>> san francisco city clinic provides a broad range of sexual health services from stephanie tran medical director at san francisco city clinic.

we are here to provide easy access to conference of low-cost culturally sensitive sexual health services and to everyone who walks through our door. so we providestd checkups, diagnosis and treatment. we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the

first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in

san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the back and meet with a healthcare provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly

recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all

the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also informed the contraceptive method. accessibility to the clinic was very easy. you can just walk in and talk to a registration staff. i feel i'm taken care of and i'm been supportive.

>> all the information were collecting here is kept confidential. so this means we can't release your information without your explicit permission get a lot of folks are concerned especially come to a sexual health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. >> trance men and women face really significant levels of discrimination and stigma in their daily lives. and in healthcare. hiv and std rates in san francisco are particularly and strikingly high were trans women. so we really try to make city clinic a place that strands-friendly trance competent and trans-welcoming >> everyone from the front desk to behind our amazement there are completely knowledgeable. they are friendly good for me being a sex worker, i've gone through a lot of difficult different different medical practice and sometimes they weren't competent and were not friendly good they kind of made me feel

like they slapped me on the hands but living the sex life that i do. i have been coming here for seven years. when i come here i know they my services are going to be met. to be confidential but i don't have to worry about anyone looking at me or making me feel less >> a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. we have some testing with you on site. so all of our samples we collect here. including blood draws. we sent to the lab from here so people will need to go elsewhere to get their specimens collect. then we have a few test we do run on site. so those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. people get those results the same day of their visit. >> i think it's important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most

knowledgeable place that you can come to. >> on-site we have condoms as well as depo-provera which is also known as [inaudible] shot. we can prescribe other forms of contraception. pills, a patch and rain. we provide pap smears to women who are uninsured in san francisco residents or, to women who are enrolled in a state-funded program called family pack. pap smears are the recommendation-recommended screening test for monitoring for early signs of cervical cancer. we do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. >> in terms of how many people were able to see in a day, we say roughly 100 people.if people are very brief and straightforward visits, we can sternly see 100, maybe a little

more. we might be understaffed that they would have a little complicated visits we might not see as many folks. so if we reach our target number of 100 patients early in the day we may close our doors early for droppings. to my best advice to be senior is get here early.we do have a website but it's sf city clinic.working there's a wealth of information on the website but our hours and our location. as well as a kind of kind of information about stds, hiv,there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for 15, 40 75500. the phones answered during hours for clients to questions. >> >>

[♪] >> i really believe that art should be available to people for free, and it should be part of our world, you shouldn't just be something in museums, and i love that the people can just go there and it is there for everyone. [♪] >> i would say i am a multidimensional artist. i came out of painting, but have also really enjoyed tactile properties of artwork and tile work. i always have an interest in public art. i really believe that art should be available to people for free,

and it should be part of our world. you shouldn't just be something in museums. i love that people can just go there, and it is there for everyone. public art is art with a job to do. it is a place where the architecture meets the public. where the artist takes the meaning of the site, and gives a voice to its. we commission culture, murals, mosaics, black pieces, cut to mental, different types of material. it is not just downtown, or the big sculptures you see, we are in the neighborhood. those are some of the most beloved kinds of projects that really give our libraries and recreation centers a sense of uniqueness, and being specific to that neighborhood. colette test on a number of those projects for its. one of my favorites is the oceanview library, as well as several parks, and the steps.

>> mosaics are created with tile that is either broken or cut in some way, and rearranged to make a pattern. you need to use a tool, nippers, as they are called, to actually shape the tiles of it so you can get them to fit incorrectly. i glued them to mash, and then they are taken, now usually installed by someone who is not to me, and they put cement on the wall, and they pick up the mash with the tiles attached to it, and they stick it to the wall, and then they groped it afterwards. [♪]

>> we had never really seen artwork done on a stairway of the kinds that we were thinking of because our idea was very just barely pictorial, and to have a picture broken up like that, we were not sure if it would visually work. so we just took paper that size and drew what our idea was, and cut it into strips, and took it down there and taped it to the steps, and stepped back and looked around, and walked up and down and figured out how it would really work visually. [♪] >> my theme was chinese heights because i find them very beautiful. and also because mosaic is such a heavy, dens, static medium, and i always like to try and incorporate movement into its, and i work with the theme of water a lot, with wind, with

clouds, just because i like movements and lightness, so i liked the contrast of making kites out of very heavy, hard material. so one side is a dragon kite, and then there are several different kites in the sky with the clouds, and a little girl below flying it. [♪] >> there are pieces that are particularly meaningful to me. during the time that we were working on it, my son was a disaffected, unhappy high school student. there was a day where i was on the way to take them to school, and he was looking glum, as usual, and so halfway to school,

i turned around and said, how about if i tell the school you are sick and you come make tiles with us, so there is a tile that he made to. it is a little bird. the relationship with a work of art is something that develops over time, and if you have memories connected with a place from when you are a child, and you come back and you see it again with the eyes of an adult, it is a different thing, and is just part of what makes the city an exciting place. [♪]

>> i view san francisco almost as a sibling or a parent or something. i just love the city. i love everything about it. when i'm away from it, i miss it like a person. i grew up in san francisco kind of all over the city. we had pretty much the run of the city 'cause we lived pretty close to polk street, and so we would -- in the summer, we'd all all the way down to aquatic park, and we'd walk down to the library, to the kids' center. in those days, the city was safe and nobody worried about us running around. i went to high school in spring valley. it was over the hill from chinatown. it was kind of fun to experience being in a minority, which most white people don't get to experience that often. everything was just really within walking distance, so it make it really fun. when i was a teenager, we didn't have a lot of money.

we could go to sam wong's and get super -- soup for $1. my parents came here and were drawn to the beatnik culture. they wanted to meet all of the writers who were so famous at the time, but my mother had some serious mental illness issues, and i don't think my father were really aware of that, and those didn't really become evident until i was about five, i guess, and my marriage blew up, and my mother took me all over the world. most of those ad ventures ended up bad because they would end up hospitalized. when i was about six i guess, my mother took me to japan, and that was a very interesting trip where we went over with a boyfriend of hers, and he was working there. i remember the open sewers and

gigantic frogs that lived in the sewers and things like that. mostly i remember the smells very intensely, but i loved japan. it was wonderful. toward the end. my mother had a breakdown, and that was the cycle. we would go somewhere, stay for a certain amount of months, a year, period of time, and she would inevitably have a breakdown. we always came back to san francisco which i guess came me some sense of continuity and that was what kept me sort of stable. my mother hated to fly, so she would always make us take ships places, so on this particular occasion when i was, i think, 12, we were on this ship getting ready to go through the panama canal, and she had a breakdown on the ship. so she was put in the brig, and i was left to wander the ship until we got to fluorfluora few days later, where we had a

distant -- florida a few days later, where we had a distant cousin who came and got us. i think i always knew i was a writer on some level, but i kind of stopped when i became a cop. i used to write short stories, and i thought someday i'm going to write a book about all these ad ventures that my mother took me on. when i became a cop, i found i turned off parts of my brain. i found i had to learn to conform, which was not anything i'd really been taught but felt very safe to me. i think i was drawn to police work because after coming from such chaos, it seemed like a very organized, but stable environment. and even though things happening, it felt like putting order on chaos and that felt very safe to me. my girlfriend and i were sitting in ve 150d uvio's bar,

and i looked out the window and i saw a police car, and there was a woman who looked like me driving the car. for a moment, i thought i was me. and i turned to my friend and i said, i think i'm supposed to do this. i saw myself driving in this car. as a child, we never thought of police work as a possibility for women because there weren't any until the mid70's, so i had only even begun to notice there were women doing this job. when i saw here, it seemed like this is what i was meant to do. one of my bosses as ben johnson's had been a cop, and he -- i said, i have this weird idea that i should do this. he said, i think you'd be good. the department was forced to hire us, and because of all of the posters, and the big recruitment drive, we were

under the impression that they were glad to have us, but in reality, most of the men did not want the women there. so the big challenge was constantly feeling like you had to prove yourself and feeling like if you did not do a good job, you were letting down your entire gender. finally took an inspector's test and passed that and then went down to the hall of justice and worked different investigations for the rest of my career, which was fun. i just felt sort of buried alive in all of these cases, these unsolved mysteries that there were just so many of them, and some of them, i didn't know if we'd ever be able to solve, so my boss was able to get me out of the unit. he transferred me out, and a couple of weeks later, i found out i had breast cancer. my intuition that the job was killing me. i ended up leaving, and by then, i had 28 years or the years in, i think. the writing thing really became intense when i was going

through treatment for cancer because i felt like there were so many parts that my kids didn't know. they didn't know my story, they didn't know why i had a relationship with my mother, why we had no family to speak of. it just poured out of me. i gave it to a friend who is an editor, and she said i think this would be publishable and i think people would be interested in this. i am so lucky to live here. i am so grateful to my parents who decided to move to the city. i am so grateful they did. that it never >> there weren't really any real funding structures available at that time, so we started out in civic centre. we always wanted to find our way back. the temporary navigation center at south van ness and around 22 nd street allowed us to start a small pilot program over there. leadership told us that we may get an impact on the area in

cleanliness and community. those who have been vehemently opposed to the center became even more angrier when it was taken down. folks at the north end of the mission saw what was going on and eric who you will hear from in a few minutes, saw our impact , he asked us what we can do closer for 16th and mission with $5,000. it wasn't much, but the funding and the excitement generated by him and the program helped us hold out until the end of the fiscal year. when the team and supervisor ronen's office give us funding to expand throughout the mission [applause] >> our team in the mission has grown from a tiny four person team, all the way to a 30 member cohort that works daily to clean the area stretching from division street, down to 24th street. and from valencia, all the way to harrison.

it is incredible how much they've accomplished in these past five months, and it wouldn't have been possible without community momentum from neighbors like sean case, a raised awareness of our team and pushed rest in his neighborhood outside of coronado park, about three blocks down. our vision is to build -- to bring clean, beautiful streets, to end homelessness in the mission, and to tear down the barriers to community that exists between the least and the most franchised. we are on our way, and we are going to get there with your help. and now, i have the pleasure of introducing layer breed who has been a champion -- mayor breed who has been a champion since the beginning. [cheers and applause] >> thank you. really glad to be here. i also wanted to mention that yes, there was an ad back provided for this program to

extend the downtown streets team to the mission, to this incredible neighborhood, but our office, through the fix-it department gave a quarter of a million dollars to downtown streets team to make sure that we provided the appropriate funding so this program can expand. this is not just about jobs, it is not just about clean streets, this is about our city. this is about taking care of our city, it is also about making sure that people have opportunities to get housing, people have opportunities to get services, people have opportunities to do jobs to that allow them dignity. we want to make sure we have a thriving city, and it takes a lot of work, and it does take a village, doesn't it, donna? it takes a village. it takes a village to make sure that everyone in our city has an opportunity to be part of this incredible program.

i want to think downtown streets , because you do the important work, so many of you volunteer your time, so many of you are out there cleaning the streets, but you are also engaged in conversations with neighbors, with merchants, and it is really creating this incredible feeling in san francisco. you are the ambassadors of the city. you represent our city everywhere you go, and i have to tell you, i see those yellow shirts everywhere downtown in san francisco. [applause] >> i know we have our challenges , and i know the income inequality gap has widened like never before. which is why it is going to be important that we move aggressively to build more housing. that is one of the reasons why we are putting a 500 million-dollar affordable housing bond on the ballot this november. it is also why i am proposing a chart amendment to build 100%

affordable housing and 100% teacher housing as of right. no more bureaucracy, no more delays, no more not in my backyard. if we are going to really address what we know are serious challenges in this city, we have to build more housing, especially affordable housing in every corner of san francisco. i don't want to see the next generation who grew up in san francisco like nikita and i, where our friends in our family cannot afford to live here anymore. this program, yes, it is important, but housing and making sure that people have the dignity of a safe, affordable place to call home is equally important, and i'm committed to making sure that as we expand programs like downtown streets and we continue to clean up our safety, we also have places for people who work in our city to

afford to live here, too. that is a critical part of making sure that we are really a diversity. that we invest in the people of san francisco, so i am just excited to be here today, and to say thank you to fill ginsburg with recreation and park, to the fix-it team, to do the department of public works, to all of the volunteers and community members, and i will say that d.p.w. and the downtown streets team, they can't do it alone. it is all of our responsibility to take care of our city. so let's roll up our sleeves, let's get to work, let's make san francisco a more green and clean city, more than anyplace else in the rest of the country. thank you also much for being here today. [cheers and applause] >> now i want to take the opportunity to introduce your supervisor, hillary ronen. [cheers and applause]

>> thank you so much. it is such a pleasure to be here on this gorgeous, gorgeous day. i love downtown streets team! i want to tell you a story. so i don't know if you guys saw it there or read it in the media reports, but for a good part of the year, the barge director and i cleaned the 16th street b.r.t. station because he needed help, but also because we're trying to make a point that they didn't have enough full-time workers at that station to keep it a dignified place for everyone. and it was a mess. it was a mess. every week when we got there we would fill up garbage containers after garbage container of trash and one day we got there and it was spotless.

it was so beautiful and we were so confused, and we said what is going on here? we found out that a private citizen who has an office across the street from the bart plaza had given a grant to downtown streets team to work in that area, and oh, my gosh, you changed the entire atmosphere and the entire feeling of that area, and i got an upfront view of the tremendous work that you do for the city. it is changing lives, it is changing our feeling about this city, and we love you for it, so much so. as the mayor said, she prioritized in the city budget expanding downtown streets team to many parts of the mission, and i could not be more grateful to her, and more grateful to you for doing this tremendous work. you are amazing, we love you, keep it up. thank you so much. [cheers and applause]

>> all right, now it is my pleasure to introduce community partner eric rodenbeck. [cheers and applause] >> hi. my office is at 16th and mission, it has been for 18 years, and about a year ago, i decided it was time to stop complaining and start doing something about it, so when i started calling and sending pictures about what was going on in the plaza, you started come out and clean himself. the bart supervisor was showing up at 16th and mission with a broom. asserts a tiny little changes, small things like making sure that the closet to bart is locked, and then small contributions to allow amazing groups like the downtown streets team to do their work. there's nothing like the power

of committed individuals to clean up a place and make a positive difference. i want to thank the mayor mayor and supervisor for their support there are people in this town who have answers to what our most pressing questions are, and our most pressing problems. there are solutions that we can implement together in ways that are equitable, in ways that don't displace people, and let us hold true to our san francisco values. i encourage you to come down to the 16th and mission plaza and see the work that the amazing group of people are doing here. it is a radically transformed situation, and i can't thank you enough. from the bottom of my heart, thank you. [cheers and applause] >> i wanted to share a couple of stats before i invite our last speaker up because they are so exciting. so since we launched with the city funding in the mission, nine folks have gotten employment already on our small team. [applause]

>> three folks have been house. altogether in the mission, we have already removed 300,000 pounds of trash. it's pretty incredible. finally, we have picked up 2,458 needles from the streets, it is such important work that our folks are doing, and they're working so hard. with that, it is my pleasure to introduce our purple shirt, team supervisor, who looks after our entire mission team. and without whom this program would not run half as smoothly or with half the amount of love that it does. [cheers and applause] [cheering] >> dsd! >> family, i see all the hard

work that you do, i she you get up at 7:00 a.m. in the morning to come here, and i see how much effort that you put into it, you know, my job as a supervisor, but my job -- also i am your friend, you can come and talk to me. when i talked to the team members, they tell me, they say darrell, you know, i'm really tired of sleeping in a tent, and when they tell me that, i get sad, and his they say, darrell, what do you think we could do about this housing crisis? and i say, you know, i really don't know, but what i believe, i believe, i want to believe that this is the best country in the world. i want to believe that this is the best city in the world.

but one thing that i do believe, i do believe that if we come together as one, we can fix this thank you for coming, thank you, mayor breed. [cheers and applause]. >> we have one more thing, you know, we honor our team members and this guy has gone beyond in everything that we're all about at dst. he is a reflection of what we are about, and that is saving lives, helping people. meeting him where they are at. so i want to present this green shirt, my friend and my co- volunteer worker, bobby. come on up here and get this award. [cheers and applause]

>> way to work it, bobby. >> i'm surprised. [laughter] >> i thought i would make the green shirt at the meeting. anyway, i'm kind of nervous, but

>> you still have a quorum. >> please call the next line item. >> vote to elect to disclose any or all items held in closed session. administrative code 37.1 to a york action. >> vote on whether to elect or disclose any or all discussion on item nine held in closed session. motion? >> second. >> all in favor? >> aye. we have to take public comment. >> public comment from the ghosts in the room. [laughter] hearing none, can i get a vote? >> all in favor? >> aye. >> next line item. >> item 11 is adjournment. action item. >> so moved. >> second. >> all in favor? >> eyes. >> okay. , great.

>> everything is done in-house. i think it is done. i have always been passionate about gelato. every single slaver has its own recipe. we have our own -- we move on

from there. so you have every time a unique experience because that slaver is the flavored we want to make. union street is unique because of the neighbors and the location itself. the people that live around here i love to see when the street is full of people. it is a little bit of italy that is happening around you can walk around and enjoy shopping with gelato in your hand. this is the move we are happy to provide to the people. i always love union street because it's not like another commercial street where you have big chains. here you have the neighbors. there is a lot of stories and the neighborhoods are essential. people have -- they enjoy having their daily or weekly gelato. i love this street itself.

>> we created a move of an area where we will be visiting. we want to make sure that the area has the gelato that you like. what we give back as a shop owner is creating an ambient lifestyle. if you do it in your area and if you like it, then you can do it on the streets you like.

my name is doctor ellen moffett, i am an assistant medical examiner for the city and county of san francisco. i perform autopsy, review medical records and write reports. also integrate other sorts of testing data to determine cause and manner of death. i have been here at this facility since i moved here in november, and previous to that at the old facility. i was worried when we moved here that because this building is so much larger that i wouldn't see people every day. i