publicly say that we're going to be on board with that, leading where we can, supporting where we must, to get this done so the letter, as chair of the governance committee, i will volunteer to draft it. give it to the president. and anybody else that wants to see it, including our secretary, who doesn't have a copy of this motion, but i will give it to you. and then we can go on to incorporate that so we're very clear it's a unified effort as we go forward. >> vice president follansbee: i would like to speak in support of this as well. i appreciate the fact that the role of the health service board was noted in the acknowledgement in front of the table of contents. but i think that such a letter will endorse that the board is

taking an active role, not overwhelm in the implementation, but also in the design and follow-up to this and part of the issue around action refers to us. part of the issue about pilot refers to what we expect. and so i think it enhances the fact that the board isn't just willing it look at this and put it on a shelf, but that this is an active document that we help design and are engaged in and it will be engaged in over the next three years on a regular basis. >> president breslin: motion moved and seconded. any public comment on this item? all right. all those in favor, say aye. any opposed? it's unanimous. all right. item number 6. >> clerk: item 6, action item,

approval of san francisco health service system budget revision for fiscal year 2018/2019, healthcare sustainability fund. presentation of the budget, pamela levin. >> good afternoon. pamela levin, chief financial services officer. in february, 2018, health services board approved the health service system budget, the $3 budget. in the intervening time, we

developed the plan that you just approved. now we're looking at aligning the budget with the strategic plan and the goals outlined in the plan. based on the '17/'18 fiscal year close, there is sufficient funding to support this realignment. i will first speak to the revenues, followed by the expenditures, and conclude with a review of a table that is actually projected, but i realize it's impossible to see. it summarizes the revised budget. the table that is projected is in your ipad. so you will be able to see it a little better. >> is that on pages -- >> page 5. >> page 5 of the document? >> very fine. >> yes. >> okay.

>> but i will first start and give some context on how we got to where we are. in '17/'18 the revenues in the carry-forward amount were greater than projected in the budget. in the aggregate, the revenues exceeded the budget ex-pepped tour by $976,000. furthermore, the and well and one-time expenditures were $2 million less than the budget expeditures due to staffing shortages and city's required procurement process. as a result, the additional revenues combined with the lower expeditures resulted in a $3.4 million carry-forward into '18/'19. this is $357,000 more than what was assumed in the '18/'19 budget. in addition, we project a

$50,000 growth in annual revenues for '18/'19 based on the '17/'18 actuals. this is where we get the money to pay for the revised budget and items that we are requesting to be funded. during the budget negotiations, in order to prevent cuts in the well-being budget, sfhss agreed to provide a one-time transfer of $100,000 to the sfhss general fund administration budget to support on site, well-being activities for sfhss members. sfhss is responsible for the programming of the activity and, therefore, has sole discretion for the use of the funding. these activities are provided under the direction of sfhss and pay for recreation parks

instructors and other service providers for activities at facilities where sfhss members work. if the total expediture is less than the budget, we will adjust the transfer accordingly. after the $100,000 transfer to the general fund administrative budget to our fund budget, the revenues in the '18/'19 will increase $307,000. turning to the expeditures, they're increased $69,000. that was strange. and one-time expeditures for $462,000, for a total of $631,000. despite this increase in expeditures, $1.24 million will

be available to carry forward to the '19/'20 budget for one-time projects. the budgeted revenues will be sufficient to support the annual expeditures. now we'll turn to the table that's on pages 5 and 6 of your report. and it's projected on the big screen. i will briefly touch on the key changes necessary to implement the plan and goals. the revisions in the annual budget are as follows. the budget is adjusts upward by $260,000 for personnel to include all the goals. will be tasked to up support analysis. this change will enhance

organizational excellence. benchmarking tools that were discussed in the work plan combined with funding for software licenses require a $25,000 increase in the communication budget and support all five strategic goals and enhance organization alex lens. as mentioned in the previous legislation, data will be used to inform targeted health interventions that will positively impact the goals for whole-person health and well-being and enhance organizational excellence. to increase analytical capabilities and drive decisions an additional $86,000 is

budgeted. it will support sustainable healthcare and reduce complexity and fragmentation. the contingency is distributed among the other expediture categories. one-time expeditures is as follows. open-enrollment $200,000 for three projects, communication plan will be developed to better engage and support members and reduce complexity and fragmentation. we'll develop and enhance the capability of the client management. a compliance review of materials and modifications will be

performed to further support organizational excellence. the one-time budget for operations is increased $232,000 to implement member service payment capabilities, complete a hippa audit to ensure compliance, and creat create additional instructional videos for our members. increase in expeditures is offset by reduction of $430,000 since projects were completed in '17/'18. the result is a net reduction of $197,000 in '18/'19. organization alex lens is enhanced through the projects. we're budgeting $263,000 to

expand the usability and scope of the website redesign and to align with the goals to support our members and enhancing organizational excellence. under well-being, we're budgeting $82,000 additional to evaluation and improve well-being communications and webpages. this will address the goals of whole-person health and well-being and organizational excellence. finally, budgeting $115,000 for new data feeds for the database and incorporate benchmarking tools and national community of quality assurance. by increasing our analytical

resources we can impact the goals of sustainable healthcare and reduce complexity in fragmentation. at the end of the report, there's a summary of each of the details of the revised budget. i'm happy to answer any questions or concerns. >> president breslin: any questions? >> i have a question. my memory fails. is this where the board educational funds reside in the $3 budget? >> no. that's the general fund budget. >> all right. thank you. >> president breslin: any other questions? comments? seeing none, we need a motion on this item. >> i move that we adopt the revised $3 budget or, as it's calls, the healthcare

sustainability proposed revised budget. >> i second. >> president breslin: okay. >> as presented. >> president breslin: thank you. any other -- any other questions? any public comment on this item? seeing none. all those in favor? any opposed? no. it's unanimous in favor. so does anybody desire to have a break or carry on here? >> yes. >> president breslin: all right. commissioners, time to go. dr. follansbee. back in session. all right. action item number 7, please. >> clerk: item 7 action item. initiation blackout period for

all hss vendors as well as expert opinion navigation concierge and muscle skeletal reque request. >> thank you, commissioners, president breslin. as referenced earlier, this is in reference to the r.f.i.s that will be going out in response to the strategic plan that you approved a few moments ago. i know you are more than accustomed to receiving blackout notice. one of the things that we will do is make sure we don't have ambiguity that we plan on attacking for a 2020 plan year and also 2021. one of the areas, as referenced by dr. follansbee is concierge.

it will also include msk and we're dove tailing into our rates and benefits, which begins in february. so giving you that notice now. we understand that the november meeting is an educational forum, so we will make sure that when that r.f.i. is issued, likely between now and then, that we'll notify all of you in writing of the r.f.i. and the specific scopes of services included therein. i will read briefly into the record the key part of this memo for all of you that is in the packet that all of you have received. and it's defined that a blackout period is a period of time from onset to conclusion of a selection process where communications between board members and service provideders seek egg contracts on matters solely related to sfhss is

restricted. this includes face-to-face conversations, telephone conversations, email, text messages, letters, faxes or use of any other social media. if there are any questions that arise regarding anything that you may have seen that will be a future conversation you may need to have and you are not sure whether it falls under this, in an abundance of caution, we recommend that you contact eric rappaport and notify our secretary as well as sfhss. if there are any questions, we're happy to receive them now and this is something that the board will need to act on. >> president breslin: the blackout period begins now, october, 2018? >> officially, the blackout period would genuine we initiate a search process releasing the r.f.p. and that's when we issue the r.f.i. we will notify you.

>> president breslin: it says october 18-june 20, 2019. >> that's correct. it will go through the rates and benefits process and it will play into what happens during rates and benefits. so we need to get that started asap. >> president breslin: so everyone will be noticed when this starts? >> yes, the second that the r.f.i. is issues, you will be notified in writing. >> president breslin: okay. any questions? >> i would just make a comment and it's contains in our terms of reference and i highlight that to member of the governor's committee and this board because we have to update the terms of reference this year, but that -- what is in place now is wholly sufficient to cover our conduct

as board. >> thank you, commissioner, yes. as we did from several years ago, of course, matters of rates and benefits are handled as a committee of the whole now, so it does apply to all members of the board. and we do, on behalf of the finance division and contracts division, very much appreciate how this board has conducted itself here and outside of these chambers, making our lives phenomenally easier from a contracting standpoint. so i would like to thank you for that >> president breslin: all right. >> vice president follansbee: i want to point out that i'm going tomorrow to new orleans for the 64th annual employee benefits conference through the 17th. and i have been instructed on this and i find it very clear and will be adhering to it. i want to reaffirm that in public in case there is any question that comes up and i keep a record with anyone who i

converse should the issue come up in the future. >> president breslin: all right. since this is an action item -- >> i move adoption of the initiation or approve the blackout period for all h.s.s. vendors during the rates and benefits process and through the various programs that have been specified beginning october, 2018, through june, 2019. >> second the motion. >> president breslin: any public comment on this item? seeing none. all those in favor? any opposed? it's unanimous in favor. >> thank you, commissioners. >> president breslin: thank you. all right. discussion item number 8, please. >> clerk: item 8 discussion item. financial report by pamela levin.

>> good afternoon. pamela levin, c.f.o. health service system. this report provided to you summarizes the revenues annex pences of employee benefit trust fund and general fund administration budget through august, 2018, as well as the fiscal year through june 20, 2019. i will first talk about the trust projection. we are still in the audit phase of the financial statements. unfortunately, the originally had scheduled to have it released the end of october, as we normally do. the city is extremely behind in work that needed to be done as a result of the new financial system. and it is unlikely it will be

issued in december for our december meeting. however, i will keep you abreast of the news. we get phone calls every friday and we talk to the auditors once a week, but they are right now relocated to other jobs and will come back when the city is ready to have them come back. so we're going to begin with what an unaudited trust balance, as of june 30, 2018, of $72.9 million. based on activity through august, 2018, the fund balance is projected to be $74.5 million on june 30, 2019, which is a $1.6 million increase. this projection is based on two months of data, which is always

difficult to do. our crystal balls are hardly good enough to do after a quarter of the year projection. so this is subject to change as the year goes by. we're seeing favorable claims experience and unfavorable. there's favorable claims experience for the dental plan and projecting to receive $7.9 million in pharmacy rebates this fiscal year. i reported in the report in front of you using the original budget for healthcare sustainable fund because i didn't want to make an assumption if you would approve it or not, but at this point, we're projecting to end the year on budget. no performance guarantees have

been received. as we mentioned before in previous years, the forefeitures for unused flexible spending account balances will not be known until june. in terms of the general fund administration budget, based on the results august, 2018, we expect to end the year on budget. every year around this time, we are notified by the mayor's office and the controller's office of approval or not approval of our carry-forward request. and we did submit a considerable number this year, considerable dollar value. they are also running late on approving those. so we should know in the next

couple weeks what the carry-forward would be. these are for projects and initiatives and contracts that either were not fully expended in the prior year or we've asked for some funding for ergonomic equipment so we can reduce our worker's comp claims and for some special projects. so that at this point isn't known yet. but in the next financial report, i expect that that will be outlined. and i will report back to you on what has been approved. i will be happy to answer any questions. >> president breslin: thank you. any public comment on this item? >>a discussion item.

>> president breslin: item 9. >> clerk: item 9, report on network and health plan issues, if any. respective plan representative. >> president breslin: any public comment on this issue? okay. number 10, please. >> clerk: item 10, discussion item, opportunity to place items on future agendas, public comments on matters within the board's jurisdiction. >> president breslin: all right. i think we probably have our agenda for next month, for november. don't have to worry about that. dr. follansbee? >> vice president follansbee: we're a seven-member board. and we're still, i think, waiting -- the mayor's proposal or nomination for a seventh

member. is there any update on that? >> yes. they're actively working on this matter. >> vice president follansbee: thank you. >> news as of yesterday. >> vice president follansbee: okay. thank you. >> president breslin: item 11, discussion item. opportunity for public comment on any matters within the board's jurisdiction. none? item 12. >> clerk: item 12, action item, vote on whether to hold the closed session for member appeal. president breslin? >> i move we go into closed session for member appeal. >> second. >> president breslin: okay. any public comment? all those in favor of going into closed session say aye? opposed?

>> president breslin: all right. item number 14. >> clerk: item 14, action item. vote to elect whether to disclose any or all discussion held in closed session regarding member appeal. >> i move that we not disclose any of our discussion held in closed session. >> second. >> president breslin: all those in favor. opposed? it's unanimous. item 15, please. >> clerk: item 15 is also an action item. possible report on action taken in closed session. >> i move that we not report on any action taken in closed session. >> second. >> president breslin: all those in favor? opposed? all right. so that's -- >> i move that we adjourn. >> second.

>> president breslin: i know there is no objection. >> good. thank you.

>> supervisor safai: okay. good morning, everyone. this meeting will come to order. welcome to the october 3, 2018 meeting of the rules committee. my name is ahsha safai. i am the chair of the rules committee. to my left is supervisor kathrin stefani, and to my right today, we're joined by supervisor sandy fewer. before we begin, can we entertain a motion to excuse supervisor yee? okay. our clerk today is victor young, and i'd like to thank sfgovtv

for airing this meeting. mr. clerk, do you have any announcements before we begin? >>clerk: items acted upon today will appear on the october 16 board of supervisors agenda unless otherwise stated. >> supervisor safai: okay. great. mr. clerk, today we're going to take items two, three, and four out of order, so can you please call item number two. >>clerk: i'd number two is an ordinance amending business and tax recommendation environment fire, health, police and transportation codes to make nonsubstantive changes that correct errors such as incorrect sighition at thats, typo graph cal errors, incorrect numbering or heading and omitting headers or references. >> supervisor safai: great. i'm going to hand it over to our deputy city attorney, jon givner, who's going to present on these items. thank you, mr. givner. >> deputy city attorney jon

givner. every year or so, our office worked on a cleanup to fix errors that appeared in the ordinances over the last year. this cleanup, it doesn't have any sub-stantive effect or cleanup that would change the law. it's really just fixing errors in the code. that said, since this ordinance was introduced, we have actually fixed a couple of the errors in other ordinances, so i've prepared for the clerk an amended version which i can hand to you which just makes additional clerical changes on top of the clerical changes that are already in the ordinance. so i would just ask that

following public comment you accept these amendments and forward it onto the full board so we can have a clean municipal code. >> supervisor safai: okay. unless we have any initial questions, i'm just going to open it up for public comment. anybody wishing to comment on item number two, please come forward. seeing none, public comment is closed. any comments from committee members? i'm going to make a motion to continue this for a month -- i'm just kidding, jon. make a motion to send this to the full board with a positive recommendation. >> mr. givner: accept the amendments, first. >> supervisor safai: motion to accept the amendments. make a motion to send this to the full board with positive recommendations. so moved. thank you, mr. givner. mr. clerk, item three. >> to change the qualifications for member of the shelter

monitoring committee, create staggered terms for members, establish a sunset date for the committee and to allow shelters that contract with the city to provide clients with blaine blankets if clean sheets are unavailable. >> supervisor safai: correct. mr. howard chen, policy analyst from the department of public health, is here to present -- oh, and can you -- i'm sorry. can you call item number four, as well. we're going to do item number three and four together. >>clerk: item number four is a hearing on the annual report of the shelter monitoring committee and asking the shelter monitoring committee to report. >> i'm tyler morimoto, assistant deputy department of public health. the proposed legislation changes in the administrative code is regarding the shelter monitoring committee, which was established as -- established a committee of

appointees from the board of supervisors and the mayor's office and also through the local homeless coordinating board. what this committee does is they also go out and create a standard of care for homeless shelters. according to that standard of care, they go out and inspect -- they do two things. one is inspect the shelters, and then, item number two is they take complaints from residents of those shelters. so there's -- we're requesting some changes in the administrative code. this has been quite a process because it started in -- we reviewed it -- began in 2015, november 2015, and 2016, january is when the shelter monitor had reviewed all these changes, and we also went through with then h.s.a. and then h.s.h. about a discussion with these changes and included

providers. and so the shelter monitoring then passed it. i can go over what some of the highlights of the legislation changes are. >> supervisor safai: just briefly. that would be fine. >> sure. so one is this change should be staggered starts for the committee because one of the problems, there are two year terms, and what would happen is at the end of the term, we would lose the whole committee. so what this does, it allows for staggered terms, and creates better continuity. there's also -- there was some stipulations on some of the seats, and one of the difficulties we had was one of them was living with her homeless child who was 18. that was a requirement, and we had difficulty filling that seat, so we changed the recommendation to someone who was living with a homeless child

under the age of 18 at some point in the candidate's lifetime. and then there was a staff -- there's also the issue about blankets and clean sheets. so in doing the site -- there's several sites that don't do separate sheets and blankets, and so they kept getting cited for the same thing. how they compensated, they would have two blankets. so we're asking for that request to change it, particularly around certain shelters, it affords them to provide two blankets but not have to do the sheet part. and so it -- and then, i think the minor ones that there's a sunset date, and it creates a sunset date on this, 2020. >> supervisor safai: okay. great. sounds good to me. any questions from the committee

members? okay. seeing none, i guess we can -- and then, who's going to do -- >> howard chan, he's going to do the report. >> supervisor safai: okay. come on up. mr. clerk, should we vote on three before we do the report on number four? i know they're called together. >>clerk: can you take the vote on three, and then, we can move onto item four. >> supervisor safai: okay. so let's just, before we do the report, any members of the public wish to comment on item number three, please come forward. seeing none, public comment is closed. [ gavel ]. >> supervisor safai: okay. so i'm going to entertain a moment to item number three to move the amendments governing the monitoring of sheltering committee to the full board with a positive recommendation. can we do that without objection? okay. so moved [ gavel ]. >> supervisor safai: okay. please come forward and present the sheltering monitoring

report. >> good morning, members of the committee. okay. thank you. good morning, members of the

rules committee. my name is howard chan. i am the policy analyst with the sheltering monitoring committee, and today i will be presenting the committee's annual report for 2016-2017. i'd like to begin by quickly going over the committee itself? the shelter monitoring committee is composed of 13 members who are appointed by three different bodies. the first body is yourselves, the board of supervisors, as well as the local homeless coordinating board and the mayor's office. of the 13 members, half of them are homeless or formerly homeless individuals. the rest of the seats are filled by service providers. the committee has two purposes. the first is to provide city agencies and the public with information about shelter conditions and operations, and the second purpose is to monitor city funded shelter programs for compliance with minimum operating standards, known as

the standards of care. the committee accomplishes these goals by conducting site visits at different shelter programs and taking client complaints. their several different sites that are monitored by the committee. resource centers, reservation stations and drop in centers which provide shelter reservations laundry, showers and more. in addition there's single adult shelters that provide shelter for homeless adults over the age of 18 and family shelters for homeless parents and children. moving onto the 2016-2017 site visits, one of the new features of this report is attempt to try to highlight programs that do exceptionally well either on item visits or client complaints. on the left you'll see several programs that had two or fewer total infractions noted over the course of the entire year, so we did want to recognize those. there are also two programs that had a little bit more difficulty

meeting the standards of care. these were women's shelter and community council. we conducted intensive site visit training which involved on-site visit and highlighting potential standard of care infractions so they could be addressed. i can report that in subsequent site visits, we have seen the number of infractions drop at both of those program sites. in addition, i wanted to speak really briefly on standard 12, which is the infraction that received second more infractions during the reporting period. that was one of the standards that were part of the recommended legislation changes that were just approved. as you can see, this was an issue where we were citing several programs over and over again, and there were a large number of infractions for that particular standard. moving onto the client complaints, the committee received 219 complaints filed by 133 unduplicated clients during the reporting period. once again on the left, you will see several programs, specifically, compass, hamilton,

interfaith winter shelter and larkin that did not receive a single standard of care infraction that year. the program that received the most complaints was next door with 123, and we did take a closer look at the complaints that were submitted about that program, and we will have more information about that in just a few slides. just for -- to touch briefly on the status of the complaints, shelter programs did respond to all of the complaints that were received. 54 received responses that actually satisfied the client, while 24 received responses that did not satisfy the client. the remaining 141 were closed due to either no contact or if the client told us they were neither satisfied nor dissatisfied but simply wished to close the complaint. as far as the types of complaints that the committee received, the standard that came up the most was a standard one, which falls into the staff category. standard one -- allegations of standard one that came up in client complaints were largely due to unprofessional behavior from staff. while we do try to investigate these allegations to the best of

our ability, often these are he said, she said situations and they can be difficult to prove or disprove in either case. what we have been doing is tracking the name of shelter employees that come up in complaints. if their name comes up more than two in a month or six in a year, their name is sent not only to the shelter staff but also the h.s.h. contract monitor. lastly, i just wanted to speak briefly about the complaints that we received about next door. next door is the second largest single adult shelter that is monitored by the committee with a capacity of 334 beds. it is a 24 hour facility that shelters both 34e7b and women. we saw a surge in complaints compared to the previous fiscal year, where they increased from 29 to 123. after investigating all the complaints, we determined that one, a disproportionate number of complaints were submitted

enough by five individuals, the increase could not be attributed to any individual shelter employee as none of them were involved or named in more than six complaints over the year. third out of all the 123 complaints, 36 actually received responses that satisfied the client, which is a higher rate than the year before. and lastly, we have continued to track the number of complaints filed about next door, and we have seen that that number has dropped down in the following fiscal year. i would now like to take sometime to answer any questions that you have about this report. >> supervisor safai: yeah. i have a question that's not really clear here. how many shelters are there in our entire system and how many beds in total are you monitoring? >> so the shelters that are monitored by the shelter monitoring committee do not compose of every shelter in san francisco. >> supervisor safai: why? >> so our legislation, our m

mandate is to monitor city funded shelters. >> so how many city funded shelt shelters? >> 21. >> 21. >> supervisor safai: how many beds? >> there are approximately 1201 shelter beds. >> and how many of those are 24 hour. >> of those programs, i would have to -- i would have to double-check and get back to you about that exact number. it is -- there -- it is a mix because some of the programs are operated out of temporary facilities. i don't have the exact numbers of which ones are 24 hours, but i can follow up with your services. >> supervisor safai: yes. >> we have a representative from h h.s.h. >> supervisor safai: okay. it sounds like you might have

been a technical person. >> good morning, supervisors. my name is scott walton and i'm the director of shelter monitoring and incentive housing. there are 21 shelters, 8 -- >> you're breaking down the 21. >> yes. eight adult, six family shelters, and then, the other sites are resource centers that are not shelters but are places where clients go to access programs and so forth that are also falling under the shelter monitoring committee. >> supervisor safai: they're not really places where people with go for shelter. >> yes. >> supervisor safai: there's only 14 shelters that you're monitor. >> when the winter comes on, we have an interfaith program that comes on. i can tell you that today, we have the eight adult shelters,

of them, the largest are open 24 hours, although due to operational components, people don't have necessarily access to their bed at one of those 24-hour shelters, but they have a rest and recline area when the bed floors are being cleaned. >> supervisor safai: so 1200 for the adult. how many beds are there for the family? >> the family beds, it's roughly around 450. that's a little harder to give bed numbers too because we do rooms for family, and it may be a family of three. >> supervisor safai: so 450 rooms. >> i don't have that number in my head. i've just recently taken on the responsibility of overseeing family, but i can get back to you. >> supervisor safai: i would just say since this is an important point of conversation that all of us are involved in, it would be good to have, when you're presenting the information, to say this is how many shelters are being

monitored, this is how many -- what we just did, adult, family. and are you monitoring the navigation centers or is this outside the scope of this? >> i'm with the department that actually funds and oversees the committee. for navigation centers, that is something we're moving towards but we haven't fully itch willmented that, but -- implemented that, but that's where we're going. this is an annual report from 16-17. there is an annual report for 17-18 that will be coming to the committee. >> supervisor safai: when will that happen? >> the committee is scheduled to vote on that at the october shelter committee meeting. >> supervisor safai: so we'll have that soon. >> but you are soon when we get to the shelter monitoring

committee's report for fiscal year 18-19, i expect that shelter monitoring reports will be included in that for part of the year. >> supervisor safai: how many rooms or beds in total do the navigation centers have? >> so today, we have four navigation centers that are open, and i'd have to -- just give me a moment to do the math. >> supervisor safai: roughly. >> roughly, it's 300. >> supervisor safai: 300 beds or 300 rooms? >> 300 beds. this month, we're closing one and opening two. we do produce a matrix on these sites. i did not bring that, but i'll make sure i bring this to future committee meetings so you have

that. >> supervisor safai: thank you. commissioners, any further questions? supervisor fewer? >> supervisor fewer: yes. so i understand there's 1,202 year-round beds, is that correct? >> yes. those would be for the year-round adult shelters. >> supervisor fewer: and what is their occupancy rate, so are they all filled? >> our occupancy rate, when we take the snapshot in the morning, we're generally 95% full, but that is a moment in time count because generally, all of our beds are reserved at some point during the day, so then, clients may not show up for their bed so late that it may not be replaced with somebody else. so our occupancy report, which we produce daily and monthly shows that for the adult shelter system, a 95 -- roughly 95% occupancy, but again, that's the 6:30 a.m. snapshot, and a bed may have it one or more reservations, but the clients

never showed up for it. >> supervisor fewer: okay. great. because of these reports that we see, we see shelters that are doing great, and have zero complaints, and then, we have other shelters that have more complaints? are we seeing that clients actually prefer these shelters that have zero complaints to the shelters that have multiple complaints owe are we seeing the same is kroo the board. >> we see that the occupancy rate is pretty squint across the board. one of our sites that's 24 hours is more remotely located. one of the factors, it might have a slightly higher vacancy on some nights. we have shelters as small as 30 beds in our adult system, and our largest is 340, so

naturally, they have more people, more complaints. >> supervisor fewer: and these shelters, are they just for an over night stay, these are not for extended, 90 day periods? >> in our adult shelter system, we have a process where adults with get on our 311 wait list and get an additional 90 day stay, and get an additional 30 days. the beds that are not reserved are released for one night use. and then, we do have a portion of our beds in our adult shelter system that are tied with the care, not cash, legislation and those are filled by clients what are on cap benefits and homeless and in the care not catch benefits program. and so -- cash benefits program and they get a stay that's roughly 45 days, because they

see their worker every 30 and that's how it gets renewed. >> supervisor fewer: so the maximum that they can stay at a facility is 120 day zblz we do have some specific situations where people can extend an additional 30 if they have a pending housing placement, and they're under medical treatment that will be done in that 30 days, so we try to build in that flexibility. as soon as you drop off for a stay, you can get back on the list for the 90 day stay, you can use the process to get beds on a one night stay while you're waiting to get back in that. >> supervisor fewer: how successful are we using those fo fo -- housing those folks once they're done with the 120 day stay. >> we've implemented coordinated

entry where we assess everybody in a uniform fashion, so we had a pilot adult coordinated entry program for three years. we're implementing a new version of that now. we have a family coordinated entry program, and that is who determines who's eligible for the city's funded support housing, so it treats everybody the same whether they choose to use shelter or not. so the process of placing people out of shelter does happen, but it's not -- accessing shelter doesn't get you priority for housing? does that make sense? our process looks at people's length of homelessness, barriers to housing and acuity as determining who should have access to those services. and then, our department is rapidly -- it currently has and is expanding what we call or problem solving alternate tiffs for people who do not get priority for that housing which would be some rapid rehousing

responses or short-term subsidy or issues that will help them resolve their homelessness. >> supervisor fewer: thank you. and now, i wanted to know about the complaints. thank you very much. is there a difference in the people that are complaining? >> there hasn't been a done that we've noticed. we do get complaints from clients that are staying on a one-night basis, weekend basis, or staying the whole month. i would have to go back and pull the exact numbers. we typically see more clients that come in on a longer term stay, but i don't have the exact numbers. >> supervisor fewer: okay. thank you very much. i have no more questions. >> supervisor safai: any other questions from the committee? okay. great. thank you very much. can we entertain a motion to

file -- >>clerk: public comment. >> supervisor safai: oh, sorry. any members of the public wish to comment on this item, please come forward. >> good morning, commissioners -- i mean, supervisors. my name is ace washington, founder of the case community assistance service enterprise, and the reason why i put that together is because everybody knows me as ace on the case, that word, case, rhymes with ace, but it dignifies everything that i've been doing for the last 25, 30 years for my community here at city hall. i want to define what ace on the case means, because everybody thinks it rhymes. it rhymes but it has significance to it. in every experience, i had significance in the homeless -- experience in the homeless program. you all may not know it, but i'm

victim of the homeless program. most of my family is across the bay. most of them, blacks have left the city because of whatever reason it is, and i won't go into that right now. but i'm here speaking on these homeless programs, shelter programs, that the city spends hundreds of millions of dollars. ever since angela alioto took over the homeless program, that's when it was running the smoothest. but since then, hundreds of millions of dollars have been put in there. you've got your director of homeless, and all these other programs. you've even got a guy that worked in the shelter that's on the commission of homeless. i want to know when you're going to get people like myself that's on these commissions that can tell you the truth and from eyeball witness that goes on at these shelters. these people, i've never seen before, they're new to city

hall, talking with shelters and wraparound programs. i'm not going to waste my time with you right now, but in my report, it's going to show you totally different than all these people standing up here saying we've got this, we've got this. you need to hear from the homeless people how they're treated. when i was in these shelters, if you left and come back in, you've got to stand in lane. be aware, ace is on the case on this particular homeless programs, particularly since you've got all these millions of dollars -- >> supervisor safai: next speaker, please. >> my name is lucy schwartz, and i was the lead crime reporter at

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