what i do theme the dph like d. habitual health and i'm glad it is hands of vice chair mandelman to look at the passage of prop one. to looking at the possibility of more funding being available made available you to. to really again pay our partner at the full cost service rendz and that we if possible can extend and build on when we have. so that's my part one of my question. now the i'm going to ask the questions back to the agreement the repayment agreement and which i see that today at least it sounds like we will make amendments to the legislation. and -- we are making them to indicate and list out the collateral value? or no? i don't believe so this is in the a city completed assessment. ip do look forward to seeing that information i want to be on the record i know we have the tfrgzs already. i think this wham this is the next quiet bla report indicated about the additional two property which the 214 delores and 2153 and 57 grove streets. do you want to speak on those two properties? and the recommendations

those are not funded by dph. >> thank you for your comment commissioner chung. to address your question as to the funding for other programs and facilities, baker places is 90% funded by the city. but the vas majority is through the city and dph and the housing community development. we want to make sure that those organizations or community services that we are funding are a diverse portfolio. every one is going to be in crisis. and i think it's really important for us as part of the the oversight and do the due diligence on the financial committee level. so hopefully we can come back and have more conversations later. >> thank you. >> thank you so much for the presentation and i don't have the association with baker that my shift commissioner does but we do have the experience that m.p. rc has done in the community. this important organization for our community rise again and hopefully flourish. is it going to cause the city resources necessary to bring it up to any level, to renovate it? is this a good investment in that sense in and of itself? >> great quest

dph provides its own super user trainings. really far along by hiring cif of end user services even before december 2024? finally given massive budget reductions ordered by mayor breed in need for the next two years, this should take priority. thank you. >> that concludes public comment. >> okay, any commissioners questions. all right, seeing none. >> i was thinking that it may be worth while just mentioning that the, because i asked the question, in favorial health, you know, whether or not basically it's hands-on staffing so this is different from the technical contracts. that several dozen will be involved in this and that this is very different. so even though, we normally don't comment on consent calendar because this did come up and we spoke about it, the committee is still sound. >> okay, so we can move to the consent calendar, the items that we were asked to approve, is the march report as well as procedures from csfg. >> and the sole source. >> okay, is there a motion to approve the consent calendar items. >> so moved

also as noted have response from dph and the focal point. >> thank you director carol and good morning, everybody. thank you, commissioner preston for bringing us tonight e together and commissioner chan and supervisor stefani for listening this this important presentation and the work we are doing and good morning to others as well. i have updated live i have copies if you like to follow along i do not know if you have them but we have hard copies okay. perfect. >> supervisor preston i appreciated your comments i feel like so many of them resonate with the comments today and like director carol want to thank my colleagues in the fire department and dph and hsh for doing this work together it is hard and amazing to work with the talented people. the presentation will take a little bit longer than 20 imaginations i know a few questions into the again information into the team but hold off on questions we'll be able to better answerable the questions. >> okay. so what can we expect today? what we said to do is clarify the work the team focus a deeper dive into the progress and really wan

also as noted have response from dph and the focal point. >> thank you director carol and good morning, everybody. thank you, commissioner preston for bringing us tonight e together and commissioner chan and supervisor stefani for listening this this important presentation and the work we are doing and good morning to others as well. i have updated live i have copies if you like to follow along i do not know if you have them but we have hard copies okay. perfect. >> supervisor preston i appreciated your comments i feel like so many of them resonate with the comments today and like director carol want to thank my colleagues in the fire department and dph and hsh for doing this work together it is hard and amazing to work with the talented people. the presentation will take a little bit longer than 20 imaginations i know a few questions into the again information into the team but hold off on questions we'll be able to better answerable the questions. >> okay. so what can we expect today? what we said to do is clarify the work the team focus a deeper dive into the progress and really wan

and that effects mta doing project construction or dph or just decimateing information and resources especially people of color bilingual honest in people knew the opportunities that san francisco provides for small businesses the narrative the national narrative sometimes we don't had had best job here again other departments just suck straight out; right? so you said that developments several times to make sure we got to keep pushing them i don't know. >> i agree oftentimes i hear yes. i go to the small business commission and get a lot of good support and then out, you know, barriers so i think there's a way that maybe we can kind of promote this like yes let me figure out how i can help you. >> um, yes. i have. >> i remember one of my colleagues he talk about the me never say no i mean sometimes you have to say no, don't literally use the word you'd be surprised how your brain seeing how you can solve or figure out something and put in in the lexicon especially the city says no, no, no and that hammers we as entrepreneurs think big we or different crazy nuts; right? so somebody s

so then what is our role at dph we are not directly responsible for clean up that is u.s. navys responsible our the dba and have a critical role to review information throughout the process of clean up to make sure that the health of and well-being of the residents is protected approach is taken and to uplift the community voiced in those processes and throughout this system. so to do this we now have an expert in the disciplinary team with expert knowledge and community health and engineering and communication. to give the community a comprehensive support that we are leaning for throughout this process. and. next slide, please. and um, to share with you um, the make up of the team and to be able to reference that where the team arise from the department and also the range of discipline we have this structure of a admitted chart that represents that work to the 17 decade theme is represented by me and by the director the director of the public affairs and we're grateful to have that the director of communications i really make sure that whatever information we put out and

thank you dph, i know you play the role in oversight. we have no say at the board of supervisors on whether this deal happens or not. there are things we can do ultimately in the permitting and oversight process, but we have no control ultimately over the acquisition itself. i will say it is vital, it is absolutely vital and i learned in this process and want to thank all the people that have been a part of putting this information together from cna and the front line nurses and others in the healthcare delivery field. i didn't know when we started the process how the two hospitals played such a vital role in our service delivery for san francisco. how vital it is in terms of the indigent care, the burn unit, the psychiatric units, rehab-all the level of service many san san franciscans take for granted. you all know because you are out doing the work and phenomenal to hear the level of commitment, 30, 40, 20 years of service and newly arrived and can tell there is a strong commission and passion to deliver the care for san francisco and

dph respect today on december 1 of 22. agreement the award agreement came to us on april 27 of 23. the accept and extend approved with appropriation's ordinance for fy24. given nonstandard terms there were rounds of negotiations with city attorney and ehp and this is the result of witness we came to agreement from those negotiations. closing, thank you for hearing the item and we hope you approve. >> vice chair mandelman. >> well, this is needed. and i want to thank everybody who worked make this happen. and i like to be added as a cosponsor. >> thank you and justmented clarify the nonstandard terms. could you elaborate a bit. i assume that is from your presentation the terms -- i'm clicking on the -- that. was -- is the nonstandard term which is what you are listed on there is no number. >> sure. >> slide 3. >> okay. so -- it talks about the declaration of restrictions could you help us understand what that means? care for youth for 30 years of the agreement and accept the monsxhe use it for different type of care. and then we are obligated you know as we accept the grant money an

. >> and move on to dph. thank you. >> hi, again morning sorry (laughter). >> um, yeah [off mic.] >> good morning . i'm emily the dope finance officer and on the dph portion. so um, here's our quick overview um, and want to pause and thank david what is here helped prepare all our slides today um, acknowledge the great work to get us here um, so we are um, planning to continue all the programming included in the 2021 oakland investment plan and the prior dph budget um, we are also facing a structural shortfall will rely on one time funding resources including a partial draw down the acquisition fund to balance the operating costs in um, the next two budget years. >> um, the behavorial health program have facing up to 40 percent structural shortfall after we withdraw from the one time and we're proposing to use the next two years um, as we ramp up to this full limitation to evaluating program and thinking through with all of you and um, another shareholders what are the programs um, that we believe should be s

and possible alternative for consideration which is you can have a joint meeting of the commissions dph and hsh if you wanted take that path, scratch that. >> do you know how much commissioners are disliked. >> i think it might be easier to have it here and invite relevant members of the dph come here. i've beening in those meetings there are about thes joint commission and it's really hard to organize, yeah. and that way we can focus specifically on homelessness issues, i think. >> totally, thank you. so if i can continue. i did want to ask if we can have an item based on the request that were made. >> yes, i also made a note of that and want, you know that's a whole presentation, so i think that maybe do that next month, does that make sense? >> yeah. >> maybe that's the special item that we have for next month. >> and next month meaning in a couple of weeks. i just want to mention. >> yeah, okay. >> commissioner dufty can i jump in? >> yes. >> i want agree with that. it would be agencies that provoid human resources to families to be part of the conversation to the extent that they'r

and then as a reminder because i talked about reserves and housing shelter and prevention dph is a little bit unique that the acquisition fund has been used as a mechanism to protect mental health programs spending against revenue volatility, so just something to remember as we sort of dive into those details. so we'll get into each of the service areas. this is a view of permanent housing expenditures to date as well as projections by population, so this view allows all to see the various spending categories which is what departments have spent year to date, the projected amount they expect to spend over the next half of the fiscal year, the obligated funds that i mentioned at the top of the presentation, and then the projected remaining funds by each of the populations within the service area. as a reminder within permanent housing adults have the largest budget so 55% of the housing funding must go to serve this population followed by families at 25% and youth at 20% so that's sort of what you see come through on this chart. and i will give you all a second to sort of digest. moving on

recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first le

through the process of engaging with the city services through our street over dose response team and dph engage am team. we work with both organizations for 16 weeks and hopeful low by the weendz will provide a report to show the findings we found. >> on february 27th, chief tang and sloan and neighs mason participated in a workshop by mayor's office of innovation to develop carries for the city multiagency street response system cross data sharing and teach [inaudible] around system goals and metrics. on february 13, 14 and 15, there was an open house by the san francisco serving center. where our ambulances can transport somebody who is in the needs detox for alcohol. and alternative to a hospital destination. they wanted to host the open house and familiarize our members of the use of the serving center and they are still there and relocated during covid and relocated back to the old facility on mission. so this is a good opportunity for our people to be remind it is there. here we see the data from ems and the street crisis teams. one thing we increased 1-50's during february by 83%

this was an ad requested by dph, not required during our construction because we have an enclosed space that the contractor is responsible for. there's we can work for water, shut off and reroute. as i mentioned earlier, construction pauses for state surveyor visits. they visit about one week at a time, and during that period through court and making sure that we're we're in our right places. dpa requests public works to pause construction and then the ceiling patches, mitigation concrete wall repairs, items like that, there are certain utility repairs and realignments that we've discovered again, in this 1950s building that is needed, there is also another major item of a main sewer replacement you may have seen in the documents. or remember that there was a sewer project which we terminated for convenience use several, several months ago, maybe about half a year ago now. and for that one, we went back to the design board to take a look at how we can minimize impacts to the campus even more. that effort before was stalled because it was difficult to tv a certain segment of the sewer, d

city and county of san francisco (“city”), acting by and through its department of public health (“dphfor human potential, inc., having anticipated revenue to the city of $33,736,105 for construction at 1001 potrero avenue, building 5, wards 6b and 7a; including a permitted and restricted use; authorizing the grantor to apply for a receiver in the event of the city's default; and authorizing dph to enter into amendments or modifications to the grant agreement that do not materially increase the obligations or liabilities of the city and are necessary to effectuate the purpose of the grant. >> same house, same call, the resolution is adopted. next item, please. >> item 21, resolution authorizing the mayor's office, through the mayor's office of innovation, to accept an in-kind gift of consulting services valued at $302,208 from various providers from march 6, 2024, through june 21, 2024, in connection with the civic bridge program; and to authorize the mayor's office of innovation to enter into amendments or modifications to the donor agreement that do not materially increase the obliga

sometimes those people are us and sometimes those people are our representatives at dph crisis services, which ever they prefer so we were able to schedule one on ones with them. we were also able to assist property management with resident outreach for the open work order meetings. we want to make sure those repairs are getting taken care of in a timely manner and if services has to be able to follow-up on those and hand out fliers for outreach, we are happy to do so. we also met with our tenant association in collaboration to plan for the events in february that was very helpful and tenant association was in support of all of the partners we had coming into plaza east and the events. and then to be able to wrap everything up we have been able to service 75 residents with our connections referrals through january. this may be in financial coaching, angle management, substance abuse, pg&e assistance and more. for support and service referrals we are 95 percent resident participated and out of those, 67 residents participated. >> thank you very much. >> you're welcome. >> when you talk a

recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first le

city and county of san francisco (“city”), acting by and through its department of public health (“dphfor human potential, inc., having anticipated revenue to the city of $33,736,105 for construction at 1001 potrero avenue, building 5, wards 6b and 7a; including a permitted and restricted use; authorizing the grantor to apply for a receiver in the event of the city's default; and authorizing dph to enter into amendments or modifications to the grant agreement that do not materially increase the obligations or liabilities of the city and are necessary to effectuate the purpose of the grant. >> same house, same call, the resolution is adopted. next item, please. >> item 21, resolution authorizing the mayor's office, through the mayor's office of innovation, to accept an in-kind gift of consulting services valued at $302,208 from various providers from march 6, 2024, through june 21, 2024, in connection with the civic bridge program; and to authorize the mayor's office of innovation to enter into amendments or modifications to the donor agreement that do not materially increase the obliga

through the process of engaging with the city services through our street over dose response team and dph engage am team. we work with both organizations for 16 weeks and hopeful low by the weendz will provide a report to show the findings we found. >> on february 27th, chief tang and sloan and neighs mason participated in a workshop by mayor's office of innovation to develop carries for the city multiagency street response system cross data sharing and teach [inaudible] around system goals and metrics. on february 13, 14 and 15, there was an open house by the san francisco serving center. where our ambulances can transport somebody who is in the needs detox for alcohol. and alternative to a hospital destination. they wanted to host the open house and familiarize our members of the use of the serving center and they are still there and relocated during covid and relocated back to the old facility on mission. so this is a good opportunity for our people to be remind it is there. here we see the data from ems and the street crisis teams. one thing we increased 1-50's during february by 83%

scheduled (clearing throat) the project final completion pushed to the first quarter 2023-24 for the dph asked for the post - my question about that what was side supposed change order will be - what is the purpose of the post occupancy change order this is the answer is what the record is complete. >> we can aimed the minutes afterwards. >> call me and we'll elaborate on that and clarify. >> any more discussion. >> member pantoja i'll second the motion. >> can you take a vote, please. >> oh, and member crawford, aye. >> member larkin, aye. >> member pantoja, aye. >> member sanderlin, aye. >> member tung. >> the item passed move on to item item 2015, 2016, and 2019 affordable housing bond programs and possible action by the committee in response to such presentation. >> good morning next slide, please. >> . thank you very much. >> good morning member crawford and committee members i'm andrea gremer, mayor's office of housing and community development. and i'm joined by my colleagues the deputy director for finance and administration and our deputy director for housing and johnny oliver,

break down silos between department jz there is much more communication and collaboration between das, dph, police, fire, sheriff, everyone in a effort to really help those who really need some assistance and living their lives. that's happening. the last thing i-think it is the last thing, is the asa conference is happening at the end of this month, and it will be here in san francisco and i'm happy to report that we have two presentations coming from das. one is our ihss team is presenting on the very successful ccst model which is collaborative caregiver support team that provided enhanced ihss services and permanent supportive housing sites and secondly, our aps team is presenting with the institute on aging elder abuse prevention program on the multidisciplinary teams to cordinate response to abuse, neglect and self-neglect. that is all i have for now. >> thank you. any questions or comments for kelly? thank you very much. >> commissioners, item 6 is das employee recognition. executive director dearman, president spears and das commission will honor the das march 2024 employee month.

scheduled (clearing throat) the project final completion pushed to the first quarter 2023-24 for the dphed for the post - my question about that what was side supposed change order will be - what is the purpose of the post occupancy change order this is the answer is what the record is complete. >> we can aimed the minutes afterwards. >> call me and we'll elaborate on that and clarify. >> any more discussion. >> member pantoja i'll second the motion. >> can you take a vote, please. >> oh, and member crawford, aye. >> member larkin, aye. >> member pantoja, aye. >> member sanderlin, aye. >> member tung. >> the item passed move on to item item 2015, 2016, and 2019 affordable housing bond programs and possible action by the committee in response to such presentation. >> good morning next slide, please. >> . thank you very much. >> good morning member crawford and committee members i'm andrea gremer, mayor's office of housing and community development. and i'm joined by my colleagues the deputy director for finance and administration and our deputy director for housing and johnny oliver, mayo