to have 8 non profit clinics toperticipate. now it sems like the mso that has been selected allows us to move forward, but i want to cloe how many tenderloin medi-cal managed care ben fishraries do we expect with saint antany and north east [inaudible] >> i don't know if saint aenthanys is here, but my understanding there are about 500 or so medi-cal ben fishiaries who are part of saint aenthanys. meds cal ben fishiaries have choice so you can't just move them into a new system, they have the opportunities to go to whatever system they wish. they may remain a part of the health department network or have the

opportunity to switch network squz participate with cpmc. the good part about the one of the great parts about the agreement between saint antean and name is saint antanys has room to grow in ways that other clinics our own denot. they estimate they have room to grow by 3 thousand lives so to see somewhere upwards och 10 thousand visits a year. they have room to help cpmc meet that need. >> i think a strong sentiment from the audience was you have tremendous resources in the tenderloin of community based group. i think i a number of people gave testimony saying that i think it was catherine wolf and others that they are ready and available to give that input as we move forward

and insure the 1500 and more from the tenderloin are served. i hope the community coalition and rez dhochbs tenderloin are at the table to develop the new plans. how long do you expect it will take for saint anth ans and mims to refer the medi-cal managed care ben fishraries to cpmc? >> my understanding is thugrument will allow patients to enroll this sum squr the obbation cpmc has is once we have a mechanism to enable 1500 life commitment to be met t is open until the 15 commitment is met. it is available before december 31 of 2015, now they are in compliance in the agreement as long as they

remain open until they reach 1500 lives. as long as we create the mechanism to allow them to enroll cpmc must accept them until they reach the 1500 >> how is that monitored? >> cpmc will have to report and that is the way we have verified the reports of cpmc compliance with the other medi-cal managed care is through reports that nims runs and also through had san francisco helt plan, which tracks the medical homes of all medical ben fishiaries >> this is a question to follow up supervisor camp pose and public testimony on the serious concerns about the saint lukes diabetes center changes. i guess let me just look at how i would fame this frame this. how can the department of

public health play are proactive role in assessing and doing our own assessment of what is happening at the diabetes center will serve loincome mon olingual population? how can dph play more of a monitoring role and assessing what is happened to give remation tooz cpmc? >> that was our intention with peer review proposals. we have experts that do bilingual diabetes care within our system and also believe it is -it makes sense to [inaudible] we can monitor improvements and assessments they have commissioned it also makes sense for them to do it from within. the work that they commissioned is a good thing and positive step and our own

experts can monitor the analysis of the consultant and implementation of the clinic all together >> thank you. supervisor christensen >> just a few-i think most i'm looking down the list and think my question about language access qu transit subsidies and retention we touched on those. maybe it is mr. brown who would just briefly address the skilled nursing facility question. is there anything you would like to add about the status of that ingeneral with regards to cpmc other than we have a lot of other people out there who need those beds >> thank you supervisor. cpmc is one of the few hospitals that continues to provide skilled nursing beds on the site. we were running 3 small skilled nursing full sillties

and consolidated that into 2, one at daveies and saint lukes campus. the one at the saint lukes campus is in the olds 1970 building that isn't seismicly safe. it won't be moved to the acute care hospital. we cerntsly have a average daily census that cudahmsinates or needs in termoffs patients being discharged from the facility who needs skilled nursing. there is a lot of misunderstanding about skilled nursing in the community because all is a another category of skilled nursing that provides long term care, what we call nursing homes and that isn't something cpmc provides. we provide skilled nursing for patient who have been in the hospital that are not ready to go home >> transitional. i think my only comment in general is, it seems like wree focusing on setting goals and monitoring

cpmc achievement of the goals and what comes out of this for me today is more how we achieve the goals. i share mr. cohens concern that sometimeathize community bars a lot of the responsibility for urging and monitoring. i have been through that in a lot of my advocacy work, but what i take away is when cpmc partnered with appropriate community partners they tended to succeed and when those partners and that link is absent success has been more challenging. we have a lot of layers of oversight on this, but that is the question i come away from this hearing is what can cpmc do to coordinate its efforts with the community and community organizations in a effort to ucseeds. there is a lot of good news today and

highlighting of other things that could be done better and coming out of the community and tend to see a linkage with the community as a way to find inovateive ways to achieve those goals and think we all benefit when they that is the case. hopefully going forward the dialogue and overvite will continue in a way that not so much points fingers but figures a way to work well >> supervisor campos >> i want to end this conversation because i know that we have a couple other items and we are risking losing a quaurm. we going to continue to work on this issue. i want to thank the community especially because you have had to come to the hole rr hall a lot on this mpth so many people that played a key role in the community and i see member of the nairbds and labor partners, cna and other folks and know

you will continue to monitor this. to mr. jurado, our gratitude for spending so much time on this. to all the city departments and agency squz cpmc and suter. it isn't easy tocome up here and put yourself out there and i appreciate that and i think it will continue-it will require that we continue to work together and my office is fully commitment today continuing to play a role in bringing everything wn together and special ly want to thank hillary roanen who was planning to be here, but hillary was having some health issues that wanted to make sure she took care of and i know that we are going to keep working on this and i just want to thank everyone for all their work and the work continues. greatly appreciate it >> thank you supervisor camp

pose and everything wn for coming >> if we can call this-do we file this or-- >> we vamotion to file and second without objection >> thank you >> please call item number 1. hearing to consider the premise to premise transfer och type 21 off sale generalliances from 16 west portdal portal [inaudible] flat iron wines located at 2 new montgomery street. serve the public veerns qu necessity >> to the audience please leave quitely if you can. please leave quitely. we have from our a brrks c liaison unit lutenant dave >> before you today as the

clerk stated is a application for business to be located 2 new montgomery street. if approved the license allows to sell spirits [inaudible] this operator proezpos a multitasting room that allows the sale of beer and wine and off sale [inaudible] this applicant operates a business on the east coast operating under the name of flat iron. this is their first venture into the san francisco market. with regard to recommendation as fars points of consideration, i would point out there for 14 recorded protests that specifically regard the protest i make it clear that only one protest was anticipated by the alcohol beverage control. the way i

have done by report is bring everything to the committee, but just so you understand with regard to the abc their protocol is as they receive protest they respond back to the protestant and complete a form and stend is back. it helps prevent bogus industry stuff. in this case only one came signed. for abc purposes for thereis one protest. my records represent 14 in the last few days several more may have come in not included thip report. there are 7 letters of support. i think that neb hasz also increased in the last several days. since i speak to abc's role they don't consider support as a part of the licensing prosand we in the police department do. the applicant is located in a area of high crime and undo

concentration. i have reached out most of the protestants in various ways and explained the intent of the business mpt i would point out that if aproveed the business will go into the sheridan palace hotel. the space is vacant for quite a while. this business model as well as our condition reflects a high end operation mpt i don't see the premises creating blight on the community and don't see it creating amunity program and don't see it creating a police problem. i will read the l condition mpt condition number 1, no nysnotable [inaudible] condition 2, no person under the age of 21 sell or dlerfb alcoholic fweverages. 3, no wine is sold greater than 15

percent by volume accept for dinner wines [inaudible] condition 4, wine shall notd be sold in bottles or containers smaller than 750 ml. condition 5, beer and malt beverages and wine coolers 16 ounces or less are not sold in single containers. condition 6, exterior of the premise is equipted with lighting and power [inaudible] not disturb the normal privacy and use. condition 7 and think this is important, this is the first time we use thd condition. this was a condition drafted by the alu and are the first in the state of california to use this condition. i think it sets the tone we are

recognizing and trying to anticipate impacts down the road because as wy know when legislature makes changes it is grand fathered into existing licenses. with regard to powdered alcohol in this condition will read the sale service and consumption of powdered alcohol or like non liquid alcohol products is prohibited. this is a condition we request on off sales muchbing forwards until the state legislature resolved the issue. now powdered alcohol is >> can you explain what powdered alcohol is >> absolutely. it is chacktually around for a long time on and off. it was primarily viewed as a food additive and believe that is how it slipped by the state

legislature. it is podeered form of alcohol. you can take a 7 up, you can be at at and t park, order a 7 up, pull out a packet of powdered alcohol poor it into your seven up and now you have a bourbon and 7. these come in all flavors. ironically i see this being a splar trend to what we talk about e cigarettes. there are bourbon jun and vodka and cause osmopolitan and fruit flavored alcohols. i think it will get fixed down the road but see all types of issues and think it is important thaz as a city set the tone for the rest of the state and really start restricting this because like i said, once it hit distribution and there is nothing i can do blt existing licenses but it is prudent moving forward-i don't cease this licensee being a

candidate for this product, but think we are remisto not do something >> thank you for being ahead of the curve. it is impressive. this is like the first within the state looking at the issue on a local level yrkss and spoke with abc and concur would ourb language and we are the first in fact to produce this. moving on let me read in the record our last condition is that is condition number 8. sale permitted between 9 a.m. and 10 p.m. each day of the week. if i can very quickly just speak to the opposition. just a few things. some of the protestants speak about over concentration. that is correct, it is a area of undo concentration, but i think it is important to speak quickly to the fact that the step they are using may be accurate, but not a legal argument. we have >> student -we when we have

to be license specific. we are talking about off sale license. the protestants reference there 164 alcohol beverage licenses in the census track and i don't dispute that but they accumulate whole sale and on sale license squz the abc act doesn't speak to that. high crime, absolutely this is a area of high crime. the last is regarding proximity to other liquor stores. this operator is coming to us with a very specific plan, cleely you can see we are noot recommending a liquor store. this place isn't operating like state law allows 6 a.m. to 2 a.m. we are doing 9 a.m. to 10 p.m. with regards to access to youth, i

don't see this being attractive to young people. this isn't a place selling candy bars or beef jerky. this is a high end adult premises. with these conditions we recommend the license for aprovel >> thank you. sproovisor campos >> thank you. just a quick question about understanding how this license was bought by the individual. is this a license that was brought from another neighborhood or is this something coming from within the area? >> it is coming from outside the area and let me explain first what state law says. what the state law speaks to is within the county of san francisco licenses can be moved throughout >> i said understand >> this license is coming out of district. sminels when we come up with inturnt guidelines

that say i onlt want licenses to come within the indistrict it has unintended consequences. i am working on a file up grading the license. all he wanted was beer and wine because of pressure that he geds feedback about buying within his district he is coming back wanting a dist tilled spirits component. i'm just cautioning that i think we have to look for where the lice nss is coming from. there are opportunities to take license out of areas that as a city we may want to move >> i understand that. in this case if this is approved will this inclees increase the licenses in this district >> yes >> could this applicant bought aortlicense within the district or was that not a

possibility here >> i think that is a bettergression the applicant. the liquor license is controlled in the private market can & we are getting tite in san francisco because off sale license ucan't get a original so we don't have a lot of inventory now >> thank you >> supervisor christensen >> i think you covered objection letters you got. redid receive a couple calls on this, but the complaints were vague and general so-this is the hotel location, a vacant place. it is a place of entertainment and high end, were there any complaints you received that seemed pertinent? this is likely to do harm? >> the short answer is no. i would tell you that in all my years of doing this there tends to be 2 types of complaints or protests boneifyed community

opposition and industry or competition driven opposition. i think this one appears to be a mixier of both >> as i understand it supervisor kim has-is not protesting this? >> from our communication to her office she is not opposed but not supportive either >> thank you >> lieu tenent i did want to ask, this is a transfer of license from 16 west portal avenue to this spot within market street and what is the concentration of either type 21 or type 42 within district 6? my understanding is south of market and tenderloin have the highest concentration in the city now. that my guess >> the technical is actually

the central if we look at census tracts, but you are correct, very close second running up is soma and the tenderloin >> west portal would have maybe a lower percentage of liquor licenses and we transfer from a low percentage to a high percentage area it seems like even though supervisor camp pose raised the question of whether the operator could have acquired a permit from district 6 or the general area, is that right? >> it very well may be the case, but where it starts getting rather tricky fl businesses is if we start establishing guidelines as a city government, it starts creating a bit of a lottery system or a premium on liquor licenses. a good example would be often with planning code we

have done liquor license moratorium and talk about how we have the local support of the licensees. of course we have their support because their license doubled in value and we guaranteed no competition. what i try to focus on is where the licenses land. if you guyerize seeing it differently i welcome input but my primary focus is not worried the where from because that is basely defunth business, but where they land >> i know working with a number of youth organization on tobacco permits they surveyed and analyzed the city and south of market and tendser loin have the lion share of stores and businesses that sell tobacky prckts and lots to youth. i see this splar parallel of

public health policy concern if you center too many transferred licenses in n to a overly saturated area whether for tobacco or alcohol permits-i try to think of the issues you are raising and broader public health public policy that guide or think on issues like this >> i would absolutely agree with you, but i think at some point we have to take a look at the business plan. taking your su-air in a irio we are talking about a high end place, not a conventional liquor store. i think if we were talking-if this was a application for a off-sale liquor store 6 a.m. to 2 a.m. the police department would have opposed this application and be before you with a deninel. that is what i trying to focus is what is the business plan and what is the impact be on the community and in this case i just don't see a

impact. sleckdly police services. >> another public policy concern is if we privilege elite high end type wine businesses or versus small mom and pop potential business-i'm thinking out load >> let me point out this is a mom and pop . i'm not making a distinction of multichain big box retail, where focus more on peoples business plan. i love to see small entrepreneurs. we have all kinds of them. will come here soon to present in supervisor christensens district a place wanting to come in and gear deli square and don't recall where this license comes from burkts it is a sfamly run business hands on

and koospecially vinker gers, spices and import lick ors from europe. i'm not speaking of big box formula retail, i'm talking about the business plan >> maybe zee a different definition of what a mom and and pop store is but i hear what you say, it is a family run business and east coast location and thist is the first west coast >> correct, one of the partners is mubing with the family to run it so it is local hands on operation >> thank you for the all issues that are raised. if all are no other questions let's allow nutosha [inaudible] or the licensee for flat iron wines >> thank you very much,

nutosha can't be here. my name is josh cohen and a partner in the business. i'm here with flat iron wines with my colleague [inaudible] who is nem who will move from the east woest co-esto the west coast with the family to operate. he is the general manager. joshtia peero is a former employee on the east coast who lives here who will be the [inaudible] you will hear from bow today but not josh. you asked a question about the transfer of the license and i think our attorney will address that in some detail but the short answer is we did everything we could keess the issue and she can give the details. i thought maybe i would take a few minute to talk about who we are and wrawherewe come from and what our business

model is. speaking why we are interested in coming from new york to san francisco given we are small family operators. we started to learn about wine and learned the business of wine operating boutique wine stores in bookland. these are not liquor stores like package stores in new york, they are small shops that are devoted to small producers. a focus on artesianal procts. we don't so tobacco and no products of abuse. after a few years we had the idea it would be fun to try and take everything we learned and open a bigger one in manhattan. we wanted to go

deeper into wine and wine education. we found a space on broad way between 21 and 22 street in the flat iron district. >> isn't that where the first sky scaper >> exactly. we are one block south of that. that is neighborhood gone up and down over the years. it was one of the most fashionable neighborhood. this building had huge potential but was abandoned for maybe 10 years. it was a former joke shop, nauvalty shop. the block had a bunch of empty space squz it was the kind of block people cross the street to avoid at night. we saw the potential, our landlord rehabilitationed the build{did a build we are