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tv   Health Commission  SFGTV  June 26, 2022 11:00am-12:01pm PDT

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word. >> thank you for your comments to the board. mister atkins let's hear from our next color. >> hello. my name is alana graham and my mother has resided at laguna honda hospital for eight years now. she is 96. we had her in the community. we had her in not board and care but like assisted living. we moved her to a community carefacility . and now she's at laguna honda and she's a native of san francisco. shewas born here . she was school here. she went to college here. she taught here and she's a lover of art and we can't even
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tell her yet that she has to leave because we don't know if she can leave. and she's going to be one of those people that is going to be greatly stressed by this move. it's traumatic. she has dementia. she is very lucky that she's been there as long as she has been and i'd hate to have to say goodbye to her because of this move. secretary becerra is thelabor secretary in washington . write letters. all of you supervisors who want to know who to contact, secretary best sarah. diane feinstein wrote him a letter.an eloquent letter. nancy pelosi. we just have to work together. thank you very much for giving me time to say these things. >> thank you alana for your
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comments to the board. we have about 10 callers who are in the queue and there are 17 or listening. if you the 17th and would like to present commentpressá3 to get intothe queue . let's hear from our next color please . >> good afternoon. i'm with southern action. i'm calling today to support the efforts to keep laguna honda open because i think for the future of patients who face being transferred not once but twice. i also wanted to ask the city to put service into creating optionsfor some people to get housing and care . we should consider more supportive housing with even more support for people coming
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out of skilled nursing facilities and take into consideration that in san francisco the committee response worked to help people transition out of laguna honda but often suffer from a lack of housing that is affordable for medical recipients but they cannot afford so we can use programs like senior operating facility or portable rental subsidies and permanent supportive housing that we could extend and make it available for these people that will face this unjust so please consider extending those programs and make sure that these people suffer as little as possible because this is a reality for many of them.
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so please make sure you do the rightthing . thank you. >> thank you for your comments this evening. let's hear from our next color please. >> speaker: this is jessica, executivedirector of senior disability action .there's a key perspective missing tonight, that's the residence of laguna honda. people with physical and mental health disabilities and people who have lived in skilled nursing facilitiesin the past . there's a history of institutional racism of people with disabilities and it's a problem. there are so many people that can talk about losing their ability to make choices for themselves even in the best of
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settings and the best of institutions. the census was cut down because of legal findings that people in laguna honda were not getting adequate support so while the city works to keep it open when we want to make sure people are not put out on the streets we need to start creative conversations about community housing. i rely on care and the assumptions of the people around me that i will live in my own home and the community or that i could be ina nursing home . we have lots of models out there calling community-based alternatives that medical funds for people on ventilators or feeding tubes or other serious medical issues in oakland. i think the board of supervisors could play an important role in helping expand these conversations about what options could there be. we should start with the ed people already identified and think about more people.
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people need to understand that have options. theyhaven't been given any options so they're not thinking about a different life. it's an important moment for the city to show cms that we are creating multiple options for everyone . >> thank you for your comments to the board. let's hear from our next color please. >> speaker: this istest low moran. i wrote a book about laguna honda . i had a dying friend there and i am lucky enough to have my stepmother at age 100 in a boarding care home that her income supports. this is really too much. i only heard the last half hour of the hearing. i think that we need to be looking at legal options immediately. there's something going on in sacramento. i see this is related to how
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our community college has been treated. and we need to take some legal action immediately if it hasn't already been taken to hold these agencies that are holding us accountable. the second thing is we need to look at the performance departments under the mayor. the mayor has a big landgrab and maybe it's too big. it's the kind of corruption and errors that have been made in other departments and i believe that all the people at laguna honda have been well-intentioned and they had to take some people and patients there that were probably not appropriate. yes, there's research that can be done but we have absolutely have to keep the facility going. we need to create beds and need
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to tackle sacramento to. >> thank you test low moran for your comments to theboard. let's hear from our next . welcome. >> speaker: can you hear me? >> yes we can. >> speaker: this is doctor teresa palmer. i'm an dietitian and i worked at laguna honda for 50 years until 2004. the changing population did not just happen because the population of san francisco changed. there was a decision to save general fund money by sending difficult to place patients to laguna honda from san francisco general. but there was neither the
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staffing for the programming you really take adequate care of them. and this shutdown was predictable. more normally a nursing home is filled withprimarily women over 85 . and now you have a nursing home which predominantly men from 40 to 60. the city needs to provide funding and a place for people with substance use problems and conduct disorders and as the debate about funding for the previous place that gives services to people who use substances, funding and placement have been inadequate but it doesn't mean that people who need laguna honda for a
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nursing home should have to pay. laguna honda was marketed. the bond issue was marketed in 1999 as a place for frail elders and disabled to go in san francisco if they really needed a nursing home . and people who are inappropriately admitted to laguna honda without the staffing to care for them are taking the place of other people that really need a nursing home and it's not fair. >> thank you teresa palmer for your comments to theboard . let's hear from our next color please . >> good evening. this is louisewhitlock, long-term resident of the city . while yet another crisis of the agenda having to do with the people in healthcare. puts a lot of stress on the 700
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residents and their families as well as the employees who help them so i feel for them. this is a bad situation. obviously you have to go into triage mode all of you. you have to make phone calls and you've got to writeletters, you do what it takes to get the recertification done . and then make sure that those in charge of this process are doingeverything they can and it sounds like they are doing that right now . but then after that youneed to really look at management . instead of railing against the federal government and the regulation that they impose which are done for the safety of the residents of all nursing homes instead of doingthat you need to focus on the management team . because this should never have happened. there were obviously not procedures in place. perhaps there wasn't training in place so this should never have happened so i would really urge the board to find new management because this is
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unconscionable what it's done to the residents of that facility so please hold the management accountable. they need to be fired and you need to find a new team that you can trust.>> thank you louise whitlock for your comments. mister atkins let's hear from our next color. >> my father's been a resident since 2003. he suffered a severe case of meningitis less than a year ago. he survived withless than 100 percent of his vision . it can cure that severely affected his memory and ability to recall past events. he's been severely limited and laguna honda has provided him not only the critical medical care but also many avenues to connect community and its interests sharing compassionate and uplifting nursing and medical staff .we quickly cannot with
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others that have shared the spaceparticularly small steps recovery meetings , joint community and recovery, poetry group, creative expression, connection with community volunteers to take time out of their meetings. visits from his friends, family and the community and internet radio access with news from his homecountry of ireland and around the world to keep him engaged . these are all things that laguna honda has made possible and they include a unique special place. my dad has been a part of the community since 1970 and it's part of who he is. it's easier and much of himself to the city. it's been a saving grace after his loss of vision and memory. my father has never expressed anything but joy and gratitude
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and have had the opportunity to live there. at this point in his life for 80 years old this year being introduced to a new and unfamiliar environments would be devastating . without a vision or space that makes it traumatic for them to adjust to a new and unfamiliar environment so i urge you as the board of supervisors and thank you for your attention to this matter and i encourage you to do everything you can to keep laguna honda open. >> thank you for your comments. we have six callers in the queue prepared to make comments and 16 you are listening. if you are listening and you'd like to make a comment this evening make sure you pressá3 before the end . mister atkins let's hear from our next color. >> i'm patrick shaw. please introduce and pass the motion to continue today's hearing to the call of the chair of the ps and s committee
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to the board and members of the public who continue to receive updates on the potential laguna honda closure. dph informed me that reporting discharges will to these locations would violate hipaa patient privacy protections. this board will need to do in your toes to continue to obtain that level of detail as of today there have been at least six reporteddischarges . the task for dph is apparently going to quote some line with data about the laguna honda closure plan that doesn't provide a url of wearable where it will be posted online and whether it will report the number of discharges to the community and to out of county
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facilities. the dashboard must be expanded. spending 5.6 million on the two contracts with hsa t and hma to obtain laguna honda's cms recertification is essential. why is the hma contract through june 23 when this recertification application is to be submitted to cms in early september. the board of supervisors should review the hma contract because of the scope of services to be provided are overly broad. political consultant jackdavis posted online comment . >> thank you for your comments to the board. let's hear from our next color
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please. >> that evening supervisors. my name is laura beauchamp and i'mthe vice president of central operations with the institute on learning . i have been a san francisco nonprofit that speaks to the quality of life with older adults with disabilities by enabling them to ensure their well-being independence and participation. i i always hold the contract for the community and in intensive care management program that goes to the department of disability and aging. we transition individuals from skilled nursing facilities and cityzones back to the community. bls and laguna have worked closely since 2007 . due to the complexity of the care needs the population to recertification is essential for those who require skilled nursing public care for those that do not require skilled
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nursing level of care they can betransitioned back to the community . we have to ensure providers have capacity fortransition and housing must be available . successful transition to the community whether by comprehensivewraparound support to address the complex medical and mental health needs of these residents . these include ethical and mental health services as well as disorder services, homeless care through in-home supportive services. transportation, nutrition, social engagement and more. i own a community look forward to supporting the residents back to the community given these uncertain times. thank you so much. >> let's hear from our next colorplease . >> this is bettytrainer, and also a senior disability action
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. i want to reiterate what some of theboard members have said. this is just outrageous . it makes no sense to have these many vulnerable patients be expected to be thrown out of laguna honda by september 15 and then possibly be able to come back after the recertification. it makes no sense. one of the callers mentioned legal action. i would look intothat in some way. it has to be a violation of people's rights . also putting pressure points on secretary becerra. we need to put pressure on also i want to mention what something that the previous caller brought up and other callers. considering options for some of the laguna honda patients.
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residents who could move into community settings with the proper support . with all support and other support mechanisms. not everyone needs to be in laguna honda and maybe there's more than 80. maybe there's 160 or more that could be in a community setting so i would like us to prioritize that also into the future looking at that in the long term . but right now we have to do something to stop this removal of patients. some will die because of this . so i urge the board to seek legal help on this as well as going through the powers. >> thank you betty trainer for your comments to the board. we have two more colors in the queue. there are 16 poor listening if you want to providecomments , you'd best pressáthreenow otherwise we will take these last two callers . interactions let's welcome our next color.
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>> thank you for members. this is paul buxbaum. long-term care ombudsman here in the county. and we are charged with resolving problems and advocating for the rights of residents in all of california mostly here in san francisco we have 15 over 60 assisted-living places we have jurisdiction in. i think it's way too soon for a postmortem because what happened here in the last year or the last 20 years is way too soon. our only postmortem will be at as nato said earlier is the transit trauma a.k.a. death that'sgoing to happen among these this population . right now we get notices of discharges but last year less than 100 were transferred out
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of discharge last year. about a 14 percent, 15 percent rate of location and the six discharges to date for may and june , two of which went to shelters which is really very dubious about the efficacy of a shelter or announced center so you got for that are really clear to that are suspect. so that's my public comment. >> thank you paul buxbaum for yourcomments to the board. this is our next color . >> speaker: i am on the board of the san francisco gray panthers. we pray panthers locally statewide and nationally are concerned about the way the for-profit nursing home industry has underperformed in guarding the well-being of our residents during the pandemic. we see this for treatment of
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the public institutions that does well by its residents in san francisco. tens of thousands of nursing home residents were affected died from coded. are any of those for-profit nursing homes being treated the way laguna honda is? laguna honda is publicly run nursing home that took much better care of their residents and those in the for-profit nursing home industry did. before profits put their bottom lines at of their residents help and in doing so cut nursing home staff to the point some use antipsychotic drugs to make the residents easy to manage. why are the four profits that perform so badly and exposed the understaffing and the consequent poor care in the countries nursing homes being put under the similar scrutiny that a good public nursing home like laguna honda is. i agree with the caller who said those of us who care about it should be calling our elected leaders in washington we should demand that they not be singled out and potentially close while the deathdealing
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nursing home industry profiteers continue to make lots of money or themselves. this disparate treatment of a public facility dedicated to the health and welfare of its patients versus the hands-off policy ofcms that allows bonus and death to occur in privately funded nursing homes is an outrage . we and sf should stand up for it and the public model of care that we need more of not less and we certainly should not stand by and allow shutdown of their model of care. thank you. >> thank you art for your comments to the board. mister atkins we haveanother caller in the queue . >> speaker: [inaudible] hello. >> may i ask you to turn down your television or your radio or yourcomputer , whatever is in the background. >> speaker: there we go. can i talk now? >> i will start your two minutes.
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>> i am each brown.this is about landuse but everything is always about land use in this town . doesn't this happen and an of the western addition to you ? you take the people are most vulnerable and in that case it was the black people . you moved them out of the western addition and give them all doubters and say you can come back. you can pay for your wall with those now. what's happening with the school systems and also with the nursing homes here has to do with biting. what happened was when these facilities started getting federal funds they think it was carter put a commission in between to make sure that the money wasgetting to the right place . somewhere along the republican president these outfits got the power to shut down institutions. i can remember when two people,
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two oldsters got thrown out of the window to their death at laguna honda because mitch katz sent a bunch of gangbangers over there and they were disabled sure because the people who visited them were not there was not a squeak about i'm going to shut you down and we're going to throw everybody out. this was because these are old poor people and like the black people in the western addition and their easy prey these guys got even worse problem than the people they had in the western addition. there on all property, real tall property. that would make a great space forcondos. who are the people? where in the world does cms get the power to shut down an institution . that's what you want to know at your president by can stop it all right now in its tracks. there's noway they should be
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able to shut down that institution . thank you all for your attention and you're an interesting and it's nice to see you all together >> thank you for your comments to the board . mister atkins is there another caller in the queue. >> there are no further colors in the queue. >> are there anyother members of the public in the chamber would like to address the board . mister president. >> seeing otherspeakers public comment is closed . supervisor. >> thank you so much president walton. and thank you colleagues for the good questions and conversation about this critical institution . and i am confident that we can have a path forward if we all are doing what we're supposed to hold people accountable and working hard. i am going to request president walton that we continue the
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item to september 13. that is about the time of the next visit for recertification by cms . and i've checked with both fci you and dbh and that seems to be a doable date. i'm hoping that can happen so we can keep track of the public health has committed to weekly reports for us. so they can be transparent about our progress onboth areas of the work . so thank you so much. >> that's a motion to move second and by omission or safai to continue this to september 13. >> that would be a 3 pm special order. >> correct.
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>> on the motion to continue this public hearing to september 13 at 3 pm, supervisor melgar. [roll call vote] >>. [roll call vote] there are 10 aye's. >> motion carried unanimously. are we ready to go back to 64, 65? can you call those?>> for the record item 64 and 65 were called earlier but i will indicate that these are two
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ordinances that authorize the department of public health to award a one time term limited grant ending without engaging in the competitive solicitation process otherwise required by the administrative code for grants for the purpose of maintaining thefinancial solvency of both the positive resource center and favorite places incorporated . >> thank you so much. >> thank you colleagues. i think that this conversation benefited from taking a pause and listening to the laguna honda conversation because of course they are interrelated. and we've got 2 crises on our hands. i want to suggest and it's not a perfect answer because we don't have enough information i feel like to have a perfect response in this impossible situation but what i would suggest that we do is amend item 64 and 65, bring down the amount to 1.25 million collectively and i'll put the amounts in the amendment
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specifically. so that we can basically get to september. when we're back to the legislative break there's some time to do and gather all the information that we need that we get a very detailed report from dbh and prc about the current date of the organization, about the preliminary assessments on how they got to this point. and then the longer-term plans or thedepartment and the organization on how to get us through .and in addition i was talking to our city attorney and kiersten about drafting legislation that is very clear about the information that we at the budget committee in order to accept contracts. it is very upsetting that we did not learn about all of this and we asked the board extended the contract for five years. and who knows what we're going
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to do with that in the long term but it is unacceptable that we did not receive any information even not all information that was known at the time there were these physical challenges since 2017 . etc. and then maybe we would have felt deeper at that point and hopefully would have had a little extra timeto get our questions answered . best i can think of for the moment it will be a work in progress. we can keep going. with that if there's no comments or questions i wanted to make a motion to amend item 64 to change the amount of the grant agreement from 2,010,002 hundred thousand. to prc. and amend item 65 to change the amount of the grant agreement from one million 210,002 450,000.
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other extra thing to make clear that this money is to be used not for profit accumulated death but exclusively for payroll for staff as well as to prevent the immediate displacement of tenants or patients at the organization . and then we can delve deeper. between now and september and then in september toconsider further changes . >> seconded by supervisor peskin. madam clerk, can we take64 and 65 amendment together ? on the amendment of the motion to amend item 64 and 65. >> on the motion to amenditem 64 and 65 . yes, we have asecond ? supervisor melgar. [roll call vote] there are 10
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aye's. >> the motion to amend item 64 and 65 approvedunanimously and madam clerk , we will take the amended 64 and 65 same house, same call. amended ordinancesare approved unanimously . and this brings us to our rollcall for introductions. >> we left off with rollcall for introductions with supervisor ronen. >> submit to file the hearing.
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>> we already dealt with the hearing. >> thank you, supervisor safai. >> submit. [roll call vote] colleagues, i today requested legislation that established drug enforcement priority zones in a set distance of facilities in san francisco forindividuals who seek recovery from substance use disorder or alcohol use disorder . the proposed legislation would seek to change or enhance any existing penalties for illegal drug use for sales but rather create a right to recovery zone as designated priority for law enforcement in which police officers would be requested to confiscate illegal drugs and
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paraphernalia being used to display publicly and to arrest or take into custody engaged i the sale of controlled substances . this is about protecting those who take the brave first step and people struggling with substance abuse disorders who are seeking recovery for addiction . under dangers influences or drug scenes or predatory drug dealers but it's also about extending arm reduction to neighborhoods and after many conversations with residents, i'm convinced that the best way for us to incentivize public safety is for facilities, for individuals seeking treatment and especially for supervised conception sites. or to make sure that we have enforcement areas that do not attract substitute neighborhoods where these can exist. and with that i submit.>>
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thank you supervisor. >> supervisor mark. thank you. seeing no other names on the roster that includes the introduction of the business. >> you so much madam clerk. public comment. >> at this time the board welcomes your general public comment and we willhear from thosepresent in the chamber and go to the remote system for those who have joined remotely . hopefully you know by now the telephone number is streaming on your screen . it's 415-655-0001. when you hear the prompt enter that meeting id. it's 368-5765. press the pound symbol twice and you will hear didthe discussion but your line will be muted . once you're connected and ready to provide your comments which should be now that's when you should pressáthree.the system will indicate you have been
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unmuted. during general public comments you may the meeting minutes as presented by the president. the mayoral appearance, items 71 through 76, these are the items on the adoption but without reference to committee and matters within the subject matter jurisdiction of the board that are not honest agenda. all other agenda content will have had its public comments requirements fulfilled. the court will accept your writtencorrespondence if you use us mail san francisco board ofsupervisors the number one doctor carlton place city hall room 244 san francisco california. 94102 . or you can send an email to the board using the email address . so i don't see asingle person in the chamberprepared to make public comment so we will go immediately to theremote call
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in line . any colors in the queue ? >> madam clerk, there are no colors in the queue . >> mister president. >> see no public comment public comment is closed. madam clerk, let's go to our board adoption without committeereference items 71 through 76 . >> items 71 through 76 were introduced for adoption without committeereference . a unanimous vote is required for adoption. alternatively member may require a resolution on first reading to go to committee. >> colleagues, if anyone wishes to put forward any items. i don't see anyone in the queu . i believe we can take all these items, same house team call so without objection. these resolutions areadopted and the motions are approved unanimously . and madam clerk do we have any inherited agenda items? >> i have two reports. >> thank you so much and do we
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have any in memoriam's? >> today's meeting will be adjourned in memory of the following individual, on behalf of supervisor peskin for the late larry cannellini. that concludes ourbusiness for the evening. >> juneteenth has never been a celebration of victory or acceptance of the way things are . it's a celebration of progress and an affirmation that despite the most painful part of our history change is possible and there is still so much work to do. this meeting is adjourned. >>
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>> i'm sergeant and i'm a transmale. >> i'm an out gay man. >> we're married. >> i knew i was gay when i was 16 years old. >> i was probably in elementary school that i knew i was different. >> i had that fear that my parents would accept me. >> it wasn't as accepted as it is now. >> i was in the navy don't ask
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don't tell. >> i was in high school and i would have other students come up to me and say pretty awful things. >> it was hard because it was trying to cross that bridge of religion for my family. >> it took almost ten years to be exactly who i wanteded to be. >> we met 0 work. >> we got married in mexico. >> we wore two dresses. >> we have my 9-year-old boy and 3-year-old twins. >> here we go. [applause] >> i along with our lgbtq public safety officials will be marching in pride this year. >> it's going to be very symbolic. >> it's a celebration of what our family is. there's a lot of pride with this uniform. >> one of the reasons i initially got into law
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enforcement was the representation that i wanted to be for other people. >> you know, we're all on the same side at the end of the day. >> i've marched 205 years in the parade. >> i feel like this department has been able to creatively save space for somebody like me. >> a lot of departments across america, it would be a different story. >> it's really great to be a member of this lgbtq community and to see the pride and love that comeses with it. >> love is love. san francisco is surrounded on three sides by water, the fire boat station is intergal to maritime rescue and preparedness, not only for san francisco, but for all of the bay area. [sirens] >> fire station 35 was
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built in 1915. so it is over 100 years old. and helped it, we're going to build fire boat station 35. >> so the finished capital planning committee, i think about three years ago, issued a guidance that all city facilities must exist on sea level rise. >> the station 35, construction cost is approximately $30 million. and the schedule was complicated because of what you call a float. it is being fabricated in china, and will be brought to treasure island, where the building site efficient will be constructed on top of it, and then brought to pier 22 and a half for installation. >> we're looking at late 2020 for final completion of the fire boat float.
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the historic firehouse will remain on the embarcadero, and we will still respond out of the historic firehouse with our fire engine, and respond to medical calls and other incidences in the district. >> this totally has to incorporate between three to six feet of sea level rise over the next 100 years. that's what the city's guidance is requiring. it is built on the float, that can move up and down as the water level rises, and sits on four fixed guide piles. so if the seas go up, it can move up and down with that. >> it does have a full range of travel, from low tide to high tide of about 16 feet. so that allows for current tidal movements and sea lisle rises in the coming decades. >> the fire boat station float will also
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incorporate a ramp for ambulance deployment and access. >> the access ramp is rigidly connected to the land side, with more of a pivot or hinge connection, and then it is sliding over the top of the float. in that way the ramp can flex up and down like a hinge, and also allow for a slight few inches of lateral motion of the float. both the access ramps, which there is two, and the utility's only flexible connection connecting from the float to the back of the building. so electrical power, water, sewage, it all has flexible connection to the boat. >> high boat station number 35 will provide mooring for three fire boats and one rescue boat. >> currently we're staffed with seven members per day, but the fire department would like to establish a new dedicated marine unit that would be
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able to respond to multiple incidences. looking into the future, we have not only at&t park, where we have a lot of kayakers, but we have a lot of developments in the southeast side, including the stadium, and we want to have the ability to respond to any marine or maritime incident along these new developments. >> there are very few designs for people sleeping on the water. we're looking at cruiseships, which are larger structures, several times the size of harbor station 35, but they're the only good reference point. we look to the cruiseship industry who has kind of an index for how much acceleration they were accommodate. >> it is very unique. i don't know that any other fire station built on the water is in the united states.
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>> the fire boat is a regional asset that can be used for water rescue, but we also do environmental cleanup. we have special rigging that we carry that will contain oil spills until an environmental unit can come out. this is a job for us, but it is also a way of life and a lifestyle. we're proud to serve our community. and we're willing to help and we're willing to help >> he is a real leader that listens and knows how to bring people together. brought this department together
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like never before. i am so excited to be swearing in the next chief of the san francisco fire department, ladies and gentlemen, let's welcome, jeanine nicholson. (applause). >> i grew up total tomboy, athlete. i loved a good crisis, a good challenge. i grew up across the street from the fire station. my dad used to take me there to vote. i never saw any female firefighters because there weren't any in the 1970s. i didn't know i could be a fire fighter. when i moved to san francisco in 1990, some things opened up.
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i saw women doing things they hadn't been doing when i was growing up. one thing was firefighting. a woman recruited me at the gay-pride parade in 1991. it was a perfect fit. i liked using my brain, body, working as a team, figuring things out, troubleshooting and coming up with different ways to solve a problem. in terms of coming in after another female chief, i don't think anybody says that about men. you are coming in after another man, chief, what is that like. i understand why it is asked. it is unusual to have a woman in this position. i think san francisco is a trailblazer in that way in terms of showing the world what can happen and what other people who may not look like what you think the fire chief should look like
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how they can be successful. be asked me about being the first lbgq i have an understands because there are little queer kids that see me. i worked my way up. i came in january of 1994. i built relationships over the years, and i spent 24 years in the field, as we call it. working out of firehouses. the fire department is a family. we live together, eat together, sleep in the same dorm together, go to crazy calls together, dangerous calls and we have to look out for one another. when i was burned in a fire years ago and i felt responsible, i felt awful. i didn't want to talk to any of my civilian friends. they couldn't understand what i was going through. the firefighters knew, they
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understood. they had been there. it is a different relationship. we have to rely on one another. in terms of me being the chief of the department, i am really trying to maintain an open relationship with all of our members in the field so myself and my deputy chiefs, one of the priorities i had was for each of us to go around to different fire stations to make sure we hit all within the first three or four months to start a conversation. that hasn't been there for a while. part of the reason that i am getting along well with the field now is because i was there. i worked there. people know me and because i know what we need. i know what they need to be successful. >> i have known jeanine nicholson since we worked together at station 15. i have always held her in the
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highest regard. since she is the chief she has infused the department with optimism. she is easy to approach and is concerned with the firefighters and paramedics. i appreciate that she is concerned with the issues relevant to the fire department today. >> there is a retired captain who started the cancer prevention foundation 10 years ago because he had cancer and he noticed fellow firefighters were getting cancer. he started looking into it. in 2012 i was diagnosed with breast canner, and some of my fellow firefighters noticed there are a lot of women in the san francisco fire department, premenopausal in their 40s getting breast cancer. it was a higher rate than the general population.
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we were working with workers comp to make it flow more easily for our members so they didn't have to worry about the paper work when they go through chemo. the turnout gear was covered with suit. it was a badge to have that all over your coat and face and helmet. the dirtier you were the harder you worked. that is a cancer causeser. it -- casser. it is not -- cancer causer. there islassic everywhere. we had to reduce our exposure. we washed our gear more often, we didn't take gear where we were eating or sleeping. we started decontaminating ourselves at the fire scene after the fire was out. going back to the fire station
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and then taking a shower. i have taught, worked on the decontamination policy to be sure that gets through. it is not if or when. it is who is the next person. it is like a cancer sniper out there. who is going to get it next. one of the things i love about the fire department. it is always a team effort. you are my family. i love the city and department and i love being of service. i vow to work hard -- to work hard to carry out the vision of the san francisco fire department and to move us forward in a positive way. if i were to give a little advice to women and queer kids,
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find people to support you. keep putting one foot in front of the other and keep trying. you never know what door is going to open next. you really don't. [cheers and . eers and >> my name is ana renzi. i'm a fire investigator for the city and county of san francisco. the job of a fire investigator is to go after the fire has been put out and to determine the origin and the cause of the fire. so we are the people who after the firefighters have come in and done their magnificent work to extinguish the fire, we go through the fire scene and we are able to find how the fire started. just showing up, being who you
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are can mean a world of difference to someone. when someone sees you as an identifiably queer person, an identifiable female presenting person or a person of color walk into their home, they can feel more comfortable and more trusting just knowing that you are around and that you may have some insight into their situation and to their community needs that others may not have. the san francisco fire department i'm proud to say goes out of its way to recruit women, minorities, and to the lgbtq+ community, we are awaiting you and wanting you to come join us as a san francisco fire department. no one is going to represent us like you are going to represent us. no one is going to care for our
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communities and for our departments like you are going to come and represent our communities and our departments. i am a proud black queer member of the san francisco fire department and i'm especially proud to be part of an organization that respects and values our diverse communities in san francisco. [♪♪] . >> shop and dine the 49 promotes loophole businesses and changes residents to do thirds shopping and diane within the 49 square miles of san francisco by supporting local services we help san francisco remain unique and successful where will you shop and dine shop and dine the 49. >> my name is neil the general manager for the book shop here
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on west portal avenue if san francisco this is a neighborhood bookstore and it is a wonderful neighborhood but it is an interesting community because the residents the neighborhood muni loves the neighborhood it is community and we as a book sincerely we see the same people here the shop all the time and you know to a certain degree this is part of their this is created the neighborhood a place where people come and subcontract it is in recent years we see a drop off of a lot of bookstores both national chains and neighborhoods by the neighborhood stores where coming you don't want to - one of the great things of san francisco it
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is neighborhood neighborhood have dentist corrosive are coffeehouses but 2, 3, 4 coffeehouses in month neighborhoods that are on their own- that'. >> disability and aging services committee meeting wednesday, june 1, 2022 to order. i am the commission president martha knutson. this meeting is being conducted pursuant to the provisions of the brown act and recent