what's -- welcome, commissioners. staff member and the public to the healing commission meeting of april fifth 20 twoochl this molt suggest called to order. secretary, call the roll. commissioner chung? >> present. commissioner chow? >> present. >> commissioner guillermo. >> present. >> commissioner giraudo?

commissioner giraudo? >> commissioner. [inaudible]. >> present. and commissioner green? >> present. >> great. read the statement it is not a hybrid meeting >> commissioner chow has the privilege today of reading ramaytush land acknowledgment. >> my pleasure to read the ramaytush oholone land acknowledgment. the san francisco health commission acknowledges we are on the unseated home land of the ramaytush oholone the original inhabitants of the san francisco peninsula. as the indigenous stewards and with translation the ram hush

oholone never lost nor forgot the responsibilities as the care takers of this place. as well as for all peoples who reside in their traditional territory. as recognized benefit from living and working on their traditional home land. we wish to pay respects by acknowledging the ancestors and relatives of the oholone. >> thank you. the recognition award. hoar to present our award is commissioner guillermo. >> thank you, president bernalal my pleasure to read this award. the school department of public human resources team accomplished a mile stone in hire to staff up the team responding to the tenderloin emergency declare egg.

human resource calls for celebration. one pandemic for another the affectless of covid-19 exacerbated severe crisis and menial illness, substance abuse and homelessness. causing months waits for emergency management service. the need to fit vacancies on address the crisis in the tenderloin on december 17, 2021 the mayor issued an emergency declaration to address the above issues. after the human resource team set out to fill 200 plus vacancies in health service and mental health. majority of the positions did not have an active eligible list. this meant that hr merit team started hiring from scratch.

as of march 31, 2022, hr filled 207 positions. successful scale hiring shows what is possible for a team of dedicated hr professionals. come together to address the worse health desparities hiring for critical conditions at unprecedented rates. iot department with the city human resource department. dhs and mental staff and stake holders found ways to expedite the hiring principle we honor staff for commitment to the mission through tireless response to the state of emergency in the tendser line. these other recruitment team and the operation's team. collective low the teams lead the recruitment, examination, clekz selection and on boarding. the team lead by scott dewolfe the office operation's team by

kim wadden was primary in charge of expedited hiring c ph s. wadden's team supported boy manager and it is team honda and covid operations. they held multiple on boarding events to on board hundreds of candidates. karen hill hr director of staffing provided guidance and support to both teams. lou anna kim will make comments about the fantastic work of the team. >> thank you, so much. commissioner guillermo and commissioners. thank you very much for recognition. since i joined i have been honored be a part of the team and reaching the major mile stone could not have been done without the dedication of the 45th. within hr lead boy those of you

rescue noised. i also like to thank the executive leadership as well as our partners with food, nutrition and occupational health. thank you again for the recognition. >> thank you very much. before i don't go to commissioner comments on this secretary mark public comment. why i will check and note we intendsod having the names of folks on the teams shown on the screen but because of technical difficulties that did in the happen. we will post that online. and go to public comment. folks if you like to comment on this item press star 3 now so we can recognize you. star 3. i don't see comments issue commissioners. why thank you. secretary moore. commissioners, comments or questions on this employee

recognition award? >> please, raise your hands get back in the habit. commissioner chow? >> yes, i found a handled thing. actually i think this is not only wonderful recognition but reveals that it is possible to hire and i'm hoping that this will be one of the things that we will come out of pandemic, ahead of where we were before the pandemic. clearly -- this is where we should be at, we can't lose valuable employee potential employees from the using the old system. that is sometimes took as much as a year in order to open a qualification for that person. they will not wait that now arc days. and so -- i'm hoping d ph will work with the city so this it is

in the an emergency process but it -- a fair and reasonable process for our hiring in the future. thank you very much for all your work and for the wonderful job that you all did and bringing on board over 200 people. >> thank you. commissioner chow. i would like to associate myself with commissioner chow's remarks as well before the pandemic it was a source of concern for all of us the pace in which we the slow pits in which we were filling positions in the department and the pandemic brought challenges long with the state of emergency and the restrictions that peep had to live in san francisco and around the world; provide an opportunity to staff up in a meaningful way that would allow us to address the, pressing needs we have in san francisco, behavioral healing particular

low. kim and operations team were grateful to all of you for your hard work and creativity and your commitment to reach thanksgiving mile stone and it impact will be felt throughout our cities. so, thank you again. >> i than director -- colfax would like to say a few words. >> thank you president berna. i wanted to add to leadership in regard to meeting the key mile stone and -- director kim from hr i appreciate your leadership you said you have been here a year exit know you are a supportive of the team and ensuring we know how to do it different low. . no audio. >> we emphasized to the commission that this was a tremendous amount of work that

our 1-7 teams hr teams will be showing on the slide with multiple people under this. and emphasize that because of the w that was done with covid hire and now with this health hiring, many other parts of the department that needs attention for us to sustain this effort and support hr in moving forward. i think that is reflect in the our budget for theier where there are more investment in thes hr side we node to right size the staffing in order to continue to move forward on rapid hirings and director tim has been focussed on that. you seen the teams are really coming together in make thanksgiving meeting the goals. and i think this prove of concept is the importance for uss we make sustained -- expansions on the hr side. so that we not only do it in crisis. not just in crisis but becomes

the method we use sustainable and supported so people can be hire in the a much more efficient way that benefits the candidate, department and the people we serve. thank you very much for the recognition and congratulations to the team members and hr on this. >> thank you, director colfax and thank you again for kim and your team. i wish we could with be with you in person now i will refer back to secretary moorewood >> we intendsed have a hybrid moting as planned and directored boy the mayor's office but 45 minutes ago the audio equipment in room 300 broke down and not able to have sound coming in or out we cannot have a hybrid meeting we apologize. it was not planned and dog our

best to accommodate anyone coming in person, we are trying to have them come to me and figure out public comment. know that this was not intentional and dog our best to make the meeting flow as well as it can be. thank you for your patience and flexible. >> thank you secretary more. the next item is resolution honoring doctor sue carlisle. we have doctor sue coe of zuckerberg general hospital to present the resolution. >> yes. can you see and hear mow? >> yes. >> okay. great. i have the honor and pleasure of reading the resolution honoring doctor carlisle. i will do so and then add a few

comments if this is okay with all of you? >> yes. >> okay. >> had it is a resolution honoring doctor sue carlisle. where as, doctor a manualeda sue carlisle phd. md the associate dean of the university of california school of medicine as zuckerberg san francisco general hospital and trauma center in 2003, promoted to vice in 2012. during doctor carlisle's tenure she served chief of anesthesia at sfgh and professor of anesthesia and medicine. and doctor carlisle demonstrated leadership enhandling the collaboration and anticipate nothing planning for the rebuild of the hospital elevating the level of patient care in addition to playing a role in advocating, leading the plan and

obtaining approval by ucsf and the city of san francisco for the state of the art research and academic building scheduled for completion in 2023. and where as, doctor carlisle entered ms and phd from tulane university. compleaded in the department of biology at royce university. earned medical degree from the universality of pennsylvania and completed residency in medicine and critical care and anesthesia at ucsf. after joining the french hospital health plan as an internist entered then thesea residency where she was chief resident. joined the san francisco general hospital medical staff in 1990 and where as, doctor carblie resip cent of the 2015 lloyd holly smith award for service.

2013 san francisco board of supervisor certificate of honor. the ucsf chancellor's award for advancement of women. the department of oral facial surgery colleague award and 2009 award for distinguished service to sfgh. the md, ward for clinical excellence 1990 and the clinical award in 93 and where as, doctor carlisle is a strong supporter of women and under represented minor faculty and has mentored, add vised and hired many people to leadership division. the san francisco health commission honors doctor, manneda sue carlisle for outstanding service and leadership to the san francisco public health community. i cert foil that the commission

adopted the resolution and 2022 meeting. >> so i think that from this -- resolution that it is clear that doctor carlisle is accomplished. not only does she have a phenomenonal amount of education and learning and won many awards and a strang sperpt of women and advocate for reproductive rights as well. but what does this irrelevant mean? what i have been privilegeed experience over the past 6 years i have been ceo here is when that means. because what sue and i do together is tend this 150 year old major, the affiliation agreement. that marriage is what makes the

place the special place that it is. it what makes the best public hospital in the country. and what doctor car loyal has done is irrelevant tends that rep to a point that it not only results in the hospital being built in 2016 and the research and academic building built. it supports know environment where every member of the faculty and the staff who are here and all the people who work here can grow and thrive. for that i'm grateful to sue. i will miss her very much. and i wish her the best in her journey ahead. thank you. why thank you doctor. >> so our next steps are to have a motion to approve and second. followed boy public comment and then comments and -- from

commissioners. do we have a motion to approve. >> moved. >> second. >> secretary, did we have public comment? >> folks on the line, if you like to comment on item 3 press star 3 now so we can recognize you. star 3. >> i see no public comments. requests. >> all right. commissioners. any comments or questions, commissioner chow? yes, thank you. i justmented to personal low thank sue for all the work that she has done for us. and all the years that i have been privileged to be on the commission, working with her at the general and working through many of the issues thatune arc rise as might being natural with

university and faculty, residents and our own staff and our doctors -- always was bring this together. i wanted appreciate and take this time to tell her how much i appreciated the collegeality and the friendship that she commoned and the contribution that she has made to the health of the city. so, thank you, sue. and i certainly i know the commission wishes you well in your future endeavours. >> thank you, commissioner chow. commissioner chung? >> doctor carlisle, i want to echo hacommissioner chow said, being on the commission for almost 10 years now. i still remember like yesterday when i first met the sue team in

san francisco general. and i appreciate the education you gave me the cooperative agreements between ucsf and san francisco general. and like -- doctor chow said, like watch you have navigate you know like a lot of the challenges. like from you know the rebuild to -- retrofit and you know and -- having the parking garage. and -- those are not what you went to school for you did it well and gratefully. i appreciate that and hopefully there will be another sue to fill your shoes i don't know if we can fill those big shoes of yours. appreciate and thank you very much for the w you have done. >> thank you commissioner chung.

why commissionering green. i'm the junior member of the group i have been on the county for 3 years. but having trained at uc i know how complex the reps can be and how much gone on behind the scene every meeting we had was only crab lagz and intinauguration that was done seamless low that only happens when people work together well and thoughtful and motivated and creative and committed. i think we have crossed paths in our prehistoric years through uc, i'm really appreciative and watching you in action is an education in leadership not from your good works but the way you show us how to do our jobs better and how it benefited the people of san francisco and us

on the commission and the county. thank you very much and obviously best wishes. >> thank you, commissioner green. director colfax? >> [inaudible] call are i wanted thank you a couple of things -- you >> your graciousness and welcoming back welcome me back in the first meeting we had 3 years in your office and you were i have to say -- i done expect to you break out blueprints on that meeting you did the blueprint was research program, i think really -- does not stray to the commitment to building a strong infrastructure so that the intersection of academic and public health can be even more fully realized. i think your commitment to

excellent care and community, research in order to make that care better; and i think important low, in my [inaudible] benefitting from this at ucsf is your mentorship and support for medical students, residence denials, junior faculty and he senior faculty remarkable. just so honored have worked with and you so pleased with the fact you are, you are, your work will continue to live on at zuckerberg and thank you for everything you have done and to wishut best on what come next. so, thank you. >> all right. thank you director colfax. i would like to associate myself with everything my fellow commissioners and doctor colfax had said. i had the opportunity to work with doctor carlisle before the

commission for many yers. grateful for your leadership and -- we will move to a vote before we hear from doctor carlisle >> commissioner chung? >> yes. >> commissioner chow? >> yes. >> commissioner guillermo? >> yes >> commissioner green? >> yes >> commissioner giraudo. >> yes. >> commissioner bernal. >> yes. i think that is everyone. diget everyone? did i miss. the item passes. thank you very much. why thank you. >> now like to invite doctor carlisle to say a few words. >> thank you, i'm just overwhelmed by all of the kinds

words that i'm hearing today. i irrelevant, truly appreciate it. . it has been a pleasure to be able to -- be part of this partnership that susan said the 150 year marriage. and to feel as though we made it stronger and stronger and stronger as the years went by. because i agree that it is one of the most important things we can do to develop the city is support this partnership and on both sides of it. and so i feel very grateful to being able to observe and thank you for all of the wonderful -- statements you made. i truly appreciate temperature so, thank you. >> a round of applause, please. thank you, doctor carlisle a privilege to honor you today.

>> okay. to our next item. go ahead? okay. next item is approval of the minute was healing commission meeting of march 15, 2022. commissioners you have the minutes. having reviewed them if there are no additional amendments do we have a motion to approve? >> so moved. >> second. >> secretary, is there public comment? >> if you like to comment on item 4 press star 3 so we can recognize you. star 3. >> secretary. >> commissioner guillermo. >> yes. >> commissioner green. >> yes. >> commissioner giraudo. >> yes. >> commissioner chow. >> yes y. commissioner chung.

>> yes. >> and commissioner bernal. >> yes. minutes passed. >> approved. >> thank you. >> next item is the director's report. >> director of healing doctor colfax >> good afternoon and commissioners, i will provide a few kyle items in the director's report. i will provide an update on laguna honda will be providing verbalal in that regard and covid updated key thing in the director's report that i wanted highlight. exciting news about 75 [inaudible] san francisco residence denials involved in the justice system. the department of habitual health and adult probation department announcing expansions

in transitional houseings and behavioral health care service for justice involved adults experiencing homeless knowledge. the 75 unit housing is on union street south of market it is open nothing early may. >> this partnership is an open in collaborateeration with community partners including west side community services and the tenderloin housingism want to thank the behavioral healing team and partner in launching this project and moving this forward. thank you very much for that. >> in another related behavioral healing issue. d ph issued i health alert regarding people exposed fentanyl using other drugos march 17th, we issue said a

response it a series of over doses both fatal and nonfatal among people exposed fentanyl using cocaine. so we continue to take the extreme effort says to prevents many over dosed as possible. no audio. >> that can make available to the health commission and we recommend the follow being that people aware that drugs may contain fentanyl and pose a risk for over dose. carry the reverse the over dose. people take steps including, voiding the use of drugs and using the harm reduction principles. people continue to use drugs to avoid the over dose as much asable and making sure people have access to substance use

treatment. and in terms of medication and other treatmentses available through our many city programs. and finally, more information can be found about over dose prevention list in the the director's report on our website. >> and then i wanted to highlight >> that one of our key leaders [inaudible] was who is our san francisco health network chief operating officer and department director and key directors on the covid task force. was nominated for another 2 year term with the department of health access and information at the state. to serve a commissioner for the hospital supply are sill versity commission representing the hospital industry. and he will champion the state

of california's goal. and priorities. so, supplier diversity has an affect on the social health, communities and workforce and we will contribute to the progressive challenge and path way to bring transparency. another example where key d ph leader aric thatting our principles on the state level to help improve equity above and beyond san francisco. >> i also. to mention since you was talking he was also named one of the top 100 chief operating officers of 2022 by alumni spotlight. exciting honor to share there. >> so i do want to turn to remarks with regard to the wagz at laguna honda you have in

print i wanted highlight key issues here. as you know, as a result of reforms in 2019, laguna honda reporting incidents to the california department of public health and reported 2 nonilths fapts over doses on site last july. >> this triggered an extension in october. march 30 notice from the center from medicare and medicaid services stated the hospital must better manage how it meets the requirements that apply to check the facility or face termination of participation in the medicare program on april 14th. given the size and complexity of the population at laguna honda hospital so we can continue

participation we have over 700 people in laguna hospital. it is one. learningest if not the largest skilled nursing facilities in the country. department and laguna leadership take the findings from agencies very seriously. and we are all committed to meeting standards including and ensuring that the highest quality of care is provided in the safest environment possible for all patients. >> and now i'd like to turn things over to pickens the director of health net w to go in details about the entire network team >> thank you, grant. let me know if you have problems hearing me. >> you are coming in loud and clear. >> thank you, mark. so, thank you grant and -- i'm joining you today from the office of the laguna honda ceo

michael phillips here with me and i'm here with him. i have been here since last week and join michael and his staff this weekend and i actually will be here throughout the next week and a half or so until the conconclusion of this survey, which will be at the latest april 14th. so grants -- share it with you the network is working dill gent low to remedy the issueless raised about the state and federal regulator and we have the right measure in place to meet the requirements by their deadlines. we are working closely with the california department of public health to ensure we address their concerns. which include increase screening prohibited items -- increased security -- staff train and refining protocols. we are doing everything possible

to increase our success in permitting elicit substances, paraphernalia and other items from coming on the campus. challenge nothing an open facility, serving 700 plus residents with complex medical needses and some cases substance use diz orders. it is key to commitment to patient health and safety in regular compliance. over the weekend, we welcomed a quality improve am organization team from the federal centers from medicaid and medicare services. they arrived and helpful envelope providing technical assistance to staff to meet the deadlines. >> we are committed to getting this right. with an updated plan that is sustainable in the long run and meeting all state and federal

guidelines in the short term. >>y wool work with staff patients, family and our regular partners to meet our state and federal obligations and continue our participation in the medicaid/medicare program. we are now in the process of preparing for another revisit suri have from the state next week. we will continue to keep the health commission updated on the development here at laguna honda. we are grateful to the hospital, the staff and residents for the hard work throughout the process that we are now under taking. we are also grateful to the rest of the san francisco health network specific low the ambulance care decision and zuckerberg san francisco general. graciously lendsed and redeployed their staff to

support the laguna honda team. mainly the network directive quality the 2 quality officers troy williams and the zuk are berg of quality management adrian smith and several from the management team from zuckerberg have been and will be on site until we conclude this process. thank the laguna honda patients and family for patience and understanding and entrusting with us their care. and we are happy to entertain questions that the commission may have. >> thank you i'm rusto the move button gash commissioner comments or questions do we have public comment? >> folk in the line if you like to comment on item 5 the

director's report press star 3 now. commissioners any questions or comments. commissioner chung. why yes employmented it thank director colfax and mr. pickens for the update on laguna honda and remind us the health commission change our update similar problem that occurred as san francisco general back in the 80s. the city decided they needed a health commission as an oversight on all of our [inaudible] and to assure that

we would be in compliance and delivering the best care we could. rather then and there in the hands of the administrator of health. this is really a very important function for our healing commission. to be sure that the w is being done by our department and taking seriously and carefully in order to maintain our regulatory compliance. clear, there are issues here with laguna that we are aware of that have challenged us over the last several yers and the well gowna staff long with the health and the san francisco health network helped in not just remedying the regulatory issues but improving the quality that many of us have seen the past

several year. they are to be commended for this and clear that just looking at the pandemic as an example, it to have only 6 unfortunately but only 6 over 2-1/2 years of a fasilty over 700 people demonstrates the quality of care and the care that our staff is giving us to our residents. the cited problems are small, compared to the e normity of the challenge of developing >> or delivering care to 700 people some of the most vulnerable in our city and -- this city has been committed to

laguna honda to have a better site for those who were in need. our obligation is to see it continues and i think that mr. pickens has spoken about demonstrates that the department is taking this not only taking it seriously. but bring nothing all the resources necessary to try to respond it a dilemma one we are open to facility so -- people have certain rights coming in and out and on the other hand, we are asked to be sure that -- it is absolutely safe and that includes 2 instances.

>> no audio. monitor substance abuse and somebody use a light are, which was on their own in the bathroom which is in the safe. challenges as i think staff said. our ain't to really come in to strict compliance. no oomphed folks have been helpful in trying to -- assist and understanding that there is an important need that we are able to care for the 700 people. the staff has kept all of us updated and -- and have taken

suggestions from the commissioners in terms of mayors in which it is really necessary to be sure that we make every best effort and continue that make that best effort to come become in compliance and are been in a position to continue the care of all the residents that we have under our charge here. i wanted to -- offer that perspective and appreciation to staff and the mir mayor they responded. to really just that almost reminds me of you all face-to-face with pandemic challenge and within several week we are able toy irrelevant put that long with our federal plans to find the best way to

safe guard. . this is a now challenge and i knowure up to that and believing our commissioners are grill for the workure all doing and we are looking forward it a successful conclusion of the coming weeks. >> thank you. >> commissioner chow. why next we will go to chair of laguna hospital. tessie guillermo. thank you. >> and in your words i want to associate myself with the comments of doctor chow regarding where we are with lafwouna honda at this time. i will not repeat when he said.

ooze a member and the concern chair i want to lends my support and thanks to the efforts that have been made to comply in the very difficult i think -- difficult time -- >> what the pandemic revolt in the the over all environment in care and skilled nursing is well is improvement that needs to be made in circumstances in the facilities and any one of the cities and states counties that operating in. our awareness of the fact there is higher level of scrutiny and higher level of expectation of quality care is something that it will heighten in upon my

reflection of what we have seen at laguna honda is a great awareness of that because of things we come out of in addition to the pan dem being often times we have been reactive to things that occur. and that is not that is not anybody's fault it statute nature of things. to the extent we trying to be proact and i have being innovative and unique that is you know that is the team now this new management at laguna honestlieda is in that way. baby to the extent we have the ability and the resources and -- that the lack of challenges that face us but again i think we -- are always strife to do better.

and -- that is something this is the responsibility of all of us you know not just the jcc but the commission and the department and the advocates who represent the citizens in the residents and the community around laguna honda there will be higher scrutiny because of the prosecute posed construction project that is being launched there at laguna honestlieda. more so i think that it is up to us to think about ways to ensure that the safety and the on going health of the residents pass, present and future, i want to commend the staff at laguna honda michael phillips, doctor hagaway and everybody who put effort in to all of the

compliance issues and issues and recognizing san francisco as unique as it is, does require to yous be more thought and careful. that is hard to do under the conscience special environment. but commends the work and want it express support for on going and continued work to improve this situation at laguna honestlieda for care and quality and health of our the residents and staff. there. >> thank you commissioner guillermo, well said.

next another member of the jcc commissioner vice president laurie green. >> thank you. i wanted comment on the diligence with which you proofrp third degree to get eshgs tensive details on saturday, sunday and i know that this team has been working original the clock and working clantive and diligently to really answer every question that has been raised and come up with plans of correction that are not only thoughtful but really detailed consider every potential event. not only doctor chow brought up many unique considerations from the size of the population and the vulner ability, when we brought epic in you did this in the midst of the pandemic they had not worked with an institution like that you did tremendous amount of w to get the trains running on time in

terms of recoverieds for residence denialses at laguna. you clearly had a situation unique in the country and the way this team has basically managed the challenges we had in 2019 but also, of course, as we mentioned the pandemic and the complete change in the way parent records and patient actions were trackd and recorded. it remarkable accomplish ams. what you have done is phenomenonal i hope that the families and residence denial in laguna. communications with them have been pitch perfect. i hope the family and residence denials at lagowna and the community at large can feel that the tremendous faith we are admit wayure going about this and our faith also that you know we will be able to meet the requirements and to do so maintaining the privacy and

dignity will the patient population. it is their home and it is very meaningful on many levels. affection and dedication which you prop them it is quite remarkable and you know i hope you can feel our gratitude. >> thank you so much. >> thank you vice president green. i would like to associate myself with the remarks of fellow commissioners. again, it should not be lost the. response well guna hoblda had put up at the beginning. pandemic to prevent out breaks and the loss of life among residents we saw a covid-19 tearing through skilled nursing homes throughout the counsel row with devastating and tragic affects and everyone at laguna honda deserved great credit for how the pandemic was manage

immediate i large and complex facility but in the way that laguna staff collaborate with the cdc and others to come up with a plan for out break control and was a model for the nation. there are unique features of laguna hospital not only the largest skilled nursing facility in the count row but the residence bent pol ligz come with challenges behavioral health and substance use disordand aligns with value in san francisco to care. for people who are dealing with the issues. so -- just can't thank enough the staff and leadership of laguna hospital and the department and leadership at the mayor's office to come out in the right place. thank you, again. and also the collaboration of folk in cms and quality control and other places for guidance and add voice they offer

throughout the process. thank you, michael and rolfeland and everyone there. >> thank you very much. commissioner. >> yes. >> i'm wondering if approximate with all the comments we could ask either mr. pickens or mr. philips to comment on the challenge and how if any other you know types of resources or assistance we could give as a commission. i can start and michael can add-on. i would say the support overwhelming -- both from the department level and the commission. mayor's office. the state, governor's office and the federal government.

san francisco likes to have relationships with people in accomplices that are going to be proveed be already have beneficial in the journey we are on now. and so i would ask that the commission continue to just give us the support this you always do. and -- than we are -- we have asked for and received -- additional resources here at laguna to address the current practice and if and when we do identify a need for additional [inaudible] we will not have to ask for the resources. >> i certainly would like to associate myself with him and it makes the difference in the world when you are going through a cries. when you know that you have all the support that you need in order to get the job done. and that's something we never

have to question. approximate the team has been with us every step of the way. it goed from doctor colfax on down the line. it is irrelevant reassure to hear the comments from the commissioners. so appreciative. i'm tired. but i can tell you that i'm so committed to this organization. and to representing this staff and ensugar the safety our residents. we will continue to implementing our plan correction and will not we'll not -- no audio. we will not let you down. we finish the great work of laguna and the department. >> i appreciate the comments and i want you to know that as was

mentioned by my fellow commissioners the transparency and the daily reports we are getting also lead to our confidence this you are all working hard and more than that, in order to achieve a successful reservice. so -- mr. president that's my comments. >> thank you commissioner green. vice president green your hand new or still? >> okay. >> hold hands. i'm an old hand. [laughter]. all right. thank you again to everyone for bring thanksgiving update to us. and the commission stands to support you in any way we can we can move to the next item. that is covid-19 update, again with director of health doctor grant colfax. >> thank you president bernal and thank you, good afternoon healing commissioners.

provide a brief covid-19 updated. so -- as you see, our covid case in san francisco -- our [inaudible] compared to where we were 6 it 8 weeks ago. we are surge case 100 thbld that crept up the last couple of weeks we used to be 8.5 now 1300,000. we believe the new cases are dominated by the a1b2 variant. and given the restrictions, the increased activity across the city, we are not suffice to see this is the increasing in cases as you can see here. we are not near where we were 6 to 8 weeks ago.

our trend was a slight increase. we will be reflected in the upcoming week in the u.s. over all. the reduction the pace of reduction in case system slower cross the country. on the east coast case started to go up again as well. we knowledge again now from what we are seeing that this is relatively manageable and as you will see in a few minutes we are not seeing anywhere near the increased hospitalizations at it time. this is a date on cases. and deaths 124,000 people have been diagnosed with covid-19 in the city unfortunately, we had near low 860 people die. you will see that increase in the number of deaths on the far right of the orange there

consistents with the omicron surge. if you this number that rate is levelling off and this curve is levelling off. next slide. this is looking at covid deaths by month. since the beginning of the pandemic the highest rates in january of 2021 a surge from that initial surge and consistents with our omicron surge we had extremely high case rate the number of deaths going up. again the numbers may increase because of delayed reported for january and february. you see a sharp decline in case in march consistent low, the decline in case death with the hospitalizations and case numbers. >> in terms of vaccination sttsz the increase in cases that we

are see suggest driven boy unvaccinated. number 26 penalty 3 over double the rate among people who have received their initial vaccine series of 11.5. we have now 21 as of april first. 21 individuals in the hospital total. including 4 in intensive care and this is all people in the hospital testing positive for covid-19. and many of the cases represent people who were pounds to be positive on add mission but admit admitted for covid-19. i think worth mentioning we have 4 people with covid-19 in our intensive care units cross the city on april first sudden fran hospital we had zer over with covid. we have now 1 or 2 in zuckerberg

hospital. great progress compared to the peek numbers. >> in attorneys of vaccine administration our total number percent of vaccinations 83%. percent of vaccines boosted 65%. the numbers are irrelevant state stable for the number of weeks now. our teams are working work to encourage people to get vaccinated and you see that we are facing challenges in getting the remining people eligible for initial boosters and initial vaccine series, naks nayed not reflect in this chart yet. the advised -- eligibility for

the second bofter shot for people 50 and over. we will be adding this information in subsequent meetings. it is important to point out that among 5 to 11 year olds 78% received a dose and 71% completed their initial series. certainly, good rates there. . >> this is the bofter by age the initial booster dose. you see we have reached a higher proportion of people who are most vulnerable to covid-19 that 83% of 65 and old and 76% of people between ages of 50 and sixty-four. that number that percentage stayed stable now for a number of weeks. next slide.

with regard to changes as of april first and again the health order changes dreven by low rates of hospitalizations. we have a high over all vaccine rate compared to the rest of the state and the country. as of april first. proof of vaccination or negative testing a strong recommendation for indoor megaevents that arc lines with the state. transitioning the indoor masking from strong recommendation that everyone wear a mask regardless of vaccination status to individual risk approach. you can read on how it is recommended based on the 3 factors there. the boost are mandate is lists for personnel who visit part of their jobs and not required under state health rowels this includes populars, public defend

ands department da's. the mandate continues for paramedics and emt's it is extended to john 30. you can see where the different mandate is in place. the covid case rate increased that rate has not increased at the level that the rate the level we saw with the omicron surge. we believe that is a majority of cases argue to the omicron subvariant. hospitalizations continue to decrease. our prevention focus on vaccinating individualings think the vaccine get a booster. i will say that the task force is work to make sure people are aware of the retroviral drugs available in the event they do develop covid. we are continuing to monitor for

additional populations who may be eligible for vaccines and boosters. you know about the 50 plus recommendation that came down. we are upon rolling out the communication and availability of vaccines for that second bofter for that age group and the additional variant surges plausible and response must be elastic and flexible. thank you, commissioners. that's my covid-19 and you want happy to answer questions and the health officer is available. thank you. >> thank you director colfax. hello doctor philip. secretary, do we have public comment. >> if you would like to comment onned covid-19 press star 3 now. star 3. >> commissioner green? thank you for the good news. several patings and individuals

i spoke to are confused but how vaccine access may be affected cover knowledge for vaccine by the washington with budget? and so you know several become concern said that approximate they get the vaccine it may not be covered or nervous about insurance and vaccine administration fees. what advice we can give san francisco or californians in terms of how to place that a hesitancy to get a vaccine because of financial considerations and how we dispel this? >> thank you for that question. i -- have not heard that there are plans to start charging people for registration of

vaccine. they will continue to be free and go to a place outside of your health care provider if you have a health care provider they may ask for that information or to record it but i have noted heard from the speculation for the future. i have not a second time aware of conversations at the federal or state level where the vaccines may start to cost anything to individuals. doctor phillips have you heard anything in that regard? >> good afternoon. thank you, you are correct. there is no indication that anything will change with individual patient level and the state told us to advise people they will be able to receive vaccines at no cost.

to them. the message should continue this will be provided them and not be a cost associated with getting the vaccine. >> thank you. i think some of the news reports where people are trying to politicize it and raise threats if full funds system in the -- approved. are raising that a possibility. and i read it in news reports and parents asked as well. we get it in the office they asked us about it. it it is grit to hear that in a public forum and we will be able to make sure people understand that. it it is a buzz in the background. commissioner chung. i actually have -- 2 questions one was where, well not where

but what is our position in regards to the point of service treatment for diagnose that might have occurred in the first 5 days. the state that was talking about today and their web near they were trying to have the available to the public boy way of pharmacies and perhaps other cites. the second, actually arc rose because 3 o'clock the chronicle issued a new news release we have now the highest theeded head line is typical the highest covid rate in california as declining case stalls. that almost sounds, lateraling when you read it it -- tempers

down to the fact that the reproduct of rate cord to them is running 1.1 or 2. i worndz wonder if we have thoughts to comment to the people when they read this head line. the first question we'll work with the covid task force we support the mroeft barriers to access treatments especially the now technologies and awareness for that. i don't know who was on the calls from the health department but committee call we are in communication with the state and ensuring we get the peszage out that treatments are available and getting the peszage out how

people can access treatments through their provider. . we can talk in next meeting how that is progress. we have seen proviedzing lower barrier acstoesz treatment and care is important with regard to health and preventing the worse health out xhchlt with regard to the case numbers, i'm not aware that article came out during this meeting. i can't speculate on the details of hathat article. but say that we are in a better place with regard to our case numbers than we have been. we have a high vaccine and

booster rate. and enkwourjing people if they have not been vaccinated get it and not boostd and are eligible get boosted a combination of factorers driveway thanksgiving increase we are seeing. one san francisco increase said activity to a large degree compared to where it was previously. i think that people are feeling comfortable and getting out more and interokaying request each other. and with a higher vaccine rates tell increase case rates to a degree. and the subvariant is more transmissable than the original omicron. so well is a factor there. and i will defer to doctor philip for additional perspective in response to the question about san francisco experiencing higher increase compared to when we are seeing at this time compared to the state or one more before she adds. we had a low rate than the rest of the state and this is also a

case of you know -- our infection rates increasing because weigh did not have as much exposure previously. with high vaccine rateses we are seeing the numbers catch up. but we near a better place in terms of hospitalizations and approximate preventing the worse out come. i apologize i will turn it over to you. >> no problem. i actual low you didn't thereupon is nothing else to say you cover today all temperature says we have the highest the number they cited at 14 per 100,000 is higher than what we have experience said. we will double check those am numbers the other point i make is that highest is all relative and these are numbers that are -- not a second time high

must have to make us me make me think that we node to change anything or do anything different low. i recall the important 90 we knew that cases would go up as we relosed the restrictions and allowed people to go become in usual acat this points. we know how important them is for mental health and the economy and other health aspects. and so we will watch closely. it is reassure to see how low our hospitalization numbers are and i don't think that the numbers out now are anything to be concerned about but the task force i other continue to wash closely. >> thank you. that is helpful. want to commends our department for the work that they have done with 5 to 12 because the state report from doctor van indicated

that and -- the pediatric specialists from san diego, indicated that states number in this age group are low. and i think below 50% where as doctor colfax reported we are 70% for that age group. championship it is very good. thank you all for your work. >> thank you, commissioner chouchl commissioner green is that your handle up from left time? good. thank you -- director colgaks and doctor philip oui are ready for the next item. which is general public comment y. before we do that i like to know that commissioner giraudo is using my lament and the audio is in the working and wrote a

note in the chat during the director's report i want to read. my audio is not working i want to thank doctor colfax and mr. pickens on the update on laguna honda. now to item 7 general public comment if you like to comment about something not on the agenda press star 3 so we can recognize you. star 3. i don see hands, commissioners. thank you secretary. next item resolution making findings allow teleconference meetings under code section and we are present to the need for this today. that is section 54953e. being jot same resolution you approved the begins of each month have you 30 days giving

permission to have a hybrid meeting hoping everything will work out and we will continue to have it the next meeting. this resolution is the same you had the last time it is an arc dammed version what we have been approving every month it notes the hybrid model and specifications for that. happy to answer questions >> no questions or commentses from commissioners, can we have a motion to approve? >> motion to approve? >> second. >> i will check opinion comment. if you like to make a comment press story 3 now. >> no comments roll call. commissioner guillermo. >> yes. >> commissioner giraudo can't responded. commissioner green? >> yes. >> commissioner chung y. yes >> commissioner chow. >> yes >> and commissioner bernal. >> yes. >> the item passes thank you

very much >> proposed approval of healthy san francisco policy changes. for this resolution or for this item we have stelea cow? is that right >> chow. >> thank you. d ph office of managed care. and there approval requested for this item. we will hand it over to you for the policy changes. thank you, >> and before you begin. alyssa pull up the presentation for item 9, fantastic. >> thank you. >> great. thank you. mark for set thanksgiving up. good afternoon. health commissioners i'm stelea chow the director of manages care from public healing. i'm here to get your approval on 2 proposed policy changes.

for the healthy san francisco program. >> um -- current policy states that individuals was active i mor visitors visa cannot be enroll in the the program until their visa expires with exceptions. the current policy states that those that are recently unsured vol tailor who have to wait for 90 days before they can enroll in the program. our proposal today is to remove this 2 enrollment restrictions to stream line enrollment process as well as minimize the delay in necessary care. our reports show that the

current rowels don't prevents this individuals from enrolling it is drilling the process. by letting the visa expire before they apply or they have to wait 90 days before they can enroll. therefore we don't check any significant enroll am changes with the 2 new policy. and the enrollment process we prescreen applicants for other insurance program including medical. the healthy san francisco program will continue to be the program as a result for our residents. >> the reason we want to do

implement this changes is to coinside with our eligibility system changes this fall. where will place an app with the new system where we need to consider all rules in the new system. and this will be a good opportunity for us to update the program policy. one is to e eliminate rowels that no long are serve the original purpose and secondly reduce the complexity for enrollment and increase access to care. >> next slide. if the healing commission, prove this policy changes, we am create a detail plan to ensure more implementation part of the new system launch third degree

fall. and with this i'm here with a couple of my colleagues from the health [inaudible] hoar to answer questions you have. >> commissioner chung has a question or comment. >> yes, and thank you mr. chow for the presentation. it is out of curiosity. for me do you have an estimate of how many people will be impacted by this change in this policy change? >> >> we don't have the number because -- this impacts very not prevents the pep from enrolling

just and [inaudible] for example, those now with active [inaudible] visas and apply for the program. most of them just over stayed the visa if they plan to apply for health access programs. it is in the preventing them from enis delaying the process. the 9 day waiting period we did this to prevent from dropping insurance. with things of the afford annual care act, this will not longer serve our purpose. to answer your question, commissioner, we don't project we don't prosecuteject a significant can enroll am change its it is making 3 months

before -- the 90 days or visa expired. >> also prevent them from seeking kay they will delay care instead. access to care during this pandemic >> i appreciate your response, you know like i said t is more for curiosity. we want to be upon tell the full story yet policy changed and what we are seeing that prompted us to do this. and so i appreciate like what you have -- shared with us. thank you. no problem. we just doing research which also explaining the memo. i don't want to go over the memo againful i'm happy to read you if you like me. >> that's fine. thank you. >> okay. >> any other questions. commissioner chow? yes. >> thank you, and thank you for

that explanation and i understands the i95 would you troy to explain the letter where we feel that -- the -- guaranteed issue has changed the potential people might find healthy san francisco is a lower cost special therefore they will then drop an aca program? no audio. not in the left several years since put in accomplice. is there a lot of people who have done that. appreciate the explanation you have given and this is the only area that i would see that you said there is no further -- no evidence that is happening and i wanted to know what that was.

aca rates without subsidy may go up. and. the you know if the subcylinder sedropped after the -- pandemic emergency subsidies put in. >> thank you for the question. commissioner chow, i like to invite to [inaudible] to help answer this question. why sour. i'm happy to answer that question issue commissioner chow. i the 90 day look out from insured did sd in the make sense today as you noted under and noted under the aca you guarantee issue and coverage starts immediately or the beginning of the month if you are in california. reason why we don't think that people will drop is because most people in healingy san francisco are low income.

if they, they need to be screened out from medical. medical coverage does not have that look out either. it would be river that up would and where we make sense to drop more health insurance like full health insurance that is free for healthy san francisco that has small patient fees associated with temperature not a good deal for most people in on medical. and you are correct it is possible that someone eligible for subcylinder tow cover california could drop in favor of healthy san francisco but this change does not change that. nahas been the possibility since covered california came in existence and we have not seen this we have a handful of people that would be eligible and being could purchase and have remain healthy san francisco but for the most part, most of the

healthy san francisco population remains undocumented. low income. it is in the a covered california. you don't have people dropping they are making a different choice. they are make full health insurance to the extend there are subcylinderys available. you know undocumented people are barred from the exchange of so -- that's really the narrow band and this policy change will not change that at all. >> thank you very much for explanation. >> all right. commissioner guillermo >> thank you. justmented to note for the record this i think this is a worthy policy change. you know sometimes the things don't get noticed and you know

so -- something accumulation of bad situations arc rise. and the policy has to get changed. but i do feel like will you know for those that population, of san francisco residents that 3 months or 90 days will make a difference. in terms of their health. it in some case could be life or death. it has been in the past. and so i really you knowmented support the policy change and again, unique to san francisco in terms of values and as we spoke interest in the laguna situation, this speaks to a citya that is compassionate with regard to the diversity and the number of residence denialses we have this we want to make sure

and stay healthy are able to live in san francisco and continue to live there. . to make up the richness and healthy population. that we will hopefully continue to enjoy >> thank you for your support. any other questions? >> i don't see any other questions unless commissioner chow you have an additional comment? looks like not. i may have been on mute thank you for your clear presentation. thank you for that. this it is an action item and perform approval is requested. so -- before we move to public comment we did not do yet tick a motion to approve. so moved. second. secretary more check for public

comment. if you like to make comment on item 9 press star 3 now. star 3. >> i don't see hands. . go to the vote. commissioner chung? >> yes. >> commissioner guillermo. >> yes. >> commissioner chow. >> yes. >> commissioner grown. >> yes. >> commissioner giraudo. >> great. and commissioner bernal. >> yes. >> great. it passes. thank you. >> thank you so much, everyone. thanks next item 10 finance and planning committee update the chirp of the finance and planning committee cecilia chung. finance and planning committee met before the commission meeting as always.

and we -- had rerue the cop tract report and also a new [inaudible] first, the cop tract report consists of one new contract the services are continuing assisting the existing service. and this is with richmond area multiservice vocational services. and the rest of the contracts were all extensions. so the first one that requested for an extension with forthealth. and current don tract terms ends in john 30, 2022. the request is to extend contract term 2027.

and --the next condition transact is with seneca center. and this contract is also the -- contract term is like for december 31, 2022. and -- it is requesting -- an exception of the contract to december 31. 2027. have to do it individualally. each has a different contract term. third one on the report is with can you remembery senior know serb. it it is an expansion for a year. the current contract term ends john 30, 2022. the proposed contract term now is june 30, 2023. the next one is felton

institute. and the extension is for from the original term september 2018 to march 31st, 2022. and it is requesting an ectension to john 30, 2024. almost the end of the condition tract is what i promise you. next upon swon louna health from march first, 2021 to february 28, 2022. and it is requesting extension for the contract term to extend to june 30, 2023.

-- and -- um -- the next contract is the asian and pacific islander center. that contract would continue because there are some of the details that needs to be worked out. and then -- the next contract, 2 more. is with the san francisco public health commission. this one is an extension from 2022 to 2025. and had is for june 30. and then the of -- i think this statute left one. left but not least the region of university of san francisco. and this is upon and -- yea. an ectension for -- until june

30, 2023. current term end in the youn 30, 2021. and in the issue the contract report there is a new contract to consider and it it is with city health. it is a medical co operation located in california it is refresh to see that we areerning to contracts with northern california business. rather than another one of the like national corporations. and this -- contract for -- part of the covid sons and city health would be performing test s. for the residence denials on

treasure island and all on the concent calendars for the commission to, prove. that's the end of my report. moegdz to approve >> move to approve >> second. secretary. public comment >> i'm sorry. orth one folk in listen if you like to make comment on item 11 do so now. press star 3. and no comments and commissioners for the record noting in the report does in the include the ap icon tract that will be deferred to next meetingly. roll call vote commissioner guillermo. >> yes. >> commissioner green? >> yes >> commissioner giraudo. >> commissioner chung y. yes >> commissioner chow.

why yes >> and commissioner bernal. why yes. >> thank you the consent is approved. >> great. next item -- is -- other business. commissioners do we have other business. >> commissioner chung i'm nudging to you bring update topic you brought up at the committee meeting. okay, sense you twist my aways. we -- out of the -- finance and planning committee meetings had mentioned this discussions when we met left time temperature is about you know like the war that is happening now in eastern europe. and there are membership different things happening the worry in eastern europe is one with the uncertainties of the

covid wagzs and you know that there are so many other things impacting the community including hostile legislation introduced -- against the lbgt community and transgenderer community. and all health related. so -- i was like trying to see if there is i way to check in with the leadership of d ph and see how the staff are coping with so many bad news hitting us all like -- and really -- um -- talking about trauma. and i think that this it is really an tounlt for us also to get upon comments form said about our workforce here in the

d. public health. thank you. commissioners any comments or questions for commissioner chung in >> may we have a conversation about next steps then? >> um because i also don't want to over step. our authority and start doing human resources and personnel oversight, but this is just a way for us to get to understand you know how we are supporting our staff. you know like to navigate this stressful time >> indeed. and many thingos to which each other. secretary, perhaps you and the secretary can continue the

conversation and see what might be possible to do here yoochl have to am involve doctor colfax as well. why yes. >> thank you. next item is joint conference committee report from the march 22, zuckerberg san francisco meeting chaired by commissioner chow. >> yes. thank you, president bernal. committee reviewed the ceo report, hr report and medical staff report. during the ceo report we received a report on the antiabortion protest that happened at the hospital. an unusual incident but prosecute these were people who got in the hospital and there was a discussion from that also about security measures that were being taken and the eflougz

to protect patient and staff. we locked at the hr report. nationwide the nurse shortsage and challenge of trying to find the undesirable shift and it is -- and in -- some gap -- joining the medical staff report the community medicine rowels and regulations should be fine work the [inaudible]ing family medicine department is doing is enormous and well managed. during the closed session we did our approval of the considerables report and the [inaudible] report. that ends my report happy to answer questions >> thank you commissioner chow. questions or comments or public

comment? if you will like to make a comment on item 13, please, press star 3 now. >> no comment y. no comments or questions. thank you for report on the jcc meeting this leads us to the final item which is consideration of adjournment do we have a motion to adjourn? >> moved. second. >> public comment. why folks in line if you like to make comment on adjournment let us know by pressing star 3. >> no hands. commissioner giraudo. >> commissioner green >> yes >> commissioner guillermo. >> yes >> commissioner chung. >> yes. >> commissioner chow. >> yes. >> come commissioner bernal. >> yes. thank you for patience and flexibility it was stressful but we got through it. >> thank you. why thank you for handling it. thank you commissioners. >> thank you director. >> thank you. >> bye-bye. >> bye-bye. >>

[♪♪♪] ♪ homelessness in san francisco is considered the number 1 issue by most people who live here, and it doesn't just affect neighbors without a home, it affects all of us. is real way to combat that is to work together. it will take city departments and nonprofit providers and volunteers and companies and

community members all coming together. [♪♪♪] >> the product homeless connect community day of service began about 15 years ago, and we have had 73 of them. what we do is we host and expo-style event, and we were the very force organization to do this but it worked so well that 250 other cities across the globe host their own. there's over 120 service providers at the event today, and they range anywhere from hygiene kits provided by the basics, 5% -- to prescription glasses and reading glasses, hearing tests, pet sitting, showers, medical services, flu shots, dental care, groceries, so many phenomenal service providers, and what makes it so unique is we ask that they provide that service today here

it is an actual, tangible service people can leave with it. >> i am with the hearing and speech center of northern california, and we provide a variety of services including audiology, counselling, outreach, education, today we actually just do screening to see if someone has hearing loss. to follow updates when they come into the speech center and we do a full diagnostic hearing test, and we start the process of taking an impression of their year, deciding on which hearing aid will work best for them. if they have a smart phone, we make sure we get a smart phone that can connect to it, so they can stream phone calls, or use it for any other services that they need. >> san francisco has phenomenal social services to support people at risk of becoming homeless, are already experience and homelessness, but it is confusing, and there is a lot of waste. bringing everyone into the same space not only saves an average of 20 hours a week in navigating the system and waiting in line for different areas, it helps them talk, so if you need to sign up for medi-cal, what you need identification, you don't

have to go to sacramento or wait in line at a d.m.v., you go across the hall to the d.m.v. to get your i.d. ♪ today we will probably see around 30 people, and averaging about 20 of this people coming to cs for follow-up service. >> for a participant to qualify for services, all they need to do is come to the event. we have a lot of people who are at risk of homelessness but not yet experiencing it, that today's event can ensure they stay house. many people coming to the event are here to receive one specific need such as signing up for medi-cal or learning about d.m.v. services, and then of course, most of the people who are tender people experiencing homelessness today. >> i am the representative for the volunteer central. we are the group that checks and all the volunteers that comment participate each day. on a typical day of service, we have anywhere between 40500 volunteers that we, back in, they get t-shirts, nametags, maps, and all the information

they need to have a successful event. our participant escorts are a core part of our group, and they are the ones who help participants flow from the different service areas and help them find the different services that they needs. >> one of the ways we work closely with the department of homelessness and supportive housing is by working with homeless outreach teams. they come here, and these are the people that help you get into navigation centers, help you get into short-term shelter, and talk about housing-1st policies. we also work very closely with the department of public health to provide a lot of our services. >> we have all types of things that volunteers deal do on a day of service. we have folks that help give out lunches in the café, we have folks who help with the check in, getting people when they arrive, making sure that they find the services that they need to, we have folks who help in the check out process, to make sure they get their food bag, bag of groceries, together hygiene kit, and whatever they

need to. volunteers, i think of them as the secret sauce that just makes the whole process works smoothly. >> participants are encouraged and welcomed to come with their pets. we do have a pet daycare, so if they want to have their pets stay in the daycare area while they navigate the event, they are welcome to do that, will we also understand some people are more comfortable having their pets with them. they can bring them into the event as well. we also typically offer veterinary services, and it can be a real detriment to coming into an event like this. we also have a bag check. you don't have to worry about your belongings getting lost, especially when that is all that you have with you. >> we get connected with people who knew they had hearing loss, but they didn't know they could get services to help them with their hearing loss picks and we are getting connected with each other to make sure they are getting supported. >> our next event will be in march, we don't yet have a date set. we typically sap set it six weeks out. the way to volunteer is to follow our newsletter, follow us on social media, or just visit

our website. we always announce it right away, and you can register very easily online. >> a lot of people see folks experience a homelessness in the city, and they don't know how they can help, and defence like this gives a whole bunch of people a lot of good opportunities to give back and be supported. [♪♪♪] the tenderloin is home to families, immigrants, seniors,

merchants, workers and the housed and unhoused who all deserve a thriving neighborhood to call home. the tenderloin initiative was launched to improve safety, reduce crime, connect people to services and increase investments in the neighborhood. as city and community-based partners, we work daily to make these changes a reality. we invite you to the tenderloin history, inclusivity make this neighborhood special. >> we're all citizens of san francisco and we deserve food, water, shelter, all of those things that any system would. >> what i find the most fulfilling about being in the tenderloin is that it's really basically a big family here and i love working and living here. >> [speaking foreign language]

>> my hopes and dreams for the tenderloin are what any other community organizer would want for their community, safe, clean streets for everyone and good operating conditions for small businesses. >> everything in the tenderloin is very good. the food is very good. if you go to any restaurant in san francisco, you will feel like oh, wow, the food is great. the people are nice. >> it is a place where it embraces all walks of life and different cultures. so this is the soul of the tenderloin. it's really welcoming. the. >> the tenderloin is so full of color and so full of people. so with all of us being together and making it feel very safe is challenging, but we are working on it and we are getting there.

>> one more statement. we are the one. that is our first single that we made. that is our opinion. >> i can't argue with you. >> you are responsible please do not know his exact. [♪♪♪] [♪♪♪] [♪♪♪] >> i had a break when i was on a major label for my musical career. i took a seven year break. and then i came back. i worked in the library for a

long time. when i started working the san francisco history centre, i noticed they had the hippie collection. i thought, if they have a hippie collection, they really need to have a punk collection as well. so i talked to the city archivist who is my boss. she was very interested. one of the things that i wanted to get to the library was the avengers collection. this is definitely a valuable poster. because it is petty bone. it has that weird look because it was framed. it had something acid on it and something not acid framing it. we had to bring all of this stuff that had been piling up in my life here and make sure that the important parts of it got archived. it wasn't a big stretch for them to start collecting in the area of punk. we have a lot of great photos and flyers from that area and that. that i could donate myself.

from they're, i decided, you know, why not pursue other people and other bands and get them to donate as well? the historic moments in san francisco, punk history, is the sex pistols concert which was at winterland. [♪♪♪] it brought all of the punks on the web -- west coast to san francisco to see this show. the sex pistols played the east coast and then they play texas and a few places in the south and then they came directly to san francisco. they skipped l.a. and they skipped most of the media centres. san francisco was really the biggest show for them pick it was their biggest show ever. their tour manager was interested in managing the adventures, my band. we were asked to open to support the pistols way to that show. and the nuns were also asked to open the show. it was certainly the biggest crowd that we had ever played to. it was kind of terrifying but it did bring people all the way from vancouver, tee seattle,

portland, san diego, all up and down the coast, and l.a., obviously. to san francisco to see this show. there are a lot of people who say that after they saw this show they thought they would start their own band. it was a great jumping off point for a lot of west coast punk. it was also, the pistols' last show. in a way, it was the end of one era of punk and the beginning of a new one. the city of san francisco didn't necessarily support punk rock. [♪♪♪] >> last, but certainly not least is a jell-o be opera. they are the punk rock candidate of the lead singer called the dead kennedys. >> if we are blaming anybody in san francisco, we will just blame the dead kennedys. >> there you go. >> we had situations where concerts were cancelled due to

flyers, obscene flyers that the city was thought -- that he thought was obscene that had been put up. the city of san francisco has come around to embrace it's musicians. when they have the centennial for city hall, they brought in all kinds of local musicians and i got to perform at that. that was, at -- in a way, and appreciation from the city of san francisco for the musical legends. i feel like a lot of people in san francisco don't realize what resources there are at the library. we had a film series, the s.f. punk film series that i put together. it was nearly sold out every single night. people were so appreciative that someone was bringing this for them. it is free. everything in the library is free. >> it it is also a film producer who has a film coming out. maybe in 2018 about crime. what is the title of it? >> it is called san francisco first and only rock 'n' roll

movie. crime, 1978. [laughter] >> when i first went to the art institute before the adventures were formed in 77, i was going to be a painter. i did not know i would turn into a punk singer. i got back into painting and i mostly do portraiture and figurative painting. one of the things about this job here is i discovered some great resources for images for my painting. i was looking through these mug shot books that we have here that are from the 1920s. i did a whole series of a mug shot paintings from those books. they are in the san francisco history centre's s.f. police department records. there are so many different things that the library provides for san franciscans that i feel like a lot of people are like, oh, i don't have a library card. i've never been there. they need to come down and check it out and find out what we

have. the people who are hiding stuff in their sellers and wondering what to do with these old photos or old junk, whether it is hippie stuff or punk stuff, or stuff from their grandparents, if they bring it here to us, we can preserve it and archive it and make it available to the public in the future.

>> good afternoon and welcome to the april 5, 2022 regular meeting of the san francisco board of supervisors. madame clerk, would you please call the roll. >> clerk: supervisor chan. present. haney present. supervisor mandelman. not present. supervisor mar. present. supervisor melgar. present. supervisor peskin. present. supervisor preston. present. supervisor ronen. present. supervisor