city, and, i mean, part of what i also noticed was the communities that we -- that need the most support, that we need to do the hardest work were also the communities where we had the lowest turn out, and i think that's on us, so as community members, we need to show up. if our expectation is that we collectively need to do the work together to get our kids to where we need to be, so i want to appreciate your willingness to also not start from scratch and build on what we are already doing, because i do believe that there is strength in many of the areas, and we also have some areas where we're weak. and you called a lot of that out, and i want to continue to work from an asset based model and acknowledging when we were actually in the areas that we are doing well, because we -- it always feels like we are

doing nothing, and i want to understand what we will be doing differently, and what you'll need from us to be successful. because the areas -- many of the priorities that you've identified are priorities that we've all identified in the past. they're -- you know, your professional capacity, instructional guidance, you know, transforming mindsets, i think that's actually a new one that is -- is really great to see, the collaborative culture, we need to build a lot more of that, and i'm glad you're calling that out, high quality staff, so there are many things that we know we need, and i want to -- and i'm glad you're -- you're identifying the two ways in which we need to approach this, because there is a lot that we need to -- to recognize, but i want to know -- i just want to understand what we'll be doing differently and what you'll need for us to succeed.

>> so i think for example, in both cadres of schools, there are certain parts of those -- the strategies that are happening, so for example, there may be a professional development around mindsets in two of the schools, but not in all of the schools, so a big part of this will be working with the -- the communities in both cadres of schools, but to establish all of this in a strategic way in both of these cadres of schools, so in the cadre of high gap schools, the three components that you saw will be in all of those schools. so it's really putting them in in a strategic way, but also making sure that they know -- as you've heard from several of the board members today, the resources are there so they're not scrambling to get resources to make should happen, whithis

if you look at the list, i think most schools would want those to happen, but they have to pick and choose from their own budget, and what i'm saying is it's incumbent on me to look at our own budget, but also to go out and raise the resources so that these things are happening at these sites and schools aren't having to come out of their own budgets, so what's different is these components will be in both sets of schools, whatever column that those schools are in, but they will be centrally allocated resources to make sure it's happening in the way it needs to happen for students. >> great, and i think how i -- i'm just trying to also identify what areas i can be helpful, and i think it sounds like we're going to be needing to do some fund raising outside of what we already do, as well as think about other resources that are available, and so that's an area i want to understand. >> absolutely, that's one --

that's one aspect, that fits in, when those times come or those calls come, because this is going to take major resources. i'd say another thing, though. i want to say that in doing this research, in getting to this place, one of the areas that was really helpful for me was not only doing this research -- research, but was helpful from ali and especially amanda ti amanda dickie was the ability to see past efforts in the city around this issue. in looking at the history that's provided and seeing where those efforts either went off the track or went off the rails or energy around those efforts suddenly dissipated, and i -- i will say this: one of the things that was common around those efforts not being

able to succeed was when for -- you heard sometimes it was around politics, but what happened, really, was you saw adults beginning to bicker and argue and fight with each other, and name calling and -- you know, i'm just going to put this out there. i'm a transparent person, so let me tell you what i'm going to do. beginning tomorrow, i'm going to roll up my sleeves, and if people want to argue and fight, they can do that above my head while i continue to move this forward, because i believe it's the right thing to do for our children, and i believe it's going to make a difference. but what i've seen is that bickering is what took all of these efforts off the rails, so i'm agreeing wholeheartedly with commissioner cook in you can roll up your sleeves. this is going to make a difference for kids. my track record has

been to do just this: to come in, to listen. i don't believe in coming in and making major decisions without learning what works and what doesn't work, and then, after beginning to learn that, beginning to roll up or sleeves and moving forward together. if you want to come along, i'm down for that, and you're going to come along with us and make this happen for kids. this is going to happen. i know people who have seen this or heard this have seen past efforts, you have a right to be skeptical, but i know my track record, and i know what i believe. i grew up in hunters pointe, went to school in hunter's pointe. when some people don't have

believes believes in our children, i know what they can do, and i know what high levels we can achieve at. at that time that i was there, the adults were accused of taking the test for the kids. but that wasn't happening, what is happening was kids were achieving at high levels, and the sad part for me is when the name calling starts and you know i'm going to be real with you, i'm going to be transparent with you, it started tonight, people got up there and started to attack -- well, we'll take some people off the rails. it won't take me off the rails. it may be a distraction while i get the work done. if you want to do that, you can go ahead, but i'm telling you this is going to happen, it's going to happen for kids. you asked the question -- i'm going to rant for a minute, but you asked the question, what can board members do? it's every thing possible on making

this effort happen for the children who so richly deserve to have this happen for them. gl so ju >> so just a couple of more comments. several times we heard that there was a question about our commitment, and i just want people to be clear, so that there's no question, that all of us up here are committed to our young people, particularly those that are most vulnerable, and we each committed to many ways to improve the out comes of our students, and you've heard for many of our leaders, the same problems that existed 40 years ago still exist. the social issues that plague our communities that isolate our families and support our cycles of poverty, and our work has to be a holistic approach, and that's what i'm hearing from you, dr. matthews in that

we cannot wobe the only ones tt work to help our students be successful. i want to publicly say that i do have a conflict with innovate. i find your aggressive approach unproductive, and your inability to learn more about our district and our communities, and it's not an environment that i support, that i will put myself in, our staff, or my colleagues, and the unity of our work and willingness to come together is critical. work with us, and as districts continue to go under we continue to expand our opportunities for young people, we tap into every resource that we have in our community. people work closely together with us, as work as part of a collective and not against us or pit families against each other. and we continue to expand these opportunities because we believe in equity,

and we do all of this work through anecwhich toe lens, and this work is hard. this work is really hard, but we're here, we're away from our own families, and our kids are our kids, and i will keep working really hard for them. i'm on the side of the superintendent, and i will stay focused and make sure that these interactions that we're going to be going forward with on these strategies will not go off the rails this time. thank you. >>president walton: thank you, vice president men do mendoza-mcdonnell. i don't want to repeat most of what my colleagues just said, but i do have a few things, student and educator relationship being the most important relationship in our schools. that is the reason why i pushed very hard for dr. matthews to be the superintendent of this district because those were his statements in our very long marathon of interviews. the

student and educator relationship being the most important relationship in our school system, and if we provide the supports to make sure that that relationship is successful, then we will be successful. i want us to all remember that as we continue to push through this work that we have to do, and i say we because it is a we thing. slide 31, when we talk about good to great and not accepting average, also, it lets me know that the superintendent sees that we have a long way to go. we can to yut many things thate do successful as a district, but we're missing the mark with our most vulnerable students. we know we have a superintendent that understands that, and we have strategies in place to address that, so i just want to be clear that we understand that as we focus in, you know, as we talk more about good to great, there's also

this thing about having the right people on the bus. it's one thing, it's not just about people on the bus, but it's the right people on the bus, so everyone in this room as we focus on that student educator relationship, it's important for us to all be on the same page. also as we look at slide 33, when we talk about the inequities that exist at sites, and i'm going to say this, i'm going to always believe this, and superintendent knows that i push on this every time, we have to stop just fronting based on perpeople allocation, we have to stop just funding based on attendance numbers at schools because that inevitably takes resources away from our schools that need our supports the most, so we have to leverage other alternatives and other resources to make sure that even if enrollment changes and shifts at our schools that need us the most, we don't

penalize and punish those students that remain there. what i don't want to happen is our schools, like mlk, and i see the principal -- i don't want them to be penalized for the successes. i don't want them to be penalized for their successes. these are schools that are doing tremendously changing. i want them to stay on our list because we can't penalize schools for being successful. they become successful, and then, we say they're off the raid or and off the list, that has been problematic for me and always has been. we also have to work better, and i'm glad to hear our superintendent talking about other resources and other le l

leveraging, because we do have to work successfully with our cbo's and public schools. our cbo's do better because of the work with community, because of the support with community, and because of the support of surrounding organizations that work well within the schools, and i'm not saying every organization needs to be in the schools. everybody knows -- i'll be the first one to tell you that every organization does not deserve to be in schools, but we do have great organizations that are doing very well with our young people, specifically to the people that we're talking about. so when we talk about college prep, these are organizations that are doing great work with our populations of student, first generation college students, students in poverty; third through fifth grade, these young african american

and latino males. it's important. when we talk about sparksf, when we talk about leveraging community resources agreements, those are the types of things that we have to do, and those are the types of things that we work on at a policy level, 'cause the work happens outside of this room, by the way. we can have a hundred people in the room every second and fourth tuesday, and i'm glad to see that. this is very important and i'm glad we have people here tonight, but this is a 365 days a year type of work, so we also have to stop just being reactive. we see reports, we get excited, we get upset. we're in the trenches every single day. that data as you said hasn't changed for decades, so we have to keep that same enthusiasm every single day. i'd love to see you here every single second and fourth tuesdays, but i know you all

have families. but we cannot do this work alone. we have to do the work together to be successful. so the last thing that i want to say is we have some plans in place. like commissioner haney. we do need to make sure this work is resourced. we will be in school sites, we will be in schools, and by the way, i meet with everyone, so everybody to say that i won't meet with them or haven't met with them, it's actually not true. everybody knows me. if i call me, i've met with you. now if you meet with me, and i don't agree with your philosophy, then i might not met with them. people say i haven't met with them, but it's not that i haven't met with them, it's that i don't agree with their philosophy, so i won't meet with them again.

if you've ever e-mailed me, you've gotten a response back from me. it may not be the response that you like, but you've gotten a response back from me because i know what i got elected to do, i am fair and equitable, and i do provide access, but somebody said we don't want to play games, i'm not going to play games if i think what you have to offer is not going to benefit the students that need us the most. we are going to continue to work hard, we have a superintendent that is dedicated to this work. there's not a district in this country that calls out black students, black student, black student supports more than we do. that's not enough, and i'm not saying that's enough, but i am saying we recognize the problem and we're working on it, and we need our community to work with us 24/7 on these outcomes. our principals that are here today, our teachers, our administrators that are here today working on our schools that have been demonized in

some aspects, i want you to know that i love you. i love working with, and we're going to continue to work together. we might not agree on everything, but we're going to continue to fight together, and i applaud you for all of your hard work in our district, and i thank you for being here with us this evening. with that said, i believe we've heard all public comment on this item. superintendent, anything you want to close out with moving forward. >> just want to read a statement -- >> can i make a comment? >> and dr. brown, you're right. like commissioner haney, i agree 100% with this state of emergency. i personally think we've been in a state of emergency for a very long time, but i personally agree with the state of emergency. and the way you understand that we hear you, the way you understand this state of emergency is very real is by the way we're going to do this work on a daily basis.

it's been a state of emergency for a very long time, and like commissioner sanchez stated earlier, it's going to require the board of education, it's going to require the board of supervisors, every elected leader, every community leader in this city to work together, so consider a state of emergency declared, consider a response by a superintendent in this district and how we're going to address that continuously day-to-day, consider the growth and the changes that are happening at mli -- do you know vis valley middle school had to hire more teachers because they had too many sixth graders? i wish i had more time tonight to give a dissertation about all the things that are happening. this work is for all of us together, and you can consider

this state of emergency declared, and you can consider us ready to fight hard and work on that state of emergency. superintendent? >> just want to end with a statement. you got it from mr. dickey this afternoon. this is from ron edmunds. we can, whenever and wherever we choose teach all children whose schooling is of interest to us. we already know more than we need to do that. ever whether or not we do it must depend on how we finally feel about the fact that we haven't so far. >> thank you, dr. matthews for this report and for your vision. section f, public comment on general matters, there are no speaker cards for public comment this evening. dr. brown? >> i've already been called

discriminatory because i -- >> there's one room that's never failed, and that is room for improvement, and i will commend you mr. president and the superintendent and all the commissioners for having the courage to say we're going to fill that room, and we're going to be in the community, pitching. reverend walker is in the house. reverend townsend is back there, and earlier, reverend michael gilmore, and several other faith leader who could not be here tonight. always remember, historically and socio logically, the black

safety movement is the black community. all we have to do is lean on some faith quotient to make it through the held in this country that we've been through. since we're in this age of trumpism, doesn't even know that frederick douglas is dead, and also his secretary of education has stated that historically black colleges were the first experience of choice for us. it wasn't a matter of choice, that is all we had, and i recommend you read the book by andrea williams up there at harvard when she talks about self-determination and the desire of blacks to be educated it underscored, documents that our forebears literally dug

pits out in the woods, and they called them pit schools, and through reading the bible, and by counseling, light, and candles, they educated themselves. don't let nobody tell you black people don't want learning. it's been our escalator up to higher things out of this pit of racism in these united states of america, so again, the audience ought to give you all a big standing ovation for what you've done here tonight, and we are on our way working as a team, as partners, and we're going to have each other's back, and we're not going to let go until victory is ours. thank you, mr. president. >>president walton: thank you,

dr. brown. thank you, everyone. section g, special arrested of business, may i hear a motion and a second to the annual five year report relating to collection and expenditure of developer fees? student delegates are excused. i want everybody to know i tried to excuse them, but they wanted to stay here and be heard and also respond to the report, so thank you so much for being here so late here this evening. >> i'll move the item, item g. >> thank you commissioner noert on. >>president walton: second. >> it's been moved and second. clerk, please read the designation to read the recommendation into the record, and we're actually on the annual five year report relating to developer. >> clerk: so reading this item into the record will be our

acting chief facilities officer. >> thank you so much for being here this evening. we will be here a lot longer. could you please try to exit just either keep it down so we it finican this meeting because we will be here a while, but we do appreciate you being here this evening. >> good evening, president walton, commissioners, superintendent matthews, colleagues, and members of the public. next to me sits ruth simon who facilitated the information for this report and will answer your questions. the requested action is that the board of education of the san francisco unified school

district review and adopt the developer impact fee annual and five year report for the fiscal year ending june 30th, 2017. the attached report dated october 24th, 2017 relates to the collection and expenditure of the developer fees. it was prepared for the district by cooperative strategies, llc, a consultant who has experience in preparation of such reports. we begin with balance on july 1st, 2016 with 57,570,000. we ended the balance on june 30th,

2017 with 35,915,000. the amount collected during the year was 10632,000 with interest earned, 258,000, total 1 0rks 0, 890,000. the expenditure is on schedule a with developer fee, we funded 42 school projects. these are the highlights of the report, and we are open for questions. >>president walton: thank you. if there are no -- there's no

public comment on this item this evening. colleagues, any questions? no questions -- commissioner mendoza-mcdonnell? >> thank you. can you just remind me what we do with these funds? >> we fund school projects, actually, the -- the laurel high school new building was funded from developer fees. this -- we spent on this building more than $10 million. the new building will be funded with developer fees, and our schedule a listed 42 other projects funded with developer fees. >> can i ask, so when we have situations like -- like we did yesterday, for example, mr.

leigh, are those situations that -- where developer fees can be utilized? >> commissioner, is that the -- can you -- that was today, actually. >> it's been a long day. >> it's been an awful long day. >> wow. >> so the -- with reference to that sort of emergency with the water main, so i would say two things. please jump in if i get this wrong. one is that -- that particular incident was not a responsibility or deficiency relating to our assets, so that's a -- that was a city utility, so that is probably not something that we would spend any of our resources to repair, and so if it had been something that was within our -- in our possession, i think the key

distinction is developer fees are to work on capital improvements related to additional seat capacity for our -- our portfolio of schools that is being tested, you know, because of limitations, is that right? >> yes, developer fee 25 is used for school growth. we able to fund new buildings, new programs, but otherwise this fund is restricted. we're not able to use developer fee for defer maintenance. >> so the pipes are out of the question. >> i would mention one thing that we may consider, and the board may consider in the future is ut williziilizing soe fees to be collected for the

art center project. i think that would be a permitted use for developer fees? >> yes, this is extension of the art program. >> all right. thank you. >>president walton: thank you, commissioner mendoza-mcdonnell. any other comments? roll call vote please. >> clerk: [ roll call. ] six ayes. >>president walton: thank you, miss casco. may i have a tentative motion -- [ inaudible ] local 21. >> moved. >> second. >>president walton: thank you so much. mr. sgarlato, i believe you're going to read the resolution into the record. >> yes. good evening, commissioners and superintendent. before i want

to read the recommended action, i want to make one correction. the subject is the the tentative agreement between the district and the international federation of professional technical engineers local 21, so as you can see in the local recommended acts -- [ inaudible ] -- please cross that out and replace that with the international federation of professional and technical engineers, ifpte local 21, so i'll now read the recommended action. approve the attached tentative agreement between san francisco unified school district and the international federation of professional and technical engineers, ifpte local 21, and the related public disclosure document. >>president walton: thank you, mr. sgarlato. no public speakers signed up. any comments from colleagues?

hearing none, just want to thank you so much for the work on making this happen. we're excited about continuing to move forward, and we know -- we know how much work you do, so thank you. role call vote please, miss casco. >> clerk: thank you. [ roll call. ] >>president walton: so moved. >>president walton: thank you so much, mr. sgarlato. >> the recommended action is that the board approve the attached tentative agreement between the san francisco unified school district and service employees international union local 1021 and the related public disclosure document. >>president walton: thank you

mr. sgarlato. i was going to say seiu local 1021 was here to speak earlier, but we've had a long night. yi'm not trying t speak for them, but i wanted to say they were here. commissioner cook? >>commissioner cook: i don't want to say too much, but seiu 1021 had some other challenges, and i really do commend the hard work, because i know it was tough, and i know this group is so valuable to towour schools, so i'm glad we settled on this. >>president walton: thank you. roll call vote on this please, mr. casco. >> clerk: thank you.

[ roll call. ] six ayes. >>president walton: thank you so much. section h was taken before item f, public comment. section i, consent calendar, section removed before previous meeting. there are none tonight. section j, introduction of proposals and assignment to committee. there are four this evening. all personnel work related injuries, sale and disposal of books, equipment, and supplies, board policy 0460, local control and accountablity plan, board policy 5145.3, nondiscrimination harassment. unless i hear different from legal counsel, all four board policies are referred to rules, policy, and legislation command. thank you, may i hear a motion and second for first reading to these four board policies. >> so moved. >> second. >>president walton: thank you

so much. let the record show miss casco. section k, proposals for immediate action and suspension of the rules, none tonight. brief board member reports, standing committees, ad hoc on personnel matters and labor relations and portablity. >> thank you so much. rules, policy, and legislation. >> i reported out for the policy measures earlier. the legislation in further support of reducing -- [ inaudible ] the next rules committee is december 4th. >>president walton: thank you for all your work on the resolution with all the committees, and with the team and the district of budget and business services. >> we heard the -- the kipp high school petition and we forwarded it to the board with

no recommendation. we had informational updates on the free and reduced maeal applications and the process for student attendance accounting, and then we looked at our restricted general funds, and then we reviewed a fiscal impact analysis of the -- the resolution in support of further reducing sfusd assessments. >>president walton: thank you, committee of the whole, tuesday, november 7th, commissioner mendoza-mcdonnell. >> thank you. we had a great update on the safe and supportive schools and what's been happening related to that, and then, we did a report on the revisions to the board policy 5101, students sign, which we voted on this morning. >> curriculum and program, commissioner norton. >> yes, the curriculum and program committee met last

night. we forwarded to you, as i engs med earlier, the resolution on reducing assessments with a positive recommendation. we also heard a really interesting record on the update on the school of the arts outreach plan. they've made a lot of progress, actually, after the resolution two years ago. principal payne was on hand. they've got a common audition policy that all of the -- the arts leads now are implementing that take care of a lot of the concerns the board has had in the past. they've had great interest in the summer program. there still are concerning data. it's not a diverse school, and there's more that we can and should do about that, but i think we were -- i was pleased

to see the progress that they've made. and then, we had a report on the new teacher induction, which i was really glad to hear. we've actually really extended that program in recent years with resources from the department of education grant. we're in the second year of a three year doe grant. who knows with the current doe, what will happen after that, but the staff is to be commended how they expanded it. it's really working, so that's my report. i'm cancelling the december meeting, so the next meeting of the curriculum committee will be december 14th. >> thank you, commissioner norton, commissioner cook? >>commissioner cook: we met, personnel labor relations and

affordablity met on october 26th. we heard an update on the proposed parcel tax, and the next meeting will be november 30th. >>president walton: thank you, commissioner cook, and i just want to reannounce that commissioner norton and i did do a committee switch, so i am now on building and grounds, and commissioner norton is now an ad hoc personnel on affordablity. it was announced at the last meeting, but i just wanted to publicly announce that again. seeing no more announcements, vice president mendoza-mcdonnell. >> building and grounds for november will be cancelled, and we'll meet again in december. >>president walton: thank you, vice president mendoza-mcdonnell. section m, other informational items... nothing -- commissioner

mendoza-mcdonnell. >> before we do that, there's a couple of acknowledgement i wanted to make related to them that have happened. i just want to thank everyone that attended our spark sf g l gala. for somebody that worked on it, i just thought it was a really great, great opportunity for -- it was almost like the superintendent's coming out party, and every feedback that i heard or that i got that evening and for weeks after was really positive, and people have asked us to do it more often, and they've also asked if we would do something bigger, and so i will leave that to the spark board to determine whether or not they want to go on, but i think it was really just a great opportunity for us to build the relationships that we know exist in the city, and for them start to see the beginning of the vision for our new superintendent, so thank you to

everybody that attended, thank you to everybody that's given, and thank you to the superintendent for being a real sport around that. i wanted to also acknowledge you speaks fundraiser, but more important, their executive director james cass has stepped down after 20 years. he's the founder of youth speaks, and he contributed tremendously to so many young people, many of whom are in our district, and so thank you james cass for being an amazing leader for youth. also wanted to acknowledge the many people that have been coaches for the peer resources pitch competition that's going to be coming up tomorrow, so several of our high schools are going to be pitching ideas on a challenge that currently exists at their schools, so i want to say go lincoln high school, who's been my high school that

i've been coaching. and then lastly, i just want to thank sf force.org and the whole dream force team that continues to support our young people. we had about 225 of our middle school students. every year, we bring out middle school students that have been engaged in the mayor leadership initiative, and they get an opportunity to be a part of dream force, and it's mind blowing for so many of them. they get to -- whether they sit in on these amazing conversations or going into workshops or hangout, you know, in the middle of howard street in a camp like setting, and i just wanted to acknowledge the opportunities that many of our kids had this last week to go and attend and to thank dream force for -- for their continued support and for exposing our young people to

what -- what could potentially be their future, so thank you. >>president walton: thank you commissioner mendoza-mcdonnell. section n, memorial adjournment, there is none this evening. section o, the board will >>president walton: 2017, i move we accept the recommendation from the panel or not. need a motion. >> i make a motion for the recommendation for the panel. >> yes, i'll move. >> so moved. >> second. >>president walton: thank you, so it's been moved and seconded to accept the recommendation from the panel in case number 2017, and properly seconded. roll call vote, miss casco.

>> clerk: thank you. thank you. [ roll call. ] >>president walton: thank you, miss casco, and closed session readout for tonight's meeting, november 14th, 2017 in the matter of one case of anticipated litigation, the board, by a vote of five ayes, two absent, marase gives notice of consent to counsel. there are no other items on the agenda, and this meeting is adjourned. [music]

>> san francisco city clinic provides a broad range of sexual health services from stephanie tran medical director at san francisco city clinic. we are here to provide easy access to conference of low-cost culturally sensitive sexual health services and to everyone who walks through our door. so we providestd checkups, diagnosis and treatment. we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a

range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std

diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the back and meet with a healthcare provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. recommended both by the cdc, center for disease control and prevention, as well as fight

sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to

me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear

and i also informed the contraceptive method. accessibility to the clinic was very easy. you can just walk in and talk to a registration staff. i feel i'm taken care of and i'm been supportive. >> all the information were collecting here is kept confidential. so this means we can't release your information without your explicit permission get a lot of folks are concerned especially come to a sexual health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. >> trance men and women face really significant levels of discrimination and stigma in their daily lives. and in healthcare. hiv and std rates in san francisco are particularly and strikingly

high were trans women. so we really try to make city clinic a place that strands-friendly trance competent and trans-welcoming >> everyone from the front desk to behind our amazement there are completely knowledgeable. they are friendly good for me being a sex worker, i've gone through a lot of difficult different different medical practice and sometimes they weren't competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. i have been coming here for seven years. when i come here i know they my services are going to be met. to be confidential but i don't have to worry about anyone looking at me or making me feel less >> a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. we have some testing with you on site. so all of our samples we collect here. including blood draws. we sent

to the lab from here so people will need to go elsewhere to get their specimens collect. then we have a few test we do run on site. so those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. people get those results the same day of their visit. >> i think it's important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. >> on-site we have condoms as well as depo-provera which is also known as [inaudible] shot. we can prescribe other forms of contraception. pills, a patch and rain. we provide pap smears to women who are uninsured in san francisco residents or, to women who are enrolled in a state-funded program called family pack. pap smears are the recommendation-recommended screening test for monitoring for early signs of cervical cancer. we do have a fair amount of our own stuff the day

of his we can try to get answers for folks while they are here. whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. >> in terms of how many people were able to see in a day, we say roughly 100 people.if people are very brief and straightforward visits, we can sternly see 100, maybe a little more. we might be understaffed that they would have a little complicated visits we might not see as many folks. so if we reach our target number of 100 patients early in the day we may close our doors early for droppings. to my best advice to be senior is get here early.we do have a website but it's sf city clinic.working there's a wealth of information on the website but our hours and our location. as well as a kind of kind of information about stds, hiv,there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for 15, 40 75500. the phones answered during hours for clients to questions.

>> >> >> this is maybe our 10th year hosting an annual turkey giveaway. but it has been so wonderful to partner with the pay your's office and the rest of the city departments to really expand our capacity across the city. once upon a time, we were only able to serve maybe 500 to 600 families and now we're talking about 3,000 across the city. [cheering] >> a lot of people need our help. so we'll help them.

and we're positive about that. and we have all of these great volunteers from mission housing and i want to say thank you to them and the housinging authority for their staff today. all coming out and giving that personal touch to redents of valencia gardens. look, it is happening on every one of our sites that have public housing residents throughout the next 24, 48 hours. so, thises all about us giving back to the people that we care about and helping folks have both a safe and enjoyable holiday. >> how'd we do? >> i'm so excited. this is the fun part of the job where i can help people have a great thanksgiving. it is so wonderful from foster farms and the city family is all here today to share. because we're all in this together. we're a city where we all care about each other. no matter where we come from,

oer what we have. we're all here for each other, to take care of each other. >> thank you! come on over. >> we're all partnered together to give back. thank you again. we're very much grateful to be part of this. >> happy thanksgiving. >> have a happy thanksgiving, meal time. but most of all, let's give to each other the humidity that we all want and deserve. >> i just want to remind everyone about compassion and care as we roll into these holidays. we're really doing this for families. and we want to build strong families across the city. this is one of many events that we continue to do and we look forward to our toy giveaway and tree giveaway as well. thank you. [applause]