we did was to say hey, this is the way to earn your p.e. credits. just getting kids to go try it was one of our initial challenges for the first year or two. but now that we've been doing it three or four years, we have a group of kids that's consistent, and the word has spread, that it's super fun, that you learn about the ocean. >> starting in the morning, you know, i get the vehicles ready, and then, i get all the gear together, and then, i drive and go get the kids, and we take them to a local beach. >> we usually go to linda mar, and then occasionally ocean beach. we once did a special trip. we were in capitola last year, and it was really fun. >> we get in a circle and group stretch, and we talk about

specific safety for the day, and then, we go down to the water. >> once we go to the beach, i don't want to go home. i can't change my circumstances at home, but i can change the way i approach them. >> our program has definitely been a way for our students to find community and build friends. >> i don't really talk to friends, so i guess when i started doing city surf, i started to, like, get to know people more than i did before, and people that i didn't think i'd like, like, ended up being my best friends. >> it's a group sport the way we do it, and with, like, close camaraderie, but everybody's doing it for themselves. >> it's great, surfing around, finding new people and making new friendships with people throughout surfing. >> it can be highly developmental for students to have this time where they can learn a lot about themselves

while negotiating the waves. >> i feel significantly, like, calmer. it definitely helps if i'm, like, feeling really stressed or, like, feeling really anxious about surfing, and i go surfing, and then, i just feel, like, i'm going to be okay. >> it gives them resiliency skills and helps them build self-confidence. and with that, they can use that in other parts of their lives. >> i went to bring amy family o the beach and tell them what i did. >> i saw kids open up in the ocean, and i got to see them connect with other students, and i got to see them fail, you know, and get up and get back on the board and experience success, and really enjoy themselves and make a connection to nature at the same time. >> for some kids that are,

like, resistant to, like, being in a mentorship program like this, it's they want to surf, and then later, they'll find out that they've, like, made this community connection. >> i think they provided level playing fields for kids to be themselves in an open environment. >> for kids to feel like i can go for it and take a chance that i might not have been willing to do on my own is really special. >> we go on 150 surf outings a year. that's year-round programming. we've seen a tremendous amount of youth face their fears through surfing, and that has translated to growth in other facets of their lives. >> i just think the biggest thing is, like, that they feel like that they have something that is really cool, that they're engaged in, and that we, like, care about them and how they're doing, like, in

general. >> what i like best is they really care about me, like, i'm not alone, and i have a group of people that i can go to, and, also, surfing is fun. >> we're creating surfers, and we're changing the face of surfing. >> the feeling is definitely akin to being on a roller coaster. it's definitely faster than i think you expect it to be, but it's definitely fun. >> it leaves you feeling really, really positive about what that kid's going to go out and do. >> i think it's really magical almost. at least it was for me. >> it was really exciting when i caught my first wave. >> i felt like i was, like -- it was, like, magical, really. >> when they catch that first wave, and their first lights up, you know -- their face lights up, you know you have

them hooked. >> i was on top of the world. it's amazing. i felt like i was on top of the world even though i was probably going two miles an hour. it was, like, the scariest thing i'd ever done, and i think it was when i got hooked on surfing after.

>> mayor breed is joined by the director of public health, grant colfax. the director of the department of human services, trent noor. today's numbers for the number of people who are infected by covid-19 here in san francisco are at 1,340. sadly, we have had 22 people who lost their lives to the virus. as a reminder, you can find the full dashboard of information at

datasf.org/covid-19. there is a lot of great information on the number of people who have been infected by zip code, race, and other information that members of the public expressed interest in. as a city, we have mobilized to combat this public health crisis. we've been focusing on our frontline responders, our healthcare workers, and our essential employees and what they need to protect themselves. these are the people who are of course our healthcare professionals, our first responders, and people who are actually our essential city workforce. the folks who are driving the muni buses, the people who are managing traffic. the people who are providing -- the grocery store clerks and

others who continue to support the city as we deal with these real challenges. i want to be clear that from the very beginning we knew that it was important to ensure that we were protecting the people that we expected to show up to work in their various capacities. the sad reality is what we've had to deal with around a lack of coordination on the federal level around p.p.e. has made it really very challenging. today i want to talk just a little bit about those challenges and what we've faced as we continue to provide the resources necessary to try and protect our workforce, but i want to start by -- and i want to start by thanking the city administrator naomi kelly and her team and the office of

contract administration. because of their efforts, we have been able to purchase 15 million pieces of p.p.e. that's the n95 masks, general masks, the gowns, and the other personal protective equipment necessary to keep people safe as they work and as they support our population of people who sadly may be hospitalized due to covid-19. the gloves, the gowns, the surgical masks, and those -- the face shields. and we've received donations from our give to s.f. program and we truly appreciate the contributions. our governor, the state, has provided us with 1 million pieces of p.p.e. so we have really been very

diligent about getting access to p.p.e. to make sure, as i said, our frontline workers are protected and people have what they need to provide essential services to the city. you hear the conversations that take place not only here in san francisco but all over the state. the fact that we have declared a state of emergency even in san francisco as of february 25 of this year, the fact that we have been struggling to get access to p.p.e. even before then and this has been at the forefront of every conversation that every city has had, expressing a strong need for this personal protective equipment. yet again, and this is no excuse, but the challenges we continue to face as a result of a coordinated response from our

federal government has really put us all at a disadvantage. in fact, i want to talk a little bit about some of the challenges that we've had. we've had issues of our orders being relocated by suppliers in china. for example, we had isolation gowns that were on their way to san francisco and they were diverted to france. we've had situations when things that we've ordered that have gone through customs were compensated by fema to be diverted to other locations. because again we know that everyone is dealing with a very serious challenge. even when we've been fortunate enough in some cases to see p.p.e. get through customs, we've had situations where those items have been taken and put out on the market for the highest bidder, putting cities against cities and states against states. it has been really, i've got to

tell you, one of the most frustrating things to deal with. the fact that during the height of this pandemic we're still having a conversation about p.p.e. is -- it really does blow my mind and it is nothing that has been more frustrating. because when we talk about the need to get back to opening up our cities and our country, one of the most important things we need is to make sure that people have what they need to protect themselves. that we have p.p.e. and that we have swabs and testing kits so that we're able to test more people. so we are -- i want you to know that we are working tirelessly on this. we are pushing for creative solutions to get what we need. in fact, ucsf through their generosity in providing san

francisco general some additional equipment has been amazing. and dignity health and having access to their suppliers. we've all locally here in the hospital community have been working together to get everything that we need because we know how critical all of this is now as we go through this and as we have this shelter-in-place order. but what happens when we start to look at ways and solutions to get our cities back on track and to get our cities open, it's going to be necessary even then because it's going to take us a while before we get a vaccine, which means testing and p.p.e. and having not only sufficient supply, but access to get sufficient supply will be critical to the future of this city. we won't give up. we will continue to do what we can to access the equipment and

supplies that we need. dr. colfax talked about our efforts to expand testing, which is something that we will continue to ramp up. as he mentioned on wednesday, the bottleneck we face right now is often due to the lack of the basic swabs and not necessarily the testing capacity. so we just wanted to make sure that as you hear about some of these challenges that you're aware of why they are challenges. i know it seems as though it should be a lot simpler. we have the money to purchase the p.p.e. why can't we purchase the p.p.e.? the fact is it is clearly complicated. you hear mayors and governors talk about this on a regular basis. we are getting as creative as we can to get what we need to support our city. in many instances, we have been fortunate beneficiary of the generosity of flex port and

facebook and sell force and others who continue to be incredible partners in helping to advocate for and get access to p.p.e. to help our cities move forward. so i want to thank them. i want to just talk a bit -- dr. colfax will get into the testing and the p.p.e. and some of the things we need to do that are critical to public health. also in addition to the public health crisis that we are in the midst of, there is another crisis that has emerged and that is the economic crisis. the fact is this has been a long time for people who have no other means of access to money. this is a long time to be out of work and to figure out what we're going to do. it's one of the reasons we felt it was important, despite what's

happening with access to unemployment, to have resources available so that people can get food through give to sf and to provide support for our small business community. in fact, we've been able to add another $1 million to the flexible grant program that we started a couple of months ago to provide some initial assistance to our small businesses. and we will continue to raise private dollars and look for other resources to help support our small business community. as we think about the future and what this means, we set up a recovery task force a couple of weeks ago. they are going to be convening today to talk specifically about where do we go once we reopen. even as we look at what's happening with other states that are opening now.

as far as i'm concerned, we don't want to move that quickly. we want to make sure that we have systems in place to protect people. this is going to require an approach where we are working hand in hand with our public health professionals. when we look at various industries and we analyze what could be done in order to protect people to allow those industries to move forward, we want to make sure that we are thoughtful in our recommendations, but we are also getting the support and the clearance from our public health experts to move in that direction. we know that this weekend is coming up. today is a beautiful day in san francisco. this weekend is going to be a beautiful weekend in san francisco. and i want to really take this opportunity to caution people about wanting to get back to things that are more familiar. i know your kids want to play with their friends.

i know you want to see your friends. i know so many of you want to have interactions with one another in person rather than over the phone or online. i want to just say that we hear about san francisco and how great san francisco is doing all over the world and we're being used as an example of how to manage this situation right. but i want to just remind you, we have 1,340 people who have tested positive with the virus. it is estimated that about 12% of the people we've tested overall have the virus, which means that there's a possibility clearly that there are others who are asymptomatic in our community that have the virus and have the ability to infect other people.

what we don't want to see on nice days, on days like this, out in the communities and infecting other people. they don't have a mask and not social distancing and going back to the habits that are familiar and engaging with one another and not socially distancing and getting comfortable and complacent. and then a week from now we wonder why our numbers from shot up from 1,340 to 2,000 or more with even more deaths. this is what is at stake. as good as it might seem, the situation we're in now, the numbers are still going up. the number in i.c.u. have gone up. the number of people who are -- who have passed away continues to rise. that means that now more than ever we can't give us and we

have to move forward. i know -- as i say, i know i say every time we have a press conference i know it's hard. i know it's hard, which is why it's important that as we are talking and convening in our economic recovery task force, we are developing ways to make recommendations to the department of public health of things that we could potentially make available to the public. so next week we'll have some more announcements about that, but the goal is we definitely want to work with our public health experts and our various industries to figure out are there things we can do. because the reality is and people are asking about this, will the public health order get extended. the likelihood that that will happen is very likely. what that means is another few

weeks or even a month of asking you all to comply and to remain at home as you continue to follow the social distancing orders that we put forth. but what it also means is an opportunity for us with our economic recovery task force to start to explore ways in which we can make some things available that are currently unavailable to all of us. so it is a process. because how we reopen is going to be important to ensuring that we do it responsibly so we don't go backwards. we also have to make sure that we have enough of the p.p.e. and the testing necessary so that if we do decide to allow a particular industry or something to become available that we're able to deal with that, that we put the appropriate requirements

into place of social distancing and we also have the appropriate p.p.e. so that they're able to protect themselves. and, more importantly, we have the testing and we have the capacity in our hospitals necessary to deal with a surge at any time. it's a process. it's a process that requires patience. it's a process that requires resources. so i want to thank the people in san francisco especially for just supporting the process and being responsible and helping us through this pandemic because it is important that as many of us as we possibly can, that we comply with this order and that we continue to do our very best to stay at home, go out and get fresh air if we need it, and keep our distance from people when we're outside.

the mask does not mean that you can come closer to people. it means we're asking you to wear a mask to protect yourself and to protect other people, but we're still asking you to keep a distance of 6'. the mask does not take the place of social distancing. i also just want to say i also heard of a number of situations where people have been walking and they're not wearing a mask and they're just outside walking and they've had people make comments and threatening comments in some particular instances. i want to be clear. we are not asking or requires that people wear masks when they're out walking their dogs or taking a walk or they're doing their jogging or maybe riding their bike. we're asking when you are at the

grocery store or in line at the grocery store or at the gas station or in line at the gas station, at the pharmacy or in line at the pharmacy. any facility where you are in contact for the most part in line with other people, that's when we're asking you to wear a mask. i also want you to reiterate if you're not a police officer, please don't ask like you are a police officer. we have police officers to police our streets. what we don't want to have happen is the continued animosity towards someone who appears to not be following the directive and an altercation occurs and tension occurs and it goes worse. more than ever, we need people to be understanding and nicer to one another. we need goodness and we need kindness. we need you to focus on you. we need people to focus on the fact that they and their family

should be complying with wearing a mask or keeping their distance. we don't need people to police other people because that could turn into an even worse situati situation. we understand it might be frustrating to see someone violating the rules, but again i guarantee you if you are following the rules and doing everything that you can, you are setting the example. others will follow and we'll be better off for it. i appreciate if we all continue to do our very best, we all continue to put some goodness and positive energy out there in the universe. this is challenging for all of us. it is difficult for all of us. none of us is immune from the physical and emotional impacts that this is taking on our city. i want us to remember that and

do the very best we can as we weather this storm. thank you for your cooperation and understanding. if there is any information you're looking for, please feel free to check out our website, sfgov.org. or call 311 if you have any concerns or need help or support or food. please call us. we really are in this together. what impacts one person in our community impacts all of us. that's why it's so critical. we have been in this situation for some time now. now is not the time to give up. now is the time to roll-up our sleeves and just keep it moving and do the very best we can because what we want to do is look back on this pandemic and be proud of what we've been able

to do here in san francisco to protect and to save lives. thank you again for your cooperation. at this time, i would like to introduce our director of the department of public health, dr. grant colfax. >> thank you, mayor breed. good afternoon. i'm dr. grant colfax, director

of public health for san francisco. i would like to express my gratitude and thanks to the mayor for her leadership and the work she's done with regard to to ensuring that our frontline workers, our teams throughout the health department, and the patients who we care for has had access always to the necessary personal protective equipment, the p.p.e., according to c.dc. guidelines for them to be safe and for our patients and their families to be as safe as possible. the p.p.e. continues to be an issue. our supplies have sometimes gotten quite low, given the challenges across the city, across the region, across the nation. it's taken tremendous amount of work.

i just want to express gratitude again for ensuring that people have consistently and had and always have had the p.p.e. that they need that is necessary and in accordance with the science, the data, and the facts. today i want to provide you with the facts and the effects of the coronavirus in our community. even as we continue to make progress as we flatten the curve, we continue to see impacts on our most vulnerable population. the story here in san francisco, the data and facts condition to tell the story here in san francisco and will always guide our response. today there are 1,340 san

francisco residents with confirmed cases of coronavirus. of these, 134, or about 10%, are people experiencing homelessness or living in s.r.o.s. that is, unfortunately, a large proportion. we also know, as we have said from the beginning, that older people and people with underlying health conditions are more vulnerable to covid-19 and are at greater risks for bad outcomes, including unfortunately, death. of the people who have died of the coronavirus, 21 of them were over 60 years old and all 22 had underlying health conditions. this is consistent for what we know about who is most at risk. so even as we expand testing,

add capacity to our healthcare system, and watch the number of hospitalized patients closely, we know that many members of our community remain at risk of significant harm from the coronavirus. and as we move forward in our response and look at the next steps in terms of reopening, we will continue to protect those most vulnerable populations. we simply must do so. one of my chief concerns and a top priority for the health department is mitigating the outbreaks that are occurring in the homeless population, long-term care facilities, and other congregate living settings. this is a challenge not only within san francisco, but across the region and indeed across the nation. in san francisco, we will continue to work diligently on

these settings where the virus presents the greatest threat. in the last few weeks, we have responded to several outbreaks. these are unfortunately, but also unfortunately not surprising. outbreaks are part of the pattern of this pandemic and they are happening in every place where the coronavirus is spreading in the country and again here in our community. the virus looks for opportunities where people are gathered together. for example, across california there are 258 skilled nursing facilities that have reported one or more coronavirus cases among residents or staff. here in san francisco, the department of health staff called every skilled nursing

facility in the city several times a week to check on the covid status of residents and staff. we hold weekly calls with them to provide education on infection control, prevention, and outbreak preparedness. from the start we have published guidelines for long-term and residential facilities that are up-to-date with c.d.c.'s and the state's latest information. we want to support these institutions to be as prepared as possible. when there are outbreaks in congregate settings, we take immediate action based on evidence and c.d.c. and state guidelines. in san francisco there have been outbreaks at laguna hospital as well as other facilities. we have responded in each situation based on the evidence.

we have supported the organizations with contact investigations, testing, and screening. we have provided masks and other personal protective equipment as required. we have imposed quarantines and, in some cases, temporarily closed facilities for deep cleaning and evaluation. we have moved residents to hotels or medical care settings dependant on their needs. all of this work has been done in collaboration with local, state, and federal partners. and in particular, our partnership with the state is highly relevant with the long-term care facilities in the city because the state has overnight on their licensing and responsibility for inspecting them to ensure that they are complying with state guidelines. and i would like to point out that we have outbreaks that have

been minimized due to advance planning and quick responses. at laguna honda hospital we asked for experts from the disease control center and the state to come in early to support our response. the c.d.c. remains on site and continues to help and advise our efforts. to date we have had 19 positive cases at laguna honda hospital, 15 among staff and four among residents. and laguna honda hospital is one of the largest, if not the largest, skilled nursing facility in the nation with over 750 residents. is -- of the four residents who tested positive for covid-19, all are in good condition. we have not had a new resident case since april 7, which is an indication that our aggressive efforts undertaken with c.d.c.

guidance, to isolate, quarantine, test, and screen for now have been effective. the c.d.c. recommendations we recommended at laguna honda are now being and will continue to be applied to protect staff and residents at other nursing home facilities across the city. in our jail system we took aggressive steps to protect inmates and staff. we expanded jail health services to include testing and quarantine of all new bookings that are housed in jails. this allowed us to identify two asymptomatic and related cases of coronavirus to date. this practice combined with enforcing social distancing protocols and masking of all staff has likely prevented an outbreak so far. the two confirmed cases will be

released and there are no known cases of covid-19 at this time in the county jail. now, of course this could change and the situation in laguna honda could change rapidly as well, but my point is that we are establishing very specific protocols and taking very specific action and being flexible in our response based on responding to the very specific circumstances under which these outbreaks in vulnerable populations occur. we will continue in partnership with other city departments, community members, and other stakeholders that oversee and in some cases run these institutions. most recently, on wednesday this week, we confirmed a second case of coronavirus at the division circle navigation center.

three weeks after the first case was reported there. we are currently conducting a contact investigation, as we do for cases we discover. at this point, it is unlikely that the two cases are linked, given what we know about the virus. testing of the 59 remaining guests and staff is underway. at division circle we moved swiftly and after the first case, in partnership with h.s.a. and h.s.h. to relocate vulnerable people out of the center and to isolation and quarantine and shelter in place, hotels. so the population there has been reducing lowering the risks. these examples reflect why it is so important to prioritize vulnerable populations in these

settings from the start, people over the age of 60, people with co-morbid conditions. here are some of the steps that we have taken to protect vulnerable populations. you know about the efforts to mitigate the spread of the virus, to slow the spread of the virus in the community. canceling large gatherings, requiring face coverings, and issuing the stay-at-home order. these actions are about protecting vulnerable populations as well as of course our entire community. we have also issued health orde orders restricting people from visiting long-term care facilities and residential facilities. we have required cleaning of s.r.o.s. we have worked in partnership with the human services agency and the department of homelessness and supportive

housing to increase social distancing and other precautions and shelters and to move people into hotels. outreach teams continue to go out every day to communicate with people who are living on the streets and to provide them with resources and information. for people experiencing homelessness, living in s.r.o.s, or in crowded conditions, we are fortunate to have options like isolation quarantine hotels to relocate people safely. as of today, thanks to the partnerships with the other department, 864 people who are over 60 or who have chronic illnesses or underlying health conditions have been moved to hotels. and it is very important to realize that in all of these settings we have been able to test everyone who has shown

symptoms, all close contacts of confirmed cases. and when mask testing was warranted, we have been able to carry that out. i am proud of this work and grateful to the staff of truly, compassionate, world-class experts who have been working around the clock since january to accomplish these efforts. and yet, i know and we know that outbreaks are likely to continue as long as the virus is here in our community. i want to ensure you that we are doing everything we can to reduce the spread of the virus, protect vulnerable populations, and healthcare workers and first responders. we need all san franciscans to keep doing everything you can to protect them as well. that means, again, stay home,

cover your face, practice physical distancing. you are not just protecting yourself. you are contributing to the overall health of the community in making it a safer place for people who are most vulnerable to the virus. you are literally saving lives. and i want to reassure you that we are planning for the future. our ability as a community to return to a new normal will rely on everyone continuing to do their part. it will rely on a system to respond to outbreaks, increase testing, have adequate personal protective equipment, and have contact tracing to slow the spread of the virus. in san francisco, i know we can

do this and we must do this together. i thank you all for your ongoing hard work and effort to keep san francisco safe and to slow the spread of the coronavirus. thank you. director abigail stewart-khan of the department of homelessness and housing will now make some remarks.

>> hello. providing safe places for people experienci experiencing homelessness to isolate, quarantine, or shelter in place is a top priority for the department of homeless and supportive housing, the department of public health, and the entire city. additionally, the city is working to expand testing city-wide with a focus on vulnerable communities, as dr. colfax just shared in detail, including people experiencing homelessness. as we expand testing capacity, we know that we will need more places for people experiencing homelessness who test positive for covid-19 to go to isolate, receive care, and to recover. so that end, h.s.h., in connection with our partners, are opening new facilities.

you've heard about this. to date we've opened five shelter-in-place hotels as well as multiple quarantine hotels with more planned rapidly. this has been incredibly hard and incredibly a critical expansion. i want to share a story of a voicemail i received from a colleague of someone who moved from the streets to the inside and said he hadn't been near a bed in over many years and that he was going to sleep for 24 hours to try to recover and not get sick with covid. he offered thanks to my colleague and all of san francisco for this place to be safe. additionally, we're expanding congregate capacity to meet this need. we opened s.m.c. south as post-covid congregate shelters for people experiencing homelessness who have tested

positive for covid-19 and no longer need medical attention and have cleared their isolation period. this week as dr. colfax reminded us, a second case of covid-19 was confirmed at the division circle center. we had already completed shelter equilibrium, meaning the vulnerable individuals had been moved into our shelter in place sites. through thorough and immediate contact investigation has led us to test all remaining guests and staff and all guests of the center are being transferred to isolation and quarantine hotels. given that this shelter will very soon be empty, it will be reopened as a shelter for people experiencing homelessness who have tested positive for covid-19, but who do not require hospitalization. as we expand testing, we

anticipate we will have more people who are asymptomatic and living with covid and who will need a resource like this one. in its revised capacity, division circle will function similarly to existing isolation and quarantine sites, with on-site department of public health support, 24-hour staffing and security, meals, and social services. the shelters and hotels do not increase risks for the surrounding community and neighbors, both because we know that many are positive in all of san francisco and because guests are educated and supported on how to best care for themselves and will remain in isolation in care for the course of their illness. the mayor, the department of public health, the police department, and all of the city have and continue to implore every san franciscan to practice precautions, such as staying at home, physical distancing, covering your face and nose, and

washing your hands. these are important for all of us. thank you to the partners that have made these expansions possible to open hotels and congregate facilities, including the department of public health, human services agency, the emergency operations center, and all of the exceptional non-profits who are stepping up to provide that support. thank you. we will now have remarks from chief william scott of the san francisco police department.

>> thank you, director stewart-khan. good afternoon, everyone. as always, i will start my remarks by thanking our mayor london breed for her leadership and dr. grant colfax. their leadership has been instrumental in getting us through this challenging time. i want to again thank the people of san francisco as well. it was for gratifying for this 4/20 people stayed home and did not come to the parks to celebrate 4/20. i want to thank everyone for working with us on that and your efforts are actually making a

difference and saving lives. we are seeing that the vast majority of the public is committed to stopping the spread of covid-19. we have had people and businesses who have been warned continuing to flout the order. to date we have 17 citations that have been issued by san francisco police officers. that breakdown is eight businesses and nine individuals. we've admonished 73 people where incident reports have been taken and, as i have stated previously, there have been hundreds upon hundreds of informal warnings. for the most part, i want to thank the people of san francisco for complying by and large when officers interact with them. from the outset of the original public health order in mid-march, the san francisco police department has made it clear that our focus is

voluntary compliance. enforcement has been an option of last resort and that has been ultimately largely successful in those times when we have had to do that to get compliance. we will continue to use a progressive compliance pathway which starts with education, asking for voluntary compliance, warning, and citations if and when necessary. you can use the covid-19 website on our web page to learn about our enforcement protocols, our department policies and notices are posted on our website. the purpose of the public health order is not to arrest or cite, but it's about promoting the health and welfare of our communities and our cities by preventing the spread of the virus. as i've said before, we are here to help. we want to get through this situation in a way that does not make this situation worse for

the people of our city. as the mayor said and i will reiterate it, we all have a personal responsibility to help stop the spread of this virus. the people we are working with is human rights commission under the leadership of executive director sheryl davis. the h.r.c. is providing community stakeholders with face coverings thanks to the mayor's gift to s.f. campaign. we are out with commissioner davis and community stakeholders issuing face coverings today as we speak. we were out in the bayview community yesterday. we want people to know we understand how difficult this is and there are people in our city who are having a very difficult time -- most people are having a difficult time through this. there are people who don't have access to face coverings. we want to do everything we can as a city to help those who need

help. that's why we're out helping, to make sure people have what they need to stay safe and healthy. this is enabling the city to help those vulnerable populations and will go a long way towards preventing the spread of covid-19. we see today is a beautiful day and the weather is nice and we expect that to continue into the weekend. we know there are people who want to exercise and get fresh air and enjoy the nice weather. if you are going to leave your homes, please follow the advice of the public health officials. maintain a distance of at least 6'. wear face coverings when you're waiting in line or shopping as the mayor has emphasized and dr. colfax and his colleagues have emphasized. as the weekend progressing, you're probably going to see a large group of people out. be respectful and mindful and do

the rest for the people you love. our volunteers are working with our work program. we will be out in the parks promoting the educational information and reminding people to keep the distance of 6' and wear your face coverings. again, our goal is to help and gain voluntary compliance. now i want to shift to crime. no update from our wednesday press briefing. we've had an increase in 18% by violent crimes. we've had a 31% decrease in property crimes over last week. that was a decrease of 154 fewer property crimes. we've had a 25% decrease in our total part 1 crimes, which is a decrease of 142 total part 1

crimes. we've had some burglaries and vandalisms as i have reported, and we want the public to be sure we are still out there. we have made several arrests on burglaries in our city. we want to thank the attorney's office to add the charges of burglary and vandalism during this time of a state of emergency. despite our drop in overall part 1 crimes, i want to highlight that we are taking this issue very seriously. and i also want to highlight and remind people about driving. the california highway patrol has reported that they've seen an 87% jump in violations of people driving more than 100 mph. that is completely unacceptable.

we want to remind people that this pandemic does not give anyone the license to drive in a reckless and dangerous manner. please slow down. we know that the streets are easier, but please slow down. we have not had any focus on the deaths since this pandemic started and we want to keep it that way. personal responsibility, as the mayor stated, we all have a personal responsibility to do what is needed, that means driving at lower speeds. those folks who are conducting their travel in a safe way, we thank you and hope everyone else does the same. the slow streets program has also been rolled out. please done down. you have to share the roads with

pedestrians, bicyclists, and people who are going to be out enjoying the weather and trying to get fresh air and exercise. so please again slow down. as a reminder, we also want to encourage everyone to report crimes. if you see a violent crime in progress, please call 911. if the crime has already been committed or it's a property crime or a crime you don't need an immediate response you can call 415-553-0123 or you can also call 311 or utilize our sfpd website to make a police report. also, i want to reemphasize the message about scams and not having the public falling for scams.

unfortunately during this very difficult time there are people who will take advantage of the situation and take advantage of you. normally they focus on vulnerable populations such as our elderly. we know that the federal trade commission says they have received four times the complaints about identity fraud this past mant than the three months prior. the f.b.i. has seen scams online selling things that don't exist. this can take the form of robo calls and people coming to your door. people claiming to be with the centers for disease control and our own department of public health.

nobody will be coming to your house from our department or the centers for disease control and asking to get into your house. please don't let them in. if you get an individual like that knocking at your door or ringing your doorbell and you think that is suspicious, please call 911. we will respond. we've heard of this before and we don't want people victimized. people that you know and love, know that the scammers are out there. please beware. if you believe you have been a victim or are experiencing an online scam, you can call or e-mail the federal train station commission. their number is 877-382-4357. i want, i want to wish everyone a great weekend. as a reminder, please social

distance, stay 6' away, wear your masks, and let's stay the course. thank you. >> thank you, chief scott. we will begin the q-and-a portion with questions february dr. grant colfax. >> question: our first question is from christian captain. can the san francisco department

of public health provide more details about the four deaths at central garden? >> answer: so the state is leading that investigation. as i had mentioned earlier, we are working very closely with central gardens and the similar institutions across the city, ensuring that they have the most up-to-date information, that they have their resources, including p.p.e., the training materials. i can't comment specifically on those four deaths. >> question: we understand the california department of public health is spearheading the issue, but is san francisco launching an investigation? and are other long-term care facilities facing similar risks? >> answer: so long-term care facilities across the country, including here in san francisco, are facing risks. as we have said from the beginning of our response, this population is particularly vulnerable. we saw that in the outbreak in

the nursing home in washington state, in kirkland. i think the important piece here is we need to ensure we're following the best guidance possible with regard to c.d.c. and the state. in terms of how we protect residents and staff, we have infectious disease experts consulting with us and with other nursing homes with regard to doing the best we can to prevent and slow the spread of the virus in these nursing homes. there are vulnerabilities here. we are taking lessons learned from the outbreak at laguna honda and the input and expertise from the c.d.c. to apply those lessons to ensure the nurses have every opportunity and the resources they need to apply those guidelines to protect their institutions.

>> question: are all residents at casa casada being tested and how many will be moved into hotels? >> answer: so as of -- everyone there has been moved to or has been offered an alternative place to stay, and that includes isolation and quarantine at various sites, depending on their conditions and needs. as of april 23rd, 71 residents and staff were tested. 22 residents and two staff had tested positive. so the bottom line is we have offered testing to everyone. we have offered alternative sites to everyone. people who have tested positive have been offered isolation and quarantine sites if they have not been able to find alternatives to isolation and quarantine. >> question: how quickly does d.p.h. notify s.r.o.s of cases?

>> answer: so we notify the person as quickly as possible in a way that maintains the privacy of that individual. we notify the s.r.o. owners or managers that there is a case. we obviously have to be very thoughtful as how that's done to protect the confidentiality of the case. but we are in constant contact with s.r.o.s. we have a task force making sure that they have the information they need, that they're applying cleaning policies to their hotels. if people who need testing and have access to timely testing. and if they need isolation and quarantine rooms are not able to do it in their current living situations, that they are

offered hotel rooms. >> question: the numbers for laguna honda have not risen for some time. is it safe to say that laguna honda is out of the woods? >> answer: i would not say that. i thought this was good news that we haven't had a detective error for some time. but this is the largest if not one of the largest nursing facilities in the united states with over 750 residents. we have staff there working to take the best care of our san francisco residents who need the best care. we are being vigilant and have extra staff to assist us. we are ting we can and hope -- not only hope, but taking the

actions necessary to slow the spread of covid-19 in laguna honda as in elsewhere. i don't think we can say conclusively that we are out of the woods. >> question: have any of the residents been moved out facility? >> answer: of those diagnosed with covid-19, there are several residents that have been moved out. i'm pleased to say they have returned to laguna honda and are in good condition. >> question: are deaths at long-term care facilities, such as at central gardens, included in san francisco's overall covid-19 death count?

>>yes, they are. >> how many total people have died in long-term care facilities? >> answer: we have 113 cases in long-term care facilities. i don't have the number of at the times specific to those areas at this time. i also want to correct one pace is the resident has an address near the facility. >> question: casa casada is criticizing the city for moving slowly on testing cases at their s.r.o.s. is the government now testing everyone in these environments and making more measures? >> answer: we are testing people with any symptom or if they are

a close contact of a covid case, articles regardless of their symptoms. we're not at universal testing yet, but we're increasing our ability to test more people. i understand people are very concerned, as i am, and people are fearful and scared. it's a scary time. basically, the data are that on april 13 the health department confirmed the first case of covid-19 at a -- in a residence of casa casada. on april 15, after a case investigation, a second resident tested positive. based on that and further investigations, we performed

testing on site of all residents on april 19. we moved all residents and have closed the facility for cleaning. so we were responsive. we were following the investigation as we do across the city when there are outbr k outbreaks like this and we were as responsive as we could be. >> thank you. our next questions are for director stewart-khan.

>> question: regarding plans for the city's unsheltered homeless population and possible safe places for them to go, two weeks ago today we were told that details on those plans would be provided in the coming days. what happened to that planning and those forthcoming details? >> answer: thanks for the opportunity to revisit again all of the steps taken around the unsheltered population and to speak to the potential for safe sleeping sites in san francisco. so as i shared on wednesday and so i will be briefed today, immediately as this outbreak became evident, the healthy streets outreach center caused the removal of any tents and pivoted immediately to providing

education, access to care and services, and resources for people living unsheltered in our community. we are aware that many of the policies that have been taking to help people living in congregate settings have made things even more challenging for people living unsheltered. that is a difficult reality that we are facing. those of us out and about in the community see there are many highly vulnerable individuals. we continue to take those steps he here. we are working on all of the steps for very specific and impacted neighborhoods, such as the tenderloin, the bayview, and the mission communities, where we see more density of people living unsheltered. we need to care and balance

people living unsheltered and the basic needs for everyone living unsheltered in those communities. safe sleeping is still absolutely part of the conversation. i'm not sure what the timeline was that you're talking about, but i know it's under deep discussion by many. the issue here is one of resources, and not necessarily financial resources, but rather that the very people who can help support safe sleeping sites are the same people who can open hotels. it doesn't happen one and then the other or one faster than the other. we need to look at all options for people experiencing homelessness. right now we are focused on moving people unsheltered directly into hotel rooms, which is the safest place for them to be when they are vulnerable to covid. and we are simultaneously evaluating safe sleeping sites

across the. r -- city. >> thank you, director. that concludes our questions for today's press conference. [♪] >> the meeting will come to order. good morning, everyone. this is the april 22, 2020 regular budget and finance committee meeting. at this time, i will also be calling the appropriations committee.

i am joined by supervisor -- [inaudible] broadcasting this meeting. motion to -- for today's budget and appropriation committee. >> thank you. can i have a second please? >> roll call vote, please, madame clerk. >> the motion? walton aye. mandelman aye. yee aye. fewer aye. there are five. >> supervisor fewer: thank you.

welcome. madame clerk, any announcements? >> yes, madame chair. due to the covid-19 health care emergency and to protect members of the public, the board of supervisors and chamber room are closed. however, members will be participating as if they're physically present. all the comments will -- public comment will be available. streaming the number across the screen. each speaker will be allowed two minutes to speak. by calling (888) 204-5984. press pound and pound again. when you're connected, dial 1 and then 0 to be added to the

queue to speak. you'll be lined up in the order. while you're waiting the system will be silent. the system will notify you when you're in line and waiting. all callers will remain on mute until their line is open. -- [inaudible] -- and streaming. call from a quiet location, speak clearly and slowly and turn down your television or radio. alternatively -- at [inaudible] if you submit public comment, it will be included in the legislative file as part of the matter. written comments may be sent via

u.s. postal service. finally, items acted upon today will be forwarded to the full board for consideration on april 28 unless otherwise indicated. madame clerk. thank you. can you please call items 1 through 3 together? >> item 1, emergency ordinance amending the administrative code to establish the covid-19 disaster family relief fund. item 2, emergency ordinance amending the administrative code to establish the covid-19 disaster family relief fund and item number 3, appropriating $10 million from the general reserve for the creation of the family relief fund that will serve

undocumented and extremely low-income families with children 0 to 18 years old and who do not qualify for stimulus relief. >> supervisor fewer: thank you very much. we continued this item to the meeting for this meeting by -- supervisor walton. >> supervisor walton: thank you, chair fewer. i want to provide an update and say we've been working closely with the leadership of the human rights commission as well as with the mayor's office and we're going to be providing relief for this population working without doing this the legislative process. so i think it's appropriate items 1, 2 and 3. >> supervisor fewer: thank you very much, supervisor. so we have a motion to file items 1, 2 and 3. before we do that, let's open up for public comment. madame clerk, can you call for public comment? >> yes.

madame chair, checking to see if there are any calls in the queue. operations, please let us know if there are any callers that are ready? >> madame chair, there are no callers wishing to speak. >> supervisor fewer: public comment is now closed. there is a motion to file this item and could we have a roll call vote, please? >> on the motion to file items 1, 2 and 3, supervisor walton aye. mandelman aye. fewer aye. there are three ayes. >> supervisor fewer: congratulations, supervisor walt walton. can you call items 4 and 5 together? >> item 4, resolution retroactively authorizing the department of public health to expend a grant in the amount of 900,000 for participation in the program entitled california injury and violence prevention

branch overdose data to action for a period of january 1, 2020 through august 31, 2022. item 5, resolution retroactively authorizing the department of public health to accept and expend a grant in the amount of $750,000 from the california department of public health for participation in the program entitled california injury and violence prevention branch overdose data to action, peer to peer opioid stewardship alliance for period january 1, 20 through august 31, 2022. >> supervisor fewer: thank you. we have dr. phillip kaufmann here from the department of public health. >> good morning. these are a continuation of expansion on work we've been doing for years as a health department. we've been providing services of training providers and health

departments and health plans around california state in how to train other providers in opioid stewardship and managing opioid use disorder and clinical practice. those efforts were supported by the cdc through the department of public health and the second project -- so that's the first project, a continuation of that -- of those efforts for another three years. and then the second project is expanding to provide technical assistance on these issues nationally. >> supervisor fewer: okay. >> and the -- yeah. i'll stop there. >> supervisor fewer: please continue. >> the reason for this delay is the usual reasons of the time it took to process the receipt of the award. >> supervisor fewer: okay. thank you very much. colleagues, any comments or questions for dr. kaufmann?

seeing none, there is no -- on this, let's open the items up for public comment. are there any people that would like to comment on items 4 and 5? please get in the queue and don't forget to press 1, 0. >> clerk: operation is checking to see if there are callers. operation, please let us know if there are callers ready? >> madame chair, there are no callers wishing to speak. >> supervisor fewer: it's closed. i move to move these items to the board. >> on the motion, walton aye. mandelman aye. fewer aye. there are three ayes. >> supervisor fewer: thank you. please call item number 6. >> item 6, easy lieutenant-governors recei --

resolution retroactive authorizing the department of public health it accept and expend a grant in the amount of 87,000 for the period of july 1, 2019 through june 30, 2022. is -- [inaudible] -- from the department of public health. the presenter is not here today. i make a motion to move this item. there is no report on this, so let's open it up for public comment first. any members of the public that would like to comment on item number 6? >> madame chair, there are no callers wishing to speak. >> supervisor fewer: thank you. public comment is closed. i make a motion to continue this item until the next meeting of the budget and finance committee. could i have a roll call vote,

please? ms. wong, i think you're muted. >> my apologies. on motion to continue item number 6 to the next budget meeting, walton aye. mandelman aye. fewer >> aarti:. -- fewer aye. there are three ayes. >> can you read number one of the budget and appropriations committee. >> yes. item number 1, hearing to review the budget process and related updates for the school years 2020-2021 and 2021-2022 and requesting the controllers office and the budget and legislative analyst to report members of the public who wish to provide public comment on this item should call the number across the screen, press 1 and 0 to speak.

>> supervisor fewer: we have the mayor's budget office and our controller. >> good morning, supervisors. this is kelly kirkpatrick. i have a brief update for you all as i provided last week on the city's kind of current operational spending since last week as well as an update on state and federal relief. as well as the state budget outlook on the l.a.o. provided at a committee hearing last week, a look at the state budget. i'm going to do a screen shot to give you a highlight of the topics. all right. can you see that, chair fewer? >> supervisor fewer: yes, i can. thank you very much. >> wonderful. so update to our current year direct operational spending of the city from last week we spent about $42 million. the majority of which you'll see

is additional salary and benefit costs for city staff involved in the health crisis. as we've gotten to better understand fema reimburse, this is an accounting tracking as i've shared before. this is what departments have input as money that has gone out the door. so most of the costs for staffing is what i would call the people-power dedicated to our response. capturing people who have been reassigned or reallocated to doc or e.o.c. work. the majority of this is fema reimbursable. we expect them to include overtime, comp time and any new staffing added for direct health crisis response. but we're working to just try to capture in the accounting system people's time dedicated toward this and we're working with the

recovery team to parse out and make sure we're going to capture as much as reimbursable funding as possible. it's helpful to know how much staff time is being dedicated towards this response and the people-power i would say. additionally, we've spent checks out the door of $9 million to house equipment and safety supplies. this is up about $3 million from last week. it's almost all new p.p.e. for the department of public health. and then notably here as well, again, this is cash out the door, bills that have been fulfilled, about $5.7 million for a non-congregate shelter and other support services. this includes our non-congregate sheltering and it represents some initial deposits and costs for april for hotels that have billed us. i know there is a lot of other contracting in the works, just

wanted to show this money has come through and gone out the door for shelter support and non-congregate needs, as well as i.t. and other transportation needs in the department. last week the state announced a targeted program, a disaster relief fund for undocumented immigrants. $75 million represents the state's direct contribution. additionally $50 million will come from non-profit foundations. and this represents $125 million total for undocumented adults. it's estimated that 150,000 adults receive one-time payments of $500 with the cap of $1,000 per household. additionally, at the federal level, the senate passed -- as

i'm sure we heard on the news -- another half billion dollars on small business and health care funding. and -- -- the majority of which is replenishing the $310 billion paycheck protection program. it's for small businesses to retain their workforce. the initial program for this was $350 billion and as we all know, the need far outpaced the funding available. there is additional funding for other types of disaster relief funds as well as $75 billion for hospital relief and $25 billion for testing and contact-tracing. that's another typo. i apologize, we're working quickly. contact-tracing. and then the senate will resume in early may.

it's our sense and the news is reporting that additional relief efforts will be discussed when the senate reconvenes. you know, the mayor as well as other local leaders and even state governors, including governor newsom are pushing hard at the federal level to ensure we have relief at the local level through the next cares 2.0. one thing of particular interest to this director and hopefully to the council is -- [inaudible] -- we have received $150 million for the first cares act for the operation directly related to new covid spending, but it does not allow to backfill any lost revenue. that is a push. advocacy amongst ensuring that

we have support of our small businesses and vulnerable populations who are disproportionately impacted. last week, the state l.a.o. provided a report at the senate budget committee hearing on the state of california's economy. l.a.o. reported and the governor stated that california has entered a pandemic-induced recession. the drivers of this are covid-related costs, higher benefit drawdowns. in california, people are eligible for various entitlement program based on income, so we have significantly more people drawing unemployment, medicaid which is additional costs to the state and this is compounded by decreased revenues. the state is, as i'm sure we're

aware, 12-15% of californians have lost their jobs which is contributing to these macro budget impacts. the budget shortfall, the upcoming fiscal year for the state to reach $35 billion. this is exceeds the state spending of $20 billion. and this revenue loss, according to l.a.o. is on par with revenue losses during the great recession. as a result, l.a.o. recommended that the legislature -- in the near term. it's kind of more messaging we've been sharing over the last couple of weeks. it will take us several months to get a fuller picture of the impact on our budget of this dual increased costs and

community need with a rapidly shrinking and diminishing revenue. the l.a. oo., similar to what we're planning for with the support of this committee, has moved their budget process back by a couple of months to allow both of those things to happen. the l.a.o. has projected two different shapes to the economic downturn. in our march joint report update we provided two scenarios of recession. one was a v shape, meaning it was a rapid decline of revenue and a quick snap back. the l.a.o. provided two scenarios and they're different letters. our high end scenario was the

same as the one that includes a u-shaped downturn. so it was a more prolonged kind of impact, but there is a pronounced recovery kind of snapping the economy back. they've also presented something they're calling an l-shaped downturn. which is a sharp downturn with a slow resolution to the covid response. inadequate as they framed it and creating a protracted recession. as i said, it will take more time to understand the shape of this, but just trying to help people understand the potential or the magnitude that could come as result, depending on what the pandemic looks like in the coming months. in terms of expenses, the state is estimating at least $6-7 billion of additional spending related to covid response. this does not include

entitlement spending, for programs like medicaid or cal works or unemployment, but just like we've been saying at the local level, current federal funding will cover some covid-related spending, but not revenue losses. similar kind view of how this is impacting the state government like we're viewing it for our local budget. i just wanted to highlight that yesterday the mayor and the treasurer announced additional deferrals of various business-related fees. the newest one that we announced yesterday and that the mayor is introducing in an executive directive amendment this week is extending the business registration fee deadline by four months. this is $49 million of deferrals that impact almost 90,000

businesses, the majority of which are small businesses in san francisco. we've also further delayed the unified license bill which includes many different departments such as food safety and fire safety permits and businesses will not be penalized by individual departments for not having paid these. it feels like a $14 million relief to our local businesses. we'll still ensure there is safe food and fire safety, but it's just the fee part by businesses providing that relief. and of course we've done a lot at the local level to help support our local businesses. i know there is a lot of need out there. but we've done -- we've done -- taken many different angles at trying to support our small businesses, small business community. with that, i'm happy to answer any questions. or take any feedback for

subsequent presentations that would be helpful to you all over the next couple of weeks. >> supervisor fewer: thank you. i see president yee in the queue. >> president ye >> president yee: thanks for the update. just curious, we have some information about the state unemployment. just wondering, do we have anything local? does san francisco in particular how badly this has hit the unemployment? >> that's a great question, president yee. i don't readily know that. that is an indicator that tends to lag in terms of our ability to receive it. i can get something for you all next week. >> president yee: thank you very much.

>> supervisor fewer: any comments or questions? i actually want to -- comment. we had a conversation, my staff and the controller's office about how we're filing for reimbursement. and i just thought it would be good information to share with the rest of the budget committee. i was concerned that the reimbursements will be lump sum coming in after we hit sort of the first wave and we wouldn't get reimbursement in a timely manner, but perhaps the controller office can explain the reimbursement and how we're filing for the reimbursements? >> sure. hi. this is the controllers office. i can speak a little bit to this now. we're happy to provide more information at next week's meeting. in general, for our fema

reimbursements, we're submitting a request every two weeks. i believe we've submitted at least two at this point, but we can confirm that. and there is a number of pieces of information that come into that, so it sounds like that would be more of the details about what we're collecting and how we're submitting that would be helpful for the committee. and we can definitely get that for you. >> supervisor fewer: i think that would be great. i'm wondering, are we able also to know ament 0 -- amount of reimbursements we're actually filing for every two weeks? >> i can tell you that the first one was for $26.5 million. i need to check on the subsequent. i don't want to tell you the wrong number. >> supervisor fewer: sure. i just meant ongoing for the budget committee. we're keeping close watch on because of the budget deliberations in august about how quickly we're getting the

reimbursements and an idea how we're replenishing the costs we're putting out. if we could have an update. and when you are submitting those requests for reimbursements, the amount of reimbursements. and then later on if we're receiving those reimbursements and reimbursements to date. >> sure, we'll definitely have that. >> supervisor fewer: thank you very much. any other comments or questions for the controller's office or the mayor's budget office? seeing none, this is open for public comment. any members of the public that would like to comment on item number 1 of the budget and appropriations committee? >> madame chair, operation is checking to see if there are any callers in the queue. operation, please let us know if there are any callers ready? >> madame chair, there are no callers wishing to speak. >> supervisor fewer: thank you very much. public comment is now closed. i'd like to make a motion to continue this item to the call

of the chair. could i have a second, please? >> second. >> supervisor fewer: thank you, supervisor. madame clerk, roll call vote on the motion. >> on the motion to continue this item to the call of the chair, walton aye. mandelman aye. yee aye. fewer aye. there are four ayes. >> supervisor fewer: thank you. is there any other business before us today? >> no further business. >> supervisor fewer: we're adjourned. thank you very much.

>> president yee: good afternoon and welcome to the april 21, 2020, meeting of the san francisco board of supervisors. madam clerk, will you please call the roll. >> clerk: thank you, mr. pren