i anyhow when colfax appointed and pulled terry i was mad. and brought them here i knew they were the right people to the make sure laguna honda survive and got through what it needed to get through. i wanted to say, it is in the one person. it is me and my members that you see behind me the nurses. janitors the hair dress ors, central supplyers. my nurses. clerks. everybody and everybody i come from general hospital i know when the level of care is like i want to appreciate my members. i have one of my fabulous leaders here with me. debbie dobson, she has taken charge on making sure that she hen in the weekly meetings when i'm not available to join. she has been there. and i can get an update with her and our rep who k could not be ear jessica done a fabulous job day and night supporting the workers. helping them understand education and training than i needed. third and second and first shift whatever was. we are celebrating the work of member and resident and bringing back laguna honda so we want to know i just want everybody to know that

colfax just asserted or will it be submitted on september 17th? particularly why wasn't the background information provided to the budget and legislative analyst, the board of supes told that they have been submitted in your request in the 4.5 million dollars in the emergency repairs. after all, you claim that you need that 5 million in emergency repairs to assist with recertification, but you've already obtained it why is the budget and legislative analyst misinformation that the application has not been submitted yet for medicare recertification. this is a glaring error. thank you. >> thank you. jamie, please unmute the next caller. >> caller: hi, this is dr. teresa palmer, can you tell us when the admissions will resume? i imagine it's after any survey that medicare will do. but, we do need to know. have some item of when this will be. and then, is medicare recertification needed for services to resume or can long term certifications be admitted. once who are still alive, be readmitted? is theres no indication anywhere in writing that they have

colfax. and i was wondering about the air quality and this is reading one hundred and 56 is a nice red i'm not sure when you're criteria are and come down here with the traffic report never mentioned this horrible haze and what is kind of the critical point that we have all to be aware of. this is probably some of the highest i've seen since the fires. >> commissioner chow from you're public health responses the air is a standard was at 1 hundred and 44 warrant the sensitive population to have an alert to that effect. >> our public health emergency response team is standing but as necessary if that level will have an activation. >> and including the wildfires. >> apparently the fires are not orange in california. >> commissioner guillermo. >> it's what i was going to share that information. >> okay. any other new business so the next item is. >> 12. closed session. do we have a motion to go into closed session. >> so moved. >> to go into closed session. >> any public comment. >> anyone in the

colfax just asserted or will it be submitted on september 17th? particularly why wasn't the background information provided to the budget and legislative analyst, the board of supes told that they have been submitted in your request in the 4.5 million dollars in the emergency repairs. after all, you claim that you need that 5 million in emergency repairs to assist with recertification, but you've already obtained it why is the budget and legislative analyst misinformation that the application has not been submitted yet for medicare recertification. this is a glaring error. thank you. >> thank you. jamie, please unmute the next caller. >> caller: hi, this is dr. teresa palmer, can you tell us when the admissions will resume? i imagine it's after any survey that medicare will do. but, we do need to know. have some item of when this will be. and then, is medicare recertification needed for services to resume or can long term certifications be admitted. once who are still alive, be readmitted? is theres no indication anywhere in writing that they have

i anyhow when colfax appointed and pulled terry i was mad.and brought them here i knew they were the right people to the make sure laguna honda survive and got through what it needed to get through. i wanted to say, it is in the one person. it is me and my members that you see behind me the nurses. janitors the hair dress ors, central supplyers. my nurses. clerks. everybody and everybody i come from general hospital i know when the level of care is like i want to appreciate my members. i have one of my fabulous leaders here with me. debbie dobson, she has taken charge on making sure that she hen in the weekly meetings when i'm not available to join. she has been there. and i can get an update with her and our rep who k could not be ear jessica done a fabulous job day and night supporting the workers. helping them understand education and training than i needed. third and second and first shift whatever was. we are celebrating the work of member and resident and bringing back laguna honda so we want to know i just want everybody to know that t

colfax and dr. phillip be able to give us the timeline maybe by the next meeting of what you think the- >> that would be fine. >> correct timeframe should be. >> at the direction of the commission we will do that. >> thank you very much. thank you everyone for all your insight and comments and i think it is appropriate to ask for a vote. all in favor of approving the updates to the regulations of the health code article 31, please say aye. >> aye. >> very good. thank you everyone. >> may i ask one thing? folks visiting or sorry here from the public, if you would like to-i'll give you a piece of paper, if you like to leave your e-mail i can update with agendas so you are aware of meetings. i want to make sure we are in communication so i'll come over after this and please feel free to pass along e-mails to me or my e-mail to those people too. >> in case people have to leave secretary morewitz do you want to tell individuals- >> sure. i'll come and do this again by e-mail is mark.morewitz@sfdph.org .

san francisco public health director doctor grant colfax says despite the sense of hopelessness and despair, those addicted and their families and friends must know there is a way out key things we want people to understand is that recovery is possible. treatment is available through a number of sites across the city that we have evidence based treatments and that we're doing everything we can to prevent more overdose deaths. health officials say they've already expanded outreach as well as services and treatment programs. now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and to reverse overdoses this year. we have passed out more than 73,000. the locks doses. >> this night, life saving medication is being routinely distributed in high-risk settings. >> where people are vulnerable to overdose, including during our street care outreach and in our outreach to encampments in the city. in the lobby of our jail in treatment centers. and

san francisco public health director doctor grant colfax says despite the sense of hopelessness

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despair, but it's critical that those addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple pathways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular. >> city officials say the overdose trends identified in the dashboard will help guide the city's response to the crisis as it relates to either expanding servic

our director of public health, grant colfax, george rivas, who leads our office of civic engagement and immigrant affairs. elmi bermejo , who joins us from the small business administration. and our consul generals from so many countries that are joining us here tonight from the americas and elsewhere. supervisor peskin, i think you know that i recognized you. we come here together to celebrate our shared roles in taking care of our home in san francisco. mayor joaquin torres. i'm your elected assessor recorder here in the city and county. and my name is larissa lugo, executive director of the central american resource center in san francisco. we are honored to be your co emcees for the celebration of latino power history fauci influence advocacy , arts, culture, cuisine and community. we want to thank the host committee for their work in planning for tonight that showcases our strength in unity and diversity. tonight we celebrate latinos contribution to our city and affirm our rights to dignity, equity and inclusion. somos san francisco. so we are san francisco. as national political p

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despair, but addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple pathways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular city. officials say the trends identified in the dashboard will dictate the city's response to this crisis. >> either by working to expand services or to come up with new strategies. dan

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despaircal that those addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple past ways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular city. officials say the trends identified in the dashboard will dictate the city's response to this crisis. >> either by working to expand services or to come up with new strat

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despair, but it's critical that those addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple pathways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular. >> city officials say the trends identified in the dashboard will dictate the city's response to this crisis either by working to expand services or to come up

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despairritical that those addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple past ways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular. >> city officials say the trends identified in the dashboard will dictate the city's response to this crisis either by working to expand services or to come up with new st

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despairbut it's critical that those addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple past ways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular. >> city officials say the trends identified in the dashboard will dictate the city's response to this crisis either by working to expand services or to come up w

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despair, but it's critical that those addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple past ways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular. >> city officials say the trends identified in the dashboard will dictate the city's response to this crisis either by working to expand services or to come up

san francisco public health director doctor grant colfax says there's a sense of hopelessness and despair's critical that those addicted and their family and friends know there is a way out there is hope that recovery is possible. >> and as you heard from karen, that there are practitioners across the city using evidence-based treatment to turn this around. officials say they've already expanded outreach as well as services and treatment programs. >> now they've launched this overdose dashboard that will not only track overdose deaths in the city, but overdose 9-1-1, calls and substance use services such as what medications are being used to treat addiction and how many are entering residential treatment programs. we are interested in showing there are multiple pathways of treatment. >> wanting at the same time to highlight how central medication treatment is to the effective treatment of opioid use disorder in particular. >> city officials say the trends identified in the dashboard will dictate the city's response to this crisis either by working to expand services or to come up with new

badly and as evidence i want to i want to look at what was it like calumet is a western, pennsylvania colfax community. and coal patches what they call the small communities that were built around a mine entrance the shaft entrance. what strikes you about this photo? and we just were looking at the homestead photos? and looks pretty run down. it definitely doesn't look as nice. you just showed us. and i don't know if you can tell but this is actually a duplex. so that's half that's another family over there. and then these guys are over here. so you're saying it looks like it's more run down than the other. okay? like the other houses you showed us earlier in the year. yeah, yeah. the you would you would move from here to one of those other houses, you know. and this is this is a house where people actually still are able to stay within their home and a lot of times the miners were evicted from their homes. once the mind shut down. i think this is the backyard of the house you can see on the wash tub hanging up on the wall over here. you can see that there's an attempt to have a garden. whoo

a set of waiting for colfax to be presented, others have rushed to judgment because they see political opportunities for themselves or those around them. all i ask for my colleagues in congress elected leaders and advocates of new jersey i have worked with for years as well as each person in the home allows second, my long record, once that is indisputable throughout my time in congress i have remained steadfast on the side of civil society and human rights defenders in egypt and everywhere else in the world. if you look at my actions related to egypt during the periods described in the indictment and throughout my career, my record is clear and consistent in holding each accountable for unjust attention of american citizens and others, human rights abuses and deepening relationship with russia and efforts that eroded the independence of the nation's judiciary among a myriad of concerns. in 2017, i led a bipartisan letter to then-president trump expressing great concern with the worsening situation in egypt. the same here i sent a letter to the appropriation subcommittee supporting the

colfax and mrs. simon for being up to this monumental task and also to all my colleagues for your patience and help along several times, along the way of this journey, so thank you so much, and i after we get public comment i would like to make a motion to file this hearing. >> thank you supervisor melgar. i open up to public comment. all speakers are allowed to two minutes to provide comments. madam clerk, please call the fics first speaker. >> those in the chamber, line up on your right hand side of the chamber. >> we have a special accommodation i believe at- >> yes, we do mr. president. we are ready pursuant to title 2 of the americans with disability act through a prior arrangement we have an individual who would like to make his public comment. staff, please send mr. munet shaw through. >> thank you. this is patrick. [indiscernible] redirect now to insure laguna honda never faces decertification again. you must create a system of --long-term care coordinating council that failed miserable to pr

colfax and mrs. simon for being up to this monumental task and also to all my colleagues for your patience and help along several times, along the way of this journey, so thank you so much, and i after we get public comment i would like to make a motion to file this hearing. >> thank you supervisor melgar. i open up to public comment. all speakers are allowed to two minutes to provide comments. madam clerk, please call the fics first speaker. >> those in the chamber, line up on your right hand side of the chamber. >> we have a special accommodation i believe at- >> yes, we do mr. president. we are ready pursuant to title 2 of the americans with disability act through a prior arrangement we have an individual who would like to make his public comment. staff, please send mr. munet shaw through. >> thank you. this is patrick. [indiscernible] redirect now to insure laguna honda never faces decertification again. you must create a system of --long-term care coordinating council that failed miserable to pr