the zuckerbering sf general facility we know we vanew facility that reflects the larger bond in the history of the city but we are also moving all those operations into the hospital as we speak, we are leaving a building that is not seismically safe and we are snot interested ichb demaunshing the bity. we are interested making sure the needs the public are reflected in the ongoing use of the 1970's era building we have ajaistant to the new hospital and how do we do nat? we need to make it seismically safe, we need to invite the services that we don't have in a new hospital as much as we have and reflect the ongoing needs that we have while ongoing with the leadership of ourpublic health department has been the conversation we need more

mental health facilities. this is where the judges are asking for more beds, the community asks us to take care of more of our mental health needs in the community and we want to use the facility we have and expand those services. at the same time, there is incredible need to make sure we work with our fire department because they are and continue to be the emergency response team that we have when ever something happens in the city. they have also informed us in addition to supporting more mental health facilities in the city, we need a ambulance response facility to meet the demands we have. we find in the community based fire station squz the stations that house the ambulances not to have the facilities safe enough for the operation to expand and

want you to know they are enthuse astic because more and more as our fire department and all of us are having a experience where knock on wood, we have less fires, we increase the calls for medical services and this is where i enjoyed work with our fire department to increase every facility that we have particularly the ambulance response and particularly the emt staffing that we increased over the last few years to respond to the ambulance calls and make sure we have that capacity. it just so happens that many the fire stations we actually have over all most a $600,000,000 need to increase and make sure we have seismically safe fire hours and can't do tin just one bond and keep the promise of having the bond not increase property taxes so we do it

in a way in which we can identify what is the most critical and respond tothat and this is what this particular $350,000,000 bond will do is help a number of critical fire stations particularly where we house ambulance squz make sure they are safe. we also want to make sure we respond to the ongoing need and i know media is here to talk about our ongoing efforts to house more homeless and make sure we have facilities that are transitional in nature as we struggle to rebuild and rehabilitation permanent house frg the homeless. while we do that the navigation centers are very success ful and people want more of that and this is where we will take the opportunity to place another $20,000,000 of support effort here and know the voters get it when they see and have a opportunity to

see our navigation centers that we know these are more than just shelters. they are gathering of all the support services we need to allow people to go back to their homes if that is their wishes so get the best service to transition them into permanent housing that we are building and we have places like hamilton and other places we are building but it takes time and a lot of money and we are do that bond after bond and done that with the $350 mill ,000,000 bond to find the land and make sure we build in an affordable way. we have many more ideas but these are the at buttes of the $350,000,000 bond we place before the voters this june. we

don't have a bond for november so this is critical to have it to the voter squz educate them on the bond. i'm happy to work with general hospital and public health department because they have #250i78 time and time again shown wrathe need is respond to need and authenthuse astic about the ways we built the navigation centers because pier 80 and 16th and mission are the examples of what woe can do more with public private partnerships we engage in into help the navigation centers become more than [inaudible] they are life savingsenters for people who shouldn't be living on our streerts and shouldn't be in tent encampments. we want to take them out but want to do it the right way. we dont want to take people moving from corner to corner, we want to make sure they are

taken care of and have long term solutions to them. even those that resist ourerts when they get into the the navigation centers they realize the humanity we do there is more than inviting in the long term. this is and will continue to say, this is the city of saint francis and never turn our backs in those in need. people come to our city or end up here for many different reasons without the social safetyinate net we are used to. we have the robustness in the neighborhood clinics and response and navigation centers and want to make sure you know our neighborhood health clinics are touched strongly, all most $50,000,000 bond because the clinics need the capacity to help with

mental illness as well and this is a theme that we are increasingly hearing and respawning effectively by talking with all the partners within the justice system or health system, the [inaudible] needs more facilities for this to happen, more beds and treatment centers and more professional care that our public health providers can provide, so i want to say thank you to the all the airjs that are here reflective of the bond program including the mayors office of disability too because they are out there helping us figure out not only facilities but services that we need along with public health. i have a special guest speaker today, someone who is living here at the hamilton family residence, her name is precious sharia, she a single mother of

3 children 8 years old, 5 years old and 2 years old and the sureara family stayed at the hamilton famry residences for the past 4 muchckt months and needed the service of the emergency care. the good example of the kind of families we want to help but not just help. i know at some point in time when she knows her family is being taken care of, know mrs. sharia will want to be part of that work force, the incredible workforce we are training people to get into the new economy on. let me introduce to you mrs. precious sharia. [applause] >> yes, sir. i lived here about 4 months. the shelter took me in when i was on the street and called every day to get in the emergency beds. i finally got in and then once i

reached my room up stairs it gave me to about june. my kids live in the shelter but they don't realize it is a shelter because they have good programs such as the children program, helping with the homework, they give a dj party on the roof and make it so fun by kids dont know they are homeless sometimes. i like the-they feed us 3 times a day so don't have to worry about that. the shelter has ups and downs, but most of all it is a plus because if it want fl the shelter i would be on the stroostreet and worry where my kids will eat or sleep or give them up. if i'm in the shelter my kids can stay with me. in the streets i wouldn't permit them to live on the streets so probably would have gave them up. i'm thankful and grateful. people

have their different opinions about the shelters. some complain all day but at the end of the day you have a place to stay and sleep and it helps you. i'm starbting chef school tuesday so i'm doing something with my life. trying to make something better and the situation. this is my first time being homeless and from the experience it will be my last because this helped me but i am glad i was homeless because it showed a different side of me i didn't know, the strengths and dpoles goals and think it helped me a lot. sorry. it had so many opportunities. they constantly post jobs or injrj you to do. you can only do so much. hamilton can only do so much if you dont want to do for yourself. me, i'm taking a stand and doing for myself so i won't be here and hopefully i will be a chef so i can cook for the shelter

or homeless program. i will give back to the community as much as i can, i voluntary also. i don't have much to say, i thank god and the thank the people that donate and make this place possible because i see the ups and very grateful and thank you. >> [applause] >> thank you precious and thank you for everything you are doing to improve your life and also take care of the children that you have. as i said for this particular bond, i want to make sure you know if i can simplify it it is 3 words, it about access to good care, it is about emergency response, and about navigating and 33 word i thipgs are reflective in this. i just 79 to say our public health department is incredible partner reponding

to everything that happens in the city and next for tim episteen who is director of sf children youth and families community behavioral health at our public health department to say a few words about how important the bod is to the care we want and access that we want people to have to our healthcare facilities. ken. [applause] >> first i want to say before i start speaking precious told us her cheern use san francisco general hospital mayor all 3 children use the hospital so the connections are clear between what we are doing today and our future and i want to thank the mayor and city for your support for this incredibly important bod for the residence of san francisco. today this bond will improve and expand access to services and medical care and mental

hemth care in the community and community clinic squz san francisco general hospital. it will prurfb or 24 hour psychiatric care that is so critical to the citizens of the san francisco to have a place to go 24 hours a day, 7 days a week. 14 community clinics will be able to build access to behavioral and minuteal health and substance abuse services in the clinics so when you see your doctor in the same place you can get the mental health and substance abuse. the funding will improve access and amountimately help us renovate and build a better and stronger system of care for the children, youth, families, adults and other adults in san francisco. we know that there is a tremendous need for healthal health and substance abuse care and the mayor mentioned. we also know folks

will better utilize the services when it is isn't stigmatized where they have to go to a different place for it. we hope public helths can partner with the cities to build integrated care and using the bond to expand the services. thank the mayor again and the city for your support and public health department is ready to move forward this with initiative. thank you. >> [applause] >> okay, well like i usually said it is time to go to work everybody and by signing this document it sigal ins we ready to talk to the public and got on with it. let's sign this so we can start work on it. everybody come on over. [applause]

>> >> >> >> good morning and welcome to the department of aging & adult services we have the roll call. >> commissioner president james

commissioner serlina commissioner itani commissioner loo commissioner ow commissioner roy commissioner sims please note that executive director is present. >> could i have a motion to approval of the minutes of mark 2, 2016. >> so moved and second. >> location that we approve the minutes of mark 2, >> all in favor, say i. >> i. >> opposed? the i's have it. and that item passes that motion carries. >> we didn't approve the agenda. >> i said agenda. >> we didn't - >> that's what i said. >> you said the minutes. >> i'm sorry what i should have said march 2 agenda we just

approved. >> motion to approve second. >> all in favor, say i. >> i. >> the i's have it. so the that motion carries can i have approval of february 167, 2016 meeting minutes. >> so moved. >> second. >> it's been moved and seconded. >> all in favor, say i. >> i. >> the i's have it. so the puc. >> any general public comment? at this time? any general public comment at this time? hearing none, we'll move to the reports number 5 employee of the month the department of aging & adult services a internal executive director sherry rewill recognize joseph from the office of ihss

yes >> (clapping). >> hello. >> there you go. >> joseph come on up here. >> oh. >> okay. >> come on up and stand here. >> congratulations. >> so i want to say a little bit about joseph just to start off i know we have people from ihss are here to see joseph get honored this morning i'd like to deal with action the program so if the people from ihss can stand (clapping.) >> i want to say some things that ihss is working on right

now that are causing a huge amount of workload should find things offer the past few months the fair labors standard implementation the overtime it is the ruling that says ihss sorry that yeah ihss providers can assess over time that means think our side internally a lot of work and education and providers and recipients a lot of kind of fixing problems, answering questions to our ihss has been diligent in gearing up and getting ready and on february 1st a grace period it give us a little bit of breathing room when may comes we'll get hit hard thank you joseph and your colleagues for the work you're doing on that

and will do so joseph i know you i see you stepping out of your regular roll on a regular basis anything when it comes to providing food for staff with celebrations and the work with the alzheimer's walk i see you unsuspicious and participating as a team member that's fantastic to see i wanted to read to you what the person who sent this in said about you i'll give to i joseph sue is an ihss caring supervisor his 71 he began working the 71 in 1981 and worked for the school district the public works, and then came to