compliant, and when i say that, i say that with the confidence that multiple times the department of public health had conducted inspections at the premises since its inception. the department of public health inspectors include pedestrian employee larry kessle, doug obona and san francisco former employee ryan klsaowi stshgs d who inspected the premises and each time noted the open, acceptable use of vaporizing at the premises. if you could open up the projector please. >> overhead please. >> i am going to go through the chronology of this. and what i want to emphasize is that bloom room has maintained what we consider to be an outstanding relationship with the city. we very much appreciate the opportunity to conduct the type of services we do conduct. and we are a bit puzzled by the incongruity between two different departments. so if you look here on the inspection program with the city, you will see at the top right-hand corner it notes vaporizing. says onsite vaporizing will take place in the designated area. facility clean and vermin free and signed by the inspector. that is the may 2018 ins

we did a summit with the department of public health and the department of homelessness and supportive housing under the leadership of roland and carie and together built this vision and designed the process that i'm going to walk you through today. for the inter-agency prioritization method, essentially, if you are familiar with the coordinated entry assessment tool, it was a tool that was designed by the homeless department last year. 17 questions. you sit down with a person for 20 minutes, ask the questions, you enter it in and it ranks them in terms of vulnerability. so we have endorsed that tool by the -- the department of public health endorsed it because we looked at the historical data and looked at who they're assessing and prioritizing, and there was a proof of concept. we endorsed and adopted that tool as a way of prioritizing folks. we have added to it that individuals experiencing the psychosis and co-occurring substance use, it's a way of ranking those folks. i'm going to talk a little bit about that. so there are a lot of numbers here. again, 17,000 unique people who hav

of the public health services. then at the next meeting we will have a presentation which will be an overall of behavioural health programs in the departmentin addition, i would like to on behalf of the commission, welcome commissioner suzanne gerardo. she has been the chair of the san francisco families first five commission and the founder and trustee of the demerlac academy which is serving underserved children and families. you certainly bring a lot of credentials to the commission, and we're very happy to have you. would you like to say a few words? >> yes. i'm very happy to be here, and i hope with my background in mental health, behavioural health, as a practising psychologist, i'm not just an administrator, i see families and adolescents daily. i look forward to being part of the planning, program, and solutions as the department of public health moves forward. so i welcome the opportunity to serve the city. thank you. >> thank you. welcome, commissioner. >> the second item on the agenda is the approval of the october 1, 2019, minutes. >> okay. after having a chance to review, do we have a motion to approve? >> so moved. >> second.

directs the department of public health to open beds. directs the department of human resources to take over management of the arf and provide some professional management and staff hires to get this facility up and running and serving the people dying in jails and on the streets every day. i implore you to act with the urgency the workers have and i somewhere on the board of supervisors that most of my colleagues that is lacking the vision and leadership to take care of the crisis on the street. join us and act with that level of urgency. it is morality and an issue of life and death. thank you. (applause). >> before the department responds to the repor. >> reporter: we will have -- from the speaker, would you add here to the timer it would be helpful to folks behind you and gives us an opportunity to hear from everybody who wants to speak. i thank you in advance a apologize for anybody's name i ruin. i will start with first five. patrish an shaallen, -- patricia, jennifer, doctor palmer, janette cooling, i believe. i can't read the writ

i remind you that this is the same department of public-health that rose to the challenge of combating epidemic in the 1980s and was the world leader developing new data-driven public-health programs that gave people hope. the department and the city came together to help san franciscos who needed our help the most. today, we are so very close to getting to zero, a milestone that seems unachievable decades ago. our mental health cry six i want to make sure that i understand and share the frustration and with public-health, i am committed to getting every person in crisis off the streets and into treatment. i know that part of that will help with our legislation that supervisor mandelman led on we just had signed into law by our governor. the department of public-health already serves over 30,000 people through our behavioral health system. 30,000 people. these people are on medical and uninsured and some people have healthy sf with the department of public-health works everyday, to provide quality care for the residents we can know we can do better. that's why i hired a district offer

grant colfax, who is the director of the department of public health, as well as dr. anton nagusablan who is the director of mental health reform. daniel leary, the c.e.o. and founder of tipping point community, and matthew state, the chair of u.c.f. department of psychiatry here in san francisco. i'm excited because these are incredible leaders in our community who are going to help us with some really challenging problems that we know we face as a city. last week we launched the mental health reform initiative to help those at the intersection of homeless, mental illness, and substance abuse disorder in san francisco. and through our detailed analyst, dr. nagusablan and the department of public health have identified the people in our city who are most vulnerable and in need of help. now, to be clear, we see it. but now we have clear and accurate data. of those 4,000 individuals, 41% frequently use urgent and emergency psychiatric services. 95% of those folks suffer from alcohol use disorder. 35% are african-americans, despite the fact that we have a less than 6% pop

we have members from the department of public health today to present. we have patrick, the assistant director, and mary from the department. they are both principal environmental health inspectors. thank you. >> good afternoon, commissioners. i am the assistant director of the environmental health branch at the department of public health. last time we were here you may recall, we came to talk about proposed amendments to article eight of the health code which would require us to move from a score based system to a placard system. after discussing that with you all, everyone agreed that it was going to be a win-win situation for both the department and the business community here in san francisco. since then, and the reason we are back today, we propose additional cleanup language to the ordinance in addition to what would be required to move to a placating system. the cleanup language mostly creates a handful of new categories for food establishments. san francisco is an innovative city. we are counseling trying new things. because of this, it is becomi

department of health and human services. joining hhs, roger was my colleague here at heritage where he served as the director of the center for religious society. prior to joining heritage, roger served for rent -- several years of the office of civil rights division where he litigated cases involving the fair housing act, the religious land use and institutionalized persons act, and titles two and six of the civil rights act of 1964. he also previously served as chief operating officer and legal counsel for the becket fund for religious liberty. roger also received a degree from harvard, a masters in public policy from carnegie mellon emma and his bachelor degree from usc. the floor is yours. eric: thank you john. primarily byin talking about the department of justice's work on religious liberty since 2017. the attorney general william barr has emphasized that religious freedom is our first freedom. it is the first freedom mentioned in the bill of rights. the department's efforts with respect to religious freedom really bega

right now i have the department of public health, patrick fosto, assistant director of environmental branch, terrence hong, and mary fronski from the department, principal environmental health inspector. thank you. >> good morning, members, my name is patrick foson, the assistant director of the environmental health branch. we spent a lot of time working with supervisor peskin's office, and organizations like the golden gate restaurant associations, to craft some changes, as was mentioned, primarily to the way food establishments are scored here in san francisco. we presented before the small business commission, and they applauded the amendments and acknowledged the health department's responsiveness to community feedbacks. we believe the proposed changes represent a win/win scenario for both restaurant owners and the health of the people here in san francisco. with that, i'd like to introduce to you terrence hong, who is one of our food district managers, he will give you a brief overview of the changes that we're proposing. >> good morning, committee members. ni nammy name is terre

just to emphasize with regard to vaping, the california department of public health urges everyone toefrain from vaping given the current status of vaping risk. since june of 2019 the california department has received reports of 90 people in california who were hospitalized for severe breathing problems and lung damage. san francisco does not have any suspect cases we will be diligent in that regard. nationally the epidemic associated with pulmonary injury grew 52% compared to the prior week. there are 805 from 46 states with 12 deaths reported. we continue to be vigilant on both the regulatory and the policy fronts. with regard to the recent heat wave on september 24 and 25, the national weather service issued a heat advisory in san francisco with temperatures in the 80s and 90s. they worked together with the department of emergency management and joint information center for city agencies to coordinate efforts and share messages to stay cool, hydrated and connected. city officials remind the people about the importance of window, water and pet safety. i think as we see the effects

of massage businesses moved from s.f. police department over to the department of public health. this was pretty significant for a number of reasons, but most importantly it legitimatized massage as a health service and established the linkage between massage therapy and healthcare and the department of public health would now be overseeing administration of regulations related to massage. it had been regulated through the police code prior to that because it was considered to be an adult service by city regulators. in 2006, a fairly comprehensive overhaul of land use regulations relating to massage was implemented and mandated, and it required that massage establishments be subject to conditional use authorizations in most commercial districts. this was responses to challenges that emerged to you to variations in businesses and land use across the city, which led to an overconcentration of massage businesses, both legitimate and illegitimate in certain areas of the city. most significantly in 2008 a state law passed which set the stage for how we see massage regulated as it is to

and that is why, along with the department of department health, we announced a comprehensive plan for those who are most in need of mental healthcare and substance use treatment entitled "urgent care s.f.." with this, we include building a new system of care coordination, outreach, and lower barrier services, and harm reduction designed to meet the specific needs of the 4,000 people who we know our dual diagnosed. several of the meth task force recommendations are prioritized and urgent care s.f. in february this year, we combined this task force under the leadership of supervisor mandelman with three goals in mind. to decrease health risks for people under the influence of meth, to identify best practices for treatment and service options, and to reduce the negative medical and social impacts of matthews for all san franciscans. over the past six months, the task force has met to understand the specific challenges that meth presents for our city and to develop recommendations that would help address this issue. and the report issued today details the findings as well as 17 recommenda

the department of health in the opening hearings of this inquiry said there's been out best lack of come into worse to cover up yet they still will not accept their legal liability. american basketball faces a backlash from one of its biggest audience is on sources of cash there's anger in china over a tweet in support of protesters in hong kong plus. we'll see if i could all reals in violent clashes over cuts to fuel subsidies a correspondent from a spanish channel is caught in the middle of protests. very warm welcome to you know watching r.t. international with me. now developing story. rollout warning turkey against a military operation in northeastern syria calling for ankara to respect syria's sovereignty to rather joins a chorus of concern voices which also includes european officials so he has reportedly already conducted and artillery strikes in northeastern syria according to local media it comes hours after washington announced it was pulling its troops out of the area and has also been deploying military hardware along its border with syria on monday video emerged apparently

of health and environment and doctor monica rl, the commissioner of the massachusetts department of public health. i want to thankf all of you for appearing before the committee today. you know aware that the committee is holding an investigative hearing and we do so, have a practice the taking of testimony on oath. you have any any objections to testifying on oath today? >> no. let that reflect that the witnesses have responded no. on the rules of the house, and the rules of the committee, entitled to be accompanied by counsel. through do any of you request to be accompanied by counsel today. now let the record reflect that the witnesses have stated no. if you would then, please rise and raise your right hand so you may be sworn in. >> do you swear the testimony you are about to give is the truth the whole truth and nothing but the truth? let the record reflect the witnesses responded in the affirmative and you are already seated. you are now on oath and the penalty set for the top title i of the united states code. the chair will now recognize our witnesses for five minutes. fo

the department of public health provide 17 on an ongoing basis and those are a mix of health professionals, registered nurses , licensed vocational nurses, health clinicians, behavioral health specialists and others. the department of public health staffing has been the same for the last few years. the share of's staffing has gone up by 1.95 positions over the last four years. there's other staffing costs, but they are in the form of contract services for psychiatric costs, which amounted to hundred $41,000 -- which amount to $141,000. it does not translate into a number of f.t.e. and now there are maintenance staff from the real estate division who provide services at the jail, but aren't quantified as positions with a full-time position. the share of's department compiles an average daily jail rate which is required by the state. they submit that to the state every year. it is used in some cases for billing other entities that may have people in the jail, in the last ones submitted for fiscal year 2017 and 2018 is $250.11 per day per incarcerated individual. you can see the total jail co

i would invite you to present documentation to the department of health who has asked and mandated this board to update the report of 2010 to current and we provide them copious data that we have collected from good members of the community to help in that matter. thank you very much. >> thank you. i did reach out to the man who measures it and we will recommend they get the proper probe. i also submitted calls. >> is there anyone else here for general public comment? okay. we will move on to item number two, commissioner comments and questions. >> commissioners, any? thank you. >> okay. we will move onto item number three, the adoption of the minutes. before you is a discussion of the adoption of the minutes of the september 18th, 2019 board meeting. >> i move. motion. >> is there any public comment on that motion to adopt the minutes? we have a motion from commissioner honda to adopt december 18th minutes. that motion... [roll call] that motion carries 3-0. we are now moving on to item number four. this is a rehearing request for appeal number 19-070 subject property at 2620 lid do --

we in the department of public health have also created alliances with our nonprofit agencies and some of our key workers, such as our in-home supportive services workers. we will continue to move ahead as rapidly as we can. we're practicing october 9 for an emergency volunteer practice for how to respond to this empower database, where we'll create a scenario and move ahead. in emergency work, it always feels like whatever we're doing, it's not enough. we appreciate your time today to share this. we are very open to hearing from any agency that is interested in helping any one of the many constituents. we want to get feedback how we can practice and improve. we want to include people from communities as we develop these protocols and make sure they're appropriate. so if you have any questions, i would be happy to hear them. >> mr. herman: one follow-up. are there any facilities now available to which you would take individuals who are identified at the high-risk level? >> so this is a question about what is our response plan for sheltering in an emergency? >> mr. herman: correct. >> t

agenda item two is a resolution urging the department of public health to rescind. item three is submitting the health code to require 55 bed residential facility. four is ordinance to require department of public health to maintain and operate at full capacity 55 bed facility as soon as possible but not later than july 1, 2021. before that 41 of the 55 beds may be used as emergency shelter for people experiencing homelessness. >> i would like to turn it to supervisor ronen for remarks. >> thank you. good morning i am happy to be here to announce that we have reached a resolution to this crisis that was before us. after months of disagreement on the issue, this past friday afternoon my office, together with worker leaders from the adult residential facility, local 21 and the representatives, dph leaders and mayor's office and supervisor haney's office worked out an agreement related to the future of the adult residential facility. i am happy to report this will protect is health and stability of the 32 residents who live at the adult residential facility. it is the o

according to the california department of public health 20 potential cases of acute lung disease among people who recently vaping and in august the california department of health reported a cluster of at least seven kids in king county california all admitted to hospitals with symptoms of lung disease asand all seven were linked to thc vape is. lab tests conducted by a third-party testing company common contaminants in counterfeit vape is including pesticides, fungicides that when vaporized converts into a substance heused as a chemical weapon by the french during the first war. world war i. in addition the ongoing work we need a full investigation into counterfeit thc cartridges madam chair as well as the vaping black-market that needs to be part of this investigation so that the whole set of facts tito ensure we get it right while we move forward on policy solutions. i appreciate the witnesses are going to testify today and others who have weighed in and back on the comments of the top republican on the subcommittee esther guthrie, unfortunately we have two very important subcommitt