tv Government Access Programming SFGTV April 11, 2018 12:00pm-1:01pm PDT
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registered nurse at st. lukes been working there 42 years and am also the chairperson of the st. luke's -- we deal with safety and concerns and we meet once a month. indiscernible. becausagbecausewhile case managr placement they are kept in icu waiting for placement. the wait can be long. because of this in some instances we were able to accept more --
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indiscernible. this led trecently in our ten be care for patient awaiting lung transplant and the most appropriate unit to care for this patient is sub-acute but this request from nurse case managers refused to allow this patient to move to the empty sub-acute bed. downstairs to e patient was held in icu for close to a year even with sub sub-acute beds empty on the floor. as one of the nurse case managers - -- we are committed o
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do everything in our powers to provide shar -- indiscernible. as nurses we need to be able to care for patients at the appropriate time. thank you. >> thank you. are we ready for public comment? >> so for members of the public that wish to testify, speakers will have two minutes please state your first name and last name clearly and speak into the microphone. those with written
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statements are encouraged to leave a copy with the city clerk. no booing. speakers are encouraged to avoid repetition of previous statements. i think kim then theresa palmer. >> good morning supervisors kim with the national union of health care workers. i have just find it hilarious that there is no care in sutter health and this is another example that we are here again. i think it's ironic that the hospital association continues to talk about the need for sub-acute beds but won't poney up and come up with a solution. that is laying it your hand to force a solution. i think it's
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a travesty that cpmc will not continue to admit subacute patients. it puts the current patients in complete danger. furthermore, they say there is a plan but there is not a plan. they have not notitied -- of the new subacute patientnew subacute patients that the nurses will need training and they have not if there is a plan in place they have not met with us or inferred with us so clearly they do not intend to do a whole lot with these patients. the way they have treated the family councils is a travesty. cpmc needs to do
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better. they have the ability to do better, and i am tired of hearing excuses that oh, space is more important than patients. they clearly have patients with needs, but their space is more important than the needs of their patients. the irony of that is i don't know, go into real estate, do not be in health care. >> next speaker please. >> trying to have a hearing here. if you guys wanted to organize this, it would be helpful, so i did call one, two, okay, then i will try to dig through here and figure out which ones are from
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the family council. >> just come forward. . >> my name is gloria simpson. i am concerned with cpmc and delivering their messages to us. as my sister mentioned earlier, we requested to have a group meeting so we can all hear the same thing and that didn't happen, so here we are coming with a message to cpmc in regards to the information that they shared with the family members that was inconsistent. i spoke with joshua anderson and i asked a is few questions an
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specific with the activity coordinator at st. lukes. she is so involved with our patients in a loving, caring, affectionate way, and i asked him if we can please have her since it's a nonunion position to be transferred with cpmc because basically she would be the only one there which the patients are comfortable with, and joshua mentioned they couldn't because she didn't have a degree, so the person they hired has a degree. so i said well carmen has 27 years experience with these patients, so unfortunately he said no. i wanted to read here a mission statement of cpmc. the mission statement states we are inspired by our northern california community and work tirelessly to
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deliver top-rated affordable, health care doctors and employees are always looking for a new meaningful way to care for your loved ones. we believe that every moment matter when it comes to helping you live a longer life. >> thank you. so i have ton rivera and comer marshall. any other family members that would like to line up. >> thank you for taking your time to speak with us. my name is ton rivera. and my sister is a subacute patient. dr. warren browner is right with him says it's not about money. last year sutter health had
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$893 million in profits after expenses. this is about choice they are making a choice to close down subacute the same way they made a choice to temporarily house subacute and they made a choice to find space at davies. thank you. >> i am comer marshall and i want to thank you for your support. my sister francesca is a patient at the hospital, st. lukes, she has been there for about six years. i want to support the family coalition the commitment they have made. my sister met with sutter and she
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is very disappointed because she was not clear of the timeline specifically how they were going to handle my sister and as mentioned before we need continuity, and she is not clear about what that is going to be. the timeframe, i understand there are four rooms being prepared with 17 patients, what is the timeline getting those completed? i think we need clear on that, and the new subacute patients as we moved forward, we need to make sure that as we get new patients there is a plan in place to keep these people because they are not able to speak for themselves. we don't know what is going to happen tomorrow but i would request this be thought out very clearly so that we can move forward and keep your patients here in the city and county of sa san
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francisco. >> do we have families of patients? do we have families of someone dells? swindells? if they would come up. i want to give them an opportunity to speak if that is okay with everyone else. >> my name is rick. my sister has been a patient there for seven years and i have a cold but i just want to say this i know the time is brief. i want to give you my experience. before laura was taken to st. lukes, they fractured her shoulder, they let her go early
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and we didn't want to bring her back so took her to ucsf. they don't have a stepdown so we tried to get her into st. lukes but they weren't expecting anyone and they sent us to kent field across the bay, and they said they were concerned with laura and me not ever dealing with anybody with a trach and so she was only supposed to be there for two weeks, it turned out for me to be a three-month nightmare. her -- was dislodged and her abdomen filled with fluid and for three months i was going back and forth to the city from kentfield. kentfield whichs the golden gate bridge. people
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were telling me at work you don't look good you look tired and thing. i would ask that the city do something for the future so no one experiences what i went through because i'm sure my case is just one of many. >> thank you. next speaker police. >> anne ludwig. my husband is 79 and has advanced alzheimer's and has lived at skilled nursing.age sutter healther decided to close this facility with 25 licensed beds and move the 17 residents remaining there. we have their proposal to move as many as 14 of them to alma via. this would be a great
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relief if it's developed, however, so far we have nothing in writing to guarantee the subsidy for comparable services there where the space they will occupy is under renovation and unable to see, yet we feel pressed to make a decision to accept the proposal as soon as possible, but at least by june. if all goes well, our loved ones will have somewhere to live and receive care but they lose their devoted caregivers and the city loses the institutional know-how of this 20-year-old skilled nursing, there will be a 11 bed loss of care in san francisco, what about the need for more critical care beds for this frail population, which could include any of us. we think hospitals have a responsibility as nonprofits and a civic duty to partner with the city to provide skilled nursing
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and dementia care in our city and we call on your our elected representatives to provide policies that will make that happen. >> thank you. next speaker please. >> linda rosario and my mom is at skilled nursing for almost three years she is going to be 104 in september. my main issue is the future families who have to look for memory care for their loved ones and to be able to pay for. i put my mom in irene swindell hoping to sell her home but that can't be done because i cannot evict my sister who is also a senior and disabled. struggling for funds
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managed to get subsidy grants from irene swindell and from there it was medcal which doesn't pay for memory care and went through va because my mom is a widow of a veteran, so they managed to help pay half, and the other half would be her social security, and the remainder will be me, so right now i am holding three casual jobs trying to make end meet and i'm hoping in the future that there would be assistance to help family members find memory care which they could afford. thank you. >> thank you. next speaker please. >> my name is jeff tanaba, and
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my father is a resident of swindell unit since 2016. his diagnosis was a devastating blow all we are fortunate enough to say that the smartest man we knew was also the kindest. i have won't discuss my father's wonderful life, instead i will discuss the effect this rushed closure is having on our family and although we must discuss the possibility of this for all of us, i won't discuss how this takes away our loved ones and leaves us emotionally, physically, and financially lost. i will discuss the implication of losing these beds on all of our futures. swindell has been home for all of us and this has been a huge life change for pau all of us and the rush h
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which this is implements and the fact that it's due to the almighty dollar is sobering to us all. the leaders among the swindell have fought for a suitable venue with affordable care, costability and the ability to move with new staff to a cpmc venue. we have been promised these results with the exception of the staff and we will miss the staff. we are hopeful that dad will be cared for as promised. we are less so for the future of elder care due to the implication of losing these 25 beds. i hope that our children will not have to face this difficult situation in the future. we are seeing aging
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populous and growing shortage of beds particularly in a city such as ours. >> thank you. >> my father jack is also a resident of swindell. i will assume that this deal with swindell is a good deal, which we don't know that. we don't know anything about it. we haven't seen a written contract. let's assume it's a good deal. once our family believes alma via, dies, eventually that's going to happen they die or leave, the new residents will have to pay the going rate which is $10,000
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for expenses. that is a lot of money. so the loss of swindell will mean the loss of 25 beds of affordable care, memory care. alzheimer's and dementia is a fact of life and $10,000 would be an extreme burden for most families. my family is lucky because we do have this deal, but we don't know about the future. are the next generation families going to be as lucky as ours? we don't know that. >> thank you. can i call up theresa palmer, melanie. >> raymond holland, memory of the family council for swindell as well at the california street
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facility. a lot of what you have heard today is really on the right issues. i hate to say it, but i think it's all part of the affordable housing crisis that you are focused on today it just has a few twists to it. 150 years ago your predecessors had a similar problem and that problem was they had too many cemeteries on the outside land and so they exhumed the bodies and shipped them to calma and lincoln park and all of those areas on the outside became populated and became used for things other than cemeteries. i think we are seeing today the tip of the iceberg in terms of skilled nursing and sub-acute care facilities that are affordable for housing and affordable for care. what is
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happening is it's all being pushed outside of san francisco it's something that really should occupy your attention. i think the issue is when and to whom will there be an end to all of this so we can get back to business and do that. my wife passed away early last year unexpectedly and she spent a month over in the east bay in you wilultabates also owned by r healther. you are on the right issue. i applaud you. >> theresa palmer retired
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geriatrician. what i wanted to ask about the sub-acuteth and skilled nursing crisis and i wanted to ask cpmc also if the state and city would cooperate with cpmc over issues of licensure, which i am sure they will because this is an emergency, what is the hurry about building medical office space when we should just stop, keep the subacute people at st. lukes even if the acute services move across the street there is no hurry to build medical office buildings. i'm not aware of sort tajes of medical office buildings in san
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francisco. for reasons of profit and plan to maximize revenue wants to get out of the sub-acute business, at least wait until there are other options and it seems to me that this could maybe bedi bedeclarea public health emergency and we could ask the state and the city and the planning people and cpmc to all work together and keep the sub-acute unit open and work together on licensure for distributer subacute agencies in the future. >> michael lion with senior disability action. cpmc is the largest, richest and most powerful hospital group in california. the department of justice even says that cpmc they
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have such a strangle hold on northern california hospital it is able to jack up the prices of all hospital care, so when the hospital council produces a document like the post-acute care council's report, you know that it's cpmc that's talking here and sutter healther health, and ssuttersutter healther heall care and they talk about -- so g thing of what cpmc's group is
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saying is still a regional care forcing people out of the county. they talk about using existing facilities within san francisco like exploring unused space in hospitals medical office buildings. are they talking about the open floor in davies and empty med call medicl facilities. their main thing is trying to expand university based care.
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>> thank you. next speaker please. >> my name is linda carter and i'm a retired nurse and i worked at st. looks for almost 50 years and i wanted to just talk a little bit about sub-acute patients and their needs. many of the patients come to our icu that need sub-acute care. sub-acute means they have ongoing issues and many of them are ventilator dependent, they are vital people and they are not just the ventilator and not just a body there, they are people. the aim is to get them out and back into the community, but the sub-acute is close to
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all ad admissions at st. lukes d those patients that need those beds, it is really part on them sub-acute patients need a place that is home. many of them have been there for years and you can't dismiss that fact. that is home for them. some of them are able to get out on to the street a little bit on a mobile wheelchair with a ven ventilaton the back. they are needing to be part of the community. sending them out of the city the jus,when they are closed by attrition then we are minus more
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sub-acute beds and we are going to have to go out of county to get them. i hope that st. maries is abl mariys marri - >> thank you. next speaker please. >> my name is elizabeth halifax visiting o ombudsman at st. luks i have witnesses first hand the anxiety this has generated for families and residents and i have been truly disappointed by the lack of -- shown by cpmc and their failure to develop trust
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and give reassurance to those affected in many many, many yeas working as a nurse, i have never witnessed this degree of lack of compassion. >> i had stated in the beginning that i have to leave at 12:30. i have another something that i have to leave and prepare for. i appreciate department of public health and director gar sey for preparing the report. we talked about the possibilities whether or not cpmc sutter healther were going to continue their subacute care and we came to the agreement along with h2j2 that it is a priority for the city of san francisco. we will continue to work with you. i have
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personally met with chinese hospital. i know that you have been working really har hard. e need to bring in kaiser and ucsf and continue to work with dr. browner and see if there is a way to find additional space -- i want to thank h2j2 for coming out today and advocating on behalf of proper level of care. it saddens us to think that people of these economic means that indigent would be treated in this way and this is not a criticism of anyone in particular, but it's being caught up in a transition of our city's history where this has not been a priority and we need
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to make it a priority again. we have to have this level of care when you look at this report presented today to see how los angeles has over 2,000 sub-acute beds and we have 17. that is crazy. all over the bay area there is sub-acute care and san francisco is not. i understand it's a cost and a space and there is all different kind of things that come up, but we need to work with the community based organizations, labor and the department of public health and my colleagues to come up with the right solutions. i know there are proposals for legislation and we will aggressively look into those. we will continue this conversation and continue to push. i think we will have an additional hearing because we want to come back and have a discussion when the patients are getting ready to be transferred
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and we will continue to work with -- on the plan for subacute care. sorry i have to leave now. >> thank you for supervisor asophe. we will go back to public comment. >> under title 42, the patients have appeal rights against involuntary transfer. this right is included to notices given to each family and patient member. what happens when a patient appeals is that an administrative hearing officer will hold a hearing at st. lukes and preparations made of the patient to a new location. each patient had the right to appeal if they feel that the new location may not adequately provide the care that they need
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the ombudsman program will advovat for each patient's right for good care. >> any other persons interested in testifying before public comment closes? seeing none, public comment is now closed. [gavel] >> supervisor ronen: i want to thank every for coming out today and especially families who are going through such a difficult time. every time we have a hearing on these topics, i just feel a little bit heart broken that we don't have a single payer health system because to put families financial jeopardy and ruin when they are trying to care for a loved one is just so deeply wrong and to not have a medical care system that is built around the needs of patients, rather than a profit
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motive is so deeply wrong, and i am hopeful that in my lifetime we will see a single payer health plan in our state anded in our country. it just can't come soon enough. having said that, i will also be continuing to watch this issue very closely. i would ask cpmc to continue to consider what it would take to continue a subacute unit in your system in san francisco. i know space is an issue, and it's a legitimate issue, but if we partnered with you, the city, the state, what could make it possible if we had a yes attitude? i am certainly willing to be involved and give it my all and fight within the city to make it happen and to make a similar
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partnership like the city is exploring with st. mary's possible with you. i also just wonder for all of the systems, i know we are focused on cpmc and sutter but for all of the systems you see kaiser. these are your patients that need these services and to put those on another entity doesn't make sense and it's not fair, and certainly the city is ready and willing as director garcia has shown to work with any system of care who is willing to step up and partner with the city to serve this essential need of our residents. i will just put that out there that i would love to continue to work with you on this issue and to partner to address this need. in terms of
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the other eight suggestions of the commune and h2j2, did i get that right? we will consider looking at these ustio suggestions. i wily like in so many arenas it's frustrating at the local level when we are preempted on acts on some of these more prescriptive pieces of legislation. i wish we had more power than we have, but we will continue to look at these and take these suggestions very seriously, so i want to thank everyone for coming out today and we will continue to pay close attention to this issue. will that, i will make a motion to continue this item to call of the share when supervisor sheehy is read. >> supervisor sheehy: we do need single payer and we need it yesterday. i will comment the
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city and director garcia on the work and identifying twocyte for subacute beds so we can start to address this capacity that we are using. i want to thank everyone for coming out today. i think we need to stay on top of this issue and rationalize this system so we can meet those needs within the city. the issue of alzheimer's memory care was brought up today and i think all of us that are getting older had that on our mind and i would like to add that to the list of issues as we prepare for health care for san francis cans. i would like to encourage cpmc to take that large step with the arrangements they are taking with the swindell patients. sounds like there is something positive that's moving forward and if that work can get done
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and i know it will leave the angzies orelieve theanxiety of g gone with my father who had alzheimers all the way to the end, but when you have something of this magnitude being a i believable toresolve that and ge peace of mind, the sooner that can happen the better. i will take your motion to continue to the call of the chair. the motion passes and mr. clerk any other business before this body >> >>clerk: there is no further business. >> supervisor sheehy: then we are adjourned. thank you.
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have been killed on our streets. this is really good news. you know, no one wants to see the accidents on the side of the road, no one wants to experience going to a crime scene on the road knowing your loved one has been hit by a car or sadly tragically killed. this is about bringing that number of 20 from 2017 down to zero. we don't want another death on our streets because of human error, because of anything that we can avoid. if we change our behavior, we change our roads and we do a better job here in the city and county of san francisco. >> my ask of the public, number one be aware of your surrounding, be aware of the law, be aware of the street signals and crosswalks and try to work within the laws designed to keep you safe. look at where we were and look at where we are. this vision will be a reality. >> we all have to remember that all of us, all of us every
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single day, no matter how you get to work, school, wherever you go, all of us are always pedestrians. this impacts all of us. >> school starts again on monday, so i hope as you are reporting today you will encourage people to slow down, to be mindful, to recognize that you're going to have more cars on the street on monday. we're going to have more kids on bikes, more kids walking. please, be slow, be safe and be mindful. >> i just want to urge everyone at the sound of my voice to make some corrections. if you operate a motor vehicle, think about it, think about the person standing on the corner. think about how fast you're driving. think about the stop sign you're about to come to. just think. and just doing so, you'll help someone live another day. i guarantee that. i guarantee that.
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sfgovtv.org. >> neighborhoods and san francisco as exists and fascist as the people that i think inhabitable habit them the bay area continues to change for the better as new start up businesses with local restaurants and nonprofit as the collaborative spaces the community appeal is growing too. >> what anchors me to the community i serve is a terminal connection this is the main artery of the southeast neighborhood that goes around visitacion valley and straight down past the ball park and into the south of market this corridor the hub of all activity happening in san
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francisco. >> i'm barbara garcia of the wines in the bayview before opening the speculation we were part of bayview and doing the opera house every thursday i met local people putting their wares out into the community barbara is an work of a symbol how the neighborhood it changing in a a positive way literally homemade wine that is sold in the community and organized businesses both old and new businesses coming together to revitalizes this is a yoga studio i actually think be able a part of community going on in the bayview i wanted to have a
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business on third street and to be actually doing that with the support of community. >> how everybody reasons together to move each other forward a wonderful run for everybody out here. >> they're hiring locally and selling locally. >> it feels like a community effort. >> i was i think the weather is beautiful that is what we can capture the real vibe of san francisco i love it i can go ongoing and i love it i can go ongoing and on and on about the life in the - working for the city and county of san francisco
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will immerse you in a vibrant and dynamic city that's on the forefront of economic growth, the arts, and social change. our city has always been on the edge of progress and innovation. after all, we're at the meeting of land and sea. - our city is famous for its iconic scenery, historic designs, and world-class style. it's the birthplace of blue jeans, and where "the rock" holds court over the largest natural harbor on the west coast. - our 28,000 city and county employees play an important role in making san francisco what it is today. - we provide residents and visitors with a wide array of services, such as improving city streets and parks, keeping communities safe, and driving buses and cable cars. - our employees enjoy competitive salaries, as well as generous benefits programs. but most importantly, working for the city and county of san francisco gives employees an opportunity to contribute their ideas, energy, and commitment to shape the city's future.
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- thank you for considering a career with the city and county of san francisco. >> hi, i'm corn field and welcome to doing building san francisco, we are doing a special series, called stay safe, how you can stay in your home safely and comfortable, and we know that an earthquake is coming and there are things that you can do to reduce the effects of the earthquake on your home. let's take a look at that. >> here at the spur urban center on mission street in san francisco talking about staying in your home after an earthquake. i have guests today, pat buscavich and his dog, harvey and david, and both structural
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engineers and we want to talk about things that you might do before an earthquake to your home to make it more likely that your home will be ha bitable after an earthquake, what should we do? both structural and maybe even important non-structural things. >> you hear about how to prepare an earthquake kit and brace your book shelves and water tank and that is important. what you have to be careful is make sure that you are not going the easy things to make yourself feel better. if you have a bad structure, a bad building, then you need to be looking at that and everything that you do to keep your collectables in place is small and compared. if you have taken care of your structure, then there is a lot of stuff that you can do in your house that is non-structural and your chimney and water tank. >> let's talk about what the structural things might be. >> and he is exactly right. you don't want to make the deck chairs safe on the titanic, it
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is going down, you are going down, you have to make sure that your house is safe. there are basic things that you need to do including bracing the water heater, not just because of fire hazard but because of the water source and the damage, but basic things are installing anchor bolts, and adding plywood and strapping your beams to column and posts to footings and foundations are really easy things to do and most contractors can do the building department is set up to approve this work, and these are things that every home owner should do, and it is a little harder because you have to get a building permit and hire a contractor. but you want to be able to after a big earthquake to climb in bed that night and pull the covers up and say i don't have to worry about going to a government shelter. >> that is the main focus that it is great to have an earthquake kit to be able to bug out for 72 hours. here is a better idea, stay in your own home and in order to do that you have to be make sure that your structure is
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okay. if you have a house, the easy things to do with the wood construction is feasible. if you have a renter or you live in a concrete building, you need to talk to the building own , and make sure they have done their due diligence and find out what the deficiencies are. >> when i have looked at damaged buildings,vy seen that a little bit of investment in time and money and structural work provides great dividends. >> especially if it is the wood frame, typical house that you can do the things that i was talking about, the anchor and the plywood in the first garage area, you know if you refinanced in the last three years, get some of that savings and it is a really good investment. and the other thing that i try to tell people, earthquake insurance is not the solution to the shelter in place, if there is a big earthquake and your building is damaged, you are not in your house, you may be somewhere else, if you work in the city, it is going to be really hard to commute from
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sonoma, you want to do what is necessary so that your house is retrofitted and a couple of years of earthquake premium could get you to a level that you could be in the house after a significant earthquake and it may have damage and there is still a shelter in place where you are at home and you are not worried for the government taking care of you and you are living in a place where you can go to work and you want to have your wood frame house is really easy to get to that level. on top of the wood frame house, i mean every wood frame house in the west half of the city have a water tank and the water tank fall over because they are gas fired and start fires. and that is something that you could do for yourself, and for your neighbors and for the whole city is make sure that your water tank is braced. >> if you look at the studies that are predicting on fires, we are going to have a lot of fires and for every water tank that is braced there is a potential of one less fire that the fire department is going to have to fight and we don't want to have any more fires than we need to. so bracing the water heater is the first thing that you want
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to do. >> and so easy, and you go on-line and you google, earthquake, water and heater and you google the sites where you can find the details and you can put them out there on the hardware store and you can hire a small contract tore do that for you. that is a couple of hundred bucks, the best investment. if you are in other types of building it is complicated. if you are in a high-rise building you just can't anchor your building down because there are no anchor bolts, but at that point, the tenant should be asking questions of the owner's and the managers about earthquake preparedness >> and don't take the easy answer, oh, our building is safe it was designed to code. that is not the right answer, ask the tough questions and see if you can get a report that has been given to you. >> what is the right question? will i be able to stay in my home after the expected earthquake? is that a good question to ask? >> yeah, you may be more specific if you talk to the owner, if it is not a recent
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building, if it is ten or 20 years old see if they had an inspection done and there you will have a written before that will tell you all about the structure. >> thanks, pat. >> thanks, harvey. and thanks david for joining us and thank you for joining us on. >> my name is naomi kelly the single-story for the 775 i started with the city and county in 1996 working for the newly elected mayor willie brown, jr. not only the chief of staff a woman but many policy advisors that were advising him everyday
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their supportive and nourished and sponsored united states and excited about the future. >> my name is is jack listen and the executive director of a phil randolph institution our goal to have two pathways to sustaining a family here in san francisco and your union jobs are stroen to do that i have this huge way to work with the community members and i think i found my calling i started in 1996 working for willie brown, jr. i worked in he's mayor's office of housing in the western edition and left 3 years went to law school of san francisco state university and mayor brown asked me to be the director of the taxicab commission and through the process i very much card by the
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contracting process and asked me townhouse the city purchaser and worked with me and i became the deputy administrator and . >> having trouble struggling to make ends meet folks will not understand what importance of voting is so we decided to develop our workforce development services after a couple of years offering pathways to sustainable jobs. >> (clapping.) >> we've gotten to a place to have the folks come back and have the discussion even if participation and makes sense we do public services but we also really build strong communities when i started this job my sons were 2 and 5 now 9 and 6 i think so the need to be able to take a call from the principal of school i think that brings a
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whole new appreciation to being understanding of the work life balance. >> (clapping.) >> i have a very good team around me we're leader in the country when it comes to paid and retail and furiously the affordable-care act passed by 3079 we were did leaders for the healthcare and we're in support of of the women and support. >> in my industry i feel that is male dominated a huge struggle to get my foot in the door and i feel as though that definitely needs to change this year needs to be more opportunities for i don't know women to do what tell me dream i feel that is important for us to create a in fact, network of support to young people young women can further their dreams and most interested in making
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sure they have the full and whatever they need to make that achieveable. >> education is important i releases it at my time of san mateo high ii come back to the university of san francisco law school and the fact i passed the bar will open up many more doors because i feel a curve ball or an where you can in the way can't get down why is this in my way we have to figure out a solution how to move forward we can't let adversity throw in the
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