language pathway, the district total has continued to decrease in the last three years. and we are looking at our systems and protocols to see whether our forms are not being submitted, are their reminders that are necessary. but also at the chooefrment. like -- achievement. are their students ready for reclassification but they are certain barriers holding them back? and we are asking sides to take a closer look at what is holding them back and to provide the necessary supports and interventions to support students. in some cases, it's a matter of available assessment data. special for the basic -- especially for the basic skills set so students are eligible to reclassify. graduation percentage by el classification. this breaks down by english

only. students who are initial flew went -- fluent. so, this is a three-year trend data. we are noticing that more and more students overall by each classification are increasing in numbers and percentage for graduation. and significant increases for the english learner population. linking the data we see and provide to the court to actual practice that happens in the classrooms and in the schools, these are some site based promising practices for spanish speaking el's really with a focus. and it's really based on the rpa conference data conferences they have with school leaders, and some of the notes that they have captured in looking and reviewing the data with their respective school teams. and they also reflect some of the next steps that as a whole district we need to be able to

replicate at every school site that does have a significant population of spanish/english learners. the first one is really immediately identifying el's who need the interventions and providing specifically additional small group instruction with a focus on reading strategies. reading and writing are the two domains that are often holding -- especially our long term el's back. the next one is pretty suring clear expectations. throughout the day despite any teacher transitions, often times that is one of the key components of why one year there's really strong eld and another year there isn't. because there isn't that ongoing continued expectedation that eld must be provided for all of our english learners. weekly two-hour block of grade level planning time for teachers to collaborate on addressing the

needs of el's based on the data. a lot of the teachers feel like they do need more planning time. that has to be part of their schedule and they find a lot of value in having grade level planning time. and sometimes that is one of the key reasons why it is holding them back to really identifying what the key issues and how to change the practice as a grade level team. the last one is school leaders and side base coaches working with grade level teams to increase rigor and instruction by closely studying the state standards. and using focal student performance through out the school year. so, we do know that, you know, not studying the state centers and really understanding what the levelled expectations are for each grade level does hold back some of our english learners because they are not being able to really receive instruction at a very high level. and, you know, we don't want

them to have watered-down instruction. we want them to be able to have action to the complex text and instruction that we are offering are our students but in a but in a differentuated and scaffolding manner. there are some systems in place that we have periodically throughout the school year where school teams are looking at data. but we need to be able to create a system that prompts that more often and having those meaningful conversations so that it's not just once a semester or even once a year that it's actually ongoing and part of the conversation throughout the year. wanted to let you know that this year is very exceptional. we have five english learner audit this year with a focus on english development and parent communication and engagement. this year, we have two audits from the u.s. department of

justice. we just finished one last week. and they're coming back in march and the reason is because this may potentially may be our last year and they are digging deeper to really make sure that we're ready to be released from the consent decree. the bilingual council, which is the council members of the boards appoint, ther also going to be conducting an on site visit. they are very interested in really looking at eld and also the language pathway implementati implementation. we are required to have our own internal oversight committee audit and to do our own spot-checking to make sure we are following all the protocols necessary to support el's. and then in april, we're having this california department of education federal program monitoring and i believe over about a dozen of our schools are

receiving the audit for english learners. so, lots happening. that's all i have for you tonight in terms of the audit. we're open -- i'm open for responding to any questions that you may have. >> president walton: thank you so much ms. wong. any questions? commissioner maurase and commissioner sanchez. >> thank you very much for the comprehensive report. i have two questions. one is in your data that you presented tonight, i noticed there were a couple of groups that were not reflected. for example native japanese speakers or native russian speakers. are there students in those

categories? >> there are. but the numbers are not significant. so we definitely have that data and we can provide the full data set to the board members. >> thank you. and my second question is to what degree are recommendations or the findings shared with the bcc? >> so, the by lingual council received a similar presentation. we have been in discussion with them about our english language development. next monday they are going to be receiving additional information around the status of the professional development that is being offered regarding english language development. and so, it's an ongoing conversation that we have with the bilingual council. >> i would suggest we are seeing

declining numbers. that our parents and our families may have important information that contributes to explaining why those trends are occurring. >> president walton: commissioner sanchez. >> commissioner sanchez: thank you for the presentation. i have a couple of questions. so, the largest sub groups that are el's are spanish speaking students and cantonese students and the results in terms of if you look at site seven for reclassification is much higher classification rate for cantonese speaking students as opposed to spanish speaking students. assuming that all teachers across are similarly trained and committed to students, what would explain the difference between the results? >> there are many factors, but one thing that we have noticed

is that the cantonese speaking staff in these pathways, there isn't as much turnover as the spanish speaking pathways. and we're noticing that because there are more and more new teachers that we are working with each year to sort of bring them up to speed on how to provide english language development and also pathway language instruction. so, that's something that we've tried to provide. through new teacher or yen take and during the -- orientation and during the pathway pd that has provided, the new program that we have within our school district. and the pathway's priority is also really recruiting spanish speaking teachers as well. so, i think that's something that, you know, we're very mindful of, of the turnover and that seems to be one of the significant factors.

>> commissioner sanchez: so, under your recommendations, i don't see stabilization of staff for those students. >> so, the list of -- those are not necessarily just our recommendations. those are actually conference data notes from a principal as they're reflecting on steps their taking. i wanted to reflect data to the practice that is happening at the school sites. >> commissioner sanchez: but your recommendation would be -- >> definitely. >> commissioner sanchez: serving primary spanish speaking students in the pathway models. could another explanation be -- and this is a sensitive topic but it is something i think people should be aware of and discuss is that in many of our chinese language pathway models, students in kindergarten are not touth -- thought 80-90% in that

language and that doesn't follow the district's recommendation for biliteral si pathways. -- if you are being taught mostly in english, would that affect your reclassification rate? >> the reclassification rate, a lot of it is happening at the upper grades. so, we're seeing more reclassification happening at the middle school for the spanish speaking el's. so, i think that's where in terms of the spanish instruction happening earlier and then increasing in english as each year goes by. >> commissioner sanchez: if you are following the model you would expect the students wouldn't be reclassified by

fourth or fifth grade. >> right. and some will actually be until sixth grade. so, there is a difference in terms of the implementation of the models between spanish and cantonese. >> commissioner sanchez: and then in terms of students that are el spanish speaking that are not in the models are outperforming -- >> the data shows that students har in the language pathway receiving instruction over time outperforms the spanish speaking -- >> commissioner sanchez: but not in the elementary -- >> right. we are seeing a lot of reclassification that happens and the higher performance in sixth, seventh and eighth grade. >> commissioner sanchez: this is important to understand because the elementary school teachers have pressure on them to

reclassify by fifth grade, which is neither here nor there. but if the explanation is they are going to be reclassified in the middle school years because they have been in the bye bi-- biliteracy model, then they should be made aware of that. compared to other districts, with latino students in particular, how do we compare in reclassification? the latino students. >> for latino students. i can find that out morement i broke it down by -- there is data that is around district by district or district compared to the state. but i don't know if -- i could try to find the comparison to spanish speaking el's in other districts as well. >> commissioner sanchez: i think that would help us with the state average as well in terms of targets. thank you. >> yeah.

>> commissioner norton: in the past it seems we have gotten data from long term. i wonder if i could share any data on the status of our long term english learners because that has been an item of concern in the past. >> there are numbers of long term el's over time have dropped significantly because we are trying to really zero in on these students that are stuck and providing them with the instruction. we still do have those numbers, but we are really making sure that they are on the road to reclassification and that they're not continuing to be stuck at level three or four. >> commissioner norton: so, not tonight necessarily, but could you share information with the board on that -- that progress? i would like to make sure i'm monitoring that.

>> okay. >> commissioner norton: thank you. >> commissioner haney: thank you for this presentation. so, one thing here looks like over the course of just about two years we've almost doubled our at least increased by about 35 points that -- graduation rate of english learners? that's pretty extraordinary jump over two years. it went from just above 40 to just under 80. is there anything that you attribute that to maybe that we're doing differently at the high school level? i mean, that's extraordinary. >> well, one thing that we did talk about last year when we presented similar data and began to see the trend was that the california high school exit exam is no longer a factor. so, there's that part. and then also our college and career office -- readiness office really has expanded their

extended learning opportunities. especially our new students in el's. so, there's not only extended learning after school, but then there's also summer programming as well. and i think that has played a really significant -- it is an opportunity for students, especially during the summer, to have credit recovery opportunities and develop their english language at the same time. >> commissioner haney: thank you. and kind of have some -- more stronger picture on how we did that because it just seems like a huge jump there. some of the promising practices and i guess somewhat related to commissioner sanchez's point, is there a commitment on how to roll out some of these in a more extensive way and what does that look like in terms of a plan and

funding? is there something that, you know, we're seeing promising practices district wide or we're seeing them in some schools and as a result we want to make sure that we are budgeting to be able to expand some of these practices. >> i think the next step after the lau report and also looking at some of our other reports, the committee that meets monthly will be discussing a lot of these promising practices. and the two priority areas they have had this year and making sure that's actually happening and turning to our language pathways and how to make sure that the models are effective for all of our english learners, but particularly spanish speaking el's given the data. i think out of that, there may be some requests or some shifting of priorities at least in terms of addressing the needs

of our english learners. >> commissioner haney: and commissioner maurase raised this as well on the other languages. but is there a reason we don't fill out like vietnamese or how we look at this data on how they're doing? >> well, the way the data -- we could do this next time. i could provide by languages as opposed to language pathways. so, right now the data is sort of set up that way because in the past it was a strong interest to see how our el's were performing in each of the pathways. so, that's why it is set up in that manner. >> commissioner haney: i think it would be interesting to see because obviously for stream these and arabic there aren't the pathways. but to sort of see in more detail by language. it is right now broken up by language and then by pathway. that would be great to see as

well. thank you. >> president walton: commissioner cook. >> commissioner cook: just on the point about other languages. specifically with vietnamese and arabic. can you speak generally to what's happening with students that are learning those languages? >> they have over the last four or five years actually performed quite well. reclassifying at a higher rate than our other subgroups. so, that so far has been the trend. >> commissioner cook: thank you. >> president walton: thank you so much ms. wong. one thing i know commissioner sanchez actually made my point and asked the question just about with attributing to the achievement and with our cantonese speaking english learners versus our spanish. so, thank you for insight on that and i just echo his sentiments in terms of how we

move forward. and then secondly, when you get a chance, can you just give us a breakdown of what grades student reclassify as you have in the past? >> sure. >> president walton: thank you. anieer questions or comments from colleagues? thank you so much. >> thank you. >> president walton: next item, california dashboard local educators report. >> good evening commissioners, superintendent. john burke from the research planning assessment office. i'm here tonight in my nominal role as the california dashboard coordinator for sfusd and one of the things that as part of -- so, the california dashboard is the new accountability system for california. a new version was just released on december 1st and one aspect of it is that schools are asked to -- school districts are asked

to acknowledge that they have -- whether they have met or not met a number of local priorities. and the six local priorities -- actually four for the district and two additional ones for the county are listed on the page. if you notice they are all direct from the lcfs. they are part of the budget book and the l-cap report and really the actions related to them are very well detailed in the budget. and so, any actions and data reported to them are there. as part of the accountability system, the state has asked us to perform -- use some self-evaluation tools and determine whether we've met or not met our progress towards these. so, i'm happy to report tonight that based on all my -- based on our use of these self-evaluation tools and thanks to all the different departments, budget

department, curriculum instruction, sfusd, we've determined that we've met all of these and the self-evaluation tools though do show where we may have room for improvements and further actions related to any specific measure. >> president walton: thank you. any comments from colleagues or student delegates? commissioner maurase. >> i noticed in the reflection tool that history and social science is an area that requires some attention. can you talk a little bit about what plans are too address that? >> i may have to defer to brent, if he's here. dr. stevens.

>> good evening. plan related to social studies include right now an engagement of teacher leaders around the district at all grade levels to begin reviewing the framework. it is a lengthy thousand-page document that articulates a new set of learning experiences for students. these teacher leaders are engaged in identifying inquiry concepts which will be a new approach to the study of history. they are also engaged in writing a scope for each of the grade levels and will begin to look for instructional materials both free and available digital resources in addition to printed or published materials. we are also exploring a new relationship with the california historical society and introduce california history not only in fourth grade but across all the grade levels as they learn about the world. >> thank you very much. look forward to updates in the

curriculum. [captioner switch]

. >> second. >> thank you so much. this has been moved and seconded. roll call vote on suspension of the rules, please. >> clerk: thank you. commissioner, that was on 171212(a) a.

[ roll call. ] >> clerk: six yes. >> and now we need a motion and second for formal introduction of the resolution. >> motion. >> second. >> thank you so much. so commissioner haney is going to start off with reading of the resolution, but one, i do want to thank our partners with desf as well as the public for working on this resolution with us. this is important as it really just reaffirms our commitment to making sure that we hold our state accountable to increasing spending for education and trying to get to a higher rate of funding for our -- our schools to get us to the point within the next five years where we are number one in per pupil spending in this country, and that is something that we're committed to working with all of you and our leaders

at the state to make happen. commissioner haney? >> urging more per people spending for education in the state of california, whereas in the state of california and in sfusd, we are required to provide a free appropriate public education for all of our students in the district and this education needs to be equitiable of the highest quality and needs to handle the diversity challenges of the students in the district in california, and whereas in its january 2017 brief, california support for k-12 education is still improving but still lags the nation. the california budget and policy center ranked california 41st for 2015-16 using the comparable wage index. the state's 1 is 0,2 # $1 was less than the national average.

although about $2,000 higher than it was in 2012-13. and whereas educators across the nation are underpaid, there's a shortage of teachers and education across the nation is entirely unacceptable, and the only way to increase educator compensation and ensure adequate resources for our schools in our district is to properly fund our education system. >> and whereas according to the international monetary fund, the u.s. bureau of economic analysis and the state department of finance, 20125, california ranks as the world's 6th largest economy, which means it is an atrocity to be at the bottom in terms of our nation's spending.

provide more professional development for educators and school personnel, fund inequities, provide exciting relevant programming throughout the district. whereas the future of our public education is constantly under siege and in the state of california we have a wonderful opportunity to be first in per pupil spending and to demonstrate that we put the education of our students first and continue to set trends in education for the nation and the world. therefore, be it resolved that the san francisco unified school district is requesting our states fully community the kindergarten through community college in the nation by 2020 and as the state, maintain a

baseline in the true spirit of prop 98 of perpupil spending that keeps california at the highest level by the year 2020. and be it further resolved that the board of education, labor partners, student, and district advocates will work hard to push for this proposed funding through resolution through advocacy, lobbying days at the state capital with legislators and other officials. we will work with other major education benefactors to organize resources to reach our baseline goals of being the highest percap at that of public pupil spending. >> do we have any statements from the commission or the board, commissioner haney,

commissioner merase? >> thank you for bringing this to the board. nothing could be more important, and i'd ask that all names be included in moving it forward. thank you. >> thank you. miss casco, remember to add all the names to the resolution. perfect. with that said -- [ inaudible ] >> and we will do a roll call vote, please, miss casco. >> clerk: thank you. [ roll call. ] >> clerk: six ayes. >> thank you all. section l, board member's reports, standing committees.

do we have any updates? commissioner sanchez and commissioner merase, then commissioner cooks. >> rules and policy committee will be meeting january 8th at 6:00 p.m. >> commissioner merase. >> commissioner walton, i'd ask your indwulgs. we had a very rich meeting on ad hoc student assignment, and because we do not meet monthly, i wanted to alert my colleagues to some very important policy questions that the committee will be considering. we will be meeting next on february 8th, and then, on may 3rd, and hoping to recommend some changes on june 12th and 26th at the full board meeting. we have some excellent results in terms of concentration of a single ethnicity. those schools with 60% or more went from 22 to 17, so we are lessening the racial isolation

was the data that was presented. and i just wanted to let you know that students have advanced ideas that will be discussed in committee. one is a tie breaker for graduates from the louie brown middle school, so as you know students at willie brown middle school have a preference -- tiebreaker preference for any high school preference with the exception of roll and lucero, but we were considering if we could include those two. secondly, to consider a middle school preference for elementary schools in the bayview. there was less enthusiasm for this proposal, but we will be

discussing it further. thirdly, a teacher preference is doing an assignment to help recruit and retain teachers, and then, in committee, we discussed the range of that. is it to any school in the district in order to really create a strong incentive to join our team and to the faculty. the fourth idea is to eliminate the transfer mechanism, the swapping that happens. it's very difficult to explain, and families get very upset when some of the swapping happens and they're not aware of the mechanism. and then, finally, we discussed c-tech one changes, taking a deep dive into how we might adjust this census track integration preference. there was an idea of introducing income testing to

determining those c-chip tracks, so i invite my colleagues to engage in this important discussion. our next meeting is on february 8th, and may 3rd, and our goal is to develop well recognized policy regulations. we had a very rich discussion at the ad hoc committee on student assignments. thank you very much. >> thank you dr. merase for that detailed update. commissioner cook? >> yes. we had a ad hoc personnel matters and labor relations affordablity meeting on november 30th. the next meet be will be january 25th, and we went over four very important items. we're going to upgrade our on-line hiring system. it's called the human capital system transformation, and everyone's really excited about it. i am, too. it's a lot of great changes in

terms of improving the process. we've got to update on the teacher pathway for next year. an update on our paraeducator staffing, and the changes that we're making to the civil service, and classify these examinations. i just also want to highlight that staff highlighted through a conversation with a conversation with vice president men toes amcconnell with the city, those conversations have been accelerated since they've been stalled, so thank you for her leadership on that. >> thank you so much. anymore updates? >> i just wanted to announce that the next meeting of the curriculum and program commitly will be on january 17th. normally, it would be scheduled for the 15th of january , but since that is martin luther king, jr., holiday birthday, we will have it that next wednesday at 6:00 p.m.

>> thank you. a >> just wanted to report that we had very successful presentations at the csba annual education conference attended by the superintendent, president walton, and commissioner norton. we -- i presented -- moderated two panels, one on trauma informed approaches, and the second one on new kummer schools. i encouraged my colleagues to look at the professional development trainings that are coming up. there's a two day training in san francisco over the summer, so really happy with the panels that we were able to present and bring greetings from superintendent janet schultz who used to work in our school district. her district in the east bay won their first golden bella ward.

>> -- bell award. >> and we want to thank dr. merase who sat on the committee and helped plan the conference. thank you so much for your dead indication to that wo -- dedication. thank you. section m, other informational items. staff reported -- the staff reported donations for october and november are posted in the agenda. section m, and before i do a memorial adjournment, i just want to let you know right after memorial adjournment, we will have public comment for our closed session item, so we'll do that immediately following our memorial adjournment. as we stated earlier, we did lose the mayor of this great city, mayor ed lee, so as we adjourn in honor of mayor edwin lee, let's please have a moment of silence.

mayor edwin m.lee passed away on tuesday, december 12th at 1:11 a.m. at san francisco general hospital. his family, friends and colleagues were at his side. mayor lee suffered a cardiac arrest while he was out shopping late monday at his neighborhood safeway. susan erlich, ceo of priscilla chan and mark zuckerberg san francisco general hospital and trauma center said the mayor arrived after 10:00 p.m. in critical condition by ambulance and doctors tried to revive him for several hours. dr. lee was born in seattle, one of six children from chinese immigrants. i we he went onto work for the chinese american asian law

caucus. he began working for the city and county of san francisco in 1989, holding various positions before being appointed as city administrator in 2005 by then-mayor gavin newsom. his rise from city bureau kratter bureaucrat to mayor came in 2011 after gavin newsom was elected lieutenant governor. mayor lee, known for his signature mustache and sunny disposition was elected twice by the voters of san francisco. what mattered most to him always was helping his fellow san franciscoans in occasionally delivering an almost perfectly timed corny

joke said london breed earlier today. he pushed through the legislation to raise the minimum wage and more affordable housing. on the national stage, mayor l lee -- san francisco has lost a self-less leader, a dedicated servant to the public, and a tireless bearer of equality's torch, says lieutenant governor gavin newsom. his contagious love for san francisco elevated the city, and he will be missed and loved by all of us. thank you. now, we will entertain public comment before closed session

item by mr. alan yiaung. please to the podium, and we'll allow three minutes. >> hello. good evening again. i'm not sure what to say, but as i said -- mentioned before, i'm really sorry about what happened this school year, but please consider what happened throughout my whole 16 years of teaching at washington high school. and the students that came in earlier, they're not -- i didn't ask them to come. i mean, i just posted a couple of things to a couple of parents, and then they were the ones that said, you should show up, you should show up, and i

really appreciate the students for coming today. but -- and i know there's enough e-mails that were sent, and i've got copies of them. please read them, because they're the only ones that i think that can speak mostly about who i am and that you can consider. and i know that as i've said earlier, words do hurt, but i never had the chance to, like, actually apologize to anyone, so i would like to really -- as we always proclaim, you know, there's a triggering sort of justice of some sort. i would like to apologize to them, and hopefully, my words that do come out will heal what happened at the beginning of this year, so i really do apologize for that. and sometimes i know that my creative mind might not be the -- appropriate, apparently, and i do apologize for that, but as i mentioned before, no

one has told me that sometimes there are things that--because as a teacher, you try to come up with different ideas every year and different ways to teach, and i've always been told i was an extraordinary teacher, and i've never had a bad review ever in my life, so please consider what happened before that and let the parents, especially and others who were speaking for me speak for me, as well. thank you. >> thank you. the board will now go into closed session. thus, i call a recess

>> all right. we now resume the regular board meeting. i will start with closed actions. so the actions from tonight's closed session. first, we have to vote on three items, so one, i move to approve the employment contract between the district and the deputy superintendent of instruction as grade m28 step 9. >> second. >> thank you so much. roll call vote, please, mr.

spiel. >> clerk: [ roll call. ] six ayes. >> next item, i move to approve the contract between the district and the chief of special education at grade m23, step 7. >> move. >> second. >> roll call, please. >> clerk: [ roll call. ] six ayes. >> thank you. i move to approve the employment contract between the district and the interim chief of fund development at grade m23 step 1. thank you. roll call vote, please, mr.

spiel. >> clerk: [ roll call. ] six ayes. >> and now, i will do the readout of tonight's closed session action items taken in closed session in the matter of hz versus sfusd, the board, by a vote of six ayes, one absent, mendoza mcdonald, stipulated to give a payout, and the board, by a vote of six aye's, the board votes to approve suspension without pay and notice of intent to dismiss one teacher. this meeting is adjourned. [mus]

>> 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. >> >>. >> good afternoon, the commission commissioner will please come to order and the secretary will call. >> as noted on the agenda the december 5th meeting did not have a quorum so there are no minutes but there are minutes from the november 21st meeting because they weren't approved december 5th. >> right so the minutes before you foray approval a mo