we are putting the transfer of deactivated funds on hold working with the san francisco health plan and city as allowable treatment of the funds. until we actually get advice on what is the best way to move forward, we'll hold on recognizing any drawdowns from the program. >> commissioner chow: thank you. and so i assume that when you go to our first quarter coming up that we could take a look at that, too. thank you. >> the finance committee for the commissioners around the finance committee, i know we've had a number of accommodations there about the changes that jenny was describing about the programs and how the dollars flow through. we've had several of the modified contracts with the

health plan and change in the structure for the health plan and that is in progress. we are as jenny described, in the process of changing the treatment of those refunds held by the health plan and how the money flows from the health plan to the city in addition to the process of bringing accounts from the health plan into the city's financial system. so those that are on the committee, we have been through this a couple of times and it's an extraordinarily complex but may be about some of the conversations we've had with the office of managed care and health plan. you're seeing some of the changes reflected in the financials until they go through the process that jenny described. >> president bernal: commissioner green. >> commissioner green: so

excellent and so appreciated in the way you distill all of the complexities into the documents is incredible. i guess i wondered, this may be for the future or the question about all these uncertainties, everything from fema reimbursement and new administration in washington combined with certain programs sunsetting this year and then the eroding tax base for the state and the city, so i'm wondering, as you look at all these potential increased expenses along with revenue shortfalls and programs that are uncertain, when do you think you'll have the sense for how that affects your future projections and when it might be so -- i guess affected that you might want to revisit the budget or revisit the projections. do you have a sense for the timeline on this since there's so many changes right now? >> sure. in the current year we are

working with the mayor and controller's office to project out what they actually believe will be within the five year financials. there's so much uncertainty about what exactly will happen but we are sort of working with the controller to have a consistent view of the world, you don't want one city department saying it's going to be horrible for five years as a result of covid and then another city department projecting that we'll bounce right back after a year or two.

>> it seems no one is certain especially with the tax base how this is going to come together in the future and with all the

businesses closing in a dynamic way, it would be helpful to get your sense of where you're going to be heading. >> we will do that. we'll have in january we'll have hearings as we go into the budget process and commission and the hearings we'll report to you on what the consensus city projections are included in the deficit as much as we can know them. >> president bernal: all right. thank you. i'm sorry. do we have one more comment? >> commissioner chow: i actually thought we should acknowledge that the department did end up in the black again and that the work of finance and work of dr. colfax and his whole team even in spite of covid really that is

an accomplishment i think that the commission should take note of. it's one of our functions to be sure that we are financially responsible and i think in this extraordinary year shows that we continue to be faithful managers of our resources. thank you. >> president bernal: thank you commissioner chow. i know we all agree with your sentiment and thank you. i believe we can move on to the next item which is the fy-20-21 financial report. >> great. okay. so now that we're moving into a brand new fiscal year where we actually were expecting covid costs, you can forget everything i just said about creating a new

covid project and balancing around it. our approach to financials are different than what had shown for 19-20 and this is the result of the fact that we had the foresight to project additional costs related to covid. we set up a central covid command center jointly managed through departments but really managing the response of the entire city and how the controller created the covid project in 2021, it creates a lot of flexibility for the covid command, should be able to move dollars around within departments as the command saw appropriately. perhaps there were some dollars in dph and others in department of homelessness, supportive

housing or emergency management. we have the ability to flex dollars within departments. you know, so long as it's within the same program as covid. what we did, the tracking involved to city-wide approach and managed by the mayor's office and controller's office and it's reported separately from dph. while there are technically dollars in the budget for a response, we are excludeing them from our financials this year. basically they're held levels so we can isolate the changes on the operating side. this is because, again, because there may be savings in dph's response in covid, it doesn't mean we get to recognize that savings or good news on the operating side. it's a market departure.

it is also we have incredibly simple set of financials to show you for this year. there's really only two major variances we're projecting. the first related to better than expected supplemental funding, this is in part one time because a portion of this we expected in 19-20 but due to timing delays, it was recognized in fiscal year 2021 and we have a $600,000 short fall due to the delay of implementing epic which is resulting in billing. other than that, we are not expecting -- we are currently not projecting any other changes and one could say that it was our incredible foresight and my incredible budgeting skills enabling us to have that happen,

but unfortunately that's not necessarily the case. as commissioners may recall, the mayor and controller's office this year made the unprecedented year to delay the development of the budget to what takes place in june and july into august and september. as we were developing the mayor's proposed budgets for august 1st we had the benefit of month of the first quarter under our belt. we had a little more visibility than we normally would in a typical year but in general for the first quarter report, given there's so much change nine months ahead, we do tend not to sort of make significant projections in terms of the variances until we get later into the fiscal year and have a better sense of how our

expenditures will shake out. so at this point right now, for fiscal year 2021, we're just projecting a small revenue surplus of 3.3 million. so the covid on the covid side, this is managed centrally by the mayor and controller but i just want to gibb you a sense of the dph portion of the cost we have here and you're seeing significant fluctuations on revenue and expenditures and on or about all the city as a whole in the first quarter expects that -- department of homelessness and supportive housing and service agencieses expected to remain on budget as part of the covid response.

specific variances within dph, we're projecting 29.2 in under spending for ppe. we required a significant amount in 19-20. we had 52 million in materials and supplies and the bulk of that was related to ppe and i think there are some projections where when we were developing the budget, we were at the height of the ppe purchasing frenzy. there were significant supply chain disruptions and increases in demand that created price inflection that impacted the projections. we are expecting to underspend in ppe. we are expecting to go over on our testing due to higher than anticipated number of -- this should just say higher than

anticipated number of testing and not so much reimbursement. we have been increasing our testing at pop-ups and other locations sort of where we see the most prevalence of the virus. we received positive news in terms of additional cares provider relief funding that is something we can recognize within the covid project and then 2.9 million in unfavorable variance in the isolation and quarantine hotels due to an increase in operating and staffing costs and this increase really marks the change of the assumption and practice we had previously of staffing isolation and quarantine hotels with cities deployed disaster service workers and starting in november we shifted to a contract to

provide the service for us 24/7 to redeploy our staff back to their home departments and support their operations. this is a cost that is increasing there. of course there is some uncertainty as we assume that fema reimbursements will continue through the year. they are contingent on the state continuing through. this is one of the things we'll be watching closely with the controller's office. that is all i have >> president bernal: is there anybody on the public comment line? >> clerk: we do. if you want to make a comment press star 3. no comments commissioners.

>> president bernal: any comments or questions commissioners? >> president bernal: i do not see any comments or questions. thank you very much for both of the reports. we look forward to continuing to follow as we go along with all of the uncertainty ahead of us and appreciate all of your work to put us in as good of a position as possible moving into that phase. >> thank you commissioners. >> president bernal: thank you. all right. we can move on to our next item which is hold over from the beginning of the agenda, the approval of the minutes from our meeting of tuesday december 1st. commissioners, upon review of the minutes, do we have any amendments or a motion to

approve? >> so move. >> second. >> clerk: i will do a vote. (roll call) it's passed. >> president bernal: next item, community and commissioner update. commissioner giraudo. >> commissioner giraudo: the first was the bridge h.i.v. research which was excellent and fascinating. and focused on the increased prevention strategies with

innovations that are currently being researched that studies are looking at possible injectables, an implant and monthly pill. that's all within what they are studying at the various companies. the other part that was presented is they are currently have a research project going on with covid in the astrazeneca vaccine trial. they are embarking on that. the next part of the meeting, presentation in response to previous questions about aces in the clinics, adverse childhood

experience trauma questionnaire that had been showcased in the office of the surgeon general in the state and dr. hammer spoke about the implementation in the pediatric clinic in children's health at csfg. it requires really behavioral health in the primary care clinic to be able to implement it. and the hope is and it's in the planning stage to have aces in epic so it can be easily scored and then resources given to the families. there is as i mentioned to dr. hammer, i have been on an epic work group in trying to do this on a nationwide basis. hopefully they do it first before we have to spend

resources doing it ourselves. the other part of our presentation was from behavioral health staff and updating us on questions we had asked at the previous meeting, really focusing on the understanding of the internship possibilities in post covid with a goal of developing a pipeline for hiring behavioral health employees that we direly need within our system. we also -- the other item is we discussed a calendar for our committee meetings and future presentations. that's my report. >> president bernal: thank you commissioner giraudo. anybody on the public comment line who wants to make a

comment. >> clerk: press star 3 if you would like to comment on the item. no comments commissioners. >> president bernal: any comments or questions for commissioner giraudo? all right thank you commissioner giraudo. i wish i could have joined you for the meeting. these are all critical matters and ones very important to me personally. thank you for your leadership on the committee. all right. we'll move on to the next item which is new business. -- other business, excuse me. >> clerk: if i could point out the first meeting in january will be the focus on -- hospital. >> president bernal: thank you mark. any public comment or commissioner comments on this item? >> clerk: no public comment. >> president bernal: joint

conference committee -- >> clerk: commissioner chow chaired that meeting. >> commissioner chow: the committee reviewed the chief executive report and regulatory affairs report. during discussions, the committee discussed with staff the covid testing and plans of vaccinations for the staff and residents. the staff let us know visitations are currently on hold but due to the surge in the community. being closed session, the committee approved the credentials report, discussed the quality improvement reports. if there are questions i'll be happy to try to answer them.

>> clerk: and commissioner christian filled in and attended for the first time due to quorum issues so thank you to her. >> commissioner christian: i want want -- >> thank you very much. >> commissioner christian: my pleasure. it was interesting and i learned a lot. >> president bernal: great. thank you so much. okay that is it for the agenda. this is the last meeting of 2020. quite a year it's been with our commission and our agency at the middle of everything. so again on behalf of the commission we can't express enough our gratitude to the staff and emily at dph for

leadership and extraordinary work for the people of san francisco making the sacrifices that are necessary. and i wish you all a very safe and healthy and peaceful holiday season and new year. do we have a motion to adjourn? >> i motion to adjourn. >> second. >> clerk: if i may piggy back on your comment. there's a five minute video where you all express your gratitude at dph. (roll call) >> president bernal: thank you. happy holidays.

>> i personally love the mega jobs. i think they're a lot of fun. i like being part of a build that is bigger than myself and outlast me and make a mark on a landscape or industry. ♪

we do a lot of the big sexy jobs, the stacked towers, transit center, a lot of the note worthy projects. i'm second generation construction. my dad was in it and for me it just felt right. i was about 16 when i first started drafting home plans for people and working my way through college. in college i became a project engineer on the job, replacing others who were there previously and took over for them. the transit center project is about a million square feet. the entire floor is for commuter buses to come in and drop off, there will be five and a half acre city park accessible to everyone. it has an amputheater and water

marsh that will filter it through to use it for landscaping. bay area council is big here in the area, and they have a gender equity group. i love going to the workshops. it's where i met jessica. >> we hit it off, we were both in the same field and the only two women in the same. >> through that friendship did we discover that our projects are interrelated. >> the projects provide the power from san jose to san francisco and end in the trans bay terminal where amanda was in charge of construction. >> without her project basically i have a fancy bus stop. she has headed up the women's

network and i do, too. we have exchanged a lot of ideas on how to get groups to work together. it's been a good partnership for us. >> women can play leadership role in this field. >> i tell him that the schedule is behind, his work is crappy. he starts dropping f-bombs and i say if you're going to talk to me like that, the meeting is over. so these are the challenges that we face over and over again. the reality, okay, but it is getting better i think. >> it has been great to bond with other women in the field. we lack diversity and so we have to support each other and change the culture a bit so more women see it as a great field that they can succeed in. >> what drew me in, i could use

more of my mind than my body to get the work done. >> it's important for women to network with each other, especially in construction. the percentage of women and men in construction is so different. it's hard to feel a part of something and you feel alone. >> it's fun to play a leadership role in an important project, this is important for the transportation of the entire peninsula. >> to have that person -- of women coming into construction, returning to construction from family leave and creating the network of women that can rely on each other. >> women are the main source of income in your household. show of hands. >> people are very charmed with the idea of the reverse role, that there's a dad at home instead of a mom. you won't have gender equity in the office until it's at home.

>> whatever you do, be the best you can be. don't say i can't do it, you can excel and do whatever you want. just put your mind into it. >> president buell: please call the roll. >> clerk: [roll call] this is the recreation and park commission meeting of december 17, 2020. please note that due to the covid-19 health emergency, and to protect the board members, the city employees and the public, that the meeting rooms at city hall are closed. however, the commissioners are participating in this meeting remotely at the same extent as if physically present. we ask listeners to turn down your televisions and/or computers while listening on the phone. we ask for your patience if we experience any technical