this is what is going on at arf. if people aren't able to get in the system, people are going to die, od, to self-medicate. i will say to leave beds empty during an acute mental health crisis is the same as withholding future in a famine, keeping water from people in a drought. you are making money. it is not right. open those beds and make more beds for people so we can deal with the mental health crisis on our streets every day. thank you very much. >> good afternoon, i am with community housing partnership and member of the treatment on demand coul coalition. these were written by david lewis. he served two terms. he had first hand chance to observe the city's behavioral health system of care as well as client receiving services. this was at a time when treatment on demand was much more reality. one-on-one conversations with barbara garcia. providing the treatment in locked facilities was not priority. it was detrimental to recovery. the number of treatment beds were reduced under the leadership of the behavioral

the operation of the arf. it is 24 hours each day, nonmedical care but supervised facility for adults 18 to 59 with severe mental illness that are stable but still need care, assistance and supervision. some of the services to the residents are housekeeping of their rooms. some require assistance with personal care and as they administer medications prescribed by their providers. where do patients come from who wind up on the arf? they receive referrals from acute care hospitals, locked sub-acute units like the america and other board and care facilities. it is a licensed residential facility licensed by state community care licensing, which is part of the department of social services. i am going to slow down a little more because there is a lot of information that we want to share to make sure you understand. it is important to step back and revisit the circumstances that bring us here today. for many years from 2005 up until 2013, operations a at arf were proceeding. in may of 2014 we submitted a request to

this is beyond be the arf. thank you very much for all of your work on this. >> thank you. >> good morning. i am connie. i work at the behavioral health center for 20 years. i also come down to the arf to help when needed. so many clients in the arf are former clients of us. i come today to show my appreciation to your support to save the beds at the arf and save our clients from being moved away from their homes for many years. thank you, supervisor ronen and mandelman for coming to see what a great program we have at the arf and the buildings in general. thank you for taking time to listen to their stories as well as how the program works. i look forward to work to improve the working environment. i am eager to cooperate with management and staff and residents to form a safe and healthy working place as provide the best care for our residents. thank you for your support. >> i am amy wong. i am a mental health specialist and member of ifpte local 21. i have worked at the health center for 20 years. 18 of our c

it is the second floor the rcfe and first floor is the arf. >> so the patients from arf are going to the second floor and not third floor, is that correct? >> yes. >> so what the vacancy on the second floor in the residential area? >> the r.c.f.e.? >> kelly, can you help me out? >> 36. >> 34 bed vacancy? >> let's wait. >> i am trying to find what the landscape really is when we talk about holding. where are we then? >> i am kelly hiramoto, manager of special projects. we now have a census of 36, capacity for 59. >> how many? >> 36, capacity for 59. >> we have 36 out of 59 at the moment. >> yes. >> at the arf we have? >> 32. capacity of 55. >> the capacity still at 55. then upstairs we have what? >> on the third floor currently 36. capacity of 47. >> okay. to get back to understanding what we are holding. this is what we are holding? >> what we are on target for is consolidating the second and first floor. our plan was to take clients from the first floor to the second floor, 18 clients, 11 of whom are older adults. we will leave 14 as residents of the arf so we can bring the census t

this is beyond be the arf. thank you very much for all of your work on this. >> thank you. >> good morning. i am connie. i work at the behavioral health center for 20 years. i also come down to the arf to help when n

i was familiar with the work that the arf does and the importance of it. as i began digging, the picture became more complicated and more troubling as we learned that in many ways i think the proposal that came forward a couple months ago was a well-intentioned effort by dph management to fill empty beds. and learning we had for many years had empty beds, not just at the a rf but in the locked facility on the third floor was in a lot of ways even more troubling to me. i thought it was important to make clear that everyone on this board and also to get the mayor's concurrence believes we need the arf, a publicly operated long-term care facility for people who cannot and will not be effectively serve would by nonprofits or private operators in the community. i think that for a couple of months at least there has been broad agreement in city hall about that. it is himself important to -- also important to me as we move to that goal as quickly as possible we fill every bed, which we have not been doing for several years. i am very pleased and grateful for the

>> if you had an overall plan what should be the size of the arf? if you don't want to answer now, you can answer in the third hearing we are having because there is a lot of discussion we shouldn't be closing the arf. what that says is that we have a need for this level of service in our system. what is that level of service we need? are we able to get to that answer in our presentation? >> i can answer that question. we would want to staff to the full license capacity of 55. >> that is what you feel the city really needs is the 55? >> absolutely. >> so if we are presenting a plan in several meetings, then the plan should be able to then describe what division is, right? the supervisor described a vision what they think would work and what mental health san francisco or something like that. it would sound like the department should be able to be somewhat more specific what we think should be a plan or what we believe could be a plan, which maybe elements of theirs and elements of the city looking at mental health. your belief is that orf should be

you had the bravery to come forward and blow the whistle what was happening on the arf. you put everything on the line for that. i don't know that there is heroism greater than that. i appreciate you and admire from you the bottom of my heart. thank you for caring so much about your patients. then i also want to thank amy wong, sarah larson and jennifer and the many others who spent every single day of their life doing this heart-loving incredibly difficult work who care so much about these patients, who are their family and who haven't let them down for a moment. you are extra human beings. getting to know you has made this job worth it for me. thank you so much for being the extraordinary people that you are and for caring and loving these patients with the dedication that you do. you really inspire me so much. thank you. i also want to thank the emergency room nurses who joined with the arf p heather, julie and the conservators who take care of the sickest individuals and and advocate on their baffin behalf. michelle and victor. you have just wowed us all. care tho

we are holding the idea of hummingbirds and fix to go to 55 for the arf. again, to be really clear from what was that, that is what we put on hold at this point. >> as we are able to work that out and where those other beds go, i think that your note to us was quite explicit, to the public that we received and i am hoping people would understand that the department is trying to come up with what should be the areas that we are able to have to serve the public that will meet nose needs. it sounds that the department is not saying we don't need an arf capacity. the question is how to get to that and that there is perhaps not -- that the current way of trying, i think as director colfax was saying to meet part of our need while trying to get to the 55 was running into problems not only communication but implementation. people are being moved out of areas and at the same time while it sounded like we are going to just stop, you know, that particular level of service at this smaller level while we are also, but i think you are right. technically you said you we

for five residents of the arf who will be offered clinic calal placement and will have the opportunity to discuss their option with the ombudsman person. dph will create a working group where the residential facility can come together on a regular basis and discuss regular care among other issues and no later than march 31, dph shall submit a report on the analysis and review and actions taken to date with regards to this legislation. we have been informed by the city attorney's office that the creation of the working group is the substantive amendment and we are working out the details regarding the structures and the parameters of the group together with the worker's management and dph staff. i will, therefore, be making a motion to duplicate the file to address the working group detailed separately at committee. meanwhile, i hope all of you today will join me in voting to pass the agreement and compromise legislation today. i want to thank you to everyone who is part of the fight to save the arf and who work closely with myself, supervisor matt hainey, my staff and supervisor hainey

democrats on twitter, claiming house speaker nancy pelosi and intelligence committee chairman adam schiff arf treason and calling for them to be impeached constitution does not allow for a member of congress to be impeached. tracie potts has the latest from d.c. for us this morning good morning. >> reporter: good morning. let's start with the second whistle-blower the focus here this week could very well shift to what this person knows and how it could be different from the original complaint. an attorney for the original whistle-blower now claims to represent a second person with firsthand knowledge of the phone call where president trump allegedly pressured ukraine to investigate joe biden. >> why should i care at all what his perspective or opinion and judgment of the transcript is? you and i cat matter how many people decide to call themselves whistle-blowers. it doesn't change the fact that he, president trump, has done nothing wrong. the president tweets this new whistle-blower also had secondhand information democrats insist there is evidence to support the original complaint. >> the w

thank you for the resolutions on the arf because it really got us agitated. you did come together.hank you. now we need to move from here and what i want to say is it's wonderful. usually i come with lots of challenges and criticisms and whatever. today is a day that i want to say thank you to ms. martinez, dr. hammer, and the whole team who has been working on this whole person care for years. i've met with you and asked lots of questions and whatever. a slide presentation is not everything, so i do have some questions. i'm going to leave that for another pay perhaps to understand it better. thank you very much because from our perspective, from taxpayers for public safety, this is not trying to better an old way that isn't working anymore, no matter how successful it was in the past, but on a new pathway and taking evidence to bring to a new opportunity which always has a cautionary risk to it, but with monitoring and evaluation inside and out. so we want to thank you for that. we want to thank you for the leadership. we want to thank you for all the teams at the management level

maintain a different configuration for arf, is that right? >> yes. and that work is ongoing at this time with the offices across the street there, both the city hall board and the mayor to try to find a way in which the public will be properly served and that all i am doing is paraphrasing what you are saying, if that is correct. i am sure city hall does, too, the supervisor and mayor do not want to short other needed beds, simply to have a bed count under hummingbird or navigation or anything that we would try to see if we can accommodate all of this. this is nice if you could actually start coming to that accommodation within the third meeting. we might be able to look at a solution. it would seem to me at least that it would be very appropriate that the commission hear an overall broad plan as to the types of services felt to be needed in the city and how we can't reach all of them. clearly the original intent of the building has sort of been changed by urgent needs otherwise in which we were supposed to be bringing back those who were housed outs

electric cars, possibly self-driving cars, much more efficient cars,hatican public are big vehicles that arf very pritable for them. f e average price o car now is $37,000. that's not just a car, that's au and a pickup. and loans are just getting longer and longer, six years, seven years, eight years for people to afford to pay for them. so if you look at owning a vehicle, you're going to spend a lot of money, and you're going toave it for qui.te a whi so people are weighing that into the equation as they make decisions about whether they're going to buy a vehicle at all. the oting i wanted to mention was the focus on ausetric vehicles b general motors, one of the proposals it's made to the unio is that it wold take two plants it was planning to close, put batteries in onand put electric -- i think electric trucks in the other oe e. but, again, the union haswa hed g.m. kind of lurch around on electrics. they had the little e.v.-1 that they killed. they had the volt whi the told congress was going to bees its future. the volt is gone. now they're talking electrics again. in a sense you can't