yet? >> tests? >> yeah, on people noise. >> yeah, we ran calculations. we've been relatively conservative assumptions regarding how loud the speakers would be. >> calculation meaning you have devices that'll measure? you actually set a meter out there and record it, and you have decibel levels. i see your decibel levels. are theed live readings? >> no, those are estimates levels. the building is in its current use. testing -- >> sure. >> testing from the future rooftop, that's something that could be done but it's not -- >> so i have a question. is this the kind of first time to do a sound test in our kind of jurisdiction where you're near a club where there could be 300 people outside smoking, and there's people noise. or there's -- and which we have

no jurisdiction of street performers pounding on their trash cans. those are environmental issues, but what we're concerned about is live readings. so this is an office space which, you know, right now, is probably bare minimum. and i'm pretty sure with the hotel, you're going to have carpeting and a lot of things that go with it. but i think what we've been seeing from other sound consultants is actually live data. and i'm all about live data. >> sure. >> i think it -- in fairness to local edition, a reading should be taken when they're operating at your first level of resident or your hotel floor, and just get a fair reading if you actually hear anything. they are running live music, but i think you have a deejay, too. so they might be running bass. i remember back in the day, there was a club called mecca.

>> mm-hmm. i know that one. >> and they lost their entertainment license because they just couldn't get rid of that bass. is the fourth floor -- no matter how much sound proofing he did, he couldn't get rid of it, and finally, they just pressured the owner to stop it. we're kind of concerned about that kind of thing. there is a bar -- i think there's a bar on the first floor around the corner. i don't know if they're still going to be there when you do your renovations. >> right. so let me clarify. i believe i know what you're asking, but just to clarify, that the the measurements that we have done are on the exterior. we also have done some measurements on the interior. those were operated during the weekend when local he litigatihe -- edition was operating, and

those are data loggers running continuous voice monitoring, and we also have sound identification. >> and so your data is live. that's -- >> so that data's live. what i thought you were speaking about was the rooftop -- >> the only thing about the rooftop is there are four seasons, and a lot of those hotels have high-rise condos up there. >> right. >> and if you're starting to play music on that level, and i don't know what their windows are like, and they probably weren't thinking of it, they might hear you if you're going to have amplified sound. >> right. and we have certainly taken a look at that with respect to the noise ordinance and the place of entertainment noise requirements. you know, assuming no shielding because they can look right down on the roof. so from a calculations perspective, we are helping the project sponsor identify what -- you know, what elements if any they would need to impose on the businesses who would use those spaces.

>> okay. and you have all this ready for planning, right? >> yes. >> okay. and of course, you're going to do the outside lighting. i'm all about the outside lighting, and i know it's downtown, but the security on the street, i just want to make sure that's addressed. okay. so that's -- i have no further. [ inaudible ] >> okay. any -- i'm done. >> any other sound questions? all right. yes. commissioner lee would like to know about your lighting. >> we knew there would be cliffs, so yes. i took some book handle readings kind of on the baseline. our office is on montgomery street, a block away from the

m pyramid, just outside the office, outside the entry of my office, and i'm seeing three to 4 foot candles, but it's pretty dim. typically out in the street, i've seen about 15 foot candle the at intersections where it's better lit. across the intersection through the montgomery street b.a.r.t. plaza, kind of an open area, reasonably well-lit, and that was, like, ten to 6 foot candles, and a little bit of what i expected on market street out in front of the light -- local edition -- got it right. 20 to 15 foot candles. little bit darker around the entrance of the building, an area we'd like to improve a little bit just to beautify the building. and then on around on third street, immediately where you

turn the corner where our supplemental entrance, we'll maintain the main entrance on the corner, but a supplement cal entrance on stephenson street, it's 11 foot candles on the sidewalk. if i cross the stephenson, there's a parking garage there, it's a who it's a whopping 30 foot candles. >> what do you think you need to do. >> improve the lighting at our entrance. just as another kind of note of data, i looked at the plaza hotel, and adjacent at the entrance, it was about 5 foot candles, and it bumped uch to whole 8 foot candles. so very dim, but till very functional. it's not how brieth it is, but the quality of the light that i

think adds character and gives you a sense of security. and then obviously being kind of an upper end hotel, there would be a doorman 24/7 to kind of keep that alley, you know, trouble free. >> so you're thinking that local edition's 30 foot candles is way too bright. >> they're about -- they were, i think 20, yeah, 22 at their front entrance. i think the parking garage, i think historically, the -- the building owners have just put a lot of light out there to, you know, deter, and it's doing a good job? i was out there till about 10:00, and kind of no one around. it didn't seem too creepy. you walk around the corner to annie alley, there were a couple people loitering late at night, but stephenson seems pretty safe, aside from some construction areas that create some shadow spots, but i think

it'll go away shortly. >> i think what we're here for is the future. if your clients come, and tourists, we're here to protect the tourists. if it's well-lit, people feel more safe. right now, it's just an office building where local edition is. they've got security. probably people leave them alone, but around the corner going to the garage could be a place of muggings or opportunity, and we just want to make sure that there's enough lighting. maybe 30 foot candle's too much because that's the garage, but maybe the same as local edition's 20 is good, but you haven't really asaid what you decided on, foot candles. >> i was a little shocked in what i found in that i would have expected stephenson alley to be darker than what it actually is, but being there actually and seeing, i think it

was they had one, two, three, four, five, six giant flood lights on the side of the building lighting up the street and the adjacent sidewalk. as a new owner and being where the entrance would be, it's really bright. i think it's actually too bright for kind of the character that -- it's brighter than the rest of the neighborhood. it's as bright as the b.a.r.t. plaza. it's less bright than market street or third street. >> but the light at local edition is good with you? i mean you think it's too bright? >> no. i think it's kind of -- >> if you kind of matched that, it would be -- >> it's not just the brightness but the glare from the flood lights, so we want to tone it down to about 20 foot candles in the adjacent area. probably a little more incident rat -- intimate where the doorman would be. >> you get where we're trying to get to? tourism is our main thing here

in the city, and we want to make sure especially in that location with all those hotels, that we don't have problems. and lighting helps. >> yeah, yeah, absolutely. >> we know we don't want you to light it up like a ballpark, but at the same time -- in front of a night club, we want lighting, and parking lots, now, we have lighting. so as a hotel. i know there's a certain style, but i think if you can work in blending with the club next door, not only just the sound in between, but the lighting and the safeties. >> yeah, i think that's our objective, to really create a -- just a better atmosphere. right now it seems like, you know, a parking lot of a home depot with these flood lights, control those lights and limit the glare but keep the light level there and then enhance the lighting around the entrance. as we open up that

finishestration in the new -- finsetration in the new entrance, and as we built it up, it'll have more life and new activity. >> okay. >> hi. i'd like to have an update on some of the outreach you've been doing with the p.o.e. i see an e-mail here summarizing your conversations as of april 26th. i'd like to know where you guys are at today and what are some of the concerns and what kind of support are you hearing from the p.o.e.'s in your conversations. >> my name's kate lynn. i was handling the outreach to the different p.o.e.'s. you guys should have the e-mails and the letters that were sent updating them. in regards to dada bar, we received positive feedback. they said welcome to the neighborhood, good luck with development. no questions from their end. in regards to ho kr kesan,

their contact hasn't been there very long, so i reached out to their g.m. who put negate in touch with their corporate office in las vegas. i reached out to them a couple of times, but i'm sure they have bigger things to deal with. in regards to hawthorne -- let me back up. i've e-mailed, sent letters, via e-mail and also called all of these people. in hawthorne, i actually choke with chadwick who is an -- spoke with chadwick who is an owner or partner in that p.o.e. i said i'm happy to setup any meeting to answer any questions that you have. he seemed positive to that. i reached out a couple times, but i haven't heard back on a good date and time for him, so i'll continue to do so. i'll continue to reach out to hockesan to see if they have

any questions. and then in local edition, we've been in constant contact with brian in regards to the project because obviously local edition's in the building and we will continue to do so there. >> but are there any concerns that are coming up in these conversations or is it just all a love fest? >> no concerns that i've seen yet that any of those p.o.e.'s have expressed to me, more just interesting in wanting -- if they have questions, and i said we're more than happy to answer those. >> okay. thank you. >> mm-hmm. >> commissioner bleiman? >> thanks. so i just have some general comments. so the reason you're all here is because of the legislation to protect the night club which is a cultural and economic driver in the city from all of the development that's happening. it's also really important in the city. and so that's why we have to review this, obviously. so this is a little more unusual for us for a couple of reasons. one, it's a hotel because it's

covablely a go cove -- conceivably a good thing. it's a little unusual because there's actually a place of entertainment in the building which is a little rare for us. it also fills me with a bunch of repatrepidation because i o bar that's in a hotel and we're having to fix a situation right now. i'm positive that everybody has a good relationship with the future bars, guys. they're literally the best or among the best operators in san francisco, and we all know that in the bar industry. but my concern is that there

will be some sound that's leaking up through some strange duct or through the building somehow and affecting somebody and it'll somehow come to a head, and i'm sure they won't complain about this, but this is something it's our job to kind of address. you will ai would say if that did come to a head someday, you know, the beiacknowledgements t are signed in this process make it very difficult to do anything about that noise. and the legislation was conscientious to have teeth in it to prevent people from saying it's too loud. it it's debatable if there's any action that can be taken. my suggestion, short of what we can recommend, is that things can be done to code or maybe they can be done above and beyond, and it might make a little sense to do that now rather than later because later, it could be too late, and that could cause a huge

issue that we're having to discuss with you guys, so those are my only comment. >> can i quickly address those? >> sure. >> i think i want to talk about one thing that my colleague, indicate lynn indicated. one, my colleagues one some of the best taverns, present company maybe excluded, in the city. we are working really closely with people not only really on sound issues but just the disruption that a project of this scale might create for him and his businesses. i think the other thing that's really important, i think to address, you know, commissioner lee's comments. we actually are attracted to the site because of the activity level on this corner. it is two blocks away from moscone, which as mr. sheehy has mentioned, it's going to be a very exciting play for the next couple of years. we expect this -- our first floor, which is above local

edition currently will be very active and vibrant, as well, so it won't be -- this is not planned or to be positioned as a -- you know, a hotel where people will necessarily seek out for a great night's sleep. i think they're going to self-select this location because of the activity and the energy that all of these great institutions at this very busy and historic section of san francisco offer. to the last point, i think as we work with mr. sheehy, i think we should think about sound issues and the discussions that we're having. thanks for bringing that up. >> just to bring it up, some of the p.o.e.'s in the neighborhood had serious issues getting their p.o.e.'s because some of the high end hotel around there, and there's nothing we can do as a commission to compel you or not to act like that, but we just hope that this will be a positive member of the community that encourages night life and entertainment because

it is a cultural driver for our city and economics. >> no, again. we're very actively engaged in the community. i met with the homeowners of the four seasons last week, which you can imagine they certainly expressed their desire to make sure their neighborhood stays the same the way they hope it will stay, so very -- you know, very engaging conversation, and we're going to continue that outreach. thank you. >> any other questions or comments? i think this is somewhat unusual in that you're acknowledging that you're potentially going to be a creator of noise from entertainment as well as a receiver of noise. that's somewhat unusual, so i -- we hope that everybody will be able to live together in peace and harmony and active places of entertainment moving forward. >> of course they will. >> i just want to make a follow up, just a final recommendation. so now that we all have opened

up here, it would be great if local he litigation, maybe not their live music, but really with the sound meter and everything and really crank that bass, and really see what the full impact would be. i mean, what happens if he wanted to sell his bar and maybe didn't -- the next owner just wants to do flat out house music? you mean, i know we can't keep people from keeping their business forever. these are things that will be helpful in the future. and since you are saying that this hotel probably similar to like, the w, you know, or even the standard hotel in los angeles where a lot of the young people go, the lighting outside has to be safe, and if you're expecting that kind of activity, don't skip on the lighting and the security. so that's all on my recommendation. >> thank you, commissioner. is there any public comment on this topic?

all right. seeing none, public comment is closed. [ gavel ]. >> discussion, commissioners? motion? >> well, i think -- i mean, for the most part, that's going to be a great location for a hotel. i mean, it's going to help, like commissioner bleiman says, it'll help a lot of the local p.o.e.'s that are there. local edition's busy, but hawthorne is also struggling. hockesan is well. they're more of a restaurant, so i think the whole thing will complement each other. we're just really concerned about the internal sound leaking up, 'cause that's always going to be the hardest thing to do, and if you do get a -- hopefully, a p.o.e. for

your entertainment down stairs then we don't have to limit it to, like, 10:00, or you have a noise from the local edition space. so you know that's all i can say. but i mean i'm -- can we put this in some kind of -- i recommend the project, but do we put extra sound -- sound testing, i mean, what do you guys want to do? i'm open. i think they've done a lot, but i'd like to do maybe a little bit more on the internal sound testing. >> are you making a motion? >> no, i'm having a discussion. i'm discussing, what do you guys think as -- >> i -- the way i. >> go ahead. >> the way i look at this, this isn't somebody who's trying to build condos and then walk away

from it. this is a hotel where there -- it's going to be pretty important to them to make sure that their guests enjoy the time there. so i -- i don't see the project manager skimping on anything here. i think that they're going to do their due diligence to get this hotel prepared for -- to be in that area with the places of entertainment there. >> and i feel like it's a little bit different when it's the -- when the venues are within the hotel building as opposed to outside, so there's a lot more that the hotel can do within the building if there are problems during the road, including from their own -- their own entertainment noise levels. all right. would anyone like to make a

motion to move this forward? skbl i' >> i'll do it. i'd like to make a motion to approve this mpermit. >> i second. >> all right. [ roll call. ] >> and this isn't actually a permit, this is just us moving forward the recommendation. >> yep. >> okay. >> all right. congratulations. we look forward to seeing what it looks like, the roof deck and everything else, so... [ inaudible ] >> and hopefully, we never have to have you back here again with anyone's complaints or anything about the noise. so thank you. all right. moving forward to agenda item number eight. is this you, acting director weiland? >> this is from me. >> okay. >> so i have an update from

everyone on the hiring of the executive director, the endless, endless habit. so for reasons that i've not been informed exactly, but are set in stone, we are reopening the -- we have reopened the search for the executive director. i have discussed this with jennifer johnson, and i'm continuing to act as the liaison. one thing that jennifer and i did want to bring up is that if anybody else has any interest in joining me, we'd love to have you. i -- i don't -- i don't have an opinion either way. i'd love to have you, so that's it, and i'm happy to do it myself. we put the -- we put the -- we posted the ad, i think two weeks ago or three weeks ago, and we've gotten over 40 responses, including many of the people who applied the first time around and some new

faces. we're going to go through a less lengthy process this time around. it'll be very much up in the area on whether or not the new director will be appointed by this current mayor or the next mayor, so this is where it gets a little bit gray. we really don't know at this point. so after this process going forward, whomever we recommend to the current mayor, that may be the slate that goes -- ex-mayor, if this mayor decides not to appoint. if that slate goes to the next mayor, that mayor may want a new slate. so a lot of murky area right now due to the elections and things, but it's moving forward, and i think we'll start interviewing candidates next week or the week after. >> i have a question. >> yes. >> when does the application end? >> i think it ended last week. i think it either ended on friday or this current friday, but i can check for that.

>> i'd like to participate in the interviewing process. >> okay. great. >> so you're starting all over again. >> also, we're not going to start all over again. basically, the way we're looking at it is we have some really good candidates for before, so the process that we're looking at before, are any of the new candidates better or equal on paper as opposed to before, where we started literally from scratch, and we learned a lot from all of the resumes that we read and the endless, endless interviews we did over a ten hour day in the city hall about whom ae we'd interviewed and what we could have done in the future, etcetera. so it's going to be kind of a little bit more of an efficient process this time, knowing like, you know, we already have a pretty good thing going, so we can just kind of see if there's anything that we think would really add to that, any person that we think could add to that that we could bring in for an interview. >> go ahead.

>> did we change the qualifications? >> no. >> everything's the same? >> there were a couple little generalizations we tweaked, but everything is the same. what happened is the mayor had chosen someone, and for whatever reason, that person wag unable to start working within a certain deadline, so then, the mayor was no longer with us, and then we went through another mayor, and another mayor, and at this point, they decided in their wisdom to just reopen it and redo it. but the new job description is almost identical to the previous with a couple little tweaks that we learned from the candidates that we got last time. so we got some candidates last time that were under qualified but we were unaware of that until the interview process. so this, we were trying to weed out that wasteful energy, etcetera. >> perfect. thank you. >> so you're going to -- so the process is to screen out our

top candidates again and wait till june 5th, when the mayor's -- >> no, no, we're moving straight ahead. it's not that we're waiting for anything, it's just whether or not they are -- the regular machinations of the city hall move fast enough for this mayor or the next mayor. >> so right now it's going to be 40 applicants processed umm canni -- coming back to us. >> no. so what happened last time the city hr starts the process and then we work together before we start interviewing to make sure that each one of those individuals makes sense to interview. so this time around we don't have such a huge mass of people, and we know a lot more about the process, having gone through it.

we actually did two -- we actually had two -- two full application periods last time, as well, where we had to tweak the offering a little bit. so we're a lot smarter now, should be a lot more efficient. we don't know -- we are going to go ahead first into this and get these people as quickly as possible and not take into account the june 10th election or whatever it is, so all right. >> so we could potentially -- you could be coming back to the commission on maybe the june 5th? >> i think that's -- this's not outside the realm of possibility. a lot of this is outside of my hands, so i just kind of wait for them to tell me what's going on, but yeah, that seems reasonable, actually, given that it's a month away, yeah. >> all right. other comments? well, thank you for heading this up, and thank you, commissioner camino for volunteering to be a part of the process. >> i can say this, too. that part of the reason that this is not making everybody freak out is because acting

director weiland has been doing such a good job. >> i know. >> so there's no figure atiati gun to our head, so we're going to take the most time possible and not rush it. >> i know. >> well, thank you, for keeping this process moving forward. we look forward to having a decision made. and that's it for item -- was there any public comment on item number eight? seeing none, public comment is closed. final item, commissioner comments and questions. yes, commissioner perez? >> yeah. i just checked my calendar and looking at the minutes from april 3rd, i was actually in this meeting, and i was not on the list. you can tell i was here because i made a comment on the minutes. but i was physically here because i spoke, so if you can add that and add me to the roster, thank you.

>> correction noted. anyone else? other comments? all right. then let's move forward with an adjournment, and keeping in mind our senior analyst rice's comments, perhaps we should adjourn in memory of larry harvey, any objections? >> nope. >> okay. very good. we're adjourned. thank you. >> i want to thank e

being here today as we celebrate the individuals that i just had a chance to meet here right

behind us. and today is really an amazing day for the city of san francisco. we're showing that once again our city employees, our residents, but our city employees are stepping up to the task. and want to welcome, i know there are 14 individuals that came from our department of public health that went to puerto rico to help the victims of hurricane maria and really dedicated their time and effort to helping those that are in need. as the city of san francisco, these are the values that we embrace as a city. we've had our own incidents, whether it's earthquake in particular, where we're the beneficiaries of other cities and jurisdictions coming to our help and participating in the rescue efforts here in the city of san francisco. and now we're paying it forward and replicating it in kind. i want to thank all of you personally for representing the city the way that you did. the doctors, nurses, mental health professionals, they are

representing our city on the international stage and showing what our city is all about. it's an honor to be here to recognize them for their efforts, for their volunteerism, and really, barbara, to thank you, because i think this is about the testimony of the department that you have created as well. and that you are supporting. we're so lucky to have barbara garcia running our department of health here in san francisco and the values that we are part of our dna here in san francisco, that we own as a city government, as city employees, are represented here in your department. i'm going to turn it over to you, but as mayor of the city of san francisco, i am so proud today to be here to recognize these individuals. i know we have certificates of honor. i was able to do this the other day, but we have a unique thing called the heart of the city pins, that we're going to give each of these individuals, that

did the heroic work in puerto rico. i want to say thank you to each and every one of you for what you did and know how proud we are as a city, but as mayor, proud you represented us so well. congratulations. [applause] we'll give them their gift in a minute, but i want to turn it over to barbara garcia who runs our department of health. [applause] >> thank you, good morning. and thank you, mr. mayor. we should be proud of all our staff and we're really proud of the support that the city has given our staff to be able to go to puerto rico. you know, we depend on the electricity and water every day. and the people in puerto rico still cannot depend on these fundamental services. the impact of hurricane maria had a detrimental effect on the people and the medical assistance in puerto rico. this is one of the main reasons we sent our 14-member health team to provide support to one

of the community clinic organizations. in the northwestern part of puerto rico. the response to emergencies is one of the core responsibilities of any health department and san francisco health department has had decades of experience, so we felt obligated to assist the puerto rican people and their communities medical providers. you'll hear more from the staff, they supported the clinical staff and continued to provide care to thousands, the clinics in puerto rico. our staff crossed rivers and climbed mountains with local clinic staff to provide medical and psychological support in people's homes. we want to continue to support these clinics and we encourage catastrophens to help us. -- san franciscans to help us. we set up a fund at our public health foundation and all the dollars go to the clinics to continue their efforts. i'm so proud today.

and i had my own experience of running a community clinic in a middle of a disaster. i know how important it is to get the support we provided to these clinics, so i want to ask the staff to come up and talk about their experience. the first one is ramona. she'll give opening remarks. [applause] >> hello, everyone. my name is ramona, i'm registered further at the family health center. i work in the complex care management team at zuckerberg general hospital. i would like to thank everyone who had a hand in putting this together. this was a wonderful medical relief mission. and i speak for everyone when i say this was truly an amazing experience, we feel so blessed to work the staff. the community offers primary care and home care services to patients at risk in the surrounding area.

and it's truly serving its community in a time of need. i'm hopeful that the relationships we made there will continue to grow. our time in puerto rico was spent working alongside our brothers and sisters, providing care to patients in their homes. these home visits were in remote mountain areas. our team of nurses, doctors, mental health professionals, pharmacists, outreach team and community leaders would travel up to two hours every morning along hazardous roads, trying to outreach these vulnerable residents. it's been 217 days since hurricane maria hit. and the people we visit still have no electricity. some no water. and many still have the blue temporary tarps as roofs. these people are still struggling. what i found especially tragic, in these remote areas, many of the patients were elderly. as a result, many of these

seniors are taking care of their geriatric parents. from a nursing perspective, patients in need of skin care, wound care, a lot of foot care, nail-trimming, reconciliation. much needed teaching and education around chronic disease management, these were some of the prevalent diseases. these diseases are made much worse by the stress, anxiety and fear related to this hurricane. we visited a gentleman in his 70s dealing with the stress of the hurricane maria aftermath, no electricity, his hypertension and diabetes and he's the primary caregiver for his mother in her 90s. upon entering the home, our physician recognized that his elderly mother was not well. she had the signs and symptoms

of sepsis, it's complicated because of delayed medical attention. we jumped into action, recognizing the signs of this complicated infection and the possible risk of death. the team facilitated medical attention and intervention. everyone working together to improve the outcome of this family. this is just one of many of the success stories we brought back with us. the most healing intervention we provided was our presence, our time. we provided a sense of humanity, it reminded us them that puerto rico has not been forgotten, seven months after hurricane maria, we still care and wanted to help. puerto rico. [applause]

>> good morning. so i'm ricardo, i work for comprehensive crisis services here at the department of public health and feel fortunate to assist in the disaster relief as a senior psychologist. one of the things that happens is that you have the honor of hearing people's pain. you have the honor of maintaining the confidentiality of what people are suffering. yet in a disaster there is no confidentiality, everybody knows everything. one of the things that happened, this team, none of us really know each other, some of us colleagues, some didn't know each other as well. we blended seamlessly. and became a topnotch primary care clinic on the road that included behavioral health and

we found some very chronic conditions. a lot of anxiety. a lot of depression that existed before the hurricane, but exacerbated because of the lack of water, lack of electricity. one of the behavioral health interventions was to get a generator started. a woman could not pull the generator. that is the only way to get electricity. she's by herself. lost her husband 11 years ago. depressed by herself. children don't visit and there was nobody there to pull her generator. so two of us did. a younger guy than me, he was able to pull it, make it happen. [laughter] so that was our behavioral intervention for her, but we were left with lots of different thoughts about follow-up. one of the beautiful things, the

agency responsible for that community took our recommendations and will follow-up, so hopefully this woman will do care. i was in the middle of doing a panic attack treatment when they say, sorry, we got to hospitalize your mom. so he needed medical attention. he got treated for that. and the mother, yeah, she was really in grave situation. and had this agency not been there, this team, or the other team that was serving them, a number of those people might have died because they just really needed that attention. so i think, i want to support this effort and any other further efforts to continue to do that. we do that at crisis. we respond to disasters, we do

the fires up north. i got deployed to katrina and rita and that's the kind of think we do in the city and county of san francisco and we're able to do it. the fact that we're able to spare the staff helped them and gave us the psychological boost. they taught us a great deal on how to be humble, responsive, responsible, ethical. and i'm glad that we in the city and county of san francisco were able to do that. thank you so much. [applause] >> i want to introduce dr. hammer, i asked her to find a group, identify the group and to lead the group. i'm really proud she did that and she did that with so much pride and also i think, i'm really proud of the work and her leadership. doctor? [applause] >> thank you. thank you for sharing your stories. and to the other members of our

amazing team for your service to the department of public health and the people of puerto rico. and sincere gratitude to the mayor and director garcia and everyone at dph for giving us the opportunity to represent the city and county of san francisco on this important mission. our team spent seven days in puerto rico, working alongside colleagues, a group of four federally qualified health centers based in the northwest part of the island. they're sister clinics to us in many ways. the clinics in san francisco are federally qualified health centers with a mission to serve the most vulnerable members of the community. we each came back from our time with so many stories and images. houses and cars washed down mountainsides, broken bridges and roads. dark living rooms, empty fish

tanks. but i think and hope that our most lasting memories are the incredible resilience and sense of hope we encountered. speaking for the clinicians, this mission was a natural extension of our mission in the dph. each of us is called to service. and to a person, we were deeply honored to have the honor to serve in puerto rico. we rode vans deep into the forest, where we stopped in tiny communities and attended to people in their homes. all of us were left of a renewed connection of what brought us to the healing profession in the first place. our ambassador of hope, as i like to think of them, were the puerto rican partners at csm. they are health care professionals working tirelessly since the hurricane seven months ago to do anything in their power to help their community.

ever since the storm passed, their teams have traveled every day to find people in need and bring them whatever they can. food, water, medicine, generators, or just a healing presence. we feel honored to work alongside them. we learned from their example. many people have asked us what they can do to support puerto rico's recovery effort? first and foremost, we should remember puerto rico and visit there. it's alive, but suffering, and definitely recovering. it's a beautiful and great place to live and work. also, we encourage san franciscans who want to support the relief effort to donate to the clinics we worked with on our trip. you can do that through the san francisco public health foundation. we handed out this flyer. the public health foundation has set up an account to support the clinics and the outreach efforts. please take one of the flyers with you in you want -- if you

want to get information how to donate. one of the most enduring memory from our time in puerto rico is families welcoming us into their home, so grateful for the care, medicine, water and food we provided. thank you for coming, these beautiful elders would say to us as they gave us coffee. thank you for not forgetting us. and they expressed their gratitude not just to us, but the people of san francisco. it was a great honor to represent the department and the people of san francisco. it's also an honor for us to bring back a certificate of honor from the executive director of csm to present to mayor farrell and gift to present to director garcia. [applause]

>> this is a certificate of recognition dedicated to the honorable mark farrell, for your initiative of sending aid with health professionals from the city of san francisco to assist those affected by hurricane maria in puerto rico. thanks for your support. it is signed by the executive director of csm. thank you. [applause] beautiful neck and we bring a gift for director garcia. we acknowledge and appreciated your support everywhere we went when we were in puerto rico. you were the spark that made this happen, so thank you so much for giving us this opportunity and a necklace for you from csm. [applause]

ellen davis. [applause] ricardo. [applause] richard santana. [applause]

ann daleman. [applause] ramona. [applause] steven delgado. [applause]

vita mullins. [applause] jody scottniss. [applause] kenneth pilon. [applause]

jesus pestano. [applause] last but not least, halle hammer. [applause] we're going to do a picture, but how about one more round of

applause for everyone here? [applause] i see that vivian is here. and she was our connection to puerto rico. and so i really want to thank her, she also worked for the health center in california. thank you, vivian. [applause] and this ends the program. it.

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