>> good afternoon. the health commission will now begin. >> i will call roll. [roll call] >> first item on the agenda is at approval of the minutes december 19, 2017. >> i move to approve. >> second. >> any deletions or corrections

pertaining to the minutes? all in favor, aye? opposed? approved. >> director's report. >> good afternoon, commissioners. wanted to start my report with the issue of the flu. the flu season is off to an early start nationwide and california department of public health reports widespread flu activity in the state. we encourage san franciscans to get the flu shot and take other steps. we have flu shots being given at the immune clinics, project homeless, and san franciscans can obtain flu shots at their doctors offices, primary care and pharmacies on a walk-in basis for a fee. in monitoring the flu activity, we've looked at our emergency medical service call volumes that have fallen to the normal range for this time of year. we reached out to hospitals, and

while they're fairly full, they're managing to keep up with demand so far. to date, no reported deaths from flu of people under 65. and we have information on our website regarding this. on issues regarding the federal government and health, i just wanted to -- we're closely monitoring three areas. one is the issue of the individual coverage mandate and the impact on those who will not have a mandate to have insurance and as well as the 340b savings cuts in 2019. and the children health insurance program. i hope to have some review of the three areas and impact and responses that we have for you in the coming meeting of the health commission. also just to let you know, we have been working with st. mary's and u.c. to open up 40

mental health beds. it's an exciting program. mid february will be the opening and we'll send you an invitation for that. that's the end of my report unless there are questions from the report itself. >> thank you. any questions regarding director garcia's report? there's a lot of things on the radar coming up. next item, please. >> thank you. item 4 is general public comment. i'm noting that only members of the department here. so we'll move on to item 5. >> item 5, let's go. mr. pickens? >>

>> good afternoon, commissioners. roland pickens, director of the san francisco health network. it's my pleasure to present to you with the very first update on the network under our newly adopted strategic plan. this slide is one we use in all of our presentations to you and to show where the structure fits. in today's presentation, we'll review four things. first, i will provide you with a brief review of our journey to guide our strategic planning and performance improvement and daily management activities. next, i'll share with you our

current, newly adopted strategic plan, which builds upon and refines the work of our previous plan that guided the journey over the last two fiscal years. third, i will describe how the network is with the greater department of health. and, finally, i will share the status of our quarter one metrics and scorecard. this slide depicts the journey that started in 2012. and quickly spread to primary care in 2013 and then to the network in 2016, culminating in the adoption at the dph level in the third quarter of last year, 2017, with a dph strategic plan and an accompanying ex-matrix.

the ex-matrix is that one-page document, which you have in your supporting information, that cross-references the key elements of our strategic plan. it shows the outcomes and performance measures that we'll measure over the next few years. >> mr. pickens, if i may, and it has an x on the document, just so you know. >> yes. x-matrix, yes. thank you, mark. i wanted to show the evolution from our previous to our current strategic plan. you will remember when i've come up to present to you, we had nine various strategic, key initiatives. one of the things that we did when developing our new plan and i will talk about this later on, was that we narrowed our scope

from nine down to only three strategic initiatives. the ehr readiness, in -- implementing that, and developing our people. and that's been drafted at the dph level and we adopted them at the network. we prioritize aligning care and finances and outcomes. really to recognize the shift in healthcare reimbursement from fee to service to fee for value. so, again, those are the three things that we'll focus on over the next two years. and that's also very complimentary with the work we're doing with the medicaid

waiver and the whole person care. here's the multidisciplinary team that came together this past fall to develop our new network strategic plan. so we had representatives across the network from laguna honda, maternal-child health and central dph, finance, hr and it. on this slide, we begin to see how we've begun to use the same standard tools like the x matrix, which you have seen before, and the sections throughout all of the visions through dph, with the goal of developing one common language

and methodology. and particularly for those of you on laguna honda or jcc, you've begun to notice how we've been using that methodology. so that's across the network and also other parts of the department. and so i put this slide together to show you just another picture of how we're beginning, as we matured over the last few years, we really started at the divisional level dph. now we've done that strategic plan. the sfg is about to do their strategic plan, and so is laguna. so we're beginning our cascading

effect. and then for those divisions to take the priorities and figure out how to implement them. it's incorporating a top-down, and bottom-up approach to strategic planning. so what did we learn over the last two years within the network, as we implemented our first strategic plan when it comes to using lean as a roadmap. first, we need to have more focus on a fewer set of priorities and initiatives that are aligned with the more global dph plan, particularly giving our challenges with reliable data. secondly, we need to have more alignment across the different sections of the network, rather than having them focus on

separate things. we felt it was important to end the other divisions and have some common items we're working on. for example, staff inquiries, and what they've chosen. and, finally, we needed to have a real commitment to fidelity of the lean model. it gives you one of the tools for reporting, but if you don't put it in practice, you don't get the power of the process and not able to fully monitor and see your progress. one of the things we've done is we've reported a lean reporting calendar for the network and it shows which divisions will be reporting on their various true north and strategic plans.

this shied provides a summary of our quarter 1 and our true north metrics. as you can see from the six sections of the network, maternal child health, behavioral, jail health, laguna honda, and dph, we have 47 metrics, which are quality, safety, care experience, work force, financial stewardship and equity. in terms of quarter one data available at the time of this report, we show that nine of these 47 metrics are on target. 20 are off target. and for some that are off target, many of them are not off target by very much, just one or two points. you are either red or green. there is no yellow, so they ended up being red, being

offtarget. and you also notice that 18 show data was still pending at the time of the report or data definitions and sources are still being developed. i wanted to talk more about this. while we've made great strides in improving our ability to capture and report timely and meaningful data, we still have room to improve in this area. obviously, we believe that implementing epic will be one way we can improve our data recording capabilities, also bringing on behavioral health services into the lean process. it's probably the last big group within the department that we still need to spread lean and do education and training with that work force. as we continue to have more and more of our reimbursements based on performance measures and payments, it will provide

incentive to develop more robust data reporting capabilities. so that's just a brief orientation to our new strategic plan and performance for this first quarter. when i come back to you in the next few months with quarter one data, ideally we're on the right track, we'll have more data available. that's our overview. i am happy to take questions and comments.

>> thank you very much for an outstanding presentation and look forward to your additional one and especially some of the variables that you mentioned that you need to look across rather than separate. so well done and thank you very much. >> thank you. >> commissioner? >> i would like -- you're deciding as a network to use common language, it's making sense. finally sinking in better. thank you. >> if i may, commissioners, going back to the cascading lean slide. the one with the picture. there you go. just to note that we now have the full department under this

model. and that we've opened up an office for dph that is working with the other groups. so now it's taken us over five years to catch up and be able to do the work we needed to do as a department. so it's an ongoing process and big learning progress and i would like to thank the partnership that have helped us on the dph oversight of all the work. so now as we fund some of this, we look at how much can we do, particularly as we do the electronic health record. and then the public health side has their own process as well. everyone in the major divisions are working under the lean model, so i wanted to acknowledge that and thank all the leaders to help us from a department-wide perspective on this >> very good. thank you very much. any other questions or comments?

thank you very much. next item, please? >> item 6 the sfdph security update. >> commissioners, this was supposed to come to you in october and it was bumped, due to that it was a very busy meeting, so this report is a few months late. >> thank you. >> good evening, commissioners, director garcia -- >> excuse me. will you speak into the mike or move the mike over? thank you.

>> so i will give an update as far as the development of the security program for dph the presentation will highlight the work that's been accomplished at zuckerberg and laguna hospital and the performance metrics as well as program effectiveness. since this report, we've also developed a security management plan to include performance metrics as well as developing a safety and security committee for primary care and behavioral health clinics. so this slide and the next slide following calls out eight mile stoin accomplishments in the area of security services, training, education and electronic security systems.

so in the area of at-risk response, they've exceeded target as far as at-risk patient response. they had a return of 88%. customer satisfaction surveys are conducted to measure employee, patient and visitors satisfaction with security at both hospitals. 90% and 81% for the year. this year, we began doing surveys for laguna honda residents, just to receive input from them as far as to provide safety in their environments. so where there are electronic

security systems, which is applicable in both facilities here, we want to ensure that they remain operational. on a quarterly basis, we inspect 100% of the system with a target of 98% functional. the overall functionality of a system was 95% and 85%. based on this performance, one of the things we did, we were able to replace the systems vendor at zuckerberg, where we're getting more timely response in regards to any system malfunctions. we're holding laguna honda's vendor -- we're holding monthly meetings, so we hold them to task for functionality. we've added dedicated security system personnel to address functionality.

on a monthly basis, 20 elements of the mou between dph and the sheriff's department are measured as far as compliance, so that reflects that in both hospitals for the entire year. the sheriff's department exceeded the target for compliance with the mou. this chart reflects the crime stats for zuckerberg for three years. and so we have actually a 22% decrease in crime on campus. a lot of that is contributed to the collaboration that we have with the sheriff's department in regards to addressing staffing assignments, increasing visibility and implementation of a security awareness program that encourages employees to report suspicious persons and activity. increased at laguna honda in

crime to 40% through no fault of their own. what we found out is that the data for grand theft of facility property included patients' personal property and that drove the numbers up, which we've addressed that moving forward. the next slides will focus on use of force. 124 incidents where sheriff's deputies used some degree of force to affect an arrest or address risk behavior, risk behavior, that which is displaying a danger to themselves or others. we break it out. 119 were at zuckerberg and 5 at

laguna honda. to give some context, the year prior to this, there were 173 incidents, so compared to 119, a decrease of 33% of use of force on campus and year-to-date, it's been only 58 of these incidents. so on this chart, the chart on the left, you have the type of force, which was used, and you will see in most cases, 88% is what is called physical force. physical force being control, personal impact or physical takedowns. on the right side, you have the demographics as far as those individuals by demographics that the force was used upon. and then down at the bottom on the far right as far as locations, you actually have the highest being at zuckerberg with campus buildings and that

consists of the outpatient buildings as well as the campus grounds outside of the hospital, followed by pes and emergency department. in regards to opportunities and next steps, at both hospitals, there's a huge opportunity to change the culture in regards to calling law enforce kwchment toe no crime was committed. we had 4,000 calls for patient assist or stand-by or restraint. as a result of that, 40% of the use-of-force incidents were against patients. so we started to address this issue by implementing crisis intervention training for direct patient care. we completed the emergency

department. this will assist staff in regards to building competence when it comes to de-escalating risk behavior at the early stage. in addition, also providing that same training for the sheriff's department to give them additional tools as far as how to react with risk behavior in a hostile environment. other measures that the hospital has taken to address this issue include emergency department response plan, address risk behavior prior to law enforcement and a behavioral environment response team to provide the escalated support to the high-risk departments. this is an update of the security program. are there any questions? >> commissioners, if i may, those of you on the jcc know that security updates have been given at those committees as well. the hospitals are hearing their

own data as needed. >> i just want to thank you. it's remarkable how much you've done in the years you've been doing this and to see this kind of responsiveness and this co collaborative work with the sheriff's department. thank you. >> thank you. >> please turn on your microphone. [no audio] >> sorry. just want to say that we have really been impressed by your leadership and the ability to integrate the incidents and data to make a comprehensive review of the situation. if questions are asked, do we

have people from inside the system or are they mostly latino or asian or from this area? all of these things could never really be answered in a comprehensive way because much of the data wasn't there and you've been able to work with your colleagues on the team and all units, whether it be the general or laguna, to really provide us with comprehensive insight. as far as where the situations take place, the type, classificati classification, time, place, situation, so we want to thank you for really updating a system that was a couple of centuries back. thank you for a job well done. >> thank you. further comments? >> thank you very much. >> thank you. >> commissioners, this may be

the quickest meeting i've ever attended. item 7, other business. >> do we have any other business? no. >> item 8, a report from january 9, 2018, jcc meeting. there's a summary sheet in front of you. >> okay. a report that in essence the jcc at laguna honda pertaining to members brought before us. it was an excellent presentation, staff training, etc., and we had a comprehensive review of director price and security at laguna honda, but more importantly, as was shared today, how, in fact, it's linked to our other facilities and institutions, as we take a look at security for patients and staff and our citizens in san francisco. we also went into closed session

pertaining to medical certification and approvals, hires, terminations, etc. that was for december. my colleagues, if you would like to add anything to that. if not, that concludes the joint conference committee for this commission meeting. next item? >> item 9, agenda calendar. on february 6 and 20, there will be two budget hearings. please let me know you will not be attending, for quorum issues and who needs to be updated on the side. that's all i have for the calendar, but it's before you if you have any questions. otherwise, it's adjournment. >> just one thing. i want to see if we can add an

item to get an update on insured in san francisco, because there's new articles that just came out and said that last year there were actually an addition of 3 million people added in the united states. if we're ahead of the curve, i would like to know how ahead we are. >> we'll incorporate that into the mandate. >> thank you. >> yes. >> before we adjourn, i would like to recommend that the commission adjourn in memory of dr. matilda crim, who passed away today. she did tremendous work along with elizabeth taylor and others in research and advocacy at the

early days of the aids epidemic. she did so much to address stigma in communities of color and she was a hero. >> second? all in favor, aye. we're adjourned in her memory. any further discussion or comments? welcome back, everybody. happy new year. is there a motion for adjournment? >> so moved. >> second. >> all in favor, aye. >> opposed? commission is hereby adjourned.

>> good afternoon, everyone. welcome to the san francisco board of supervisors meeting for tuesday, january 9, 2018, madam clerk, please call the roll. [roll call taken]

you have a quorum. >> please join us for the pledge of allegiance. i pledge allegiance to the flag of the united states of america. and to the republic for which it stands, one nation, under god, indivisible, with liberty and justice for all. >> president breen: thank you, madam clerk, any communications. >> clerk: none to report. >> president breen: colleagues, a motion to approve the minutes of november 14th and november 28, 2017, moved by supervisor kim, seconded by supervisor farrell. can we take that without

objection, approved after public comment. all right, madam clerk, call the first item. >> clerk: special order 2:00 p.m., is the appearance by the acting mayor, london breed. no questions submitted by the supervisors of the odd district, the mayor may address the board up to five minutes. >> all right. happy new year, everyone. good afternoon. i would like to welcome acting mayor breed to the chamber, now time for question time. thank you. good afternoon, everyone. i appreciate the opportunity to host my first question time as acting mayor. the city attorney has determined that question time must continue while i serve as the acting mayor. the last time we were together

in the chambers we were all reeling from the terrible news we had heard that morning that our mayor, mayor ed lee, had passed. i don't think any of us truly processed the loss of the mayor that day. emotions were still too raw. every day since then i have been inspired by the strength and the compassion of this incredible city, and now that we have, we had a month to reflect, i want to talk about how we can continue to honor his work and how we can continue to move the city forward and creatively tackle the challenges our city is still facing. one area where the mayor and i shared a passion was our commitment to addressing issues around homelessness. i am convinced that no one should have to sleep outside in our city anywhere and especially not in a tent. shivering in the cold or wet from the rain. we are one of the greatest cities in the world during an

incredible economic boom but we still have individuals on our door steps battling substance abuse, battling mental illness and homelessness. one of his last major announcements before the mayor left us was that he pledged to get 1,000 people off the streets this winter and i am committed to following through on that promise. this is why i work with the department of homelessness and supportive housing to increase capacity at our shelters this winter, providing additional 75 beds for people to sleep each night. this is why i move forward with opening the auburn hotel which has provided another 70 permanent affordable homes for our military veterans and this is why one of my first visits was to hummingbird place, san francisco's first navigation center, dedicated to helping residents dealing with behavioral and mental health challenges. i will continue to support

initiatives and provide alternatives to living on our streets because we cannot allow individuals to stay in unsafe and inhumane conditions intent encampments. i have walked the streets of our city and witnessed these conditions firsthand and had conversations with the individuals who are experiencing homelessness. when i first, when i visited show place square with our city agencies last month, i saw the critical work of moving our residents out of the tents and into stable situations, and i'm really grateful to the hot team and our other city departments who provide medical treatment on demand and also we were able to move several individuals into navigation centers as well as our shelter system. i also saw how it takes an individual approach each and every person has a different experience with a different

need, and i believe in a san francisco that takes care of all of its residents. taking care of all of our residents also means creating safe and affordable opportunities for families and residents such as new housing. we broke ground on 108 units of affordable housing at hayes valley i'm really proud of and worked so hard of. i introduced legislation to purchase the mcdonald site to build 100% affordable housing, and taking care of our residents, of course, means taking care of needs with early childhood education as well. the kind of support that is provided in centers such as the new child care facility and supervisor cohen's district we opened last week, 70 new slots for children to have a safe place to learn, to grow and to thrive. by offering these services to all of our communities,

including our public housing residents, we can help eliminate the achievement gap that begins in early childhood education. from education to homelessness to housing to harm reduction, i will continue to pursue policies that reduce homelessness and make san francisco a safe and resilient city for everyone. thank you for your time. >> thank you very much. this suspends and concludes our mayor's question time. thank you. >> clerk: ordinance to accept as a gift on behalf of the city certain costs of construction, public open space and facility improvements and the maintaining of the improvements at 55 laguna street, pursuant to an in kind agreement with alta-laguna llc

and the requisite findings. >> roll call vote on item one. >> supervisor fewer. fewer, aye. supervisor kim, aye. supervisor peskin, aye. supervisor ronen, aye. supervisor safai, aye. supervisor sheehy, aye. supervisor tang, tang aye. breed, aye. supervisor cohen, aye. supervisor farrell, aye. >> president breen: ordinance has finally passed unanimously. item, please. >> item two, state and federal contingency reserve, backfill the loss of funding of various

programs, 9.5 million, and department of administrative services to support recipients of the deferred action for childhood arrival program, 2017-18. >> same house, same call. without objection, the ordinance finally passes unanimously. next item. >> clerk: three, resolution to declare emergency, to authorize director of public works to design and construct access point to front door services, case management medical attention and mental health counseling to individuals affected by homelessness, at 440 turk street. >> supervisor kim. >> supervisor kim: thank you, president breed. our office has worked with the department of homelessness and supportive housing and the tenderloin neighborhood and we have got to a place we are all in agreement. i don't have a redraft of this ordinance and so i'm still waiting for that, i just ask colleagues if we can continue to

later in the meeting. >> president breen: we can do that. please call the next item. >> clerk: four, ordinance to amend the transportation code to perm permit motorized scooters and mopeds to park in designated motorcycle. without objection, passes unanimously. >> clerk: item five, ordinance to amend the transportation code to change the term car shared vehicle to shared vehicle and permit shared vehicles to park in designated parking spaces and affirm. item six, ordinance to amend administrative code, establish the tenant assistance fund, allowing certain eligible due to orders to vacate, issued by the

building inspection or the fire department and to receive financial assistance from the fund for up to two years. >> president breen: same house, same call. ordinance finally passes unanimously. >> seven, to re-authorize the san francisco sentencing commission and to suspend the provisions of board rule 2.21 to extend the sunset day to june 30, 2020. requires eight votes to suspend a portion of the rule. >> president breen: colleagues, take the item, same house, same call. without objection, passes unanimously. next item. >> clerk: eight, ordinance to amend the administrative code to restrict some from the appraisal requirement. >> president breen: same house, same call. passes unanimously. >> clerk: amend business and tax regulations code to raise the thresholds above which persons

are required to file gross receipt tax and payroll expense tax returns so that persons who qualify for the small business exemption from either tax are x ement from filing returns for that tax other than persons taking certain tax exclusions. >> president breen: same house, same call. ordinance passes unanimously on the first reading. next item. >> clerk: ten, ordinance to amend the business and tax regulations code to administer the sugary drinks distributor tax. >> same house, same call, passes unanimously on the first reading. next item. >> clerk: 11, ordinance to delegate authority under charter section 9.118 to the general manager of the public utilities commission to enter into agreements with terms in excess of ten years or requiring expenditures of 10 million or more for power and related products and services required to supply san francisco's community choice program and to suspend certain otherwise applicable contract requirements in both the administrative and

the environment code. >> president breen: same house, same call. without objection, ordinance passes unanimously on first reading. >> 12, to approve fifth amendment between the department of public health and the san francisco aids foundation to provide hiv prevention services and extend the contract two years for term through june 30, 2020, and increase the agreement for a total amount not to exceed approximately 26 million. >> president breen: same house, same call. resolution adopted unanimously. >> clerk: 13, resolution to approve amendment two to the department of health contract for behavioral services with richmond area multi-services, inc. for vocational rehabilitation, extend the contract by two years and ten months, so the contract lasts through october 31, 2020, corresponding increase not to exceed 20.7 million.

>> president breen: without objection, adopted unanimously. >> clerk: 14, resolution to approve department number one, multi-services, inc., for peer to peer employment program services to extend the contract by two years. so it lasts through june 30, 2020, corresponding increase of 9.8 million, not to exceed 19 million. >> president breen: same house, same call. without objection, the resolution is adopted unanimously. >> clerk: 15, authorize the general manager of the san francisco public utilities commission to execute amendment two to an agreement for specialized engineering services, recycled water projects with the joint venture, to continue to provide additional engineering services in support of the west side recycled water project, increase

the agreement 2.5 million, not to exceed agreement of 8 million for the duration of 12 years. >> president breen: same house, same call. without objection, the resolution is adopted unanimously. next item. >> clerk: 16 referred without recommendation from the budget and finance committee. ordinance to reappropriate approximately 4 million of lease and tenant improvement costs at 179th street for the renovation of the building at 440 turk street for the department of homelessness and supportive housing in fiscal year 2017-18. >> president breen: supervisor kim. >> supervisor kim: thank you, madam president. and can i speak to item three, make a motion on three as well. so, i just wanted to clarify what we are moving forward with. so i do want to acknowledge jeff and emily for working overtime during the holidays and christmas, they called me almost every single day. my parents appreciated hearing from you on christmas and new year's eve.

and, but all to say that there's been a lot of work done with our community members to get us to a place that we can open these, the unified office of the department of homelessness and supportive services, but also make sure that the neighborhood is seeing some of the needs that they would like to see met met. so, a full-time security plan both before, during and post construction, as well as a neighborhood liaison designated to continue working with the neighborhood so we can provide services on-site. but to do it in a way that the community can continue to feel safe and more secure in the tenderloin neighborhood. acknowledge that work. also thank our community stakeholders who have been dialoguing on this issue since july, for understanding the need for the city moving forward with this. but to do it in a way that can address some of the very core issues we have about cleanliness

and security. so i want to thank h.s.h. for working with the mayor's office to come to these commitments, and so i'm going to be making a motion to table item number three, and to colleagues ask for your support on item 16. >> second. >> president breen: amendments to item three? >> supervisor kim: no, tabling item number three and asking colleagues to vote in support of item 16. >> president breen: supervisor kim has made a motion to table item number three. seconded by supervisor peskin. colleagues, can we take that without objection? without objection, that item has been tabled. and on item number 16, can we take that item, same house, same call, without objection, the ordinance passes unanimously on the first reading. next item. >> clerk: item 17, a resolution to name the 600 block of

stevenson street to oddfellows way of the architectural and cultural contributions the oddfellows have made to the city and county of san francisco. >> supervisor kim: in recognition of the historic al significance of the contributions. the goal to elevate the character of mankind by promoting the principles of friendship, love, truth, faith, charity and universal justice and make the world a better place by organizing charitable projects, a long history dating back to the 18 hundreds. they are known to stop the spread of the 1906 fire and the use of the building as a hub for artists and arts organizations such as the alonso king lions ballet. over 600,000 members worldwide, appreciate their investment in the city, in particular on the 600 block of stevenson, a very

challenging alleyway in san francisco. i want to acknowledge their continued stewardship of the street and their work to improve the south and market neighborhood. i want to recognize richard perry, peter sellers, the san francisco oddfellows hall association and the dozens of letters and people who came out to our land use committee meetings on this matter and also thank bobby lopez from my office. street name changes seem simple but often take over a year, on her work on this ordinance. >> president breen: thank you, supervisor kim. colleagues, take this item, same house, same call. without objection, resolution is adopted unanimously. go to -- [applause] committee reports. >> items 27 and 28, considered by the land use and transportation committee at a regular meeting january 8, 2018, and forwarded as committee

reports. item 27 is an ordinance to amend the general plan for the western shoreline area plan of the general plan, the san francisco local coastal program land use plan and add an objective to preserve, enhance and restore the ocean beach shoreline, protecting public access, natural resource, critical public infrastructure and existing development from coastal hazards and affirm the determination and make the appropriate findings. >> president breen: colleagues, same house, same call. without objection, passes unanimously on the first reading. >> clerk: item 28, resolution to impose interim zoning controls for 15 months, the conditional use authorization is required for proposed restaurant use and for a commercial store front merger resulting in a nonresidential use size of 2,000 square feet or larger in the area generally defined by the following boundaries. 13th, division streets, mission

street to the west, cesar chavez to the south, and to the east and affirm the determination and make the appropriate findings. >> president breen: supervisor ronen. >> supervisor ronen: colleagues, i'm going to ask your support today to approve a set of interim zoning controls. the mission is san francisco's ground 0 for displaced and gentrification, we talk about this a lot, and we are facing the oh blit ration of the culture and diversity that has made the mission a safe and welcoming place for immigrants, and low income families and workers, and newcomers and tourists. my office is working with community advocates and the staff on the mission area plan 2020. with the goal of ensuring a thriving mission, a place for families, arts and culture and non-profit community organizations. as part of the map 2020 work, the team has gathered data showing the challenges for small

businesses along the mission corridor. these shops are facing lease renewals at double or triple rent, essentially putting them out of business. my office hears from merchants worried about their future or desperate to find an affordable play to relocate. without immediate protections, mission street will go the way of valencia, working class corridor erased by the speculation and rising rents. interim controls respond to the community's cry for immediate action and will allow time for the map 2020 collaborative team to fully analyze the data, get input and prepare longer term business and economic development strategies for small businesses in the mission. specifically the resolution includes two interim controls. the first extends the existing control implemented by the planning commission in 2017, which requires conditional use authorization for any change to permit a restaurant. second creates a new control to create a conditional use for

mergers of store front spaces of 2,000 square feet or more. together, these will allow us to use the process for analysis and input, counter the very real threat of overconcentration of restaurants, and retain the diversity of scale that allows for affordable rents and a healthy mix of commercial spaces. thank you to everyone who has committed time and energy to the map 2020 process, planning and staff, facilitating and forming the initiative, to the community leaders who have been persevering for years to think of creative and thoughtful ways to hold on to the heart and the soul of the mission, and finally, a very special thanks to amy binard in my office, working very hard on these pieces of legislation. thank you so much. >> president breen: thank you, colleagues. take this item, same house, same call, without objection, the resolution is adopted unanimously. madam clerk, roll call for

introductions. supervisor fewer, the first up. supervisor kim. >> supervisor kim: thank you. i would like to see if supervisor yee can speak after me. i'm proud with supervisor yee to be introducing $100 million plus measure to make a humongous investment in early childhood education and child care. the reality around child care in our city today is that 60% of households with children do not have a stay at home parent. center-based child care for infant and 30 out of 50 states costs more than its public university tuition and fees. women and in particular women of color make up the vast majority of the work force but the wages are poverty wages, many early care educators using some form of public benefits to take care

of their own families. 2,400 san francisco families are on the wait list for early childhood education and early child care. eligible based on income but not enough resources to help them access the care that these babies and toddlers need. with these stark realities, we know that we must do better, and if we truly believe families are the backbone of san francisco, then we have to do all that we can to hold on to them, and make the city a family-friendly city, and we have to do better and we can. the babies and families fund will be created through legislation that supervisor yee, ronen, fewer, peskin and i are introducing today. serve as the financial vessel to hold new revenue generated by the commercial rent tax into line with the rest of the country, but still below cities like new york. san francisco currently has one of the lowest rent taxes in the country, and legislation will increase that tax by 3.5% for most commercial uses such as office, chain store formula

retail and 1% for warehouses. we will continue to exempt property owners who earn under a million dollars in gross receipts from rent. and we will also exempt nonprofits, government use, manufacturing and our arts. many people may not realize this, but as a country, we did once make child care universally affordable. 1940, congress passed the act which provided all families regardless of income child care up to six days a week, including summer and holidays. parents were paid equivalent of 9 to $10 a day in today's dollars. we can do that again in san francisco. the council of economic advisors reports that early childhood investments highlights that affordable child care, increases employment opportunities as well as the educational chances for women, especially. because let's be real. even in a city like san francisco, with progressive values, we put men and women on the same pedestal.

largely women that lack the access to affordable care and women often make the choice in their life, whether it is seeking more training to up skill, to pursue a meaningful career, or perhaps even stay in an abusive situation. the benefits do not stop there. having high quality child care can make a difference in labor force in adults and earnings as adults. children who benefitted from the lanham act in 1940 did far better in school and far better employed into their adult life, into their adult life. we can act now to protect and advance these opportunities for the rising, for those rising into the middle class and those fighting to stay there in san francisco. our current families and our next generation are looking to us as local policy makers to take bold steps in their best interests, and ultimately to

move us forward. i want to recognize the office of early childhood education, office of early childhood education, september jaret, the city attorney, carol roar, the controllers office, and most of all, i want to recognize supervisor norman yee. he has spent his career fighting for early childhood education and child care, when it wasn't something that any elected officials talked about decades ago and the funding that we have one to allow universal preschool in the city in large part due to his leadership and advocacy, proud to be partnering with the supervisor to make the single largest investment san francisco has ever made for families and for our children. so, if -- >> president breen: thank you, supervisor kim. supervisor yee. >> thank you