know what we will be talking about their -- about their. >> i don't think actual legislators are on the task force. it is more staff. agency staff. and it is set to convene july 1 st 2019 is the deadline for it to convene. >> july 1st of next year? >> yes. >> oh, boy. >> now is a time to start influencing. >> i'm sorry. any other questions on the task force? >> i don't think so. in regards to telematics, i don't know if you can answer this question or not. but we've implemented the telematics on most of the city vehicle fleets and i was just wondering if there is any data to show any improvement of behavior for drivers, our city

employees. >> my colleague will be the right person to answer that question. i apologize. if i could come back with an answer to that one, that would be great. >> i have heard positive reports in regards to reducing idling and things like that which would save a lot of fuel emissions. but i haven't heard a lot in terms of are we driving safer? are we slowing down? now that we sort of know who is going 80 miles an hour in the city. >> i think if john were standing here, he would say the number 1 goal of the telematics device his deterrence. when people have something in their car that says we will be recording your. >> speaker-02: , that people tend to behave in a safer way. i will let him come back and talk about that next quarter or we can send you an e-mail or follow up on that one. >> all right. thank you, very much. did i ask for public comments on this? >> not yet. >> any public comment on this item?

>> hello again. my name is, ending the policy and program director at walk san francisco. first i want to thank sfmta staff and d.p.h. for this approach and this outreach they have been doing for the action strategy. the vision zero coalition last year as a group that walk s.f. help support. it is 35 communities and organizations that advocate for vision zero. we did not have a lot of opportunity to have input on last year's last action strategy we mentioned that and the m.t.a. and d.p.h. really listens. they have been sitting down with us and have been holding all the great meetings that she mentioned. the amount of community input on this strategy is phenomenal. i really want to thank city staff for doing that. will not get to vision zero if all of our voices aren't heard and part of the process. i am excited about some of the things that are in the draft items in the action strategy. especially, i'm not sure if she

mentioned it, but i think i heard recently a commitment to put improvements on every high injury corridor before 2024, even just short-term temporary. that is how we will get there. but i share your concern about the boldness and about -- not even the boldness, but what do we know? instead of just having a plan that gets us a two years and a few things and may be five years , i want to know is what will it take to get us there? not what you will do by 2024 but what would it take us to get to zero deaths and zero injuries? and then we can work back from there and figure out what we need to. i agree with you and i would urge the city to produce that report of what has worked so far and what remains necessary to be done. i would like to see that too. the vision zero coalition has been pushing for a five year plan. a plan that takes us all the way to 2024. it is not a long-term goal. the city makes long-term plans that are much longer.

this is a 50 year plan. if we can do a 50 year plan, we can do a five year plan that is details -- detailed and gets us where we need to be. i urge the city to really continue to do that. another thing we asked in this next action strategy is a focus on transit as a central part of a vision zero strategy. we know communities that rely on transit have fewer crashes. and so we want to see transit to be a bigger part of the strategy not just transit priority but transit frequency as well. i am out of time but excited to see what this next action strategy is. thank you. >> thank you, very much. >> i would like to have you also include in your strategy, also the bidding and overseeing of construction sights. you have one construction site at the terminal and the west

portal station where a white skinned coloured mail lost his life because thorough background checks and prerequirements of checking a background of a contractor was supposed to be done and city officials claimed it was done and it turns out that the company had a history of fatality and serious injuries that took place on the job. so i think that should be part of your strategy as well. and also, we had a latino, hispanic, mexican female who too lost her life on a construction site in the streets in the city and that should be part of your strategy to oversee background checks of contractors as well. this contractor who too cause the death of this female also had a history of mistakes and licensed -- licenses had been

provoked. i thank you and your strategy should combine what the bidding process and interviewing and backtracking these contractors who are slipping through this loophole which is supposed to be a safety to prevent these fatalities that you claim you want to prevent. also, my next demonstration, which is going to be more detailed under item number 7, when you talk about fatalities, i will be in more detail and more on what took place on these locations. also, you caught me off guard. there was a hispanic male who worked on a construction site who was buried alive because the contractor didn't follow procedures when digging a trench it took 11 hours to find him. >> thank you. >> any other public comments? singing on, public comment is

closed. i have one more question. sorry. i have four questions. one thing -- i came back from a conference in a child friendly city and a lot of this discussion was about the streets and what they could do to make it more attractive for people to feel safe on the sidewalks and streets. and part of it was, as you know, when we engineer what you call that, dieting? you always try to lose something you are trying to lose speed here. it is dieting to lose speed. is there any -- was there any overall strategy discussing the possibility of reducing speed overall in san francisco? i know m.t.a. and caltrans is a little resistant to that in the past. i don't know about now. it took me two or three years to

get monterey boulevard slowed down to 25 miles an hour off the freeway and originally for two years they said it couldn't be done. so i think things can be done. any strategies? >> strategies around speed reduction? the first one, i will say is automated enforcement again. and we also -- speed limit reduction roles are set at the state. again, that will be part of the conversation of the state at zero traffic fatalities task force. that it is convening in july. but it is definitely part of the conversation. those two are the biggest tools we would like to talk about and we really need the state to be on board with those items. we are not starting from square one. we have done a great job

advancing that conversation. hopefully we are taking that good work that we have done and we are moving it forward through this state legislation. probably a less than satisfactory answer. it is in our strategy. >> ok. thank you. we will can to new pounding on that strategy. thank you, very much. ok. we will go ahead and finish with this item and we will go to item number 7. >> item seven is update on 2018 fatalities. this is an information item. how are you doing? >> hi, doing good. there you go.

>> hi i am the captain for sfpd 's traffic division. today i would like to talk about the fatalities so far for 2018. and i will quickly go through the slides and i also have an expansion on some of the items that i was told to highlight. if we look at between 2016 and 2018, we are currently at 18 fatalities. this is slightly higher than last year but significantly lower from -- i went back as far as 2014 and we were in the thirties and right now it is just slightly higher at 2018. so if we look at the fatalities and look at the travel modes, 12 for pedestrians, two more vehicles, three were bicyclists

and one motorcyclist. so far, 33% of the people that have died were 65 and over. seven of those people were hit and run. i can expand on that in a little bit. one of them was a t.n.c. going to the hit and run, out of those hit and run out of the seven, we have made three arrests. one was a detention investigation and that was the t.n.c. out of those, we have three open cases right now and out of the three, we have two that are active and have leaves that we are following today. and i will go to the next slide. if you look at the areas of what

they look at as concentration of poverty and rural population, 56 % of the vision zero fatalities occurred in these areas and 44% of them on the high energy -- injury network. you can see the diagram up there if you have a closer copy, it will show you which of those areas people were walking. which were bicyclists and which were riding motorcycles and vehicles while driving. the yellow area is the vulnerable populations and communities of concern. the red network is the high injury corridor. and our unit focuses on enforcement on the high injury corridor.

out of those 18 fatalities, the seven hit and run, if you have any specific questions regarding those, our team, what they do is they go out and investigate and i have an investigations unit and a forensics technical unit that go out to every fatality. not only the hit and run and they basically treated as a crime scene and we interview all the witnesses and all the involved parties. we look at a forensics of not only the car but also the roadway and we look for cameras and video and individual video. we develop leads that way for the hit and runs. for the drivers that remain at the scene, we investigate it and we work closely with the district attorney's office to identify which cases lead to prosecution. which are majority of them. we work closely with d.p.h. and

m.t.a. and we work closely with d.p.h. and m.t.a. on every single fatality to troubleshoot the area to see how it can be improved and they work very closely with m.t.a. on that. and that is all for my presentation. >> i have a question about one of the fatalities. what do you call that, the moped think we the one along embarcadero. >> that is the pedicab. >> we don't have any leads at this point, right? >> we do. we are looking at leads on that. we have been all over the bay area investigating that collision and we have interviewed people. we have examined cars. it is still an open investigation and we are still

investigating it. >> one of these, i'm curious about. especially the area where there are a lot of t.n.c. they will have their cameras. was there any attempt to reach the t.n.c. that happened to be around that area so you can actually get more footage possibly of the vehicle that cause cost a fatality? >> yes. we have a multiple investigators that went out, not only the primary investigator that was involved on the investigation, we also have a video team that went and looked at different routes that this person might have taken. we do have video of the vehicle that we put out and we put it out to the media including a shot of the car.

specifically for the t.n.c., what we did is when we go out to the media, we ask for any kind of dash cam footage from anybody not just the t.n.c. that can come forward to. we have had a a lot a phone calls both anonymous and people who have identified themselves. it is an open investigation. >> ok. i appreciate that. hopefully may be in the future, i would like to see possibly working in agreement with t.n.c. and companies. because right now we are just asking for people to volunteer their information. wouldn't it be nice if you could say to them, this is where it happens. can you get the footage of your fewer just your vehicles that are around sterically if someone refuses, or they might be a lot

of people who don't want to do it, then you are at some disadvantage. >> i have actually discussed that specifically with my investigators. t.n.c. do not require any type of video for operation. so that would be up to the individual driver and those are generally considered independent contractors using an app. but it's definitely a lead that we can look at. >> one more related question. in this -- has ever been where you had notice from t.n.c. or any driver, with t.n.c. in particular that has been useful for investigation and finding the perpetrator? >> we have some that have come forward as witnesses. i would have to actually look at the case fall -- case file to

look at that and look at each individual case file. >> i will go off-line with you but i think my intent is there are some that i would love to highlight what they did that was so positive. >> ok. >> i just have one quick question. is there any reason or have you looked at why the fatalities spiked in august and september? >> we do look at those fatalities. again, and arrest was made on one of those out of the three arrests. and that one was a d.u.i. on the other ones that were both pedestrians walking, one of them was a real late at night and that was the hit and run. at this time, there was nothing trend -wise that stood out. i have discussed that with my

investigators. >> ok. thank you for your report. any public comments on this item >> i spoke to you earlier about hispanic latino and mexican female dissent who lost their life in a fatality in a construction site. she is a historical female by means of breaking through the glass ceiling barrier that was done by a predominantly male employees in the construction field. >> i'm sorry. this item is on -- >> fatalities. >> vehicle fatalities. >> this is a teagle dish vehicle fatalities. the vehicle caused her death. i like to start my time and give

me back for the seconds that were lost here. this e-mail here is working on -- this female was working on a construction site. she busted through the ceiling of an occupation that was controlled predominately by a male and she was struck by a vehicle that slid off of a tow truck and the contractor had a history of numerous rule violations and didn't have a license during this timeframe. this correlates with my earlier demonstration where you are talking about strategies. i believe your strategy of overseeing and being present during this contract bidding situations could help prevent this type of situations from happening. her name was leanna. she was a plumber. she busted through the ceiling and went through the training in school and everything. she had a toddler that was only about two or three years old.

as a result, she was asking her grandfather, where is her mother and the grandfather told her that her mother is in heaven. as a result, she wants to go to heaven too to see her mother. the second demonstration pertains to a male that was hit at west portal station. he too was killed by the negligence of a contractor. the contractor was checked and prequalified and passed all the tests, which is a boldfaced lie. he lost his life too on the job site. >> thank you. any other public comment on this item? seeing none, the public comment is -- public comment? >> sorry. public comment is now closed. do you have -- i might have to skip item a and go to item nine

for now. because we have two drop our time -- we have dropped dropdead time at 4:00 pm. can you call item number 9? >> item nine is update on plan for pedestrian signal retiming. this is an information item. >> good afternoon commissioners. i'm here with the sfmta. i am the city traffic engineer. you had asked us to provide you an update on what it would take or how long it would take for us to the time the entire traffic signal system based on our previous discussion that we had developed a new crossing time for pedestrians. a slower walking speed of 3 feet per section -- per second. and your inquiry led to some productive work that we tried to see what projects we had pending and what projects were likely in the next few years and we have

concluded that we can retiming all of the high injury network in five years and to be completed with the entire traffic signal system by the year 2024. the high injury network is about two thirds of our traffic signal so we think that based on existing projects and staff capacity we can do the work in five years and i will be part of our strategy that they discussed prior. and the locations that are not on the high injury network, we would finish them in the year after that five-year period. six years total. >> and in regards to the timing of it, did you say three years? >> five years for the high injury network and six years total for the city. >> ok. i thought you said three. so the question here is what is preventing us from speeding that up? what would be the bottleneck? >> there are various bottlenecks

there are some issues about how to properly read time some of the signals. for example, we are undertaking a retiming of the downtown area which requires not just going on and retiming the signal by gathering data and doing traffic analysis to make sure that we update other things and need to be updated with the traffic signal system. those kind of cases, we need to do a more thorough signal timing there are issues in terms of implementation and we have other priority projects including vision zero projects and transit projects that take up staff time in terms of implementation of projects. i am trying to be realistic in the sense that the past ability to deliver these types of projects and the capacity both at the m.t.a. in terms of engineering and our traffic signal shop in terms of implementation. and that is the best we can do at this point. >> with the resources you have? >> with the resources we have and we likely will have in the future.

>> but the state will probably past something that is similar. do we want to read time all the signals in california? san francisco deserves another 50 million to do this. can we speeded up? >> that would be possible. it would require a process by which we would have to step up staffing. it is an issue in the sense of retaining an engineer his -- it is a tight labor environment in terms of hiring electricians. staffing up along just beyond the stuff we have no, and retaining the staff that we have is a possibility. at this point, i'm not assuming anything to come out of the sky. i am assuming what is known at this point and being optimistic in a sense it in the future we would be able to leverage some state funding or some other resources to finish the work.

in the past we have not retimed all our traffic signals every five years. we have taken much longer. to do the project in five years is to be aggressive on our end. >> i appreciate it. i am sure what you are giving us is realistic. but it is always the what if? by the way, we have families who are street members and we heard what we need to. let's advocate for it and may be we could get it. >> i think -- i'm excited about doing traffic signal timing. it is one of the things we can do with minimal construction or other type of work. i think it is one of the things that we want to do throughout the high injury network as, mentioned. i share your belief that this is something we should work on. but we are trying to proceed in a measured manner and i think that this is my realistic assessment at this point. if we can do it quicker, we will

aim to do that. >> commissioners? no questions. i really appreciate your effort. the two things that we really find helpful is reducing speed and changing the time. any public comments on this item >> yes. the five-year commitment that he came up with that really equates to more than 100 people losing their lives. on this current toll the city of san francisco is experiencing right now. we have to get more aggressive. lives are at stake. families are losing loved ones. families have to deal with the fact that they have to bury or go on category at whatever else they have to do with when it comes to losing loved ones in that manner.

so we have to get more aggressive. we have to more creative. we have to be more available to make this happen. we can't wait any longer, coming from me. those measures were in place for my sun, may be. he may be here today to even breathe. for me and for the city of san francisco, and for the bay area and for this country, we need to be more aggressive and more creative and we need to consider the lives that will be lost. not may be but will be lost if we are on this current course. thank you. >> thank you,, very much. next speaker. >> i think the best way to timeout all of these signals is to have our senior citizens behind from one section of intersection and how much time it takes for them to cross the street and use that as the major

anchor point instead of just setting timers based on speculations of traffic. because the pedestrians are the ones that are losing their lives so by taking the measurements of a slow walking senior citizen that is moving at full capacity, which is very slow, is the best way to measure the timing and set signals on these light signals for traffic. instead of driving -- trying to move traffic from point a to point b without causing a traffic jam. i was watching one educational show about two nights ago that halloween night is the highest percentages of kids dying, and fatalities on trick-or-treating night. so that is an important factor that should be included in your calculations as well. but the best way to get a

measurement on the time signals is to have senior citizens be timed and crossing the street on busy intersections. the street is so wide. that has to be taken into account too. >> thank you. any other public comments on this item? public comment is now closed. i really appreciate your comment about speeding it up and how many lives could be saved if we were to do it quicker. i share your sentiment in regards to my own incidents where one more mile an hour and i wouldn't be sitting here. there was not a time like they're there. if there were, i probably would not have gotten involved with that particular collision. ok. we are finished with item number -- what is this? nine. could i call item a and continue

go ahead. item a. >> item a is a vision zero ramp study phase two. this is an information item. >> can i have a motion to continue this item? ok. with no objection, we will continue item a. i'm sorry for the presenter. any other items? >> item ten is introduction of new items. this is an information item. >> ok. no introduction. >> item 11 is general public comment. >> general public comment. >> my next demonstration is further concrete the reasons why your overall strategy plan should be included and to the

beddings of construction site projects to make sure all safety and reference checks are checked viewer, please. i talked about the construction worker who lost his life. he died at the west portal station. the california occupational safety and health administration has a history of violations including a november 2016 accident which a worker operating a forklift died after losing control and going into a trench. ok. the san francisco transit officials who oversee the beds and the contracts for the work said that the construction met all the requirements of prequalifying for the bid. i want to refresh you on the hearing that you called because of that accident how several departments came and testified about all these procedures that they go through in order to

prevent accidents like this from happening. and it proved how they are not doing their job. if they were, accidents would never have took place. as you can see right here on the section where they make their demonstrations, they talk about prequalifying packed by different departments in the city. it is a bald-faced lie. if they did, the accident would not happen. on one of the questions they were asked have you had any history of fatalities in the past ten years and they deliberately said no. and then by the same response, a history check demonstrates that a person lost their life by being crushed by a construction vehicle and resulted in a fatality. that is why i want the organizations to check the situation. >> thank you. any other public comments? seeing none, public comment is closed.

next item. >> item 11 is adjournment. >> meeting is adjourned.

>> the hon. london breed: all right. good morning everyone and welcome. thank you for being here at hummingbird place. my name is london breed, and i am the mayor of san francisco, and we are excited. we are excited because we know this announcement is bringing us one step closer to our goal to make sure that we provide options for people that we know are suffering on our streets. some of you know that i've made an announcement a couple weeks ago to add an additional shelter beds, 1,000 shelter beds here in san francisco by 2020, and we are working hard in san francisco to accomplish that goal. but we know that just building housing, providing shelter is

not sufficient for some people who need a little bit more support. it's just not enough. and many on our streets, unfortunately, are suffering from mental illness and substance abuse disorder. today, we are at hummingbird place, which helps the most vulnerable residents break out of the cycle between the streets and jails and hospitalization. here, medical professionals provide personalized care and innovative services for mental health and substance abuse help. hummingbird place is tailored for individuals experiencing mental health and addiction. we have an option for people to get off the streets every night, and we can do more. and that's why today, part of the announcement is that we are doubling the number of beds here at hummingbird to 14.

we are committed to addressing the root causes of homelessness and providing access to mental health recovery, and we also know that more beds at hummingbird is not enough. initially, the department of public health had a plan to have another 20 beds at by 2021, and i know we need to move faster and have nor beds. i've given a directive to health to make sure that those beds are added by next year, but also, that we've added 40 beds. also, next year, we will have 70 to 90 new mental health stablization beds in san francisco, which is just amazing.

these mental health stablization beds are just a piece of the puzzle. there's so much more work that needs to be done. and today at the board of supervisors meeting, supervisor rafael mandelman and i will be introducing legislation to introduce state senator scott wiener's bill sb 1045. many of you have heard about sb 1045, and this bill which was championed by senator scott wiener and supported by david chiu and signed by governor brown allows us to opt into a conservatorship program to help those with mental health. i want to thank senator wiener for his leadership and supervisor mandelman for his

partnership. i also want to thank all the city staff including those in the city attorney's office who have been working months before the bill was ever signed so that we could be ready for this day to move as quickly as possible. and that is why the combination of this legislation and these new beds are going to help us get to a better place for those people that we know need help. conservatorships, we know are a challenge, and we are going to continue to engage all stakeholders on finding solutions for the purposes of helping this population, but we know we can do more, and we can't wait for new solutions. we have an opportunity today, right now, to increase our capacity and move this legislation forward so that you see a difference, and those people who we help are going to feel a difference. we aren't going to make it just

go away. we haven't been able to so far. it's time to try new, innovative ideas for the purpose of meeting a challenge in san francisco unless we're prepared to make the hard decisions, the right investments to move our city forward. i'm committed and all of the folks who are standing here with me today are committed to addressing this challenge. and with that, i'd like to take this opportunity to introduce someone who understands this issue and who is working hard every single day in sacramento to provide the changes to state law that will help san francisco move forward in addressing our homeless crisis, and that is state senator scott wiener. >> thank you, madam mayor breed.

i just want to thank you for your extraordinary leadership and coming into office and immediately pressing forward with innovative new approaches to addressing the homeless crisis and the crises of mental health and addiction that we see -- our mental health and addiction that we see playing out on our streets every day. i think the mayor recognizes that the status quo isn't working. she recognizes that money is important, but money isn't the only thing that we need. we need policy changes, so in addition to expanding our mental health system and our addiction system, advocating for safe injection sites, for all of the pieces to come together to

combat the tragedy that plays out on san francisco streets every day. i just want to say thank you, madam mayor, for your leadership. i want to express my appreciation to the mayor and to my successor on the board of supervisors, supervisor rafael mandelman for taking the bull by the horns and helping us pass sb 1045. the mayor and supervisor mandelman came to sacramento to help us advocate for this bill, but moving forward to immediately past and craft legislation a conservatorship bill so that sb 1045 can be the law in san francisco. it's not progressive, it's not humane, it's not compassionate to sit by and watch while people

unravel and ultimately die on our streets. we know that conservatorship is a significant thing. it's not to be taken lightly. it's temporarily removing someone's civil will i enter des and their ability to think for themselves. and that is something to be taken seriously. but allowing someone to die on the streets is a lot more extreme than temporarily having the city make housing and health decisions for someone so that they can get healthy and get their lives back. we have a situation now where people are unable to make conditions for themselves. there are homeless people, present of homeless people in the city who if you offer them housing, offer them offices, you're going to be able to get them help and get them back on track, but there is a small segment of aurchronic homeless

population who are not able to make those decisions, and they are dieing, and we need to save their lives. and as i have said, debating people who are a little more skeptical of skefsh conservator we already have a conservatorships. it's called jails. people should be able to get mental health and drug addiction treatment without having to be arrested and interacting with the police and going to jail, and yet that is the system that we have setup right now, where people are just cycling through jail, they're cycling through interactions with the police, and we need to give an altern e alternative in this

conservatorship program, and for this targeted, narrow population will help them survive and thrive. now it's my pleasure to turn it over to my partner and supporter, assembly member david chiu, who was a vocal supporter of their legislation. >> thank you, senator. let me thank all the men and women who makeup our public health system in san francisco. whether you work for city government or you work for a nonprofit, you are reflecting the very best of who we are as citizens in the city of st. francis in taking care of those who desperately need help. i want to thank my colleagues who are here. this is the team of elected officials who went to sacramento who said we need to change state law to help the fact that people are dieing on our streets. the status quo is not

acceptable. i want to salute mayor breed for bringing a light to this issue in her first 100 days as mayor. and also for supporting and moving forward and opening up new beds for a population in desperate need of them. i want to salute senator scott wiener who has been a dogged advocate for change, but particularly with this conservatorship law. there was a lot of questions and frankly some controversy about what that was about, but we were able to answer the questions and help people understand that this is not a gigantic step forward, this is an important step forward if you have compassion and care for those who are suffering. supervisor mandelman who will be introducing an ordinance this afternoon, i want to thank you for your leadership. you have a personal experience that helps elucidate this issue.

we need all solutions. we need to keep pushing on tested solutions that are innovative. we cannot be afraid of the status quo of making sure that we're moving forward no things in the city of san francisco. that is what we are about. we also need to make sure we're breaking down the silos, and that the substance abuse and mental health people are talking to each other. i want to make sure that these are laws that are put into place, so that someday, people with point to our city and our state and say you know, it was in san francisco, that we were

able to turnaround this crisis. it's my pleasure to bring forward one of the newest members of the board of supervisors, raff negate mandelman. >> thank you, assembly member chiu. i notice that we've been joined by my junior colleague, vali brown, by about five minutes. we are so lucky in san francisco to have just an amazing team in sacramento, and i am reminding of that on almost a daily basis, but assembly man chiu for your dogged advocacy for housing in california, and your recognition of the tremendous need that we have, and senator wiener for everything, like, so many bills, so many bills. but particularly, sb 1045 has

been important to me. and to our mayor, for your clear commitment of getting homeless people off the streets and getting them the care that they need, your commitment to increase shelter beds dramatically, and your commitment to coming out to places like hummingbird. i recently had the opportunity to tour hummingbird, and i think we need more places like this. i'm pleased to be joining the mayor to be authors legislation that will implement sb 1045. i see that as the start of a conversation for your city, and i look forward to collaborating in the weeks ahead with stakeholders, advocates and key city departments to make this program as effective and successful as possible. by introducing the legislation today, we're taking a necessary first step to get that conversation started. as i walk around my district and just about every neighborhood in san francisco, it is painfully clear that we cannot wait a day

longer. we can't continue to allow our neighborhoods to serve as open airmen tall institutions, our jails as addiction services, and the streets to be the wait list between the two. sb 1045 and its local implementation is not a cure all, about you it offers one tool who help people suffering from mental health and addiction that are suffering on the streets. that enables us to take a hard look at our challenges, to focus on what's working, and to fix what's broken. much of the conversation over the next several months is going to be the problems circling this population. as we implement sb 1045, we must ensure we don't take resources

away from other programs. i know that everyone up here is supportive of the need and recognizes the need to build out our funding for responses to homelessness, and i look forward to working with my colleagues on the board and the mayor to ensure that those resources are effectively deployed. so i want to thank the mayor and senator wiener and everyone up here to addressing these challenges, and i look forward to partnering with you to implement effective solutions. i said had i the opportunity to tour hummingbird a while back, and i also had the opportunity to tour this amazing if a ilt is, and i just want us to take the opportunity to recognize how amazing general is and all of the people it serves. one of the people doing good work in emergency psychiatric services is dr. bland from san francisco general hospital, who is up next.

[applause] >> thank you. thank you so much for having me. hi. i'm anton bland, and for the benefit of the press, my last name is spelled n-i-g-u-s-s-e, space, b-l-a-n-d. >> the p.u.s. is the only service of its kind in san francisco, place where a person with a mental health crisis can be seen by a physician, a consist 24 hours a day, seven -- a psychiatrist, 24 hours a day, seven days a week. our dedicated team of nurses, doctors, and psychiatrists conduct over 7,000 crisis evaluations each year.

six out of ten individuals that come to p.e.s. are experiencing homelessness, and if a person is homeless, they have on average three or more visits to t.e.s. each year than someone who is not homeless. successfully addressing challenges like this requires the innovation and collaboration of our medical community, civic leaders, as well as community partners. before hummingbird navigation place center, a patient with a p.e.s. discharge received a recommendation to go to far corner of the city, hoping they would go there to get the service they need to receive.

hummingbird place navigation center fills an important need in the continuum of care for individuals that are experiencing homelessness and struggling with mental illness and substance use. in the first year of hummingbird's operation, p.e.s. generated 30% of referrals to the navigation center. the unique peer approach support that take place at hummingbird helps extend the reach of crisis stablization services from p.e.s. into a home environment where our patients experience dignity, respect, and additional empowerment on the path to recovery. with the additional 14 beds and the additional 20 treatment beds at san francisco general to be available, our options will increase and we will be better able to ease the transition from the acute emergency care settings back into the

community. hummingbird place has been an important partner for p.e.s. enabling us to provide a better level of care for patients when they leave the hospital and breaking the cycle of this crisis. thank you for your patience, and i'll introduce simon tang, from san francisco department's e.m.s. six. >> thank you, mayor breed, for this invitation to speak. my name is simon tang, and i am a captain in the san francisco fire department. i work in a department that responds to frequent 911 users, shepherding people towards support, mental health treatment, detax treatment, and supportive housing. on those that are dependant upon 911 for their survival, a small number, in my estimate, less

than ten, in my experience, have such substance abuse disorder and mental health disorganization that they cannot perform routine acts of daily living. these individuals don't have the agency to get food at st. anthony's. some lack the strength to dress themselves. some have life threatening infections that will not heal. some are ineligible for shelter, for not only are they chronically incontinent, but they refuse to participate in self-hygiene. i want to be clear, these individuals don't own phones or a tent. they aren't calling 911 for themselves. the compassionate citizens of san francisco call 911 for someone unconscious on the streets or for the person that has been sitting in their own excrement for the last eight hours. what does this small group of

individuals have in common? severe substance use disorder, mental illness that has been exacerbated by substance use, and homelessness, which in my view is driven by the addiction disorder. these few individuals will use until they are incapacitated, stumble out of an emergency room as soon as they can walk or are rolled out of an e-r in a wheelchair and use some more. it is a vicious circle of misery and illness of which they have no agency to stop. one such person activated 911 over 200 time last year. because it was deemed that their psychology and psychosis are rooted in mental health reasons,

shelter services don't apply. the city has offered services to these few, shelter, navigation center, and housing with supportive care: food, counseling, drug treatment, but it is continuously refused. my team, e.m.s. six, met with one individual 53 times last year, and offered, 53 times, to assist him with every aspect of getting housing, but we never got him through the d.m.v. door to get a copy of his i.d., step one in the application process. that man died this year, found hypothermic by paramedics. sb 1045 is not a magic wand, it

is a tool that can provide temporary respite, so that free of substances, their mind can clear, their body heal and give them the possibility to discover the desire for a better life. thank you. >> the hon. london breed: thank you. that concludes our press conference for today, and thank you all so much for being here.

to begin. good morning. today is wednesday, october 17th, 2018. this is the regular meeting of the building inspection commission. i would like to remind everyone to please turn off all electronic devices and the first item is roll call. president mccarthy. >> here. >> clerk: vice president walker. >> here. >> clerk: commissioner konstin. >> here. >> clerk: commissioner lee. >> here. >> clerk: commissioner warshell. >> here. >> clerk: we have a quorum. next item is item 2, president's announcements. >> president mccarthy: good morning, and welcome to the october 17, 2018 o