important to give culturally appropriate care to our patients and we have information. i'm very excited about this opportunity to expand our services in the health of the patients in the community. i'm very pleased with that. >> thank you. commissioner green. >> yes, i am a little confused about spmf and the health plans you take. because i know that cpmc, for example, takes blue cross programs and medical but i know my colleagues in the foundation are not on medi-cal and as not example, blue cross plans, we've had this problem because we prefer our patients to spmf doctors and find out were contracted with these plans that they're not. i'm wondering if you can explain how you plan to expand and mirror the health plans that cpmc is a part of so we can

ensure that all the patients can have continuity care and i guess the second question i have is spmf taking the services that will duplicated and i'm curious whether spmf is planning to take over the breast health and cardiology and so fourth at the van hvaness campus and if not, y not? >> i am plead i don't know the answer to that one. i've just taken over as c.e.o. in that area so i'm not sure about everything. on this, first of all your question on insurance programs. you are absolutely right, there are millions of insurance plans around and in emergency services obviously people can go to the hospital and get taken care of. non emergency services, people need to check their insurance plans. we have met with and reached out to plans and we're here and available and willing to work with you on these programs so

that they're available for anyone who wants to use them. additionally, for medi-cal, as you know, many, many patients have signed up for medi-cal hmos and that is just like signing up for kaiser hmo and

do you know the percentage of medi-cal? >> we have reached out to the insurance plans to contract with all of them, including hill and all the other plans to offer those services. so we have no intention of not offering the service, we want to offer them to everyone and we are working with their health plan administrators to write those contracts. so it's our intention to contract with all blue cross plans. >> this will be done by the time all these changes occur? >> so the contracting issues as you well know, laurie is complicated and it's complicated because it takes two sides to make a contract. what doctor stated it's our intention to offer those plans to continue access to the services we are mentioning. it's up to the plans, frankly,

to decide whether they want to continue that. in terms of paramix, the diabetes center at saint like's. surprisingly 36% is commercial, 25% is medicare, 25% is medi-cal fee for service. 2% is medi-cal risk and 0.3% are self-pay. i can answer the question for the other activities as well. >> i also want to comment on the concept of community benefit. we have both a duty and an inclination to community benefit in the foundation and give millions in community benefit every year. free services, uncompensated care and community benefit classes. we have thousands of outreach classes.

so we are very committed to the community and community benefit and especially education research. >> so much non-invasive cardiology is already done in the foundation. our current plans are the mammography unit, which is a very large unit is going to move to the specific campus and at least for the foreseeable future is going to continue to be operated by the hospital. however the national trend, as you know, is for diagnostic services, whether lab or radiology, to move into outpatient providers. so my guess, but it's just a guess is at some point in the future, most of those outpatient services will no longer be provided, not just by c.p.m.c. but frankly any hospital in the country. >> as you know, matt [off mic]

limiting our ability to [off mic] >> all of the money that goes to -- >> please speak in the microphone. >> sorry, all reimbursement within the hospital and foundation goes to sutter. it's one bottom line. it's not the physician group is contracted with the foundation to provide services. but all of it goes to the same place so it's not a difference. the foundation and the hospital are one. we have one single member on the board.

>> commissioner guillermo. >> you spoke about these transfers would be able to provide a benefit for the patient. so i'm interested in, sort of a bigger picture of that system otherwise it looks like each of these becomes a discrete transfer for, you know, any purpose that anybody might ascribe to it, so i'm interested in getting a little bit of a big picture of that transfer of patients from the acute care setting to a more of an outpatient, essentially community-based setting, so that we can maybe look at this in that context. as well as you mentioned

community benefit which was one of my questions. how does all of that fit together? >> some day we need to sit down and spend a lot of time talking. if you look at health care as a whole, it's moving from the hospital to the outpatient setting everywhere. whether it's electronic monitoring in your home or home care, in-home care, there's lots of things going on. the concept of the hospital as the center of health care is really quite antiquated. unfortunately, you can't sort of break it all down and start again and say oh what's the best place to do this, we will build this for this, and this for this. so what we have done is said where is the best place to put assertive as we know it now and as we have the opportunity to make those changes we make those changes, so the foundation is growing. they are making big investments in primary care and in growing

the outpatient setting and availability of outpatient services for patients in san francisco around this beautiful new hospital that's being built. so to sort of round out the care that we provide. so this is our opportunity to make those changes. and as we continue to grow and change, we will take those opportunities and make those changes. >> community benefit? >> what would you like to know about community benefit? i don't have the numbers with me but i can certainly provide them to you. community benefit comes in the form of free care, providing care in the various foundations, it's done in different ways. whether it's teaching, research, free care, classes is a huge part. physicians giving more time, we pay the physicians, they then give their time to h.u.f.c.'s and other community benefit services.

>> are you then -- >> do we monitor it? because you are answering the question, my response is it just the foundation that manages the community benefit resource allocation, community benefit plan, or is it a separate community benefit plan or department versus the hospital, or versus the system? because i'm talking about system. >> right, right. so the system has a community benefit goal. so that's one of our measures, how much community benefit you are providing within your community based on your size and other things. so the hospital has a community benefit target and we have a community benefit target and that's monitored within the system and watched. i think that answered your question. our community benefit is

coordinated in the way that every year, or i guess every couple years, the hospital and community clinics in the community services, look at needs assessment for a community and look at what needs to be done and how they can participate in that. so a community benefit in one town might be different. in sunnyvale we teach nutrition classes, run the project cornerstone, we do lunches for kids. so there's that type of community benefit. you do what the community needs. i'm sorry, i'm trying to answer, i really am. i'm not sure what you are asking. >> sorry, i don't mean to drag this on but you mentioned community benefit was a part of the consideration as these services are moving into the foundation. so my assumption was that there was going to be a coordination or integration of the resources that you have with community

benefit relative to these services that are transitioning. >> i think we made, there was a disconnect there. one of our speakers said there's no community benefit in the foundation and i wanted to be sure that you all understood that there is community benefit in the foundation and we do have a responsibility for community benefit. however, it is true that much of community benefit in the foundation is in the form of education. so many, many education classes are transgender classes are classes for suicide prevention for teens. all of that fits in community benefit and that serves sort of the needs of the whole community. you look at the whole community. did that make more sense? sorry i didn't confirm the disconnect there.

>> commissioner sanchez? >> thank you. i just want to make sure i heard you correctly. you said in reference to the diabetes patients that are now being seen at saint luke's, the new services will provide culturally competent linguistic staff? >> the same staff -- >> staff or professionals in the new site, which is the one on van ness? >> we did mention a new diabetes site ativan necessary. -- at van ness. the cal campus, we will find a new site for it. we haven't determined where that's going to be just like other programs at cal campus, that campus is closing. we haven't determined it might

be pacific, it might be van ness, it might be elsewhere. >> i'm sorry, but i do want to cite, because of the 2-mile rule your colleague mentioned in the presidio, his comment a little of this geographic area, two miles. two miles of saint luke's includes a number of unique services that have been going on for over 50 years in the community. the mission health center. central latinos of san francisco provides nutrition, citizenship, english, health education. they also provide transportation. they also provide meals. 7 days a week. a number of the non-profits are transferring to that because they are the only physician that now consistently cooks in

that area, everything fresh. on the other side within your area is on lock which also has a large diverse population. plus we can name a number of other sites in this area. and two blocks away is the rodriguez early childhood education program on mission street which is over 70 years old which provides nutrition, training for staff and diabetes because of the student population there. the grandparents come in. the parents come in and it's all part of this communication and education. all i'm saying is within this two-mile area there's a number of unique resources that are now being linked with sfgh and others to provide some of these services, including choir system from u.c.s.f. etc.

but i still haven't seen any discussion and or collaboration to utilize these services to enhance the ability to maintain these cultural services within the new parameter of the new st. luke's. that's sort of a little bit on the radar. so hopefully, as i said, it took a long time to get spanish-speaking staff a number of years ago for the diabetes center out there plus some other programs. >> so commissioners, as i'm sure you are aware, we work very closely with the san francisco community clinic consortium. our primary partner in that, and this is a decision the community clinics make we are the primary hospital for all of their patients. i'm sure that director garcia can talk about that. mission neighborly health center, i think still san francisco general. i think the hospital has done a very good job working with the

community clinics in identifying the appropriate place for patients to get that kind of care. we are working with community clinic consortium. when we get asked to do things we try to say yes. >> if i may, commissioners, if i can just ask a couple questions and make comments. dr. rivera, we are pleased you had the conversation about reflecting who we serve in our communities is so important for us. this is one of the issues we had the conversations with sutter about the diabetes clinic and the concerns that staff from those programs show and you could hear that today. the fact you are going to be leaving the hospital setting, which is, as you said, from a system approach, outpatient is where it's at and that's where we need to do our best work. the disparities in our community are really in the latino, samoan and african american communities. i wonder could we hear a

commitment from you, particularly to work closely with us, because as we move forward, you won't have to come to a prop-q hearing when you reduce or eliminate a service. but it is, and i know your working relationship as an example with missions neighborhood health center, which will be really important. but we would like, because you are a new person in around here, i just want to hear a commitment from you to work with us closely. we have, you know, i think, common interests and i would like to work and i know our staff would like to work with you in terms of looking at those common denominators because i know we could do better. whether at the patient or hospital level. prop-q is important, we would like to see what happens at the hospital level. we would just like to hear a commitment.

we have our chief medical officer for network here. it's so important, alice chan. dr. brown and i worked closely for two years on the development agreement. five years, okay. two intense years of negotiations. and i just think, hearing a commitment to those populations, i think, would serve us well. and getting to know you, as the c.e.o., we look forward to that. but a commitment to these populations is going to be really important for the future and working relationship for the health department. we are here for you and with you to assist you in how to serve this population i think we have expertise in. i just wanted to give you that opportunity. >> thank you. i'm absolutely committed to serving the community and getting to know the community. as i say, i apologize, i'm new to this part of the organization. and just beginning to learn

about the needs. but, if you grilled me on the community needs in the south bay where i have worked for a long time, i could tell you all the f.u.h.c.'s on a first-name, in fact we actually just won the award for the organization that's most honored for helping the community through our work with project cornerstone, our work with the y.m.c.a. and our work with the food banks and other things. we are absolutely committed to helping the community and really having a partnership. hearing what the needs are and how we can help with those. especially classes and other things. we really are excited about that. >> i find this discussion concerning the change of

management is somewhat more of a trust that the statement made that c.p.m.c. has reported no changes to services except payment sources or staffing models from our presentation and slides is actually not reflected in any of, in either your letter to us, for example. i am pointing this out because our responsibility now is to determine if that management transfer is as best as we can tell having a detrimental impact on the health services in the community. the responses to dr. green could also be interpreted to mean that not everyone who currently is able to access certain services at the

hospital base clients will because certain plans may not choose the rates you are offering them. i agree, it's a contract negotiation. but understanding contract negotiations, that could have detrimental effect if, in fact a u.s. or 500% of everyone's cost. i like the fact you are shaking your heads saying no. but it would be really nice to hear a more positive, or see a more positive commitment, as i think director garcia was hinting towards, to show that, in fact, both, or in this case, because it's going to be the foundation that's going to have to carry out at least some sort of semblance of a responsibility that this very short statement seems to envision that we aren't changing services. we are moving across the street

to the montego building. we will keep the same staff. we will have the same culturally competent staffing. we will be available in echocardiograms just like we were a hospital. that would mean also these normal, lower say income medi-cal patients will actually still have access. i don't see that. >> sir i want to clarify, the only group we don't have assurance about are commercially-insured patients. a limited number of blue cross plans we still have to get a contract with. now, as you all know from your experience at chinese hospital, negotiating with insurance companies is not straight forward. it is our hope they will agree to accept the same rates that they currently pay to the hospital for these services.

honestly we would not be truthful with you if we said we could answer for them. but that's our intention is to say this is our plan, do you agree. in terms of medicare and medi-cal and vast majority of patient insured services, it's not an issue. >> i understand. obviously you can't be held hostage to unscrupulous differing programs or plans. i think if we were able somehow to get a clearer definition of what the management transfer would be and while you can say there is no real impact, we are going to maintain all of these. if that could somehow be translated into some type of, for example, whereas in our documents, that then allows us at least what we could have

understood to be the intent that you have. i think that helps us move forward in terms of looking at how we could say the health care of the city isn't going to suffer from this change of management. and i think we have several weeks. that we take some time to see if we can craft something. many years ago we had this same -- not this same issue, but issues of, for example, i don't -- dr. brotmo was here at that time, we talked about employee benefits. that was finally worked out and available within our whereas's. understanding from you these are so. i think that this is something that we could leave to crafting, in terms of improving

within our document what we understand you have said today to show whether or not there really is any change so that a clinic moving to the montego office building will have the very same services. that is your intent. will have the same access. if those things could be placed into our whereas's, and i leave that with staff to try to work out. and i think the same issues that dr. garcia has raised for us from a continuation of working together to try to continue to move forward on services. that might also be reflected in some of our issues in terms of the alzheimer's and what not. the intent we could place the

organizations together willing to move. it's all part of health care is dynamic and moving. can we actually have a resolution that then could say that these are changes that can make sense are not going to harm but even serve our community better. is that something we could work towards? >> we could certainly work toward that dr. chow. we could certainly try. we all understand part of this proposition to process is to have a public hearing of the changes that are going to be made. and i'm sure the commissioners understand that ultimately the decision to make those changes are hospitals and foundations but we work very closely with the departments to make sure that what we are doing is as fair and equitable as it can be so we are happy to take that back to our team and work with

director garcia and her staff. >> right, i would just like to see we could memorialize some of these issues going forward. >> what blue cross decides is not under my control but -- >> very interested in the medi-cal population. >> right. >> and the people we are currently serving right now. i think those are all things if we were able to place into, you know, it's a moral commitment and we are all aware of that. prop-q is only a moral, a more public hearing to understand what is happening and i think that helps for you to tell the public and tell us and the public your intent. we really appreciate that, it's again another reason we take more than one hearing in order to try to see if we could work

things out. >> we are quite proud the new facility we are building at daviess for inpatient and outpatient psychiatry will be a much better place to provide that care. if we could have a prop-r? [chuckles] >> staff? >> prop-r should then call for you to come and tell us all the good things you are doing. thank you. commissioners, any further comments or questions? therefore we will be looking at august 21. it is possible that if, in fact, going back to the whole issue of the svindal services in the day center that we may want to also be looking at some of that and possibly that might call for a delay if we can

understand more of that and i think that we certainly want to give every opportunity to see that the health care of the community is in fact enhanced rather than reduced by the proposals that you have brought to us. >> yes, and as i think you know, august 21st is in the middle of a very busy week for us, because we are opening a new hospital on mission bernal on august 25th. i know full attention is going to make sure that goes as smoothly as possible. >> and this commission is very pleased you are hoping that new hospital for our communities. if there are no further questions, then thank you for coming and to help state what your intents are and we will ask staff to continue to work with you so we could have that

as part of our resolution. thank you. >> commissioners, item 11 is other business. i'm just noting that your next meeting is off site. it will be held at the richmond community center at 251 18th avenue. of course we will send that as a reminder to you and give you details about parking and all of that. any other questions about the calendar? any other issues you would like to bring up during this item? okay we will move onto item 12. >> [off mic] >> i'm sorry? item 12 is report back from the july 10th meeting. i believe commissioner sanchez has the notes. >> thank you. this is the july 10th meeting

of the laguna joint cause committee. -- attended even though she had undergone that accident last month but she was there and did want to present the report and we welcomed her back. we also have the 218 san francisco fellows project which did an excellent presentation pertaining to designing the visual board for our nursing hurdles and they presented just basically these were three fellows that were all young women who just did an outstanding job pertaining to working with our nursing staff as they took a look at different challenges affecting patient care. and it was just extremely well done and everybody gave them a standing round of applause. we also had our lien

transformation update, discharge care planning improvement event. we had resident satisfactory survey different from the one taken five years ago. even though there might have been some very negative comments about five years ago, a number of those, or some of those who made those comments were very pleased with the resident family satisfaction survey this time. we wanted to thank the staff and everybody at that point. the committee also approved the hospital-wide policies and procedures, in closed session we approved the credentials report and we adjourned, i believe at 5:30. >> is there any other additions my colleague would like to make? >> i just wanted to add that it was my first opportunity to attend one of the j.c.c.'s at laguna honda and i was both

surprised and pleased, i think, at the staff participation and what seems to be a very, i think, robust desire on the part of what i observed, a robust desire to really sort of bring the hospital into a more high performing and sort of, at the same time, maintain its orientation around a very sort of humanistic care facility for its patients. so to be able to move into something that requires much more efficiency at the same time, same if not better level of human touch is something that i observed as a sort of

dual and laudable goal on the part of the management and the staff that i was able to interact with and observe while i was there. >> thank you. that concludes our j.c.c. report. >> great, we could move onto consideration of closed session item. there's no public comment request for this item. >> okay, a motion is in order to hold a closed session. so moved. second? all in favor say aye. all opposed.

>> i'm warren corn field and we are doing a series called stay safe, we are going to talk about staying in your home after an earthquake and taking care of your pet's needs. ♪

>> here we are at the spur urban ken center and we are in this little house that was built to show what it is like in san francisco after an earthquake. we are very pleased to have with us today, pat brown from the department of animal care and control and her friend oreo. >> hi. >> lauren. >> could you tell us what it would take after an earthquake or some other emergency when you are in your home and maybe no power or water for a little while. what it would take for you and oreo to be comfortable and safe at home. >> just as you would prepare for your own needs should an earthquake or a disaster event occur, you need to prepare for your pets. and i have brought with me today, some of the things that i have put in my disaster kit to prepare for my animal's needs to make sure that i am ready should something happen

and i need to shelter at home. >> what are some of the things that people should have in their home after an earthquake or other emergency to help take care of their tasks and take care of themselves. >> i took the liberty of bringing you some examples. it includes a first aid kit for your pet and you can also use it for yourself and extra meds for your pets. and water container that will not tip over. we have got both food, wet food and dry food for your pet. and disposable food container. and water, and your vet records. in addition, we have a collar and some toys. >> yeah. to keep oreo busy. >> he needs toys and this is san francisco being a fruity city and come on oreo. this is your dinner, it is

patte style chicken dinner with our foody seen here. >> what they say now is that you should have at least a gallon of water and i think that a gallon of water is small amount, i think that maybe more like two gallons of water would be good for you and your pet. >> does the city of animal control or any other agency help you with your pet after an emergency. >> there is a coalition of ngos, non-governmental organizations led by the department of animal care and control to do disaster planning for pets and that includes the san francisco spca. the paws group, the vet sos, pets unlimited. and we all have gotten together and have been getting together for over four or five years now to talk about how we can educate the public about being prepared for a disaster as it involves your pets. >> a lot of services.

i understand that if you have to leave your home, we are encouraging people to take their pets with them. >> absolutely. we think that that is a lesson that we concerned from karina, if you are being evacuated you should take your pet with you. i have a carrier, and you need to have a carrier that you can fit your pet in comfortably and you need to take your pet with you when you were evacuated. >> i am going to thank you very much for joining us and bringing oreo today. and i am go [applause] >> mayor breed: while. what a beautiful group of people. welcome to district five. [cheering] it has been a real honor to

serve as a supervisor for the district that i was born and raised in. i am so excited today because this is a special community. it is a community that has had a challenging past. iit is a community that has consistently come together to solve our most challenging issues. it is a community that is such an amazing place, full of people who care about rolling up their sleeves to get the job done. not only to make their neighborhood a better place, but to make san francisco a better place. so when i was thinking about someone who is just really a strong communicate just community advocate, someone who is focused on delivering for the residents of district five, i could think of no one better than valley brown. [cheers and applause]

i first met valley brown over 15 years ago before she was even a legislative aide at city hall. she was actually in the lower elite with her own picker picking up trash. i thought, this really reminds me of what my grandmother used to do. she used to clean the steps were relived. she used to make us clean up in our neighborhood and i thought, that is pretty amazing that someone would just take it upon themselves to go out there and clean up the community. she has been actively engaged, not just in her area where she has lived for so many years, but she has touched the lives of so many people across the entire district. when i reached out to residents in this neighborhood for feedback on someone to replace

me as the district five supervisor, time and time again, i heard people tell me stories about what vallie has done to help them, to basically help plant a tree or remove a tree that was dead, to deal with a pothole, or to help here in the western addition with many of the challenges that you all know we face when we were dealing with some of the worst violence in the history of our city. vallie has been there for us. cavalli has rolled up her sleeves. [cheers and applause] to not only get the job done for folks throughout the district including as far out as the inner sunset, but she has focused on the broader issues. the issues around equity. the issues around neighborhood preference. she was by my side on putting together that legislation to

deliver neighborhood preference for the residents of the city where people who live in the community have a right of first refusal and access to the affordable housing built in their community. because of the history of redevelopment and what has happened here, you had a fierce advocate on my team to fight for what was right. because of it, you know the results of the kennedy apartment. we are able to get 23 african african-americans in the apartment at 39 of those 98 units went to residents of this community. time and time again, when reviewing legislation, vallie has been the eyes and ears of the community character she listens to the needs of our small businesses and community members, and she makes sure that when legislation is introduced, that she proposes amendments or raises questions, or other issues so that the legislation

and the work we do at city hall can actually have a positive impact on our community. this playground where we are here today, she was instrumental in working with the hayes vallie neighborhood association. working with the western addition to bring the community together and to help with city resources to raise the funding and to make this a place where all feel welcome. that is what she is about. bringing people together. covering all parts of the district. young people, seniors, everyone has a place in the vallie brown administration. i am just excited because -- and what some of you may or may not know, vallie brown worked for me as a legislative age. she worked for a previous supervisor as a legislative aide to. let me tell you. i don't know how many arguments

i have had with her over decisions, regularly. she stands her ground. she stands her ground to do what is right and to do what makes sense for the people of this district. we will have no more fears of an advocate on the board of supervisors than the amazing vallie brown. it is my honor today -- [cheers and applause] it is my honor today to administer the oath of office to my friend and a friend of our district, vallie brown. [cheers and applause] [laughter] >> mayor breed: ok. do we want to do it in the microphone? ok. all right.

come on, vallie. come on. hang on. i'll just hold it. >> mayor breed: i vallie brown. >> i vallie brown. >> mayor breed: do solemnly swear. >> do solemnly swear. >> mayor breed: that i will support and defend. >> that support and defend. >> mayor breed: the state of california. >> the state of california. >> mayor breed: against all enemies. >> against all enemies. >> mayor breed: foreign and domestic. >> foreign and domestic. >> mayor breed: that i bear true faith and allegiance to the constitution of the united states. >> that i bear true faith and allegiance to the constitution of the united states. >> mayor breed: and california and i take this obligation freely without any mentor -- mental reservation. >> and that i take this obligation freely without any mental reservation.

>> mayor breed: i will well and faithfully discharge. >> i will well and faithfully discharge. >> mayor breed: the duties upon which i'm about to enter. >> the duties upon which i'm about to enter. >> mayor breed: and i hold the office -- i hold the office of member of the board of supervisors. >> and i hold the office of a member of the board of supervisors. >> mayor breed: and the san francisco county transportation authority. >> and the san francisco county transportation authority. >> mayor breed: of the city and county of san francisco san francisco. >> of the city and county of san francisco. >> mayor breed: congratulations. [cheers and applause] >> thank you. >> mayor breed: supervisor vallie brown! [cheers and applause] >> crazy. i have to take a deep breath. this has just been a few hours that i have even realized that i am actually going to be the supervisor.

i am. thank you. thank you. i am sure that will not be the last time you tell me something i need to know. [laughter] but i am so honored to be here today with everyone that i respect and admire. mayor breed, thank you for your confidence and trust and appointing me as the district five supervisor. i know it wasn't easy for you. because we have so many amazing residents and advocates. when you told me and when you called me and told me congratulations, supervisor brown, but you said, not even skipping a beat, you better take care of my district and residents --dash residents. i knew that was the reason why it came to work for you in the first place. it is amazing to be at hayes vallie playground. everyone, this is such an

amazing thing. the buildings and the grounds are beautiful. i walk by this place every day when i come to work. i see the community tending the flowers, picking up the trash, and making it their community space. i will tell you a little history. we used to call the building that was here eight leading to. because i think, th the coordinr here held it together with duct tape. i was an aide when we received bond money to renovate the building. unfortunately, we were short about half a million dollars. when the city's early budget was revealed, this funding was not in the budget. so we decided to put it in adds back. and as a supervisor snow here, $500,000 for one place and add back can be a really hard push. but we fought really hard for the funding. it was really the neighborhood

association that activists and advocates in the fillmore, western edition, cheryl davis, and then mayor breed was ed of the arts and cultural complex. she came out to city hall in force. and got this through. got this ad back through to actually build this building. and now it is absolutely beautiful. what i really was about this experience is that as your supervisor, i cannot do it alone. it is the community that makes it a reality. it will be you, the community, that helps guide me in city hall. hall. i am your voice in city hall. i moved to san francisco three decades ago.

i was looking to create a community without other artists and like-minded people. we lived in warehouses throughout the city, but then, as now, we were evicted and pushed out. one landlord, in particular, a good landlord, came to me and said, why don't you pull your money together and by the place? 's own three friends i bought a place. it was falling down, but it was our home. right now in san francisco, families, teachers, nonprofit workers, and bartenders, they are struggling to stay in san francisco. i am not seeing the same housing opportunities we had back then. even as artists with part-time jobs, we were able to pool our money together and buy something. keeping people housed in a neighborhood that they love and creating more housing,

affordable housing, it will be one of my top priorities as a supervisor. not far from here, i started my community activism. we worked to create a supervisor -- supervisor breed mentioned we work to create a neighborhood association and we cling to the streets. we helped the school, the elementary school. we improve the public safety. we planted trees. i realized that the power of a community coming together to tackle issues in a neighborhood. it wasn't easy. it taught me that it is possible. i also discovered that i love community work. yes. [laughter] i'm not sure i will -- it will always love me but i loved it. it really was my springboard to take the next step to work for the residents in district five as a legislative aide. for over a decade, i worked for two supervisors and with the city to improve the neighborhoods in district five. the life i built in san

francisco is a very different one than the one i grew up with in utah. i grew up with a single mother working odd jobs to support me, my sister and my grandmother. i never knew my father. i knew the fear of not having stable housing. we moved often. one day, when i was at school, i overheard a girl tell everybody that my mom was a deadbeat mom and she didn't pay the rent. that is when i realized that nothing is guaranteed to. by the time i was 14, my mother and my grandmother had passed away. and it took a community to raise me. so you can say, good or bad, i am a product of community development. [laughter] now i stand before you today, your community partner, your district supervisor, your neighbor. i am ready to jump in now.

i'm ready to jump in to work with japan town, the valley, alamo square, and the fillmore. shout out! and inner sunset. ashbury, cold valley, i i think i said lower hayes. when avista, lower pack heights. thank you to residents of the five. [cheers and applause] [♪]