of sewer lines somewhere along vanness area. that prevents us from working in the staarea that we're stag at. by the time we issued notice to proceed, they had active construction on them. our contractor has had to do a fair amount of dancing to proper stage the work, to have a place to store materials while they're working on other blocks. having said that, yes, that's why we are pushing to get crews out there on saturdays and sundays when the traffic level drops somewhat, we can work more efficiently, and we're working with the contractor to bring on more crews. >> chair peskin: thank you, meter. just one thing now that i've noticed on a number of

occasions, and it just scares the daylights out of me. so you have a series of red -- i don't know what you call them -- barriers north of broadway that protect two lanes, and there are bicyclists who hug that thing. and i'm just petrified that one of them is going to get wiped out. insofar as has concrete has been laid on the inside, i know it's still a terrible surface, if we could lay down a strip of asphalt that we could pull out later so the bicycles can ride on the inside. there's buses, there's trucks, and there's literally -- i mean, there's no space. so just food for thought. we had -- in commissioner brown's district, that masonic mess that went on forever and forever. we finally said to director nuru, you're going to have to

lay down some asphalt and then rip it out. >> we can look into doing that. >> chair peskin: any comments or questions from commissioners? any public comment? i really appreciate you bringing this to the attention of the board. mr. pendergrass, and if there are any additional speakers, you'll lineup to my left, your right. >> my name is paul pendergrass, i'm the current chair of public policy for the golden gate business association. commissioners, thank you for standing up for the voice of small business as it related not just to the -- relates not just to the vanness small business, but all businesses as these construction projects go on and on and on beyond their extended life. the department does have specific databased on sales tax. i request you all take a look at that, there's some great data as to when the castro

street merchants about the streetscape projects. they have some great details about the impact on sales tax. that will show you from your perspective how hard this is on small businesses. when oewd, sfmta, sfcta, and sfpuc did the majority of their projects, they cooked it up in private. when the $5 million figure came out, we as a small business community came out and said that was woefully inadequate. small businesses are the ones hiring people in restaurants and retail making $15 an hour. these are people that are not making $200 million a year. these are people that we really need to support.

so please consider increasing that 5 million because that's woefully inadequate. >> chair peskin: thank you. any other public comment? seeing none, public comment is closed. go eat at the helmond restaurant. we will have a hearing on the economic impacts and questions that we all posed on april the 23rd. that will be a separate item. is there any introduction of new items? seeing none, is there any general public comment? thank you, mr. gabancho and miss mccarthy. seeing none, are adjourned. don't go away.

we are about to reconvene as the treasure island mobility agency.

. >> mr. clerk, will you please call the roll. >> clerk: item one, roll call. [roll call]

>> clerk: we have quorum. >> supervisor haney: thank you. mr. clerk, will you please call the next item. >> clerk: item 2, director's report, this is an informational item. >> supervisor haney: thank you for convening today as the treasure island mobility agency. i want to give a special thank you for chairs walton and mandelman for serving with me on the committee. we will discover how to support a transit in the form of multimobility on treasure

island. recently, i had the opportunity to attend a town haul on treasure island regarding proposed mobility. i appreciate our timma staff for being there to update the community on their efforts to revisit the toll policy and look at an exemption for current residents, as well as a plan for april outreach meetings with the business community. we also had a number of other representatives from different agencies, including the p.u.c., the m.t.a., and tida, who helped address a lot of the concerns that the residence de dent -- residents have.

programs are going to require an ongoing developer subsidy and close partnerships with the city transit services in the region. we also have a significant funding gap that we have to makeup, which i hope will allow us to be competitive, particularly in light of the critical importance of this program for various regional and state funding grant programs, such as the state's affordable housing, sustainable communities program, a cap-and-trade funding grant that we've applied for. in addition to the -- the way forward on the toll or -- and ways to ensure affordability for residents, i'm also looking forward to our transportation authority's parallel services

in san francisco. what i'm hoping for and why i see these conversations that have connected is because i think there's a lot of fairness around a single neighborhood being asked to pay for a toll and to pay for its own transit in order to ensure congestion management when no other neighborhood is asked for a similar responsibility. there needs to be a way for the city to help with this big lift on treasure island and across the city and to ensure that our residents on treasure island do not continue to be squeezed in ways that make their livelihoods on what is one of the last affordable neighborhoods even more difficult. i look forward to ways discussing this with all of you, my colleagues, and the mayor's office. and with that, i conclude my

remarks. is there any public comment on this -- on my report? seeing none, mr. clerk, will you please call the next item? >> clerk: commissioner walton has a -- >> supervisor haney: oh, commissioner walton. >> commissioner wallenberg: thank you. commissioner haney, i just wanted to add my comments on congestion pricing. i just want to add that i am fi philosophically opposed to imposing a toll on low-income communities. it's one thing could have a conversation of people tolls on

people that are a certain economic level, but i am going to be unjust against imposing tolls against low-income communities just to enable them to get home when they're already in low-income, so i just wanted to put that on the record, as well. >> supervisor haney: thank you, commissioner walton. i appreciate those comment. mr. clerk, can you call the next item. [agenda item read]. >> thank you, chair haney and commissioners. in light of the funding needs that are significant, i just wanted to make sure of this. it's up to $15 million for housing and transportation that meets sustainability criteria, and we hope to hear by summer. in addition, we have submitted an application to the m.t.c. for funds in their priority conservation area program. this is the p.c.a. program.

this would help us to develop the yerba buena island bike path that comes across the san francisco open island bay bridge, across the islands and across the west span of the bay bridge into san francisco proper, so we've been working with a whole bunch of folks for a potential first phase that comes down treasure island road, eventually hoping to bring that bike path and pedestrian path all the way over to the main land, excuse me. we've also had good conversations with the water agency transportation agency. this is weta. our projects manager, eric cordoba presented in february or march, and we've been working on different ways to bring water transit to and from

the island. this is a perfect route that we hope we will be able to bring in time for the first housing on the island in a couple of years. in terms of outreach that chair haney mentioned, we do have outreach in april. we will be presenting that to the island businesses in particular to sit down and have good cocreations session, to figure out ways to shape that transit policies for the community there. with that, i conclude my remarks. thank you. >> supervisor haney: thank you. are there any questions or comments from commissioners? seeing none, is there any public comment on this item? seeing none, mr. clerk, will you please call the next item. [agenda item read]. >> supervisor haney: are there any corrections to the minutes or comments from colleagues?

seeing none, any public comment on the minutes? all right. mr. clerk, can we have a roll call on the minutes? >> clerk: it will take a motion. >> so moved. >> supervisor haney: second? commissioner walton? >> clerk: okay. on item four -- [roll call] >> clerk: we have final approval. >> supervisor haney: thank you. mr. clerk, can you please call the next item. [agenda item read].

>> good morning. eric young, senior communications officer, here to present. i'm seeking approval for on call communications contracts with civic edge communications and convey, inc, for our timma outreach needs. i'm coming back before you today because this on call contract focusing solely on our efforts on treasure island. an important part of our work on treasure island involving communication with residents, businesses, and others and with our current on call contracts expiring, we selected convey and civic edge to each receive

an on call contract. these two firms scored the highest among ten confirms that responded to our r.f.q. and six firms that we interviewed. these two firms have strong skills, specialists, and relevant project experience. civic edge has a proven track record of performance in all on call task areas and a deep bench of experienced subconsultants. convey, together with their subconsultants demonstrate strong capabilities to support our agency's work in emerging mobility pricing. both firms have experience on transportation projects, have you work -- having worked for clients such as sfmta, marin tr transit, a.c. transit and c caltrain. the civic edge teams includes

25% dvbe participation from our san francisco baysed subconsultant, j.w. partners, r.d.j. end prizes, jungle enter i see prizes, and may enterprises. budget for these activities will be funded by a combination of local contributions, treasure island development authority and prop k half-cent sales tax funds. the contracts are on a task-order basis. with me today are representatives of both firms, and we're happy to take questions. that concludes my presentation. >> supervisor haney: thank you. any questions from commissioners? any public comment on this? >> you'll all excuse me because

i was down at public technology. you all had a full board, where i can speak. i go down to the corner, where i see nobody that looks like me. i'm glad to see this talk about blacks and minorities, but it's just not this department that i'm down here to talk about. my name is ace, and as you know, i'm on the case. i go to sleep black, and when i wake up, i'm black, so you can't take that black. i'm here to ask you all, what are you about right now? we are in a state of emergency as black folks. i don't got no relatives in africa, have never lived in africa. the closest relative i've got is george washington. let me just say starting today

and going forward, until this active board of supervisors call for a hearing on a couple of issues, on the out outmigratetioutmigration in the fillmore -- you all talk about these projects happening in the city by the bay? let me tell you what's on my caseload, and you will know them case by case by case. right now i'm here to advocate and communicate and respectfully ask you all for a public hearing of the a-2 area, fillmore, district five. because everything that happened in this city started in the fill, no more. so you all might as well get ready because i'm going to be up here advocating and trying to communicate. and you all to meditate. look at me all. ace on the case.

i've been here longer than all y'all put together. >> supervisor haney: thank you. i believe this is an action item. is there a motion? motion by commissioner walton, seconded by commissioner fewer. can we have a roll call? >> clerk: we can take that same house, same call. >> supervisor haney: same house, same call. mr. clerk, will you call the next item. [agenda item read]. >> good morning, commissioners. cynthia fong, deputy director for finance and administration. i have the numbers for the timma program as of december 31, 2018. assets and liabilities totalled to approximately 1.2 million. revenues have come in at approximately $853,000, which is approximately half of our budget.

expenditures total to 555,000 and this is approximately 31% of the total budget fore the program. we have not initiated the major engineering activities as the program launch date has been pushed out to july 2021. with that, i'm happy to answer any questions on this update. >> supervisor haney: any questions or comments from commissioners? seeing none, any public comment on this item? seeing none, thank you. mr. clerk, if ywill you pleasel the next item. [agenda item read]. >> supervisor haney: any new items? all right. seeing none, public comment on this item? all right. mr. clerk, will you please call the next item. >> clerk: item eight, public comment. >> supervisor haney: is there any general public comment? seeing none, this meeting's adjourned.

>> good afternoon. the commission will please come order and the sshth -- secretary will call the roll. >> clerk: [roll call] . the second item is for the approval of the minutes. >> commissioner: move approval. >> second. >> commissioner: any correction to the minutes? seeing none all in favor say aye. all opposed. the minutes have been approved. next item. >> clerk: item three is the director's report. >> good afternoon, commissioners, director of health. a few things to highlight in the director's report. i report on the three measles cases in the area.

thankfully we haven't had more cases and it was a contained situation and it's a good reminder all are up to date on their vaccination. one of the key issues with the health department is employee engagement and responding to employee's needs. in order to do that we need to know what employees think about the department and what the challenges are. our employee engagement survey sup to 66% as of today, which is twice the response rate from the past. a nice job from h.r. in moving that piece forward. i also wanted to and will ask i.t. to give an update on the server incident at the end of session and want to note the sad passing of a lieu -- laguna

honda employee who was killed in an automobile accident leaving laguna honda. he was a reporter for the environmental services department and he was an exceptional performer. he joined laguna honda in 2017 and carried out his responsibilities well and earned respect from his peers throughout the hospital and unfortunately he leaves his family. there were services held at laguna honda and we mourn when the department loses one of its own. it also highlight the importance of the vision zero work has been co-led by the health department and you'll hear more about that work in the presentation today. but i am pleased we'll be

working with mta to install a speed radar device at the intersection where unfortunately this death occurred. again, one death is too much but we continue to make progress and our condolence to mr. carasco's family. and some highlights on breaking news with regard to regulation and control of e-scigarettes. sales and consumption in san francisco the city attorney announced potential legislation and legal action to basically ban e-cigarette sales in san francisco spending s.t.a. oversight and approval of any e-cigarette devices. you recall f.d.a.'s been looking at e-cigarettes for years now

and has not made a final decision on their acceptability. san francisco is once again leading in regard to the public health issue as you'll recall a generation of youth are being addicted to nicotine and it has harmful effects on brain development. micro particles are harmful through vaping alone and it's a gateway drug to tobacco addiction. excited in seeing how the legislation unfolds and i'll come back to the commission and report in more detail on that on another date. going back to the server incident summary. i've asked acting chief information officer to give you a brief summary and answer any of your questions. >> good afternoon, commissioners. so i do have a vim -- summary that was written up and will

give you more detail to any questions you have. march 2 we experienced a widespread outage when a room overheated it's more of a temperature incident that resulted in servers going down. the outage depended between three and six hours and it depended on the application in effect. the outage resulted from a chiller failure. the chiller did not fail over to a secondary. there are three and it should have failed over tie third if that didn't work. there's a series of alert systems that alert i.t. when adverse conditions happen such as temperature. that's only one of the conditions. one alert is a horn that sounds in the engineering room. the second is an alarm on the facility's automated panel. a third is messaging and e-mailing alerts to i.t. and a fourth is an alert that just goes to i.t. the first three alerts failed,

the fourth alert generated an alert to the server team manager who called the team on duty and notified i.t. and others of the issue at zuckerberg. they turned on the second chiller and at 7:00 a.m. the system cooled and they brought the system back up. systems did not fail at 3:00 a.m. they didn't just start going off. it took a while for the room to heat up. some of the rooms reached high temperatures so the system shut down. the majority of systems within the room did stay up. nonetheless, critical systems were not available between two and a half and five and a half hours. one was not verified as

functional until 5:30 p.m. and required repair the following monday. i.t. are in the process of updating alarm notifications and procedures and retrain teams and the alert will be brought to procedure by end of june. facilities is still working on why the chiller did not fail over as there's been ongoing issues with the same chiller. faciliti facilities and i.t. reviewed the time line and looked at practices an improvements that have surface and will be managed in upcoming planning. we're meeting with the public health emergency preparedness group and will do an after-action report april 19 and then we will have a recommendation within 90 days. i do want to say that while no

system downtime is opportune, there's issues from the initial data center rebuild three years ago. i.t. has spent hundreds of hours refreshing antiquated hardware but the data center has remained on a back burner. the seriousness of not only the alert failures but the urgency of a had the site for critical applications is necessary. we did this for epic. it's hot and redundant and will reprioritize plans nor systems. do you have questions for me? >> yes, was there any damage to the servers or data loss? >> we did not lose data but what we think is damaged because we've had failures on boards and systems within the data center. >> will that require replacement or can it be repaired? >> we've been doing that and they're under maintenance agreements but we've been doing it as it occurs.

it's difficult to determine what the stress did in terms of long get of the systems. >> thank you. -- longevity of the systems. >> thank you. >> were there any operational issues at the hospital they were prepared to put into action and therefore patient care itself was able to continue? in other words, during this information was or was not available and does the hospital itself have preparations because we never know what will finally happen. there could be a major san andreas event and no matter how many servers and alerts we have and wonder if the hospital has contingencies when we don't have the availability of the system?

>> we do and it's part of the peptic planning. when we go down critical things like medications are backed up and put on to local computers ran on a generator so nurses can no what medications were given previously and there's manual planning. there's a plan for downtime. they have downtime parentheses to follow and they activated a hospital incident command center, and we were in touch with an officer on duty during this time. my understanding is there was nothing suffered in patient care during that time. >> commissioner: thank you. any other questions? thank you for that and we're looking forward to seeing that

all get back into order and you get all the backups. >> i'll be back here april 16, i believe. i'll give you at least the status at this point in time. >> commissioner: thank you, very good. any further questions to the director, please? director, your very clear we'll go to the next report. >> clerk: there were no public comment comments and item four is public comment and i have not received general comment requests. we can move to item 5 a report back from today's community and public health committee. >> >> very good. commissioner royce. >> we have two updates from the syringe exchange program and from substance abuse services and the syringe data program we

learned three important issues. one, the can i -- kiosk collection increased and there are three navigation centers and nine disposable box and smaller for syringes out in the community. the san francisco aids foundation has created a pick up crew you can get through text messages and the crew began july 18 of 2018 and they have collected 90,000 syringes in the first six months of the program and the san francisco youth foundation pick up crew receives these messages via telephone and through text. they usually arrive at the pick up site within 58 minutes. once they arrived on site, they take a picture and when they cleaned the area they take a

picture and send it back to the person who texted them. commissioner brown do you have any comments? >> one thing i'd add to the presentation about the needle exchange is the number of new hiv infections from people who inject drugs dropped from 2010 to 2016. it's been an effective program. there may be other factors involved such as adherence to antiv antivet -- antiretrovirals but also i wanted to add the phone number you just mentioned for folks to send a text to if they should see a syringe, the number is 415-810-1337 if you see a syringe on the street or anywhere else. text to that number and they'll send back a photo showing it's cleared and the response time

has been less than an hour. >> commissioner: other questions of commissioners? >> when they commented on the fact that it was better to have the current syringe program without a 1 to 1 exchange, i wonder if they shared the additional information because it had been a contentious issue in the past about yes, we should have needle exchanges but they should be on a 1 to 1 basis. i thought that was a very important point i didn't know if there was backup information people asking could site? >> what they stated at the meeting today opposed to a 1 on

1 which injection drug users if they're only doing 1 to 1 exchanges will typically not have enough to cover the use during a 24-hour period. many injecters inject four and five and six times a day. if they're 1 on 1, what will happen is they'll share needles and blood-born viruses can impact both the initial injecter and subsequent injecter if they don't have the opportunity to get new needles for every injection. they also do need-based exchanges. if i'm an injection drug use earned come to an exchange site, i can tell them based on inquiries by the staff to know what i need between the course of today and next time i can get to a needle exchange site. >> commissioner: thank you very

much. the second presentation? >> it was on the drug medi-cal program and the organized delivery system which looks at our substance abuse services and what it's qualifying for medi-cal reimbursement and i'll defer to my colleague to ad anything he'd like. the highlights for the providers including residential treatment transitioning to drug medi-cal continuing care and if you're in

drug treatment you don't just drop off. there's a referral to continuing services and there needs to be continuum of care for that population. because in the past particularly those in withdrawal programs just got dropped. they go through the withdrawal at a site and then they don't move to necessarily a residential trent -- treatment or longer-term facility. they're attempting to ensure people are moving from withdrawing to treatment programs. penetration rates compare favorably to state-wide ones which means these programs are getting involved in the continuum of care and provider system available in san francisco and they have an external quality review operation which allows them to contact other folks to determine

whether or not they're actually making inroads into this population and san francisco is greater than the statewide average. and we are are exceeding the time line to make it medi-cal eligible and i'll defer to my colleague for comments in relationship to this. >> they're setting a goal of having medi-cal residential organization within 24 hours and then to have people authorized

to be admitted in under 15 days. in both measures they had exceeded their goal significantly. the 24-hour authorization was a goal of 35% and the goal of 15-day admission was 75% and they have achieved 84%. >> commissioner: commissioners, any questions? i have one. when did this begin and hi'm looking forward to some sort of a report like a year it had gone into existence to see how we've done.

>> my recollection is 2017 by dr. martin so the data was a year and a half of data i believe around that. >> july 2017. >> commissioner: it sounds like a new way of working within a structure of payment because it began by saying this was a new model of withdrawal and i'm just wondering when it was felt we had put the new model in place. it could have been authorized in 2017. and there's some data here. is that sort of a year well not really a year of data because it begins in july. is it july we began the program and it may be worthwhile to look at it in july and present to the

full commission? >> i would agree that is true and would agree from start date to actual implementation, take some period of time and so we want to recognize it take some period of time and what they will do is if we asked them to come back, they will. i'm going defer to dr. colfax for additional comment. >> my question -- if there's a question when o.d.s. started in the department that was before i was here but there may be people who can answer to that and it's july the starting point was july of '18. i'm not sure if that's the start date or because we had enough data it was meaningful. >> we can get the exact start date but there were certain metrics that had to be met by the largest providers initially so that took time. but we'll get the exact start

date four and make sure every year we update. at the state level they're looking at o.d.s. and looking to incorporate that. >> excellent. i think as the report seems to show, this is really progress towards the continuity of care for the withdrawal patients and it would be really good to see how well this is coming along a year after it's been in operation. thank you. commissioner green. >> i wondered if you have projects about the outcome of adding almost double the number of residential step-down beds. is there anticipation of the penetration rate and what outcomes you'll see and when? >> one thing we're noticing is it gets stuck because the lower

levels of care are an issue and house. we're hoping to see more people take up the space but that's a data point we'll be able to track. >> commissioner: thank you. any other questions? if not we'll then move on to our -- thank you, commissioner loyce. sounds like you had an important meeting of very important topics and we'll move to the next -- >> clerk: there were no public comment requests for that item. item sex is the commissioner health elections. >> commissioner: several of our members are absent and i'd like a motion to request that we be the postpone the election according to rules and regulations is supposed to be the second meeting in march to the first meeting of april. >> so moved. >> commissioner: is there a second? >> second.

>> commissioner: all in favor say aye. the election will then be held april 2. thank you. >> clerk: thank you, commissioners. item seven is the second hearing. actually could ever turn off your phones whoever that is may be and the next is on the 20 budget. >> good afternoon, commissioners, greg wag ner, chief financial officer. i'll start with context and turn it over to budget director jenny

louie. as you know in the past this year as we have in the past during two hearings on the budget. the first occurred last month and so this is the second of the two. i would have normally have had this meeting in late february but of course the schedule due to some decision making and of course director colfax joining us and wanting to spend time on the budget before coming to the commission. we're requesting initiatives today we'll forward to the mayor's office and we'll enter into the next phase of the budget process for reviewing wa we submitted and having conversations with the department about priorities for other potential initiatives added in the mayor's space. so we have a lot of things going on financially in the

department. one of the things i just want to point out that came up in the prior conversation is that there are a set of initiatives in front of you today but there are also a lot of other things happening in terms of our budget and finances in the department and i just want to point those out and acknowledge the fact that there are a lot of these things happening since you'll be voting on some things today but that's not the entire context. the mayor and mayor's office have been active on behavioral health needs. a lot of those directed toward individuals experiencing homelessness in the city. the result has been significant new funding for the department and a number of new initiatives in the areas. we talked about the o.d.s. waiver. there's funding that the mayor submitted to the board and the board has approved for 72 new

substance abuse step-down recovery beds. those are appropriated mid year and the current year from the dollars san francisco paid to the state over the formula requirement and were returned to the state. so those dollars are being appropriated in a supplemental appropriation in the current year and will be bridge funding to get us to the point where the legal issues around prop c are resolved and we can have continuing funding for similar programs hopefully under prop c. so 72 new substance abuse residential step down recovery beds and new beds at st. mary's healing center. we opened that facility a year and a half ago and due to budget constraints we only had funding to purchase about 40 of the 54 beds available in that facility. with this additional funding

being appropriated midyear we'll have an additional 14 beds available for us to access for our highest priority patients. we also just recently -- and you had seen it in your director's report but have submitted to the board a resolution requesting to accept and appropriate about $3.1 million in state funds. these are funds that came in the governor's budget and the focus of those funds will be to improve our outreach capacity to individuals, expand homelessness and provide infrastructure to support the city's healthy streets operation center which is the collaboration between departments to respond to calls from the public around homeless individuals and street behavior and give us capacity to engage patients who are in psychiatric service at the campus and

connect them to follow-up care. lastly, as you know, we opened an additional 15 beds at the humming bird program at the campus of zuckerberg san francisco general. there's lots of things happening budget wise and lots of new investment we think will allow us to move the needle on some of these activities and i want to acknowledge for the commission and public though those aren't on the items you're approving today there's items you've been involved with and have been pushing programs on multiple fronts including the budget that will be before you today. i'm going turn this over to jenny louie to go through the initiatives on the agenda explicitly for you for request to approval for today. >> good afternoon, commissioners i'm with the dpa budget. for the items before you in terms of the second set of

proposals, the first set is around revenues. we have the projected 2011 realignment and the county is responsible for maintaining the mental health services and we get a portion of the dollars realigned from the state. we've seen it in prior years before and now we're projecting an additional $3 million for services. then the back fill of funding losses is a loss in revenue. we've seen similar reductions in prior years as the federal funding changes its formulas and for a variety of reasons and sometimes it's because we're doing such a great job on the work we do. they tend to shift dollars to where the greatest need is. is