let's figure out how to keep this program going because it's really -- and i'm so glad that your son has had such a positive experience. >> president cook: commissioner sanchez. >> vice president sanchez: thank you. thank you for the presentation. so i'm more interested -- i'm very interested in what commissioner norton's talking about. we have passed a resolution expanding city college. which is great. but on the p.t.a. front, setting up a general fund, can you speak more in detail of what you're looking at? >> so we're just looking at -- we know that there's different schools have different capacities in terms of generating funds. arts is a perfect example. so we know that some schools get a base fund of vapa, but some schools can raise additional funds to supplement. we just want to look at ways how we can create a central pot

that has an effective voluntary mechanism for people to donate that will benefit all schools, so how can we bring across the district those types of things, and we want to hear from the parents and school groups in the communities about how to move forward with this idea. >> vice president sanchez: thank you. i know that santa monica, years ago, they were going to have a large percentage that went to a central pot, and it went to schools that didn't have active p.t.a.s. you might want to look at what they've done. they spent a lot of years hammering it out. a lot of people left the district because they depth want to share. it's something we should be looking at. >> i think that's the emphasis

on the voluntary piece. i think there's emphasis on p.t.a., not wanting to force anybody, but we want to hear from the ground up, what are some ideas people have about how to move forward with that? and i think that's why we were looking at santa monica, san jose. over in marin, they have a coalition of foundations that have created a central pot? know, there's several different districts but it's all put into one? it's called school rules? so we're exploring that and just to move the idea forward and trying to collaborate with spark about what was the capacity. >> vice president sanchez: can you remind me who the new director is for development. >> cole haggerty. >> vice president sanchez: thank you for the work. >> president cook: commissioner lam? >> commissioner lam: i just want to echo the statement

around equity for high school students. i know my daughter in language, there will be time for her to take that at city college, and when she goes through sequencing, she will have that space in her sophomore year in high school? and i think that overall, just being able to expose our young people around the opportunity of their post secondary experience and really from an early age, in the early years of high school to be able to offer that out to our students and saying that post secondary college is -- can be a reality for you and to be in the experience of taking city college classes i think means a real great deal to their confidence level, to their ability to think just what's possible and the opportunities before them. and one question i do have, then, around process, it sounds like the grants to support the dual enrollment is going to be sunsetting, so i'll be curious

to see what those plans are and what are recommendations from the superintendent and the staff around budgeting to support that program to continue if not expand. >> president cook: was that a direct question or for later? >> commissioner lam: it can be a direct question around -- or just as a comment if staff -- superintende >> we'll get that information to you, but we'll get it to the entire board. >> president cook: okay. he's good. i thought i was the best at thurgood, and i am oh, so wrong. we -- commissioner -- vice president sanchez and i passed a policy for dual enrollment so

students could be in ninth grade, and they didn't have to be in the school. we had some back and forth about how that should work, but it would be great to get an update from staff in one of the upcoming curriculum meetings to see how that process is going, and hopefully, we can get that report to the parent c.a.c. so you can get an overview of what that policy is and how it's working, and now you can go home. oh, sorry, unless there were other questions. okay. okay. are there any appointments to the advisory committees by the board? commissioner lopez? >> commissioner lopez: i'd like to appoint diana payne to the pcac? >> president cook: section c -- on the appointment?

okay. >> commissioner lopez: well, i just wanted to remind folks that we're going to have a new charter and we're going to appoint folks to the charter oversight commission. as we can appoint folks, we can have folks supporting mike davis who reviews some of the charters coming up. thanks. >> president cook: section c, consent calendar. can i have a motion and second on the consent calendar? >> moved. >> second. >> president cook: we do have public comment on the consent calendar, so when you hear your name called, you can please make it right to the podium. you'll have two minutes. nick chandler, joanna lopez, david sewell, and saul hidalgo.

>> my name's nick chandler, and i'm the counselor for horace mann. this is the first time i can honestly say that i've been able to partner with our organizations to address the housing needs that our students have. you know that kids that sleep in a car do not show up ready to take part in classes. these basic needs, the barriers to learning are at the center of our immediate work. we identify a community school, and that means partnering to address the basic needs of all of our families, so we launched one this year, opened one our jails to house families facing this imminent need. what we've seen is we started out with 60 families that were housing insecure. we made contact and secured all

of of those families. we partners with those families and through this pilot which cost zero sfusd dollars, through this pilot, with you look at each of those 26 families options. what are they eligible for, what paperwork is missing, what do they need to do to get access to housing, single-family voucher is, alternatives to what we have. so what we learned is a, we need this tangible resource. here's a bed. put your stuff away. so this program shows we have a lot of work between the city and school district to address these needs. we need a tangible resource but because we've addressed it through this collaboration we now have the ability to address this to other students through the districts, so i'm going to ask you to open this up to

other sfusd schools to participate in this pilot, and then i'm going to let the data speak for itself at the end. >> hi. my name is joanna lopez miyaki. i'm a parent at the horace mann. i'm here to talk about what our -- nick just spoke to. i am ache going to ask the board to please put a pause on making any kinds of decisions. i think that it's premature. i think that it's -- it's some data but not enough data to support that this should be expanded. when this was initially rolled out, it was a promise made to the community that this was to serve buena vista who are an m -- horace mann families, and i don't know how expanding it to all district families, you can keep that promise. if you have a bed full, and another family drops in, like i

don't know how you can say hey, this bed is for a bbvh family. i think a lot of the meetings that we had with the first draft proposal were rushed. the last meeting that we had, there were seven parents that attended. so i don't think there was enough communication given around to the whole community. it's pretty well documented in some of the media that's covered this, as well, to see that there's definitely a lot of questions and concerns from the community. so i'm just hopeful that we can -- like what we were talking about earlier with the other -- you know, just really taking the time to look at the data, look at the facts, look at the impact so you can -- these things could have before we make decisions that are -- that are so huge. this is a pilot program. it's not even done with the

pilot and now we're talking about expanding it? i just don't see how that makes sense, so thank you for your time. >> president cook, honorable members of the board of education, david serrano sewell. it's always a pleasure to be a room with other parents and educators such as yourself. i want to acknowledge work done by our principal on what is a very credential and important -- crucial and important issue, how we deal with housing of our students at horace mann school. to say that this proposal was made at our school without a discussion, a robust policy discussion wouldn't be true. there was. there was a serious dialogue when it was first proposed and there were varying opinions and

views on it. we were all unified because we cared about the campus, and we wanted to make sure that the school had the resources to absorb this program. so certainly -- certain assurances and promises were made. chief among them, this would be for the buena vista horace mann families. why? because providing this service would uplift the entire campus community because they would be getting this assistance and they can be in a better learning environment, and that would uplift the entire school community. that was the progress made. now it's shifted. now something else is being proposed. and as johanna stated, we haven't been afforded -- parents have not been afforded the opportunity to have that same discussion that we did last time.

i kind of think we should because there are serious issues to consider. facilities, etc. you know what they are. some of them we don't know what they are because we haven't had a chance to discuss them. what brings me to you tonight is i know what a good faith discussion looks like, and we just haven't had that yet. thank you very much for your time. [applause] >> good evening. my name is saul hidalgo. i'm the director of housing and shelter street programs with delores community services. we are lucky enough to be the providers of said shelter, and we are lucky enough to be collaborating with buena vista horace mann k-8, and we are lucky to be collaborating with h.s.h., the department of homelessness and supportive housing. we are ready as a -- as an

agency and as a collaborative, we are ready. this program has been working, as nick mentioned, and it has worked to such an extent at buena vista that we understand that we don't have enough usage to justify it just remaining with buena vista, we have enough room for some of the other needs that exist across the city. there's as many as 3,000 homeless children in san francisco, the majority of which attend san francisco unified district schools. they deserve a place to go, they deserve a place to sleep, and we are ready to make that happen. on a personal note, i am hungry, i am sleepy, and i am tired, and i would love for our families, i would love for our children who experience this on

a nightly basis to have an opportunity to stay in a place that is safe, secure, warm, and where they can get a warm meal. thank you. [applause] >> hello. again. susan solomon. uesf president. i want to add a little bit to what the previous speaker said, to what nick chandler said. one of the reason i've heard that fewer families with sleeping -- actually sleeping at the school is this program actually provides counseling that gets them into more stable housing so they don't need to sleep at horace mann. the other issue i want to talk about is pilots.

often, we don't always take the time to examine them and learn from them. from everything i've learned about this program, this pilot, as every pilot, has been a learning opportunity. and what we've learned is more families need the services provided by what is going on in the program at buena vista who are as -- horace mann. so i am speaking on behalf of united educators of san francisco is we support the plan as it was originally presented, an expansion for more families who need housing for their children and themselves. thank you. [applause] >> president cook: thank you for your comment. do we have any items withdrawn or corrected by the superintendent? >> no. >> president cook: any items -- >> excuse me. i submitted a comment card.

>> president cook: oh, sorry. did i miss your name? what's your name? [inaudible] >> president cook: go ahead, marisa. i don't have you here, but go ahead. you've got two minutes. >> good evening. thank you. buena vista horace mann k-8 community school is currently a skoog struling to build community. the struggle is due to the previous and current administrations with how they've chosen to communicate or not with the community including the disdain of some community stakeholders withholding information and making decisions that affect the entire community without parent input. this is now my 11th year at buena vista horace mann. in those 11 years, i was the

p.t.a. president for two years and p.t.a. president cochair for two years. i estimate in the 10.5 years that my family has been at buena vista horace mann, i've volunteered over 3,000 hours while working a full-time job and volunteering for other organizations. in short, i work a lot, and i sleep very little. i'm providing this info only to put context in how shocked i was last year when the bvhm was announced, and making the announcement to open the bvhm to all sfusd students without seeking any community input. i'm asking the board before rushing to a decision that makes our entire school community that a true effort

for community engagement be made. i'm very proud of the contributions that i've made to the school system so far. [applause] >> president cook: let's see...do you have any items? >> vice president sanchez: no. >> president cook: any items removed for first reading by the board? seeing none, any items severed by the board or superintendent for discussion or vote tonight? commissioner norton? >> commissioner norton: b-44. >> president cook: b-44? >> commissioner norton: b-44. >> president cook: for discussion? >> commissioner norton: yes.

>> president cook: okay. all right. roll call vote on the consent calendar. >> clerk: all right. with the exception of b-44 -- [roll call] >> clerk: seven ayes. >> president cook: commissioner, did you have a question? >> commissioner norton: yes, i had a number of questions, so just to address the question. it's b-44 in our agenda. we have an odd way -- a nontransparent way, shall i say, of numbering items. so for -- so i did have some questions about the expansion of this m.o.u. so first, does this expansion

change the effective date of the m.o.u.? -- the effective expiration? >> no, it does not. the expiration date is june 30, 2019. >> commissioner norton: but actually, the state of the program is only operational when school is in session, so it would be through the remainder of the school year, is that correct? >> no, it's through june 30th by the terms of the m.o.u. >> commissioner norton: so it'll be for sfusd families even though school will not be in session for at least a month part of that time? >> yes. >> commissioner norton: and so how are we -- how are we verifying that students are sfusd families or parents? >> that's a good question -- or you mean after they've -- after the session's over or you mean

currently? >> commissioner norton: no -- i mean, if we expand this, right -- presumably, the staff at buena vista horace mann know who their families are, so it wouldn't be an issue today, but it's if we propose to expand it to all sfusd families, right? >> yes. i'll let the principal at horace mann buena vista address that. >> good evening, commissioners. i'm the presence incipal at bu vista horace mann, and i have a student -- i have a fifth grader there. >> commissioner norton: you're proposing to do this as of now. >> so the way that we

coordinate our services between delores street and the access point and our school social worker is they actually talk with each other about every individual case, so it's a very coordinated entry. a lot of the information is put on the table, so we know exactly who we're talking about when we're discussing what it is that they need and who's going to provide it. so during the school year, i see that it would be very easy to connect directly with the school social workers at all of the site. >> i'm sorry. so what you're saying is that -- so you would -- a family arrives at 5:00 or whatever time the stayover program starts, and they say hi, i'm an sfusd parent and we attend this school. and at that point, you're going to call social workers? >> that's not how it works. >> commissioner norton: oh. >> so it's done through a referral basis? everybody that we know that is in need, we end up directing

over to the delores street people, representatives, and then, they meet with them. i'm not sure if jackie is in the room from delores street, but we have someone who is funded to do that handoff work and be with them all throughout the process. so there are no unknowns in terms of the people that are coming. >> commissioner norton: so the only people that come to the stayover program and would continue to come to the stayover program would be referred by another social worker in either delores street or other community? >> yes. you have to do it through the access point which is connected through h.s.s. and community services. you have to be vetted, you have to verify that you're not any kind of predator. you have to make sure that you're not only an sfusd family

but that you are legitimately able to stay in our shelter. >> commissioner norton: and so -- and families would only be able to stay there as families, correct? like, it wouldn't be if a parent came and said i'm a parent, but sfusd, for whatever reasons, i don't have my kids with me. if there was a relative or other family members without their children, would they be able to allowed to stay? >> well, i can't imagine that scenario. >> commissioner norton: well, what about without the children? would they be allowed to stay? >> the reason we dreamed up this initiative in the first place is to make sure that our students would be able to be better to better attend school the following day because they have a supportive environment. so minus the student being there, you kind of lose that argument. >> commissioner norton: so the answer would be no, if a parent came without children, so it's

only parents with children that neat housing that -- need housing that evening. and not the other scenario? >> well, i can't imagine -- >> commissioner norton: well i'm asking for assurances. >> i can't give you insurances. this is a -- >> commissioner norton: basically, the answer has not gone through a year-long process with all due respect, and so i'm asking the questions. i'm asking the questions because quite honestly that there's been some criticism from families at your site that you have not done appropriate hosting. you put out notice of the meeting, and the meeting was that night. >> no, that's incorrect, actually. >> commissioner norton: so some of them -- is that incorrect?

>> that is incorrect -- [inaudible] >> president cook: i'm sorry. miss -- miss -- miss norton, if i can just chime in. >> commissioner norton: your families are saying that you didn't. i'm just looking for assurances. and i want to say there's some issues with trust on your families and your leadership on this issue. so i'll leave it there, but i think that this is -- this is a somewhat rushed process, so let's prove that it's liable, it's prove and expand it. that said, i don't have anything against the program? i just am pointing out that there's been a cost to your community in wanting to push this through in a very aggressive way in my opinion. and what i also would like to

say is that for this m.o.u. -- so this m.o.u. expires in june -- on june 30, and would have to come back to us assuming that there is a superintendent's recommendation that we continue this program, is that correct? >> that is correct. >> commissioner norton: okay. >> if it were going to come back -- if were going to continue, it would need to come back to this board. >> commissioner norton: okay. i would like much more data for the board to consider when we evaluate the success of this program in general and its effect on the full community? so really, much more information about how many families are served, the schools they come from, the cost of operations and compared to the cost of operating the other city shelters that the city already operates? are there other family shelters in the vicinity of this school that -- that have excess

capacity? those are the kinds of things that i think the board should be able to evaluate when we're asked to consider something like this. so i understand that there's a little bit of time pressure on this, and so i'm not going to hold it up tonight? but i do feel like if we are asked to consider an extension of this program or move it from the pilot phase or beyond that, that we really are entitled to a lot more information about how it's being used and what the effectiveness of it is. thank you. >> president cook: commissioner collins. >> commissioner collins: i just want to say that my primary concern is supporting families in the highest need, and i really appreciate the work that buena vista's doing and delores housing and homeless support service, that they're doing to meet a need that is just dire

in our city. and i also just want to speak personally about a friend that was transitional. there are so many families that you wouldn't know that are transitional in our communities. they made sure her child was washed and clean, and got to school on time, but her child was ridiculed because her backpack was dirty. in the process of being in shelters, he was separated from his parents because his mom -- you're not allowed to showering -- so he was showering with adults and he was molested. so on top of the family was going through all this trauma, they were further traumaized by going through our shelter system. so to find an option for families that's safe and that values -- you know, that's centered around students, i really want to applaud that. and i appreciate your work in

leading that effort and also using our buildings -- everybody says oh, we have so many buildings in san francisco, to actually use our buildings in a way that is in line with sfusd values but also that expands access to supporting our communities. so i just wanted to say thank you for that, and i appreciate your leadership and -- and -- and just the generosity, i think, that it takes to be thoughtful about a community where everybody talks about but very few people step up and actually take action, so thank you. >> president cook: commissioner moliga? >> commissioner moliga: i guess as the social worker on the board, i should say something. i think it's a slam dunk, and i'll take my hat off to the work that you guys have been doing. i think it's super successful. you know, the city is facing a homeless issue, and we're all

trying to figure it out, and the city is part of the formulation and intervention in how to do that. when i saw it, i thought let's just get going. what are we waiting for? there's other families that need the support. i know that because i was homeless. i lived in the streets, i lived in the car, i lived in dope houses. so when we talk -- so again -- and i think i mentioned this last week. with all due respect, we're talking about an area that not really everybody's familiar with. and so to be very super, super culturally sensitive around this area and be impatient around the development of these things that we're all trying to figure out, there hasn't been enough focus on this population and other populations to say that. and so i think, you know, as a school district, we -- i think this is a slam dunk. i thought buena vista was champions for doing it.

my personal voice behind it is i'm in full support. yeah. >> president cook: commissioner sanchez? >> vice president sanchez: i just want to say thank you so much. you guys are trailblazers. this work is so important. we have upwards of 2,000 homeless students in our district, and this is a -- frankly, it's the first program i think in the entire country where a public school is being utilized to house our students and families, and it's important work. it's so sad that we have to do this work. it's so sad that you have to do this work, but i'm so grateful that you have taken it on. i won't speak for everybody in the district, we have varying viewpoints on this, but i think when i talk to your staff and i talk to parents that are friends at the school, i just hear the love for this, and it's so important. don't be distracted. keep working.

>> president cook: commissioner lopez? >> commissioner lopez: i, too, appreciate the work that's being done to support families in your site and so expand that to -- to expand that to families in the school district. i don't think it's fair to say that the families here and what they're voicing is representing bvhm as a whole. i think there are a number of families that want to be here but can't? so i appreciate the people who are here representing them who work with them, who know what they need. as a teacher who has worked with students who are homeless, i understand that a community is more important than anything else, so i applaud you, i will support you, and thank you for reaching out to more families. >> president cook: roll call vote on this -- i'm sorry, miss

casco, this is item b-57. [roll call] >> clerk: seven ayes. [applause] >> president cook: section d, discussion and vote on consend clent residence -- consent calendar resolutions. section e, proposals for action. we already went over number one and none two. the continued proposals -- number two. the continued proposals, there are six proposals for actions. their 615.92, 6146.4, differential graduation and

competency standards for students with disabilities. 3311, bids # 7211 developer fees, appointment of surrogate parent for students with special disabilities. 5141.52, suicide prevention. 1312.3, uniform complaint procedures. let's see. we have a report from the rules committee from vice president sanchez. >> vice president sanchez: well, i'll just say generally that all the ones that made it to our committee were forwarded to the full board with a positive recommendation, so those were -- i think it was all of them except for the

financial reports -- no, math placement. do we -- okay. all of them? there was a lot. >> president cook: rules committee getting it done. let's see, the -- sorry, we have miss hugby on this. >> so in the interests of time and in consideration of the hour, my -- are -- the recommendations are the same for all of those policies which is the board approve them as submitted. >> president cook: okay. any comments from the board or superintendent? roll call vote, miss casco. >> clerk: thank you. [roll call] >> clerk: seven ayes. >> president cook: see section g, special order of business, there are none tonight. section h, other education or issues, there are none tonight.

section i, consent items removed at a previous meeting, there are none tonight. section j, introduction of proposals and assignment to committee. number one, public and board proposals. do we have any proposals for first meeting? [inaudible] >> president cook: so we have two. number two for first reading, they're board policies 5127, graduation ceremonies and activities. and 5146.1, high school graduation requirements. i hear a motion and second on both board policies? >> so moves. >> second. >> president cook: thank you. unless i hear otherwise from the general council, i'm referring both policies to the rules committee. [inaudible] >> president cook: the reason i stopped that was because we're

discussing changing our own rules to have public comment earlier, and we wanted to get our own rules to modify that. >> that'll be on your april meeting for first reading. >> president cook: okay. all right. section k, proposals for immediate action, and this is commission rules. there are none tonight. section l, board members' reports. let's see, we have reports from recent committee meetings. we have rules from the last update. do you have anything to add, commissioner sanchez? >> vice president sanchez: yeah, it's the beginning of the calendar year for the state legislature, and there's five that pertain right now to charter schools, and a lot of them are suggesting we do things that we already have suggested as a board. the lowest hanging fruit is the charter schools abide by the brown act.

the governor asked for that to be sped through. the others are going to take longer time, but i think the other thing we're all interested in is having the ability to deny or approve charter schools in our municipality. >> president cook: thank you. [inaudible] >> president cook: vice president sanchez, you're back up for the committee of the whole. >> vice president sanchez: we it -- it was peef. and then, a discussion on the -- on the bayview schools, so it was really nice to -- again, for the committee of the whole meeting to go to the district website, and you can access the meeting there. >> president cook: thank you. and we have a report from the legislative services committee? >> yeah. it was really great. we had mtsf share information

around what mtsf -- their rationale for funding various programs which includes doctors, nurses, things like that. then lcap made a presentation, and i think that one of the things that came out of both of them being at the same meeting is the lcap process is kind of misaligned in terms of the timeline. so what they were saying is a lot of times, they make recommendations and the parents don't see the feedback of the recommendations in our district policies? and that's because parents don't understand -- they want to see family engagement and they don't understand the specific thing that we're doing, which is parent-family liaison. so making it clear sometimes, and also, there isn't a direct opportunity for them to respond? and that's because their recommendations come after we do the budgeting process. so we do budgeting process, central process, peef, and their recommendations that came out in april, after all that's

happened. i think one of the recommendations that came out, they agree today share that last year's central office and share it with the current central line so see "bohemian rhapsody" there's alignment in planning and we can see some of the gaps in some of the recommendations that they've made repeatedly over time. and also where we're funding as a district we can be more clear how we're responding through certain initiatives so they can see those initiatives in central office. so i think that was very helpful. >> president cook: thank you, commissioner collins. >> can i announce -- >> president cook: well, i think we have one more report.

>> yes. aside from the peef discussion, we've made no recommendation for gateway approval, and we also heard from the summer programs in which we explained -- we shared with them the recommendations from delac. >> president cook: we actually have board delegates membership organizations. you have any reports out on that? >> no. >> president cook: okay. any other reports from board members? okay. calendar of committee meetings. >> finally, my turn. so student assignment will be monday at 6:00. we have a really -- a good agenda, and right at the moment, i can't remember what's on it, but i know it's really good, so please come. >> president cook: thanks for the reminder. i'm on that committee, so i should there. the next budget meeting -- you want me to read them off or people read their own?

the next budget meeting is wednesday shs april 3, 2019. the next buildings and grounds meeting is march 25, which is actually spring break. so if you're around, we can do it. if not, we should talk about rescheduling it. so there's that. so we're going to keep it for now. we might reschedule the next buildings and grounds. the next curriculum committee -- i forgot to mention that buildings and grounds is the best committee ever created. [inaudible] >> president cook: the curriculum committee meeting is monday, april 8, at 6:00 p.m. next rules meeting it says

monday, april 4. they can't both be on monday. the next curriculum meeting is on april 8. the next rules meeting is on april 1 -- >> vice president sanchez: it's a monday. >> president cook: let's see, the ad hoc committee on student assignments which was just announced. committee on personnel matters is tomorrow, march 13, at 6:00 p.m. and ad hoc school district city college joint committee has been postponed for another -- it's going to be a joint meeting with the board of supervisors and city college and the board of ed, and that first meeting's going to be scheduled, and i'll be assigning commissioners to that

meeting. >> president cook: section m, other informational items. there are none tonight. [inaudible] >> president cook: section n, memorial adjournment. we have a memorial adjournment. mr. spiel?

>> so in honor of mission high school graduates eva valira and chad valira, we were sad to learn that three former mission high school students passed away suddenly in a car accident in the early morning of february 28, 2019. mission high school staff and students have known the valera family for many, many years. mission has been and is the high school of seven of the family's children. the principal noted in his letter to the mission high school family that mission is a place filled with love and kindness, and that it is this sense of love, compassion and community that gives us strength that will allow us to begin heeling together and support the care and heeling of

the family. please join us in sending our sympathy and sending good thoughts to the entire valera family. at this time, we will take public comments for those who submitted speaker >> president cook: okay. we are back. readout in closed session. the board by a vote of seven ayes approved the resignation agreement with one teacher on one matter of anticipated litigation. the board gave direction to general counsel. that concludes tonight's meeting. this meeting is adjourned.

>> i am so excited to be here to stand in this waiting room of this beautiful new urgent care center that will serve thousands of patients here at s.f. general. as our population continues to grow, it is more important now, more than ever to make sure our public health facilities are now up-to-date in the latest in

technology and programming, but also, resilient and strong, and in the event of a major earthquake, or any other disaster that may come our way. that is why i'm grateful to the voters who passed the 2016 public health and safety bond that funded not only the expansion of the urgent care facility act which served more than 20,000 people in 2018, but also the funding for the seismically -- for seismically retrofitting this entire building that we are standing in today. one of the key things we are doing with retrofitting this entire building is bringing everyone back under one roof. by recentralizing services into this building, we can improve services and coordination by our staff. this is key to better deliver healthcare to the people of san francisco, we have to be -- we have to do more coordination and

be more efficient in that process. it is a major reason why i created the position of director of mental health reform so that we have one person whose job it is to bring everyone together to help coordinate all of the efforts around mental health in the city. when we coordinate, we centralize services, we get better outcomes for the people that we are here to serve. san francisco general has long been a hub for our safety's disaster response. it has been a real leader, and i have spent days, particularly in this location in the emergency room for those who unfortunately have fell victim in some way to -- somewhere in our city. whether it is during the 1906 earthquake when the hospital serve not only as a place where people could seek treatment for injuries, but also as a place for refuge and shelter or a 1983

when the hospital led the nation by those impacted by the aids epidemic or throughout the years as san francisco general, and the staff, and the incredible people who work here have always been at the forefront of groundbreaking research and cutting edge innovation and in the medical industry. the hospital's values reflect those of san francisco, inclusion, diversity, and most important, compassion. i know many of you here today are on the front lines of providing that compassionate care for residents, and i want to thank many of the people who work here at san francisco general, every single day, thank you so much for your hard work, and for your patience, and for your compassion in serving so many residents of san francisco. it really means a lot. especially to those who are experiencing homelessness or suffering from mental health or substance use disorder, i have

seen firsthand the patient's that you provide in caring for those individuals, and it means a lot. your city supports you in these efforts, and the important work you do every single day, and i am committed to working with the department of public health, our health commissioners, and all of you to tackle the public health issues that we face in our city, and to make it easier for you to do more. thank you so much to everyone that is here today for this new facility. i can't stop looking at the florist, because i don't know about you, but the walls are white, not yellow. the ceiling even, and the furniture, it is blowing me away , and i'm not always -- are not only happy for the patients that you are serving, i am excited for the people who are working in the facility every day.

you deserve the kind of conditions that help you to better do your job, especially under the most challenging of circumstances. at this time, i would like to introduce mr roland pickens. >> thank you. [applause] >> thank you very much, mayor breed for your ongoing support in making this project, and many others happen here. to the school of medicine, the c.e.o., acting director waggoner, thank you for your support in making this happen. he says change is the only constant in life. this statement highlights the need for all of us to always plan for and be ready for change in every aspect of our lives. i say that because having been a long tenured person here, i have

seen the changes that urgent care over the years. when i first started 18 years ago, urgent care was on the sixth floor of the hospital, then it moved to the fourth floor of the hospital, that it moved across the street to building 80, and out is going back home to this one-stop coordinated care spot. so to the staff who have been part of the change over the last 18 years, congratulations, into the patients who made that journey, they are to be commended. this urgent care center is a vital hub for our san francisco health network. if you are a patient at maxine hall in the western addition, or southeast health centre, when you can't get into your appointment, this is a place you can come for service. so to our medical director, we thank you for your years of service, and look forward to the great work that will go on in this new facility. thank you all. [applause]

>> my boss just reminded me, i am going to introduce dr ron, our medical director. >> thank you, roland. hello, everyone, may agree -- mayor breed, distinguished guests, i am glad to welcome all of you to the new adult urgent care center. we are very excited that starting next week, we can continue to provide quality healthcare now in this state-of-the-art facility where our clinic staff deserve to work , and where the citizens of san francisco deserve to receive the urgent medical care they need. we are grateful to the voters of san francisco who approved the bond measure that made this possible, and in doing so, recognize the value that our public health facilities provide our community. let me take a couple of minutes to share with you more about our clinic, who we are, and what we do, and what it means to move into this new space.

the adult arts and care center started in january of 1999 as was mentioned upstairs on the sixth floor. wiring for rooms on the children's health center. last month marked our 20 year anniversary, and throughout these 20 years, the clinic has played a vital role in providing care for patients for urgent, nonemergency medical needs. we offload our emergency department by caring for patients that don't require emergency level services. we provide urgent medical care for primary care services, and we care for other san franciscans who don't have primary care, don't have insurance, and don't have access to urgent care anywhere else. and for these patients especially, our clinic is a portal of entry into the san francisco health network, where they have access to a range of services to get them healthy, and keep them healthy. for thousands of patients over the last 20 years, the first step to getting primary care was

a visit to the adult urgent care center where we met their immediate medical needs and help them get health coverage and establish care and a primary care medical home. it is our of ensuring that our patients get the right care in the right place at the right time. that is crucial to the success of any healthcare system, and that is why we are also taking this opportunity to educate patients about urgent care, and how it differs from emergency care and primary care. that knowledge gives patients the power to navigate our healthcare system to their advantage so that when they have an urgent medical need, they know the right place to go for care. after the ribbon-cutting, i invite you to stay a bit and take a look around. our beautiful and newly renovated space is larger, has more rooms, it is more centrally located on the hospital campus. this will make the clinic more accessible, efficient, and patient-friendly, and result in a better care experience. finally, i am thankful that our

new facility will enhance the hard work of our clinic staff, to every day provide quality urgent health care with a respectful caring attitude, and a compassionate heart. for the last 12 years, i've had the privilege of working side-by-side with these extraordinary colleagues, their perseverance and dedication to our patients continues to inspire me every day to do my best as a physician and a medical director. in this grand opening celebration, it is a perfect opportunity to express our appreciation for our staff. unfortunately, most of them weren't able to make it because many of them are working right now across the campus. so in closing, i need your help. please join me in showing our appreciation for our staff and the outstanding care they provide our patients every day. let's all give them a big round of applause, so loud, so loud that they will be able to hear it all the way across the campus. [applause]

>> all right. i think it is time to cut a ribbon. >> i need some company over here are we ready? their ego. five, four, three, two, one. [applause] [♪]