our hope is this cms will come to the table. work with us on the plan that protects the remaining 610 patients preserving an institution that has been the last safety net for so many. for our patients, this hospital has been their last resort. with 5 and a half we've beenings to go, this lawsuit is our last resort. we must save laguna honda. thank you. >> i want to take a moment and acknowledge the fact that -- the entire city is united in our ask here. i want to thank all of our elected officials. we have supervisor peskin here and thank melgar and supervisor mandelman and others who have been tremendous add roindicates. our next speaker the granddaughter of a former laguna honda resident a champ for laguna honda needs no introduction. our office is suing on behalf of the city of san francisco the ceo of our city the 45th mayor of san francisco mayor london breed. >> thank you, david. i want to start by acknowledging and everyone thattinging our city attorney for his work and efforts and finding a possible solution to deal with

but it is cms. the secretary, i know you are off in washington but when i was talking with my family upon one of my daughters said, you know, mom, if the people at laguna honda were wealthy 91 of this would be happening and my dwaurts are always right. >> i thought i would take a mobile home of time just to quickly give a bilt of history of laguna honda may be because i'm fond but sometimes the listening audience does in the have a full appreciation of laguna honda and the xr i will tell that you my full appreciation of laguna honda goes become to the time when i was on this board and then their diane feinstein called mow and said, lewis i'm going to laguna honda would you like to come with me? i said, that sounds fine i did in the know too much about laguna honda. and not to make my husband jealous i fell in love with laguna honda and its mission. with the clerk's assistance if i might take a few minutes of time i have a power point presentation that just explains the long and storied history of la

cms, come become to the table. let's talk and work together. thank you. >> thank you theresa for the powerful word and reminding us why we are here that is the end of our remarks. want to open up to questions. i want to note that here to help answer questions we have the director of our san francisco department of public health doctor colfax and have the ceo of laguna honda. i want to thank a number of deputies in my office but we have with us also to answer legal questions steel and he henry lipton. with that, happy to answer questions. [inaudible]. >> what we hope will happen immediately is that cms will come to the table. we want a conversation about what the next steps are. we only have 5 and a half weeks. we have 2 lawsuits and we will be considering all options if they don't come to the table and when we mead to compel that conversation. >> so, the city attorney's office we are bringing a lawsuit on behalf of the city of san francisco. and specific low we are asking the federal government cms, to continue the funding at least until the en

in response to the litigation filed by the city against cms, cms agreed to expand the availability of medicare, medicaid payments through november 13th and in addition to the transfer pause and transfer of discharges will be extended until that time. dph and laguna honda hope we'll continue to work with cms and cdbh to resolve all pending issues and the city's litigation alleges that c mr. s forced to the city to implement aunt unworkable transplan plan and closure that denies the city due process and puts laguna honda patients at risk. laguna has filed appeals before administrative law judge that challenges the cms decision to materialnate lieu medicare and medicaid provider agreement and again the class-action lawsuit filed on behalf of patients for the public law group alleges that the closure of laguna and rust transfer process violates the america wez a disability act and deny patients and families sub is it a tifk and procedural due process. the litigation filed by the city the administrative appeals filed by laguna honda and the new class-action lawsuit by patients against cms

our hope is this cms will come to the table.with us on the plan that protects the remaining 610 patients preserving an institution that has been the last safety net for so many. for our patients, this hospital has been their last resort. with 5 and a half we've beenings to go, this lawsuit is our last resort. we must save laguna honda. thank you. >> i want to take a moment and acknowledge the fact that -- the entire city is united in our ask here. i want to thank all of our elected officials. we have supervisor peskin here and thank melgar and supervisor mandelman and others who have been tremendous add roindicates. our next speaker the granddaughter of a former laguna honda resident a champ for laguna honda needs no introduction. our office is suing on behalf of the city of san francisco the ceo of our city the 45th mayor of san francisco mayor london breed. >> thank you, david. i want to start by acknowledging and everyone thattinging our city attorney for his work and efforts and finding a possible solution to deal with this

in response to the litigation filed by the city against cms, cms agreed to expand the availability of medicare, medicaid payments through november 13th and in addition to the transfer pause and transfer of discharges will be extended until that time. dph and laguna honda hope we'll continue to work with cms and cdbh to resolve all pending issues and the city's litigation alleges that c mr. s forced to the city to implement aunt unworkable transplan plan and closure that denies the city due process and puts laguna honda patients at risk. laguna has filed appeals before administrative law judge that challenges the cms decision to materialnate lieu medicare and medicaid provider agreement and again the class-action lawsuit filed on behalf of patients for the public law group alleges that the closure of laguna and rust transfer process violates the america wez a disability act and deny patients and families sub is it a tifk and procedural due process. the litigation filed by the city the administrative appeals filed by laguna honda and the new class-action lawsuit by patients against cms

kron. 4 has reached out to cms for comment. but as of thursday afternoon, we have not heard back.ow in san francisco, charles clifford kron, 4 news. >> solano county's health department has confirmed the first human case of west nile virus in the county. health officials say the person is from vacaville and is currently recovering. west nile virus is transmitted to humans and animals through the bite of an infected mosquito. several bay area counties have reported finding mosquitoes carrying west nile experts advise residents to drain standing water, make sure their doors and windows have tight-fitting screens to keep mosquitoes out and use insect. we put palin to try to keep mosquitoes from biting. you. >> a cooling tower at the embassy suites. napa valley is at the center of the legionnaires outbreak. county health officials say a dozen people have been infected and one person has died. the cooling tower at the hotel is on california boulevard in napa. and health officials say it contained high levels of the bacteria. most of the victims lived nearby. the hotel that tower has no

i've successful navigated a cms audit. also the creator of the petition to ask sect [indiscernible] to stop this forced relocation. the chronicle came out with an article in this subject. i amount author of the medium article. working with cms i feel for you and your staff. but what i would like you to understand is if your primary priority is for recertification or the safety of the residents? achieving the end goals without considering the morality of the process will unfetter any process no matter how horrible. collateral damage is unacceptable but the ends cannot justify the means in a just society with the deaths of three recently transferred residents, the current process is faulty and undeniably dangerous. you are on trend to have 40 deaths. transfer trauma is a big risk. it's hard to mitigate in this relocation program. there is no relocation quote required for recertification. this seems to imply that the relocation program is not scheus. displeusively rinked with the recertification program. what will are we stri

wood chips, coniferous litter can also be used, but 5-8 cm under a pine under a christmas tree ah, noe that will have exactly the same mycorrhiza as blueberries, and it will contribute to development. also a little literally a couple of 2-3 cm mulched around the sawdust will help during drought will keep moisture at cold temperatures will keep warm, thereby improving the development of our bush and, of course, watering a freshly planted blueberry bush is definitely desirable, of course, watering the cake itself before planting, then planted a bush and spill it abundantly well we water it so that everything is wetted and our nail files hold water; we advise drip irrigation, as well as overhead watering or sprinkling, which is especially useful for blueberries in the spring when there is a threat of return frosts and before wintering, but if you do not have a plantation, but only a few bushes in a summer cottage, then we take heat and drought into our hands 2-3 times a week. tell summer residents how to water blueberries in general, whether they love moisture blueberries love moisture,

our hope is this cms will come to the table.th us on the plan that protects the remaining 610 patients preserving an institution that has been the last safety net for so many. for our patients, this hospital has been their last resort. with 5 and a half we've beenings to go, this lawsuit is our last resort. we must save laguna honda. thank you. >> i want to take a moment and acknowledge the fact that -- the entire city is united in our ask here. i want to thank all of our elected officials. we have supervisor peskin here and thank melgar and supervisor mandelman and others who have been tremendous add roindicates. our next speaker the granddaughter of a former laguna honda resident a champ for laguna honda needs no introduction. our office is suing on behalf of the city of san francisco the ceo of our city the 45th mayor of san francisco mayor london breed. >> thank you, david. i want to start by acknowledging and everyone thattinging our city attorney for his work and efforts and finding a possible solution to deal with this re

they would never have received fedyushkina from barnaul soon seven, her height is only 92 cm.is considered normal for children. chondroplasia is a genetic disease; such children grow up to a maximum of 130 cm; they have a disproportionate build because long bones do not grow. previously, such babies were given an ilizarov apparatus for several years. and this is constant pain and life in bed a year ago, the drug vasarititis appeared and is bought by the circle of good. for guys like vika they say that it's very expensive, when we were told the numbers. it was in order. there are twenty million rubles per child per year. there are even more than 20, but it helps by blocking the gene that prevents growth. well, actually due to this, growth should be added. vika feels well, she is getting ready to go to the first class, she is nervous before meeting other children, of course, they will laugh. besides this, vika is fond of music, there is a chance that with the drug vasaricide her growth in adulthood will be more than 130 cm zinaida kurbatova ivan ponomarenko sergey bredikhin 200

here maria overcomes the bar at a height of 2 m 1 cm.an draws a height of 2 m 4 cm with a gesture. no one has jumped so high this season, but maria asks to be allowed to storm the bar 1 cm less we jump in russia in russia there is a certain system points. that's why i've been chasing mine a little. uh, not exactly sporting goals, well, there in this race. well, uh, i don’t think it’s bad and good. we didn't agree. just about it today. here i am decided to try. as if the conductor controls the fans. here they clap, shout and drive her forward, but one gesture and there is deathly silence in the stadium. this time, the height of 2 m 3 cm maria does not submit, but 2.01 for domestic competitions is an excellent result, there were not enough rivals next to her. and another 2:1. in principle, she jumped, it was already visible, so 2-3 was difficult. this is an incredible feeling that must be experienced and i am grateful to everyone who came today, who cheered for us today and is now still waiting, uh photos of roses painted, because for athl

we can't let every captain make his own decision, but for most ships 40 cm is already too small experts the fall of the german economy by another half a percent. after all, it is the rhine that provides the lion's share of river cargo transportation in germany, including fuel for power plants, and this threatens germany with enormous problems; in winter, due to a shortage of natural gas , the authorities intended to freeze 16 coal and fuel oil tests. but so far only one has been launched. germany has a reliable power system, however , there is a fear that there could be a power outage, and a long full the failure of the power system will have serious consequences trains will stop running, and elevators will turn off atms, it will be dark and cold in apartments, and telephones will fall silent in france since 1958, and in belgium since the end of the century before last in spain, the reserve of reservoirs has fallen to a historic low of 39% in half of the french departments, declared the highest red alert. this means that water is allowed to be used only for priority purposes for cooking

on the roadway, streets there is a pit 30x30 cm in size and more than 5 cm deep. there is a link that is engaged in patching. they go to the line and work on all the holes discovered by the inspection result. we went to the asphalt concrete plant, loaded asphalt concrete, brought asphalt concrete. people drove up and broke the cards. the repair card is the place where the asphalt is laid, and which has straight edges cut vertically in place of the existing pit. we process the inner surface of the repair card to ensure the adhesion of fresh, false and old asphalt concrete. the car arrived, unloaded, filled out the map, leveled off, paid katkov. all finished, let's go look for the next one. with a complete replacement of the coating we request from bntu or beldornium survey and recommendations on the applied asphalt mixtures and pavement construction based on these data, an estimate is made and the repair of the pavement with a high content of fine-grained fingers and a dense one is carried out . this is pritytskogo street . the pavement is being replaced at night.

it's 113.4 cm of it. producing _ be something really nice. it's113.4 cm of it.4 cm of it. producing a long one is l be something really nice. it's113.4 cm of it. producing a long one is a | cm of it. producing a long one is a risky business, it's all about the timing. if risky business, it's all about the timinu. , ., �* risky business, it's all about the timinu. i. �* ., risky business, it's all about the timinu. ., .. , , risky business, it's all about the timinu. �* ., .. , timing. if you're going cucumbers or an riant timing. if you're going cucumbers or any giant vegetable, _ timing. if you're going cucumbers or any giant vegetable, you _ timing. if you're going cucumbers or any giant vegetable, you have - timing. if you're going cucumbers or any giant vegetable, you have to - timing. if you're going cucumbers or| any giant vegetable, you have to get a good limit. some of the vegetables and some of them could split in this cucumber could end up on the floor and i would just think of to push or leave it where it is now because that push might be ending up wi

gained more than 40 cm, and next to zeya more than 50, so the local authorities are taking all actions to minimize the consequences of the blagoveshchensk, introduced regime, high alert by the entire main municipality, and to carry out explanatory work with citizens, and check the condition of the ladies, and also ensure the possibility of evacuation from the cat. by the way, here is vladimirka, which is located. far from blagoveshchensk, which every time suffers from floods, and there is already a recovery. i will give the work of rescuers volunteers work, but it is expected that the peak of the leash here on the central part of it will be, uh, from august 13 to 16, and here in blagoveshchensk well, according to the best forecasts, the water should not reach the level of a dangerous natural phenomenon. but can it exceed it in the south of the region? well , let's keep an eye on the situation alexander thank you victoria sytenko was on direct communication from the amur region, and in the near future. we are also waiting for the broadcast with the governor of the region, and mr. orlov,

it was rejected by cms. we asked for 18 months to ensure patients would be safely transferred and discharged, rejected. we asked two-phase transfers to our most honorable patients would be transferred last, rejected. >> reporter: the second lawsuit is a class action filed on behalf of patients and their families. among the plaintiffs, deborah bauer. her son suffered a dramatic brain injury and has been at laguna honda for 20 years. >> my son feels safe there. i do not want that taken away from him. i don't want it taken away from him or any of the other residents that i see and we went to in the hallways. >> reporter: medicare has already mandated some transfers of patients out of the facility. nine people who have been transferred have subsequently died and medicare has pause the process. there is also struggle to find enough skilled nursing beds to transfer all 700 laguna honda patients into. >> we understand there are some patients that need to be transferred and we are working on that. but we cannot turn

it was rejected by cms. we asked for 18 months to ensure patients would be safely transfer and discharged. rejected. we asked to phase transfers so our most vulnerable patients would be transferred last. rejected. >> reporter: the second lawsuit is a class action filededes. the eborah bower. her son suffered a traumatic brain injury and has been at laguna honda for 20 years. >> my son feels safe there. i don't want that taken away from him. i don't want it taken away from him or any of the other residents that i see and we wave to in the hallways. >> reporter: medicare has already mandated some transfers of patients out of the facility. nine people who have been transferred have subsequently died, and medicare has paused the process. there is also struggle to find enough skilled nursing beds to transfer all 700 laguna honda patients into. >> we understand this there are some patients that need to be transferred, and we are working on that. but we cannot turn them out into the streets. that is not an option.

kron. 4 has reached out to cms for comment. but as of thursday afternoon, we have not heard back. all right, back live. now federal funding is set to expire for the hospital on september. 13th. >> but for now in san francisco, charles clifford kron, 4 news, a lot of different eyes watching this story right now. thanks so much, charles, for that live report. >> and former san francisco dha submitting says he will not run for reelection in november. he shared tweet this morning. he wants to focus on his family. the current san francisco da, brooke jenkins will run in a special election in november to finish up with dean's term. there will be a regular election for the position in november of next year. 2023. in the south bay, san jose police believe they have caught the person suspected of attacking several people with a pellet gun kron. 4 sarah stinson has the latest on that case. >> this was a deliberate and dangerous effort to terrorize a community. 38 year-old nicholas montoya. he's from campbell. he's been charged with 7 counts of assault with a deadly weapon and assault with c

on the rhine unprecedented low water on friday in the kaubi town area, the water level dropped to 42 cmare fears that it will soon be impossible to maintain the depths necessary for the passage of barges along the river, strictly speaking, to prohibit ships from sailing on the river. we can't let every captain make his own decision, but for most ships 40 cm is already too little experts predict a fall in the german economy by another half a percent. after all, it is the rhine that provides the lion's share of river cargo transportation. germany, including fuel for power plants, is transported through it, and this threatens germany with a colossal problem; in winter, in the form of a grip on natural gas, the authorities intended to conserve 16 coal and fuel oil tests. but so far only one has been launched. germany has a reliable power system, however, there is a fear that there could be a power outage, and a long-term complete failure of the power system will have serious consequences trains will stop running, elevators will stop , atms will turn off, apartments will be dark and it’s col

a decrease of another 10-15 cm is expected for a slight rise in water level.xperts expect from the middle of next week. shallowing is extremely negative is reflected in shipping transportation of coal and gasoline, rising water temperatures. it can have a detrimental effect, or it can have a detrimental effect on the fauna of rivers. and the situation on another european river was once called by the german authorities an ecological disaster. there was a mass death of fish. berlin believes that the chemical contamination originated in poland and then spread downstream to the german ministry of the environment. they also said that the neighbors did not promptly warn them about the problem and raised the alarm. it was only when 10 tons of dead fish were pulled from the river in germany last week that laboratory tests revealed high levels of salinity, but mercury, as previously stated in its waters. no local residents are asked not to approach the river and do not use its water for drinking. already more than 160,000 people have issued a fan card. the tenth annive

measuring six by nine cm.e inward. i fix with pins. i sew along a long cut. got two tubes of different sizes iron out allowances. i turn the parts on the front side, fold them, blanks in half. this is how i sew the edges with a seam outward. i iron out the allowances, i twist it, i straighten the ring with a seam inside, i thread the jumper into the middle, i straighten the folds. it turned out a bow, we thread an elastic band about 50 cm long into it. on the one hand, i attach the regulator and form a loop on the other, i sew on the fastener, velcro fastener is also suitable. in such a tie , your student will look smart and elegant, as a parent to you i declare that children on the internet are a headache for many modern dads mom , well, how to restrict internet access right? expect trouble if he sits all day long, watching the phone, what is he loading in? what sites does he sit on, because it is very important and in the 21st century, it is almost. well, here's how to keep track of everything. it would seem

managed to reach the finals for the first time in his career and won bronze in it by jumping 2 m 33 cmal was the greatest success in the career of a ukrainian. i didn't make it to six previous world championships, and yaroslav the mighty won her second silver medal at the world outdoor championships. the 20-year-old dnipro woman showed a result of 2 m and 2 cm, but the australians patterson lost in terms of the number of attempts. who took the gold, this wrestling tried it's very cool because the atmosphere here is very cool, the spectators are all supportive and in general, in america, when we went out, everyone said words of support, everyone believes in our victory, and this, of course, motivates us even more to perform here and show good results for our country, her teammate iryna gerashchenko in the final in the high jump, the 27-year-old woman from kyiv jumped 2 m for the first time in her career. maryna beh romanchuk was the only ukrainian to be in two finals after winning silver at the last world championship in the long jump , this time she was the eleventh, and also eighth in

yes, stony 25 cm is needed.ord, you will break through, please, an accident, losses, and so on and so on for large rivers, already impassable rivermen have hopes for the weather. so far, only low water levels have been recorded in most of the rivers in siberia and in the upper reaches of the ob, and a record has been set to radically improve the situation, it will probably be very difficult, given the fact that such low levels are observed in fominsky this is the first time in barnaul that such low levels have been observed for the third time in the entire observation period. veliko kudryavtsev sergeydaev to lead. now there is a big ad and look further. the splash of engines separation from the strip, the work of su-25 attack aircraft in the special operation zone was shown by myrons not only picturesque views, but also traffic jams, like the roads of the south, cope with the flow of vacationers who return home. from 69 rub. sberbank favorite goods are cheaper than in the store marusya good morning timer for 60

and i don't see how any doctor and a social worker provided by cms can mitigate the risk of transfer trauma via any scientific found methods unless there's at least an official definition of the disease. now, i also want to say -- one question to ask yourself, how confident that you understand the issues or issue that cms expect you to resolve before laguna honda is recertified. don't be surprised by -- if they say you're continuing to flood laguna honda and flooding them with mentally disabled patients, they're going to hand you a rejection and everyone will be shocked and the department of public health needs to keep it awe skilled nursing facility and only a skilled nursing facility. the city does not solve the challenges with substance abuse -- the city does need to solve the challenges with substance abuse and health issues among the -- it's time to build trust with cdph and the commission is committed to the citizens it was originally supposed to support. thank you. >> thank you for your comment. all right. caller, you're unmuted. let you know you're there. >> hello. this is do

they would never have received fedyushkina from barnaul soon seven, her height is only 92 cm. this is considered normal for children. and chondroplasia is a genetic disease, such children grow up to a maximum of 130. sm they have a disproportionate addition because long bones do not grow. previously, such babies were given an ilizarov apparatus for several years. this is a constant pain and life in bed a year ago, a drug appeared, vasorizes him and buys the circle of goodness. for guys like vika they say that it is very expensive, when they called us the numbers. it was in order. there are twenty million rubles per child per year. there are even more than 20, but it helps by blocking the gene that prevents growth. well, actually due to this, growth should be added. vika feels good, she is getting ready to go to the first class and she is nervous about meeting other children. let's go means in addition, vika is fond of music, there is a chance that with the drug vassaricide her height in adulthood will be more than 130 cm zinaida kurbatova ivan ponomarenko sergey bredikhin lead

in the rhine, it dropped to 32 cm. this is a critical mark.hips with coal cannot pass in portugal , a natural park and the unesco world heritage list are on fire. more than a thousand people have been involved in the fight against fire, however, the fire has not been extinguished in the country. too hot. in some places the air temperature reaches 45°. in spain from the heat. and they try to fire be saved. even wild boar animals descend from the mountains behind them columns of smoke, there in the surroundings. for a week now, forest fires have been raging in alicante, fire is approaching residential buildings, and in france after a long period. drought overtook, another attack is a downpour, which can lead to flooding. this is how the streets of paris looked more like rivers the day before. and let's continue talking about the weather, the smoke of landscape fires continues to cover russian cities, the last night could have us and the strong smell of burning complained residents of nizhny novgorod novgorod we'll talk about this in more detail

. normal operation is 40 cm.s nicer, then, according to experts, losses will be from 8 to 10 billion euros, after all. the volume of coal and other fuels may be blocked by rail and road transport. not able to replace the water suffer, agriculture, chemical sterilized industry through the canals and rivers of europe transport more than a thousand a year. uh, cargo from 1,000 tons. cargo per inhabitant of the region and such transportation provide an income of about 80 billion euros per year to local economies. the impact of drought on the european economy could be catastrophic this is what all experts say, the probability of a recession, in the region, analysts estimate that according to bloomberg, as the highest since november 2020, the decline in gdp will come with a probability of 60%. in july, experts estimated the risk at 45%, and at the beginning of the year only 20. at the same time, germany, the largest eu economy, may begin stagnation as early as this quarter, according to economists' estimates for the ye

here maria overcomes the bar at a height of 2 m 1 cm.ght of 2 m 4 cm with a gesture. no one has jumped so high this season, but maria asks to be allowed to storm the bar 1 cm less we jump in russia in russia there is a certain system points. that's why i've been chasing mine a little. not exactly sporting goals, well, there, in this race , well, i don’t think that this is good and bad. we are not agreed. just about it today. so i decided to try. as if the conductor controls the fans. here they clap, shout and drive her forward, but one gesture and there is deathly silence in the stadium. this time, the height of 2 m 3 cm maria does not submit, but 2.01 for domestic competitions is an excellent result, there were not enough rivals next to her. and another 2:1. in principle, she jumped, it was already visible, so 2-3 was difficult. this is an incredible feeling that must be experienced and i am grateful to everyone who came today, who today cheered for us and now he is still waiting for a photo, because for athletics for the whole sport, t

long, and the smallest bike that sergey petrovich rides is 8 1/2 cm.stand, you understand, and then the process began fine. in general , people in these parts, without any unnecessary pathos , cause real admiration. listen, this is the oldest choir singing, russia ay stop the house of the rich oh lord, i live. oh lord, the river just goosebumps. and it is possible at once an immodest question. you still have one like this. sometimes it happens when you conduct, i will say, seriously, without this any singing is impossible. yes , so to speak, the lord god created many, many tools, and all these tools were made by people with their hands. without exception, the organ, the violin , everything was made by people and only the voice. these are instruments from god from there, yes, through our parents, therefore, when we sing, we always sing confessional, we will go so that we will certainly reach your heart. most importantly touched him without it. i just think, then the chorus is not allowed. we're a chorus move, which is many, many years. we sing in the ch

so cms, come back to the table. let's talk. let's work together. thank you. >> or he's live reporting there again. that was charles clifford reporting live for us on the situation. and now the search is on for the gunman who shot and killed a passenger on a muni bus in san francisco. kron four's camila barco brings us the latest details on the investigation. >> a san francisco bus ride turned deadly wednesday afternoon in the sunnydale neighborhood. police officers taped off the muni bus where shots were fired on board just before 03:30pm. the shooting happened at the lascaux avenue and santos street on a number 8 bayshore bus that was headed to fisherman's wharf. police say paramedics took 2 victims to the hospital. we're one guide and the other is expected to recover. it's the second shooting on a muni transportation service in the past 2 months on june 22nd, a man was shot and killed inside a muni subway train in the castro district. muni says video cameras are installed throughout their system to document crimes which are later provided to the