we have no idea what is going on between dph and cms. the whole situation of cms requiring the closure earlier is [inaudible]. we want some transparency about how this process is proceeding particularly we want to make sure that there's not a whiff of the flow project single laguna must be able to determine its own admissions policy. also displaced residents must be able to get back into laguna honda as soon it starts [inaudible] and dph must provide beds at lower level care with people with mental illness and substance abuse and i suggest starting with the behavioral health center using that it was intended to be used, not as a navigation center, and dph must pressure and work with the supervisors to provide more medi-cal beds for frail seniors of san francisco. thank you. >> thank you so much for your community. that's all the comments commission of public comment. >> thank you to members of the public who called in and shared their concerns. i know we're going to commissioner comments and questions and now i cannot see raised hands [i

where is treatment on demand dph?e a mandate to provide that. >> i apologize for interrupting the speaker. >> are thank you for your comments. next speaker. >> (inaudible) first permanent supporting housing provider to have narcan available at the sites as we partnered with the (inaudible) secure narcan and training for all the staff. i applaud the commitment on the board and department of public health to address the crisis but i want to emphasize the need to investm in meaningful overdose prevention driven by the expert (inaudible) we lose residents to overdose every month sometimes every week. we have narcan available 24/7 including dispensers throughout the building. as you may remember from the budget process we have a pilot program that alex mentioned we look to expand to other sites. it was not funded fully so i want to tell you about the (inaudible) a partnership with national harm reduction coalition, dph funded one portion which was training for our residents-we want to see narcan satchuation not just in the

i appreciate this is made explicit in dph plan. i want to emphasize that the significance of the department of public health building up the team, opening the new office to compile and are release this first comprehensive overdose plan and i urge everyone to read it if you haven't already members of the public. it includes not just many things described but complete inventory of the programs identification of existing gaps in the services in the city and forward thinking goals and i know there is certainly room to grow and scale up this plan and for those who are frustrated by some of the numbers that is 15 percent, not 30 percent, there are many things we can do, many things outside of strictly the confines of this plan including being bold and aggressive about housing people and getting folks off the streets that can dramatically increase that number. i know there's-we will continue working with dph and advocates and be as aggressive as possible scaling up the plan but i think the plan is a very strong starting point for the city

dph plans to open 2 to 3 wellness hubs before the end of fiscal year. (inaudible) planning is underway to implement sites with little gap as possible [speaker speaking too fast] i look forward coming back and presenting to you more progress at a near term meeting. thank you so much. >> okay. thank you. so, thank you mark and crista. so, >> sfgov, can we go back to the computer, please? >> thank you. this map is of the community lead projects in the neighborhood public space. the community is taking initiative and responding to the open space needs. the city can facilitate implementation of the projects by coordinating efforts permit approval and allocate funding where possible. at the end of the 3 year period, at by june 2025 we plan to have accomplished the following: interagency coordination and collaboration and day to day operations as well as long-term implementation. investments beginning in open space culture and arts and small business. 10 year implementation commitment from city agencies to address the needs in the neighborhood such as infrastr

dph in some ways run on their own, although sam dodges has been part of the picture with hsh from theinning, h-soc still runs on its own. the -- so they are are aspects of where the centrality of hsh, i think could be even more so. i'll be looking at that question as well. we, as the public will be looking at this question when the strategic plan comes out but and like i say, it's certainly better than it was six, eight years ago. but still has a ways to go. >> all right. i think the rest of my questions are for ms. cohen. i want to talk a little bit about this pit count verses other ways of thinking about homelessness in san francisco because the pit count has the average, as you have said of everybody doing it the same way, it's very clear how you're doing it, you're actually counting bodies. you get a number. and then over time, you can see where there's fewer bodies on that particular time roughly during that same time of the year, it should give you an indicator whether you're going up or down and how you're doing in these other jurisdictions. great value in that. i think the pri

this is compiled by dph and mta with the reports coming in through sfpd. they are also getting some injury locations by reports that come directly through dph which is a newer thing, so if it wasn't documented for instance if you have a solo bike collision or tend to have scooter injuries. those are now sometimes coming in through dph through the emergency reporting-emergency room reporting them. if you go ahead and take a look you can see the dates are from 1-1-2014 to 6-30-22. and within that you'll see the number of intersections that have the highest amount of collisions. now, one thing about collisions is they don't necessarily mean the worst fatality, or necessarily even something as that would hospitalize you, but they are included in those numbers. the map to the left, the darker color so the deep dark red are the higher impact areas. within that you see circles. those are the total numbers again spanning everything from somebody being injured in a miner collision all the way up to a fatality. those numbers again go from 1-1-2014 to 6-30-2022. next

my first question is about the dph piece of this specifically around behavioral health, and thinking about-some of the housing options have been moved from dph to the homeless department, there is still a housing that primarily serves unhoused people in coops and some of the boarding cares and housing that is more geared towards folks with higher aquity and there is also the transitional housing-we also got this behavioral health treatment system and guess wondering if that will be factored in because it feels like a very important piece of the puzzle. >> thank you for offering that. one of the things that we certainly will talk about doing that-one of the things that we are hoping to do is after we have the baseline model to present it to a variety of groups, including you all i would suspect, and get input on the things that we would need to include and this is absolutely the kind of feedback we look for so we can start talking about that right now. >> okay, great. and then my second question is around the population stuff. so, on the slide before on the line i was like really exci

is that being structured and formalized with dph and is there a mechanism being rolled out to be able to capture when we're having that positive impact? because it's great to promote when the linkages happen. >> yeah. there's a couple of things and first i think the officers ready not a lot of people are service ready. it's not service resistant. we don't believe in that. it's the multiple engagement for finally somebody is ready to get the help they need and that's what we try to. do we try to encourage them. our partnership with public health is important but we're also mindful of hipaa so as much as we want say what happened to john smith? are they getting help? are they connected with the family? did we make a difference? we can't ask the question because it's hipaa and can't tell you what is happening with the person and a lot of times the communication is one way and what we need to get a little better at is really providing names and more information to public health. i talked to the chief about that just today how to get better at it and the chief has ideas as well, so the wor

i would recommend that pretrial be moved to dph."7yct connected with services, attend meetings and continueducation, connect with loved ones. they need food and resources necessary to survive. people are shackled with these devices. the reliance on the program is counterproductive and in 2022 report that was released last month, recommended that san francisco significantly and substantially scale back the use of em. mean while, siep visor dorsey's resolution involves expanding the em program. i would expect you all to oppose the resolution. there will is no data to corroborate that em is effective let alone useful in addressing drug consumption and sales can. this is a dysfunctional system. we need to set people up for success, not undermine their reentry. thank you. >> thank you. next speaker, please. >> good afternoon i'm carolyn, i'm albd■ local policy directorh the publicmzsp■ defender's offi. thank you for this robust discussion. we've what we've known for years. the black community is overrepresented in the em population. there is o no evidence that electronic monitoring improves publ

it's nice and refreshing but what about our other departments, sf mta, the tax collector's office, dph. i'm really concerned or curious. i don't know yet, right. i would like to see if our office can reach out to these departments and just see and i know we're all at capacity so i'm not trying to, you know, put it in that or frame it that way but i want to see what's going on. >> and if i may respond, perhaps this is also worth a conversation with the office of racial equity which is overseeing all department in our racial equity plans. if it's worth a conversation with them outside this meeting or here as well, wherever i think suits your interest level, so just want to put that out there. certainly that's what that office was created for. we are, obviously happy to have these kind of conversations and i think we were just kind of half joking about how kerry put together all this information, demystifying information. that is truly a part of being equitable in our services. if people can't understand it and get passed maybe english is not their native language, we have to make things

we'll begin to have discussion with public health dph and other city department with the goal of improve collaboration on effort. and on this point i'm proud to say that our technical advisory meeting next week will be on a controlled topic and we have a speaker to present on mosquito management. for number 3, of the pesticides use. for number 4, we've been continuing to hold our ipm committee meeting on microsoft teams this year but i would like to transition to a format so that folks can have that option. and i would like to begin to make some updates on the website. so less talk about the list which involves the different meeting that directors describe earlier. and this shows you a summary, a fun side called reliance. and this product has used limitations. including those that cause sudden soak death. the product currently on list for the purpose is no longer sold. we removed two tier 2 product from the list, one of those product iscanbus. but we now have a more frequent pruning contract in place so they don't need to depend on this option to use canbusstate. what we learned from the

. >> good afternoon commissioners, dph staff, members of the public and welcome to the commission commission of october 18, 2022. secretary more will you call the roll. >> sure. commissioner commissioner giraudo. >> present. >> commissioner chow present. >> commissioner green. >> present. >> commissioner bernal. >> present. >> i have a sculpt to read. good afternoon and welcome stot commission. this is meeting is held in hybrid formal at grove street broadcast live on sf govtv available to view via webex and cang

health studies on residents and visitors of bayview hunters point and treasure island and workers and if dph to do this, the board of supervisors should hold their funding until they do. those are my comments. thank you. >> thank you for your comments. next caller, please. >> my name is dan hursh the retired director of environmental policy of uc santa cruz and president of community to bridge the gap and coauthored reports on hunters points. one week ago usepa presented to you a series of platitudes that they were committed to environmental justice and hunters point was top priortopy and did not disclose the very next day they issued a statement saying they will not comply with this board's policies and with prop p and with the requirements president walton set out. they will not require cleanup at the most protective standsards as prop p and your board policy requires. this is extraordinary because it means that a vast amount of con tamination is left in place. i urge the board to revisit one sentence ins the resolution which deals with the issue of the transfer to the city and county and

cbo or dph? >> commissioner giraudo in terms of slide 15, on ete... so, we are in the third year of ete so the activities have been going on for 3 years now. we are we do collect data. we do reporting through our federal fundsers. and in terms of i think the question was number of people served? i'm sure that i'm not well versed on everything we collect through each the ete activities but i'm sure we can pull did thea on number of people served through each activity. >> it is just they were you know excellent activities but i would just be curious on in your implementation hop how many would be served. i will try to get that data for you. >> i'd appreciate it and then on h ap, who is responsible for collecting the data? the cbo's are required collect dastasm we created performance measures for each standard of care services. we are also in the process of -- creating a data management system so our cbo's track when we need them to track. >> great. thank you. i appreciate it and i do like datsa. thank you very much. why thank you. >> commissioners chung

when the police mess up, we have to clean up, when we have rules that we have to legislate, when dph messes up, we have to clean it up. that's what we do. to say they have a quorum, the president now supervisor just said it would be hard for them to go to the bathroom. we need a functioning planning commission. there is no reason why the resignation letter issue takes away from the qualities of these individuals that the rules committee unanimously approved. so in my opinion, we do have an obligation to make sure that the planning commission is functioning, that other commissions are functioning and i think that this is just a little bit more of the political theatre and we absolutely have an obligation to vote on behalf of all san franciscans and make sure that we are delivering on a function will planning commission and other commissions, thank you. >> thank you, supervisor stefan. seeing no one on the roster, do we need a motion to do something different or voting on items 32-37? seeing none. madam clerk, please call items 33-37. >>clerk: [roll call] >> mr. president, given the fa

as we build them we need to look into the issue of toxic contamination in our neighborhoods and like dphvide full remediation and clean up at these sites. again i'm proud to support not just 25 irving but the other projects supported by this resolution and also would like to sponsor it. >> thank you, supervisor mar. >> supervisor peskin? >>supervisor aaron peskin: thank you for including me in this great affordable housing site. >> thank you. >> colleagues, can we take this item same house same call? without objection this item is approved. >> madam clerk, can you please call item 21. >> >>clerk: 21. 220921 [emergency contract - retroactive - tryfacta, inc. - temporary staffing services - not to exceed $1,000,000] resolution retroactively authorizing the department of public health to award an emergency contract to tryfacta, inc., as authorized under section 21.15 of the administrative code, for the purpose of providing temporary staffing services, in an amount not to exceed $1,000,000 for a term of six months, from june 17, 2022, through december 17, 2022; and to authorize the departmen