the, you know, frequent problems we encounter and our investigations, and it was good to hear ideas and realize we're not alone in our struggles. update on an investigative caseload, we were only able to open one investigation. we have, again, 29 matters pending review for dismissal. so we went -- our staff investigators are doing a great job getting through materials and we're hopeful that we'll be able to clear out anything older than -- what month are we on? we're looking at older than 18 months or so. so probably we'll get done within a year. i asked staff to prioritize the investigations that are older than a year, so we can get down to under a year in complaints. regarding the bureau of revenue, looking to move our cases toward

execution. i will say that in december, i attended a meeting of the creditors for lynette sweet, who owes the city $74,000 as the result of an order that this body imposed on her for misused finance funds. it looks like we have a chance of recovering as a result of that proceeding, but we learned that a lot of other debtors are owed money including the i.r.s., which has priority. so we're not higher priority than the i.r.s., unfortunately. so we'll monitor that and appear at hearings for the city. pay-it plans are up to date. and on pages 5 and 6, you can see our customary charts that list the caseload statistics in

graphic form. i will take any questions. >> commissioners? >> commissioner chiu? >> yes. in your write up, the new york city campaign finance board, the director talked about using data to investigate and uncover wrongdoing. is that something that we could do here? >> i think so, yes. we track and require disclosure of a lot of the same information and we dump it into a portal called s.f. open data, where we can put in criteria and search. to some extent, my investigators are doing that already, but i did get ideas from that speaker of what to look for and the data and she gave a couple of examples to get at dark-money

usage and coordination among campaigns. i was excited about that presentation. >> great. i hope we can also take advantage of those red flags and their experience and hopefully there won't be, but to use that to our advantage. >> yep. >> we'll take public comment on this matter. >> sorry to be so talkative today. i wanted to thank staff for moving so forcefully on the lynette sweet matter. this was a 2010 public financing report that we extended to ms. sweet for the board of supervisors. it's been in away -- abeyance

far too long. obviously now the matter is in bankruptcy court. i had a question -- since these were public funds that were absconded in part with, have we submitted to the court that fact and that as a result, has it put us closer to the i.r.s. than not? because otherwise, public funds may have been lost? [inaudible] >> secured creditor of highest priority. and we're not. the municipalities are not in the bankruptcy code specifically. we're a general creditor, the same way as anyone else. >> this is a u.s. court. >> u.s. federal court for

bankruptcy. >> at least we'll get due process, one way to view it. thank you very much. >> any further public comment? okay. if not, we'll move on to item 9. discussion of the executive director's report. >> thank you, chair keane. i have a brief report summarizing some of what you heard from director bloom about our attendance at the conference. it was exciting to have a strong measure of staff that were not just passive participates, but shaping ideas. so we look fehr ward to the idea to send additional staff to additional sessions in the years ahead. i did want to highlight one note of a report that we were asked to submit to the acting mayor's office after the executive

director's report was complete, because it speaks to some victims under discussion today. i will be happy to make that available to those on the commission, but we were asked on wednesday to provide to chief of staff's office for the acting mayor's briefing a continuity of work report. and this specifically asked for three things. one, what were the items where there were key deadlines or mile stoepz that were -- stones that were a priority in the next 30 days, next 6 months and then also 12 months. just to highlight what we provided. in the next 30 days, we cited the focus on successfully implementing our new laws that are operational on january 1. this includes implementation of prop t, lobbyist measure that campaigns campaign contributions from lobbyisting bundling and

giving gifts. and also super peskin's payments reporting by board and commission members. both of these are significant because they were requiring us to complete the technological innovations to enable the disclosure requirements to be in place. steven massie and team have been working to make that happen in a digital format. we also know we need to provide those who are affected by these laws with information so they are aware of and know how to comply. for the next six months, we cited our core initiatives for enactment. in addition to providing election-related compliance guidance to those to the upcoming, under the legislative initiatives we cited two. one was anti-corruption and

accountability that the commission referred, and, secondly, whistle-blower ordinance, that when were helping to move those along. those were the two priority items we noted. and thirdly, election 2018 work, under the leadership of our new programs officer and her team. and for the coming year, we did cite -- they asked for issues or items that were going to require -- that they called potential threats and they other top priorities. and the election of the campaign fund, so it speaks to commissioner kopp's point. we need to assess the fund and make sure that it has adequate funds to sustain levels for june, 2018, as well as 2019

mayoral election, as well as 2018, november election. we'll be working with the city attorney's office and control r controller's office to make sure that we have the bases covered. and also the i.t. development, the technologies in place, and moving along to help convert our paper files to an electronic environment. so we had that in the briefing of the new, acting mayor. and, lastly -- well, two other items. we've made very good progress on the hiring-related work. i will have some very good news to share with you and others about one of our technology positions and tomorrow and this

week we have -- we're focusing on moving the senior auditor and senior investigative position further along through the exam assessment and interview process. so we'll proceed on that front. steven massie, who has been acting as our key on all things technology, was moved into our -- the principal position for that division. it had been reclassified as part of the budget, investigating the expanded technology work that we need to do that's fundamental it all of our work. and we had a competitive position-based or exam-based process for that. as a result of that, steven was the successful candidate and is today moved to an expanded position that recognizes the work and increased responsibility for supervising a

broader number of people. the position he was in will be posted. but there is progress. we want to thank doris laura, who has been working with us under the work order for the past year. she's been very much a good and strong and steady ally in moving the process as far as its come. we'll rely on the department of human resources in the coming months to get them past the posts and get people in seats so we can do the job we know we have to do. >> commissioner chiu? >> director pelham, since we're losing the services of ms ms. lorio, will it negatively impact the ability to fill the seven positions? since there's salary savings from the oppositioen positions, we engage her for another

quarter? >> that's a good suggestion. and we have a meeting to make sure that we identify the needs so we can identify how we need to fill them. we know we need to put resources on them, because when there are exam-based positions, it requires a significant amount of work to accomplish that. our goal is to not let it slip up in any way in terms of priority emphasis. one other note on the budget for the january meeting and now on to february, we would be preparing to submit at the end of february, the mayor's office in early december gave us two targets, asking all departments to cut 2.5% in fy, '19 and fy,

'20. because we're 90% salaries, we have very little overhead it. would require us to lose positions, in my view, we're ramping up. we need to make sure that the people are in their seats, doing the work, paid to do the work and have the tools to do the work. that will be our budget request that we bring forward to you in january. i'm hopeful with the continued support with the leadership from the board that has embraced this, we'll show that we're a good investment for the work and resources that the city has been given us. as we approach the end of the calendar year, i want to convey deep thanks to our staff, who have been working hard to try to

support your process and public information. we have some folks here around this table in the room with us, but i wanted to take a note to say how much we have a terrific team and we're very, very pleased to see the work that's being done. we have a lot of work ahead in 2018. i'm hopeful that you share the enthusiasm. and, lastly, obviously, with the mayor's passing this week, the staff and i spent some time reflecting on publicer is vits and significant lifetime service and we share condolences with his family and staff and we want to make note what he give to the city and continue to be inspired by those that give a lifetime to public service. wanted to end on that note. >> thank you. commissioners?

we'll take public comment. >> i'm bob plantold. some of us on this side of the podium are concerned about the possibility of reduction in budget when, as your director said, trying to ramp up. i think it's still possible to pass the budget at the february meeting if you seek an extension and that's been done a couple of times before by ethics. a meeting on the 16th is close enough to the deadline that's been granted before. and i bring that up because i suggested it may be worth looking at how much progress there's been in the last 1 1/2 years towards reducing some of the backlog of complaints, reducing some of the analysis on

pending legislation and enforcement proceedings and, therefore, saying we still have staff we need to hire to bring all these backlogs to zero to keep us current and timely, to put out a case that 2.5% per year is inappropriate. it would put you going backwards. it would not keep you where you are. it would push you backwards, if you have a statistical report showing what you have gained and what you need to reduce and, therefore, find a way to impress the supervisors to not cut you by 2.5% to 5%. thank you. >> thank you. there being no further -- oh, i'm sorry. mr. bush. pardon me. >> we also want to know on behalf of friends of ethics that we posted on facebook our work

we had done with mayor lee going back many years. that he had supported all the ballot members or didn't oppose the ethics ballot measures. my first time of coming to ethics was about 1992, when he was the chief administrative officer to give a tutorial to the ethics staff about how to monitor city contracts in coordination with the ethics commission. he is a man that did understand and support the work we were doing. in terms of the budget, and looking ahead, as i recall, budgets are ordinances and you would have the ability to put full funding for next year on the ballot in june to take effect on july 1. and so, might want to have that

as a fallback position in the event that it appears that you would reduce the staff or ability to get things done. i certainly support and i think the public will support full funding for ethics. thank you. >> good observation, mr. bush. any further public comment? if not, we'll then move to item 10, discussion possible action regarding status of complaints received or initiated by the ethics commission. commissioner kopp? >> i request a closed session. >> is there a second for that request? >> i will second it. >> motion has been made and seconded. we don't need public comment on that, do we? >> i don't think so. >> all those in favor of the motion? we'll get it anyway.

>> f.o.e. wants to wish you a happy holiday season. thank you for your amazing work this year and how as a unit you have come together so well. and i think the public is aware of what it is you're doing for the city and i think by in large seeing us on tv is sometimes hard, but they appreciate what it is we're doing. so thank you. >> thank you, charlie. >> and have a good holiday season. and while you're in executive session, i hope somebody brings in a box of cookies or something. >> you were going to bring pizza, remember? >> yes, we discussed pizza. >> and i'm sure the chair will deep that germane to item 10 on the calendar. >> yes. christmas cookies

>> back in open session for the ethics commission, decemb december session. is there a motion pursuing to what we did in our closed session? >> i would move that we keep the closed session in confidence. >> second? >> second. >> all those in favor of the motion? >> aye. >> motion passes unanimously. so we then go to item 11. discussion of possible action of items for future meetings.

i think some of the things that have come up tonight indicate things that we'll be doing at future meetings in record to putting matters on the ballot and just listening to what has been said. i would anticipate that in february we would have agendaized putting on the ballot the whistle-blower item and also our ordinance that we passed the last time in -- so that we get it on the ballot, both of them on the ballot in june, and have them effective as soon as possible. the third thing, which did come up tonight and i think it would be important, unless we get an indication from the city, the danger of the pudge the of the ethics commission being cut at

this point when we've been able to protect it so fiercely the last few years, i think, is fairly substantial. we used to be not protected at all under the former executive director. we've done it with the executive director and also indicating from the commission that we would go forward with an ordinance relating to the budget, if they didn't pass our budget. so i think we ought to think about it, but also adding what was recommended by charlie marsteader, in that we put a measure on the ballot in june that the commission be fully funded, because we are now up and running. we're starting to get going, and to have a hole in the budget at this point, would be, i think,

very sad thing to happen and destructive thing to happen. i'm just ruminating out loud regarding things that i would like to see perhaps agendaized for february. commissioner kopp? >> commissioner kopp: i never asked the executive director or you, mr. chairman, about a member requesting an item on the agenda. can that be done outside of our public meeting? >> commissioner keane: yeah. a member can request it and then there would be a discussion between director pelham and me as chair and the likelihood -- i can't see that i would not exceed to that request. >> commissioner kopp: all right. i will defer until the new year. >> commissioner keane: okay. any other discussion on matters

for future meetings? any public comment on that? >> i have one. >> commissioner chiu: wee -- reflecting on the budget, if we were to explore a ballot initiative related to the ethics commission, i would suggest that we explore more broadly. that's not just for this upcoming fiscal year, but that we look at independent funding for the budget, so we won't necessarily always be subject to 5%, 2.5% increase over time, but that's the budgeting process so that the commission could be -- i don't know how it would work and that would be the work to be done, would be to have it it on the stand-alone basis and have approval be -- whether it's through a voting mechanism through the public or a mayor, but some alternative mechanism

that could preserve the integrity of our budget. as i think back to where we started from when i joined the commission, we were sorely understaffed and have been chroniclely understaffed over the last 12 months. we were able to get increased funding, but with the decrease in fiscal year and subsequent year, it would gut completely the strides we've made in building up the team to do the work. and i take mr. plantead's suggestion to use the data to show the backlog of complaints. when we began this work, there were complaints stretching back to 2014 and now we're on the cusp of 2018 and now we don't have things pending from two months ago or two years ago and so that's very powerful evidence

to show the resources that the city has committed to us and mayor lee was instrumental in that. when cuts were being asked for across the board, you know, he didn't mandate that we had to go along with those cuts. and i think that's part of his legacy, is the support for the commission and i would like to explore ways in the upcoming couple of months to see whether or not that support can be institutionalized in some legislative fashion that would help to preserve the independence and integrity and resources to do the work. >> commissioner keane: you made a very important point about mayor lee. ever since we started to emphasize it to him, he's been responsive to that. now we have a new day and

everything starts from zero in san francisco when you get a shake-up like this. and so the new mayor, whatever the board of supervisors's views are, they're not necessarily going to or at all going to reflect what mayor lee's been doing. so these are things, i think, we should definitely do in order to instituti institutionalize what we've done so far. any other thoughts on that? okay. so additional opportunity for public comment on matters appearing or not appearing on the agenda pursuant to ethics commission's bylaws article 7, section 2. i see no public comment. and i suggest, commissioners, that someone make a motion to adjourn and adjourn in the memory of mayored lee.

and the significant loss of his passing. i knew him since the 1980s and he headed the asian law caucus and i was involved with him in a number of matters over the years. and he's someone who made a big difference in record to our community and i would entertain such a motion. commissioner lee made the motion. >> second. >> commissioner keane: all those in favor, aye. >> passes unanimously. best wishes to everybody.

>> i would like to say good morning, but it's really not a very good morning. welcome to the san francisco county transportation authority for today. it seems like it's been a long day already, tuesday december the 12th. i just want to start the meeting by offering our condolences to the family of edwin lee, the 43rd mayor of the city and county of san francisco and share all of our condolences with people of the city and

county of san francisco. i want to thank all of my colleagues on the board, many of whom gathered in the wee hours of this morning at zuckerberg general hospital. with that, our clerk is alberto quintanilla and mr. clerk, if you could please call the roll, we're going to have a very brief meeting and then we are going to adjourn to go have a press conference with our acting mayor london breed on the mayor's balcony. >> clerk: item one, commissioner breed, breed absent. commissioner cohen, present. commissioner farrell, present. commissioner fewer, fewer absent. commissioner kim, kim present.

commissioner peskin. present. commissioner ronen, present. commissioner safai present, commissioner sheehy, absent. commissioner tang, present commissioner yee. >> commissioner sheehy should be named present. commissioner fewer, i spoke to a few hours ago, we'll take that without objection. i'm going to forego the chair support, madam secretary director, are there any items you want to share? any comment on the chair's report or executive director's report. public comment is closed on items 2 and 3. could you read the consent agenda. >> clerk: four to nine consent,

items being considered for approval. staff is not planning to present on the items. >> is there any public comment on item four, the minutes of the december 5th meeting? seeing none, public comment is closed. would any member or members like an item severed, if not, a roll call on the consent agenda please. motion to move the consent agenda made by commissioner yee, seconded by commissioner farrell and on that item, a roll call please. >> clerk: commissioner farrell. aye. commissioner cohen, aye. commissioner ronen, aye. commissioner safai, aye.

commissioner sheehy, aye. commissioner tang, aye. commissioner yee, aye. >> could you please read the next item? which seemed very important a week ago. programming of 6.189 and 4.1 for the prop k. >> good morning commissioners, policy and programming director. last week, at the december 5th board meeting the motion to approve the item did not pass

after considerable discussion at the board. the commission generally agrees with the programming of the funds to the street resurfacing but the commissioners couldn't agree on the second part of the recommendation to transfer on the $4 million in prop k funds programmed to street resurfacing to manage lanes environmental phase. the board requested to see more evidence that the managed lanes would improve congestion without negatively impacting freeway corridors or local streets and a more holistic approach to congestion and other areas of concern. in light of the robust discussion, we have advised staff recommendation to only approve the proposed programming of the state funds to street resurfacing projects and this is a request to approve on first read to meet the state's

timeline of december 15th of when we need to submit the applications to the california transportation commission and we would defer action on the fund exchange to provide more time for staff to complete planning studies and address commissioner's concerns. there's a list of street resurfacing projects funded by the state funds and a map that you can't see particularly well -- yes, you can see it. >> if we were to approve this as revised given the december 15th date, this would be the final approval, not the first read, is that correct? >> that's correct. it would be approval on first read. >> is there a motion? made by commissioner farrell, seconded by commissioner tang. colleagues -- are there any members of the public who would like to testify on this item? seeing none, public comment is

closed. and on the item as revised, same house, same call, the item is finally approved. next item, please. >> clerk: item 11, programming 2.813.264 to the san francisco municipal transportation agency non infrastructure project, this is an action item. >> i want to start by briefly thanking colleague commissioner tang and her staff and my staff who listened to i think very sophisticated discussion we had here a number of months ago. i want to thank tilley chang and the ta staff and miss lafour but particularly commissioner tang, she did a lot of the heavy

lifting. with that, commissioner tang? >> thank you. i echo my thanks to the ta staff and as well amber crab as well. i just encourage our colleagues to look through the packet. there is a revised organization chart where you can see the new structure for the program. so we have decided to move everything to fall under the sfcta because i think it will work more well with the schools and needs brought to our attention and so i think all schools will benefit from this change. we have found a way to address this without reducing any of the funding to the nonprofit partner agencies. i think overall the out come was great and i look forward to continuing the discussion another day. >> thank you commissioner tang. i neglected to thank the mta and

department of public health and san francisco unified school district for really coming to quite a number of meetings and being willing albeit with a little reluctance at first, to restructure this. and thank you commissioner tang. is there a motion to approve item 11 made by commissioner tang. seconded by commissioner yee. any public comment on that item? thank you. thank you to all of the nonprofit participants for your understanding, i know you all got a little nervous at the beginning, but i think you'll see a program that not only allows you and your staff to continue the good work they're doing but will make it a much more efficient program. with that, seeing no public

comment. public comment is closed and on the motion, same house, same call, item 11 is approved. mr. logan, would you upset if we continued item 12? all right. is there any public comment on -- would you read item 12 alberto. >> clerk: update on the transportation network company landscape and regulation in california and across the country. >> is there public comment on item 12? seeing none, public comment is closed. is there a motion to move to the first meeting in january. we'll take it without objection. is there introduction of new items? seeing none, any public item on said item. no. is there any general public comment?

seeing none, public comment is closed and we'll adjourn the meeting in the memory of edwin lee, the 43rd mayor of the city and county of san francisco, we're adjourned. ♪ >> good morning and welcome to the treasure island mobility management agency meeting of december 12th.

mr. clerk, can you call the roll? >> clerk: commissioner breed, breed absent. commissioner cohen. present. commissioner farrell, absent. commissioner fewer absent. commissioner kim. present. commissioner peskin. present. commission commissioner ronen absent. commissioner safai present. commissioner yee, present we have a co have quorum. >> we have a motion to excuse commissioner fewer and seconded by commissioner yee. >> motion to excuse commissioner breed. >> we'll take this motion first, do we need to take a roll call on the motion? that motion passes without objection. commissioner peskin has made a

motion to excuse commissioner breed. we have a second from commissioner yee and we can do that without objection. items two and three. >> clerk: items two and three, information item and executive director's report and information item. >> i want to recognize my colleagues for your service, i will not read out a full report and moving to director tang for executive director's report. >> deferred. >> thank you. you'll post the executive director's report online. can we take public comment on items two and three. public comment is closed. mr. clerk items four and five. >> clerk: four and five compromise the consent calendar,

considered routine. staff is not planning to present but are prepared to present if desired. if a member objects, they can be removed and considered separately. >> thank you mr. clerk. can we please take a motion on these two items? okay. commissioner tang has made a motion to move this forward with recommendation, do we have a second? commissioner yee. and we can do it without objection. item six mr. clerk. >> clerk: authorize executive director transit district, this is an action item. >> we have rachel hyatt to present briefly on the item. >> if you want me to present i

can. >> just a quick summary. >> as we plan to implement service on treasure island in 2020, the committee made a change to strike a reference to the trans bay fare and will work on that before bringing it to the board for adoption. the transit board did adopt the agreement back in june and clarified some maintenance responsibilities and layover facilities in oakland in the agreement. >> thank you miss hyatt. at this time we'll open for public comment on item six. seeing no public comment, public comment is closed. mr. clerk, same house, same call, we can do it without objection. mr. clerk, can you please call items seven and eight.

>> introduction of new items. item eight public comment. >> colleagues any commissions would like to make comments on items or introduce or request items for future considerations. seeing none, we'll open up for general public comment. seeing none, public comment is closed. mr. clerk, are there any other items before the board? >> no other items. >> meeting is adjourned.

>> good afternoon everyone. i'm barbara garcia, director of health. we have mayor london breed and supervisor jane kim. we're so happy to be here today, we're opening a new part of the respite providing services for those who need that kind of support from our shelter system. this respite has been open for over 10 years and providing over 45 beds for those needing support around alcoholism and around another 30 beds for those coming out of hospital who need additional support. these are focused on the shelter system to ensure that those individuals who need more medical support and i want to acknowledge supervisor kim who has been a champion for the expansion, particularly when she spent time in the shelter and

saw that many individuals needed additional medical support. this took about two years to open with the renovation and with the staffing and we're so happy today to be with you to open these new beds, as well as the fact that the staff is there already, we have served over 3,000 homeless individuals in the past 10 years providing the upmost care for these individuals who really need support and provide them the additional support to continue their pathway into housing. at this point, i would like to ask for mayor breed to give us some comments and she has been a big champion around homeless issues and very happy for the respite to be open today. thank you very much. (applause) >> thank you. i want to start by thanking director garcia for all the work that her and her team have put in to really making this dream a reality. supervisor kim has been an amazing champion on this

expansion. and our mayor, mayor ed lee actually had an opportunity to tour the facility. he was really excited about what it could do for some people that we know that are facing challenges, our most vulnerable population. we think it's as simple as showing up to a shelter, but just imagine if you have a medical issue. just imagine if you have a wound or something going on with your body that basically you have not been medically treated for. people who sadly are living on our streets need medical support, too. often times, imagine when we're in the same situation and we stay home and need time to heal, this is what the respite center is going to provide, a place for people to heal, a bed, a safe space, three meals a day, support they need and 30% of the people who have been helped in

this respite center have been permanently housed. that's been amazing. the staff is not only providing the medical care, they're providing the social services that go with helping people transition into permanent housing. our goal has to be to make sure people are taken care of and this is one way to do that. to go from 45 to 75 beds is tremendous. which means we have a larger capacity to serve more people and that means everything for the person using this service. so i'm happy to be here today. i want to thank the staff and everyone who has been active in making sure that this space is not only providing care, but is providing compassion and support and resources because we want to make sure it's a wrap-around service that will eventually help people into something permanent where they have homes

to live and the support they need to be sustainable in our housing market that is so challenging for so many. thank you for being here and with that, i want to turn it over to my colleague supervisor kim who has been a champion and an important part of making this possible. the funding and all of the things we needed to do to get this place open, she was a fierce advocate for that. i want to turn it over to supervisor kim. (applause) >> thank you. thank you mayor breed for being here today. it's a little sad to be here without mayor ed lee. i had fought and advocated for $4 million to expand the medical respite shelter and i remember the day he called me and said he was going to make it an important piece of the budget. while it takes some time for the build up, it's amazing we have

this resource in our city here today. director garcia mentioned why i came to fight for the medical respite shelter, it was because when i was appointed acting mayor, much more briefly, my staff decided i would spend my first night as acting mayor in one of our single adult shelters in my district. in my first night there it became clear to me that homelessness is not just a poverty issue, it's a public health issue. the residents staying there were far oral far older and sicker than i imagined and we're seeing so many brothers and sisters aging in places on the streets. so i worked with director garcia to fight for our adult shelters and to see what the nurses are doing every day at sanctuary,

next door, they are doing god's work. our residents need to see a nurse every single day and need the medical attention they can get at the shelters. the expansion of a 24/7 medical respite shelter is a huge resource in our city. i don't need to tell anyone what we're seeing on the streets today, people are so sick and to have this resource with increased beds and 24-hour attention from doctors, nurses, psychiatrists is how we address homelessness in san francisco today. i want to thank director garcia, who has been an impassioned person working on this and to dr. barry stephen who is not here today and kate shuten and

dr. alice chen. and finally to president breed, who knows -- probably the supervisor who knows my district the best on the board of supervisors, she's in fact the only colleague who constantly asks me of the needs because she knows our residents there. i want to thank you for your support and for your support of a safe injection site. we also have to address substance abuse in our city as well. thank you for being here and i'm incredibly excited to double the expansion of the medical respite shelter here today. (applause) >> thank you supervisor and mayor breed. i'm honored to be able to present our doctor and medical director of the respite dr. kelly egan. dr. kelly egan has

professionalism and compassion in the way she has brought the new respite expansion and all the patients she serves directly. so dr. kelly egan. (applause) >> thank you supervisor kim, mayor breed and director garcia. as medical director i have experienced this program's transformation first hand in recent months. medical respite has served the sickest and most medically complex people in homelessness. in the past we have accepted referrals only from hospitals and now we can accept them from shelters for people who are too sick to stay there and are at risk. i want to put a face for the clients we served. we recently cared for a gentleman with a new cancer diagnosis and he needed a place

to rest and recoup rate. without a bed -- (laughter) without a bed at respite, cancer treatment may not have been an option for this gentleman. and we have been working with a woman working intensely with physical therapy, she can walk and take care of herself now again and ready to go back to the shelters. and we're seeing an increasing aging population among the homeless, people who are cognitively impaired and unable to keep themselves safe. they receive behavioral health, primary care, assistance with medications and referrals to psycho social services such as housing. personally i want to thank the staff of medical respite and sobering who provide the care day in and day out and shelter house street medicine, these are

the care teams that provide compassionate and patient-centered care for our patients every day. i'm proud to be a part of the team. thank you. (applause) >> here are scissors for the supervisor and mayor to share. (cheering) >> we're going to go inside -- >> we're going to walk inside right now. ♪ ♪

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good morning, today is wednesday, december 20th, 2017. this is a regular meeting of the abatement appeals board. i would like to remind everyone to please turn off all electronic devices. the first item on the agenda is roll call. [roll call taken] we have a quorum. next item is item b, the oath.