do routine inspections to make sure that the proper equipment we're responding to complaints by the public and reviewing the establishment and issue permits and licenses we're not just focused on human trafficking but here to protect the public health like we regulate massage businesses like restaurants or tattoo parlors or public health we have a holistic view of public health. >> my question then to trafficking is a large public issue not a health issue are there other you know community

partners that are going to be working with us. >> maybe i can help you sb we over the many years have been working with the police department and the building inspection department as we've starting to do the work the san francisco police department we wanted to move it towards a health prospective that's why it came under the department of public health we also do a lot of work in terms of trying to work when we see an establishment we think that questionable we like to have people that can relate to the individual that are working at those establishment a free confidence we may not be able to have that relationship i recognize we have many legal establishment and we all know

how well i think the importance of wellness massage can help with that so i want to let you know there is a process we've worked with supervisor tang and others departments but in the district supervisor chiu was frustrated as well with the establishment we have problems with so in regulations we want to make sure your regulating everyone and then they're going to be some that don't meet the standard as well. >> okay. >> so i want to add on to director garcia we participate in the mayor's office task force and anti him trafficking we are role focused on having holistic plan at the health department how to help to prevent those issues and help support people that benefit. >> in closing isle i was moved

41 by the professionals massage folks that spoke about meeting the concerns and making the industry save the fact it unfortunately, the putting did oversee and regulate we've been given the authority and have a responsibility of the safety issues but this point making sure there is no illegal activities in the massage establishments i'm not discerned concerned about the cost issues but looking at 9 resolution as written it is a broad oversight we have a responsibility to do - to provide good regulation i think the resolution you're looking at is a have broad issue it is initially to the community and subcommittee when we met i'm going to subbing suggest we god

go ahead and support the resolution by the staff to look at the amendment process with the supervisor and bringing in our massage community whether the cost program or make the regulatory burden lessen reduce for people entering make it real and at the same time, we are looking at to regulate as one way of fixing this problem that perhaps we come back and maybe in a year or two with those regulations as we go through have we made a difference in reducing the amount of trafficking or legally activity or other arms of government that needs to step in and share ♪ resolving this very complex problem so this is just trying to find ways to meet the needs of the professional community and this is a problem so it's

not like tights taken time if we do the steps a commitment to come back with the impacts study audience there was an establishment it came and spoke and talked about they're paying the $900 and moving to the legitimate side we should think about a grandfathered process to support those liability and try to as the commissioner, i know you having with work it >> that sounds like reasonable i want to agree that when this legislation is implemented one hundred percentage dedicated to monitor it to do what it supposed to do i'm happy to come back as many times as a takes to make sure we can put forgot the best practice. >> commissioner singer.

>> thanks for your work on this that is angle economic tourism when we regulate the economic activity and both discounting new in trend and raising the prices for the consumers that's economical so i'm super sensitive to the massage therapist and what is going to do to their business on the other hand it is our job to balance the benefits of proposed regulation with the cost of it to the community so. >> while i agree with commissioner pating we ought to come back and look at it and thank you for we're going to do that the thing that will help me said i'm generally inclined to be

post what's your therapy on stopping human trafficking and stopping health risks as you mentioned currently unlicensed by the e h establishments because those are the two benefits and i think this is incumbent upon us when the economic activity to at least have a pretty good theory those are the results. >> starting with the first one around regulation unfortunately we, see a past history of businesses that self-regulated damaged the environment and public health so it is important to balance the economic regulation with the public benefits we're here to protect the public.

>> i'm not disputing that we could get 5 thousand people in the room so say we're self-regulate and what good as you think about the costs and the benefits of the regulation what do you expect so the outcome to be. >> my applications we're able to provide a level equal permitting system where we're able to have all the massage establishment to get permits and licensing know where the location and the number of businesses we're able to have cost recovery fees to have inspectors go in and track the violations so some things we want to see you know look at revocations and expectation there is the type of things we want to regulate to see how effective and in regards to human trafficking unfortunately, that is a complex associate issue i think i can work with

the height community promotion grant for the health outreach workers on what success medians in going into those businesses making sure the workers are protected not just closing down the businesses and commissioner chung. >> again i totally support an effort we can do to stop sex trafficking and human trafficking my concern is the messaging pious the intentional consequence of city government massing the businesses i really courage when you go back you know to talk about those messaging and outreaching not community and especially trying to encourage the massage operations trying to find was that not chide with a legitimate

businesslike the whole prostitution ring or whatnot i think that is really a big part of you know of my discomfort great the opportunity if the legislation to work with the community health equality branch will provide that lens beyond the enforcement branch i've been presenting i think go i've focused on regulations but that is not yes, ma'am authentic from what i've heard so in addition to working with the combaet equate a branch we're going to have a health coordinator to work with the businesses we're really trying to expand beyond the workforce and regulation to make sure we're providing the best care for the businesses we want them to thrive economic

success is important to commissioner karshmer. >> thank you for your presentation and all the community for your testimony this afternoon it's helpful i have two thoughts i know this is the illicit human trafficking and massage parlor did skew the conversation and the reds didn't say anything about human tasking trafficking is only protecting the public and the massage therapist during the presentation you said a couple of amendments you intend to take quite seriously it is very appropriate i'm not how to capture that in the resolution this very clear constituent driven things about the process

the 2k3wr5rg9 and the costs the i'm not sure there's one line in here that says especially there's a concentration of massage parlors that part i didn't understand that might be the massage district those piecing pieces we'll looked at and captured in the resolution. >> i'm happy to provide if you have a substantive amendment to make sure that all of the stuff i've talked about that by the folly want to kind of go back and take notes part of it was around the business licensing the processing the human trafficking. >> that's not in the resolution this is fine. >> i mean, we tried to alluded to that we're here to protect

everyone especially our vulnerable population whether they're being 2r5i6kd or whatever. >> the one i was talking about. >> the second or third part i don't have it in front of me - >> targeted the bottom. >> the one the fourth says especially in some areas of the city there are a concentration of establishments does that ply that's not a good idea. >> one of the things i feel like this is one of the issues that involved in the legislation is that you'll the businesses opened within their neighborhood without community planning public process they're kind of a high density and i think you know that has created issues where the surplus was difficult

to regulate it wasn't what the community wanted for their neighborhood it was more about community neighborhood planning and has to do with the planning code we want to make sure that point was talked about. >> so the part is the community involvement in decision making not the concentration. >> in san francisco we have a community activity one is determining the mix of serviced they need for their neighborhood and this establishes the exemption and sfouch if you want us to add to reflect the new amendments that is not an ongoing process with the supervisors office we could approve asked to be approved and

come back with an ongoing report to the commission centuries we can't - >> right i mean i was going to ask the commissioner what she was president united states to perhaps address we could either add or continue to look at trying to refine this i had another problem with some of the language in here but - commissioner karshmer was there some idea i'm trying to focus as director garcia as to the essence of was you want. >> those are on this this is helpful i'm comfortable with with what you've said this is not an end today that will go forward from our experience and what happened then as people find how onerous is it and how to make that such 5ud listed to

the processing to help streamline it is we are also committed to that. >> thank you commissioner. >> one more point you know, i want to make sure we're not overstepping on other departments like policies and recreations i hear different things for us to you know from the the licensing you know and you know and really the inspections monitoring the massage parlors and also the public health implications so you know like massage practice so on and on on the other hand, i think that is really a conversation we need to like push back you know put back on the mayors court you know around how to support a lot of the small business owners, you know who are