works. >> i'm from the department of health. a question came up how 50 cub itself yards is determined and the public health back in the day in the 80s it was felt that was the amount of dirt/soil that would be disturbed on a project. i can't necessarily relate the depth of the contamination that you within the first two feet or ten feet it depends on the contamination. the ordinance takes thirty days for review and if there is deficiency in the report then the deficiencies or shortcomings need to be addressed and then we will, you know, you know, we don't take thirty days typically what we've been doing is we've been meeting with developers as well as their consultants. we want to know what their concept is and we want to explain to them what the requirements are of them in the ordinance. we've been doing this since 1996 and then it wasn't clear then and you're correct for the leaguer projects there's a better understanding. and in this 26 or 27 years the department of health has become more efficient then we were back in the day

the ordinance will update the department of health procedures to recognize what's happening that there are health levels that are determined by the state. and it also recognized that was health department test the ground water in some situations. it is more likely that the health and safety is protected and provided better service to the public. and the department of health involvement will be tied in directly to issuance and we'll become more certain and provided better services to the public it could be identified at the outset and it would be more transz parent and the public would have access to this information >> the update would eliminate the need to have measures to deal with the procedures in this city. with that summary we're asking the board of supervisors adopt this owners and the owners was refused and it was recommended by the committee and we also have staff here from the health department if you have questions more specific to them. >> thank you commissioner walker. >> you said it eliminating the need for mitigation can you explain. >> those areas in orange where there'

i recommend he department of health have a station. a basis station on the fifth floor station thirty they can send someone to answer the questions and they can do some permit progressing and then hopefully by the end of the year with the pbs system and to check out by next year, we, do something. we've all this stuff i recommend all the - to check out the development first. for me, the way i see the hazard materials take a year to mitigate and all those, you know, it's not only underground the surface how does it go that's what we recommend maybe at that time we send information inform developer and owner >> i'm a developer i understand it i'm concerned about the smaller people here and i don't have to move the dirt from the site. you could be - >> it's disturbing 50 cub itself yards so - >> and maybe acting director if you could explain it to me if i'm digging down to get my footings and i have to mitigate and i compliment to the department are you going to come out and inspect my project which could take thirty days and is the depart

that's the number of cases we're currently dealing with >> i appreciate the department of health being in the mix of this i think you make information available and educate folks but, you know, in the real world in the development of san francisco i think that making it part of the code is smart because it will increase the workload of the department of health. i think - this is why is when things have to go through t a sequa process there's a handful of people who pay attention to this. in terms of codes and building permits it's every neighbors in that property. people do check argue website. it becomes much more real on the ground in the way it the sequa process is a little bit more removed. so i don't believe that will be the case that your workload will retain the same that it is part of the code. i mean, we'll see. like anything else once we get into it and make the forms available we'll see how it progresses and i hope - you know, so we don't bring a whole other level of hardship to developers and folks who are doing this and so things move smoothly >> thank you. is there any mo

i also want to commend the department of public health and supervisor mar's office for reaching out to oewd and the department of public health, and the groceries association. i think it's wonderful and you did a great job. so do we want to make a motion on this one, anyone? >> i will make the motion to support it. >> second. >> chris? >> commissioners, i have a motion by commissioner yee riley to recommend approval of board of supervisors file no. 120996, administrative code healthy food retailer incentive program, seconded by commissioner dooley. on that motion, commissioner -- president adam [stph-fplz/] yes. >> commissioner dooley? >> yes. >> commissioner dwight? >> yes. >> commissioner brien is absent, commissioner ortiz-cartagena is absent. commissioner white? >> yes. >> commissioner yee riley? >> yes. >> that passes 5-0. >> thank you. next item, please >> commissioners that brings us up to all right 4 presentation and discussion on the mayor's invest in neighborhood program by jordan klein, office of economic and workforce development. >> welcome, jordan. >> thank you. good afte

talk a little about the context with which these reductions are being made and for the department of public health. and we have a situation last year where it was reported the five years previous that the department of public health, by the cfo at that time, that there had been over $90 million in reductions to the department of public health and of those over 70 million in five years were direct services. when we had broken down these reductions, we found that about half of them were in behavioral health. so, substance abuse treatment, mental health treatment, and as well as an hiv/aids. about half in primary care. i think all of us who are working in the community and working in impoverished community see what direct impact those reductions have had. we see increased a queuity levels in folks, we see much larger proportions of people who ~ are in severe crises for extended period of time. acuity. and all of this ends up circling back around to the department of public health and costing a lot of resources for the city. ~ i wanted to also weigh in on the rfp which i think in terms of policy, in t

stead what we decided to do was offer a three-year commitment on the part of oewd and the department of public health so if a business starts on this path and runs into problems those departments and all of their services will be there for a minimum of three years to ensure that technical assistance will be there for them all the way down the road until they achieved the goals that they set out for themselves. as i said, we have been working very closely with both city departments, as well as community members. today we are going to be joined by jorge rivas from oewd, who will talk about the role of oewd in this program and susannah lavery, from department of public health, who has done the work on the ground and she will talk about what is already happening in the bayview and in the tenderloin and we're also going to be joined by larry brucia who can talk about how it happens and how feasible this sort of change is and finally, i wanted to bring up camell, former president of the american grocers association who has been tremendously helpful in helping us to make it better legislation and he is goin

and of course there are other activities going on at the department of public health that we will continue to monitor over the course of the year. what we don't feel that the mayor and the board need to act to address this revenue loss at this time it will be a significant financial risk heading into the budget year and beyond and accordingly under the charter we required to place reserves in the department of health's budget to offset the potential loss in his budget. who identified reserves and expenses that we can hold in both years of them budget equivalent to 17 million in both years and most likely that will be a mixed and we will finalize this for you today; it will be a mix of furniture, fixtures and equipment for the new hospital funded in the budget and potentially other capital projects. will place those in control as reserves and keep the board updated on revenues as we know more. >> supervisor farrell: any questions for the controller on that? any other questions for mr. rose or ms. garcia. can we take that motion to accept the budget analyst recommendations as revised for the

next up is michael baxter from the department of public health. >> thank you for the opportunity to be here, i am putting up a powerpoint and i can't speak these days without one. i want to thank you for the invitation to speak today and talk about the process that we have gone through in the department of public hel and this it has been a process to take us two years to get here today and i want to acknowledge the youth commission and i would like just to say a shout out to mario who was the director a couple of years ago and was really was someone who helped to push this and a special thanks to the youth women over there who have really worked so close with us, and thyouth commission works these days and really pushing issues. >> i agree. >> thank you. >> so, just very quickly, to talk about a time line, as i just said in spring of 2011, is when the youth commission approached dph and said there is something on the books for a number of years, how about if you step up and take the lead and start doing some work around the 12 n ordinance. it took us a few months in the department to r

health. joining us in our panel today are arthur c. evans, commissioner, department of behavioral health and intellectual disability services, philadelphia, pennsylvania; fran harding, director, center for substance abuse prevention, substance abuse and mental health services administration, u.s. department of health and human services, rockville, maryland; john shinholser, president, mcshin foundation, richmond, virginia; pat taylor, executive director, faces & voices of recovery, washington, d.c. fran, why is there a need to increase public awareness and support related to mental and substance use disorders? it's a good question because many people are thinking that they've seen way too much information on this, and, in fact, what we have learned is that we have to get the message out so people understand the facts. they understand that substance abuse and mental health disorders are-is just another chronic illness or problem in the public health realm, and we want-as we move closer to health reform, we want the american public to understand that where we fit into ove

supervisors i'm am servicing as the interim ceo some of you may remind me when i was with the department of health. i want to say that first, i think the significant achievements of the department in saving the health care costs. the health plan has been impressive and they've done a lot with the city plan and generating some significant savings to the city and really keeping the cost of the members thank you minimum. the second observation is that really it's how significant the staffing constraints have been. that every year the workload increases and as we're making changes in the blue shield contracts the increases in workload have been dramatic and the department manages to get the work done. the material you'll be looking at on the slides really we'll see there's a significant staffing increase in the budget with respect to that i do want to express the mayor's office and the controllers office have been supportive to help us going get to the - greg let's move to the next slide. oh, you have it over here? i don't think i have control here >> okay. we're going to be talking about over the nex

we were able to identify the department of public health had already in place a similar training protocol upon which we could perhaps build upon and design the training module. they began to meet regularly to determine and develop a training module and seeking out and we were in contact with an agency. helping us move forward with this application related awareness and training. that organization suffered its own funding issues and had to pull out, and that presented a challenge, however, thanks to dph's stewart ship, we were able to identify the source within the dph and able to us to work, and which is the bay view center for arts and technology to produce a training video of which commissioner toomuch has referenced in which we are excited with the end results. i think that it is important to know that once again san francisco was the only city in the nation with this type of ordinance to record. and the human rights commission is committed to the practices in following the legacy of insuring that all communities in san francisco diverse mosaic is treated with the same amount of dignit

i wanted to just ask -- i know the department of public health is i believe here to answer a couple questions around the psych beds. and i want to just make it clear because it was mentioned in public comment that those of us who were from the board of supervisors at the negotiation table, we certainly raised this issue of psych beds and i think would have been open to different possibilities. but obviously today we heard cpmc's answer. i just want to ask from dph's perspective they did agree with cpmc's perspective. could you tell us why this was not a priority in the discussions? because i know that's a question that a lot of members in the public have. >> thank you. collene, step difficult director of health and director garcia would be here today but she's out of town so she's asked me to be here on her behalf. and i appreciate the opportunity to speak to the psych bed issue. we really have engaged in discussions all along about expanding community-based alternatives to inpatient psychiatric care. and the development agreement does provide for a significant expansion of community-based me

i want to talk to you briefly about the cuts to the department of public health. i want to say that over the last couple of years we have seen great leadership of the department of the department health and i don't think the city for that. we have had some real innovation and thank you mr. mayor for supporting us also in some of our street outreach programs in some of the dreck services in on the both of you supervisors have seen the effects of that in your neighborhood. but once we bring these vulnerable folks into our services, we have to have a place for them to go in some of the cuts we are seeing are going to return those same folks to your streets and i asked one of my colleagues in the budget coalition to come up on this briefly with my. >> hi jennifer -- coalition of homelessness. last year the mayor and the supervisors invested wisely in trying to shore up our emergency homeless services. that's been tremendously successful at it has increased safety dramatically and we have backup numbers to talk about that. we also put in 1 million dollars in homeless pr

work with her to make sure that she remains in business in a manner that works for the department of public health so that we allow her to continue to sell tamales and ensure the public safe of every san franciscan. so, we have many options that we're talking to virginia about, and we lehman brothers making an announcement in the next few days about the best way to proceed in a manner that's consistent with her wishes. so, to her many fans and her close to 6,000 followers on twitter, we are doing everything we can to make sure that the tamale lady stays in business. since the media broke this story, our office has received hundreds, hundreds of calls and e-mails from people wanting to know how they can help the tamale lady. so, today i want to encourage people to attend an event that is taking place this friday in district 6 at the san francisco eagle, which is located at 3 98 12th street and it's an event to celebrate the tamale lady's 60th birthday. the celebration will begin at 7:00 p.m. at the san francisco eagle, and not only can you wish her a happy birthday, but you can donate a little mone

the police and the health department will go in there and close it down and see them as a bad business and with the city attorney and the health of the district attorney. >> okay. >> so, the health department cannot do anything but you can work with the law enforcement. >> correct. >> our biggest enforcement ability is to take away a permit so that they cannot operate any more. if we don't have a requirement for a permit for that establishment, we lose that enforcement ability. >> and also, what is the difference, is there a difference between the fee of the state and the city? >> in terms of the cost for... >> the license's? >> license fee for the different facilities? >> the facilities or the practitioners? >> all of them. >> is there a difference? >> we have a fee for permitting in or of the massage establishment in san francisco. and i think that it is like around $1100. >> there is no fee for exempt establishment, if there is state certified, they are all state certified. >> do they have to pay the state a fee? >> no. >> no? >> all right. , thank you. >> commissioner ortiz? >> and just some director, you know that we don't w

so with that, i have a motion to be based on the findsings of the department of health that the noise level is non-compliant and in excess of the noise ordinance. >> thank you. >> we have a motion from the president to uphold the denial of this noise variance and it's on the basis of the findings in the dph's order. on that motion, commissioner fung, aye, hurtado? aye, lazarus? aye. the vote is 5-0. the denial is upheld. >> thank you. call item no. 6. item 6: appeal no. 12-117 nicholas andrade & james mcdermott, appellanttss vs. zoning administrator, respondent 498 hoffman avenue. appealing a letter of determination dated sept. 17, 2012, addressed to allen sowle, regarding the legal dwelling unit count for the subject property. for rehearing today. public hearing held and closed on nov. 07, 2012. at that time a motion to uphold the letter of determination did not muster sufficient votes to pass and the letter of determination was upheld by operation of law. on dec. 12, 2012, the board voted 5-0 to grant the >> thank you. call item no. 6. sf 61234 >>> we'll begin with the appellant. >>