i have gotten no rest in 15 calls from the department of public health over the last week. >> and i have spoken to reyes at length about every single issue and we are in compliance with the department of public health and the department of public works. >> thank you. >> my name is deborah lane and i'm gary's wife and also an architect. i would say that measuring is not always perfect, different people get different measurements it all should be the same it is not an exact science. and the codes, specifically states that the zoning that dpw may consider, its not written as an edict and it is a big difference, most zoning code is written as shall. this is written as may consider. but it is also, we have complied with the dpw's regulations as they are written. thank you very much. >> thank you. >> any other speakers? >> hello my name is karin smith and i manage the property in san francisco that houses four restaurants that wanted to put a food truck in front of my building and we successfully were able to appeal it and deny the permit. and this is exactly what is going on. this truck wants

the department of public health has standardized the number of injuries per road mile in the district so overall district 7 has a relatively low rate of five pedestrians killed or severely injured per hundred miles of roadway annually however with the corridors the rate is 20 times higher than the district rate and the street miles account for half of the sever and fatal injuries, so that's illustrative how the corridor approach can help us focus. another thing the department has worked on is trans base and really a spatial data space and takes the data and links it to a whole host of other factors including street characteristics, population factors, and other collision conditions to conduct analysis such as the model i mentioned earlier as well as other small area analysis to understand what are the factors. for example who is living near the high injury corridors? and how can the understanding of senior populations or senior centers focus where we're are making investments? and finally the department of public health is helping to support changing city policies and practices ultima

they receive staffing from the department of public health of two positions. the human services agency of the of the 15 shelters the city takes complaints from [speaker not understood]. the city has 14 of those contracts. the department of public health has one of the contracts. so, the service providers receive funding from the city and county as well as other sources, but those are the agencies that have the contract. the shelter monitoring committee is a advisory body created by the board of supervisors to provide the board of supervisors and the mayor's office information about conditions in the shelters. >> okay. so, let me ask the question to you and the city attorney might have to opine on this. in your capacity as an advisory body, does that preclude you as an entity to fund raise on your own behalf? >> to fund raise for our -- to build the capacity of the committee or the site? >> to build the capacity within the committee. >> what has happened in the past historically when the plan of care happened, we created in 2008, the committee will -- the then r

just as context, we have, in the department of public health, a 1.67 billion dollar annual operating budget. of that budget, about $1.2 billion is revenue brought in by the department through patient revenues, grants, other funding sources, and the remainder is general fund. our current year general fund deficit is $31.2 million. this is an updated projection, as also discussed last week, compared to the controller's six month report. the major causes of the deficit for the department are several. we have a significant loss revenue. we had about $16.2 million budgeted, assuming we would get an enhanced mental health reimbursement through a program pending with the federal government for several years. that was, once again, delayed. so we have a revenue deficit in our budget. we also have weakness in our patient revenues, primarily due to the transition of seniors and persons with disabilities from a fee-for-service reimbursement model to a managed care reimbursement. the impact of that is about $19 million. and then of course at the same time we have our historical structural problem,

street scape projects and in developing pedestrian safety policies we worked with mta and department of public health on the pedestrian safety task force. so for the sidewalk inspection and repair program under city and state codes the property owner responsible for the repair and maintenance of the sidewalk fronting their property. if the property owner fails to repair the sidewalk after being notified the city will repair the sidewalk and invoice the owner for the cost. the inspection and the repair is handled by the sidewalk and repair program which was established in 2007. the program inspects all sidewalks throughout the city on a 25 year cycle. the inspection schedule is prioritized by pedestrian usage and the types much streets or elements used to prioritize include whether the street is a commercial district, sidewalks along muni routes, sidewalks within 500 feet of schools, public facilities, hospitals or senior centers and population density. this is a map specifically of sidewalk inspection and repair in district 7. you can see that we have completed inspection and repair along judah, kirk

that the department of public health supports this legislation and as you know the department of public health operates a dozen community based primary care clinics and hospitalized constitutions and we use them as a key member of the committees where they are located and strive to create a welcoming and person alien vierment and these are relatively small facilities about 15,000 square feet on average. they are constructed largely with the waiting room at the front of the facility with the exam rooms in the back. creating a buffer zone for these clinics would allow the patients and staff a greater feeling of security and emotional well-being. in fact our clinics have previously received calls aimed to intimidate and frighten our staff and worry for themself and for their clients. so we understand why this is important. >> we also understand that the ordinance does not apply to hospitals. and this makes sense to us because hospitals are very different entities. why we try to create the same welcoming and person alien vierment within the hospital, it is just a very different facility. sa

just as context, we have, in the department of public health, a 1.67 billion dollar annual operating budget. of that budget, about $1.2 billion is revenue brought in by the department through patient revenues, grants, other funding sources, and the remainder is general fund. our current year general fund deficit is $31.2 million. this is an updated

batia from the department of public health. >> i have a question. so when we have a pedestrian safety projects moving forward or formulated who is in charge? >> who is in charge of the actual -- >> who is -- which department or which position? who is actually responsible for making sure it goes forward? because i think one of the challenges that we had is that you have so many agencies involved that have legit mast goals and interest that we sometimes don't have the level of centralization that we need and one thing i have seen we like to operate by consensus and it's the best option if you can do it but there are times when you have disagreements and you have to make a decision and move forward so who ultimately is in charge? >> supervisor that is a good point. that's an on going theme of the task foshs and as we looked towards the mta and the ultimate decision with the projects and working with them and that's basically where we have to make the decision to move these projects forward. it really needs to be there. >> so if another department has an

collisions in those key intersections where we have the red light cameras and i know the department of public health always argues the reduction of speed limits saves lives and reduces collisions and i would like to know in school zones and 15 miles per hour at school times is effective if there is data from the mta in the future as well. >> in terms of the red light camera program we noticed decreases where we have used them. again there were multiple things we were doing at locations to improve them so sometimes it's combination of enforcement and engineering change. overall red light camera collisions are down significantly from where the program started so i would say we are going in the right direction and they decreased overall through enforcement and engineering and other measures. speed enforcement is again another issue that we're looking at. right now there is no state law allowing automated speed enforcement but perhaps as a city if we agree on what method we want to pursue to talk to sacramento and see what the possibilities are in terms of legislation. in terms of the 15 miles per hour

schools, contractors, state license construction licenses, department of social services, child care, senior care, department of public health as we talked about and deal with wholesale and pet food and now dealing with the new cottage food law. additional federal permits that we often advise businesses are on copyright office for protection, u.s. patent and trademark for protection, u.s. customs for imports and exports. we have a fair number of individuals that want to do importing and exporting and the u.s. commerce for resources and then in addition some additional information that we talk to businesses about is financing resources, so we have -- the city has a resolving loan fund but we also partner with the nonprofits, the micro-lender nonprofits to provide micro-loans. legal resources. we have nonprofits that provide some legal resources. technical assistance. obviously you have met some of our key partners with our economic development organizations or as we -- as the city calls them we call them our neighborhood economic development organizations. that's our internal language for entities like womens' initiative. ren

garcÍa, department of public health. 've spoken with her on a number of occasions and appreciate their intent to take care of this long-term. any members of the public that wish to comment on item 2, please step forward. >> hello. good afternoon, supervisors. is this working? my name is gus feldman with 2021, i am field representative for 1600 workers at san francisco general hospital. right now, the report's certainly feeling the crunch of the budget deficit that was discussed today. and i think it's most -- i think feeling this most vierly, in the fact that many department directors, or division directors i should say have been directed to put a halt to all future hiring, our current hiring, and that has created a situation in which workloads have become unmanageable. it's created a situation in which patient care is being jeopardized, and which both patient and staff safety is being jeopardized. in the psychiatric unit it has been reduced to 12, the graveyard is staffed by two people, one rn and one psychiatric technic

as we heard from the department of public health about three people a day are hit by cars in san francisco and as we also heard from the city's traffic engineer at mta residents in district 7 bear a disproportionate burden of the injury. more people are killed by cars in district 7 and there is more speeding and as we heard that is closely related. on slope on 19th boulevard, on ocean, on monterey we need to fix our streets to tame speeds, calm traffic and prevent more tragedies like we heard that have happened to the student and the retired teacher that was killed on westportal recently. next friday as it happens is walk to workday and i know you're participating and thank you. my understanding is that the mayor will be releasing a new plan for action on pedestrian safety, and that will target the city's most dangerous streets to cut serious and fatal injurys in half. this is a critical action to take. we call on you as the board of the transportation authority to make sure that this plan is actually funded so it just doesn't sit on the shelf but it gets implemented to start systematicall

department of public works. earlier i know she wasn't able to speak but the district attorney's office was here, mta, department of public health, and again the transportation authority. thank you for your presentations and again i thank captain lum and captain salvi and people from the planning department for being here today. we're going to do some follow up. and i also in particular want to thank the public for their comments. i actually am aware of most of what the public was speaking of. there were one or two things that i wasn't aware of and i was glad to hear about it, and in particularly although i knew it intuitively the intersection on o shansee and malta and i have gone through there and cross that street with my kids and going to the park but it wasn't on my radar and it's good to have that awareness and i mention this because when you listen to the departments again they have a good sense of what's going on and they will indicate the major intersections but what we heard today were not only issues on these main corridors, but we also have issues that sometimes get lost in some of the department reports because they

the departmental work orders that are work orders for san francisco to the department of public health and a small work order it's all primarily to verify services. so because we're in partnership we're sending the monies to 70 agencies so they can streamline the fund. to the department of public health we send the money for the health centers. and we send the funds that we have in our prevention of violence. if you add the departmental work orders you're looking at approximately $70 million we send out. and i get questions of how do we monitor those grants. we have developed a 3 prong approach to supporting our grantees. and that's to do fiscal oversight in which our grantees receive a visit from us to assess their problematic quality and we do joint monitoring around physical health. we provided capacity building. so when our program manager so out in the field and they identify some weaknessesness we bring in a program crouch so increase the quality of their program. we have several workshops we send our agencies to attend some are administered by controllers officer. and 15 we do d

there is a lot of opportunities to be educated about this and we at the department of public health try to do a great deal of prevention to be sure that everyone knows about the law. why is the city actively enforces? there is reasons related to health and addiction, and the stores that break the law and sell to youth are making the profit at the advantage of the law abiding stores and the advantage of of our young people in the community and they are creating an unfair business environment, the ten or 15 or 20 percent of the retailers who do choose to break the law and sell to minors, they are receiving all of the business of minors and young people who are seeking tobacco know exactly which stores to go to, so surveys of san francisco unified school district students showed that 58 percent of 11th graders said that it is very easy to access tobacco, that it is easy to access tobacco, i will not include the very word. so there is a responsibility, as a said the tobacco sales are a privilege that are offered to people and retailers and the city of san francisco according to this ordinan

want to talk about health care and one of the things that is a really critical part of this agreement is there is a health innovation fund of 900-0000, working with the department of public health. included in that will be addressing the specific needs of the communities and neighborhoods that surrounds saint luke's with a focus on mental health which is a big priority for us. i'm very proud of that piece. and then, something that is also very crucial is the issue of housing and the affordability of housing is one of the issues we face as a city because it determines who gets to live in san francisco and i'm proud that this deal not only maintains the level of affordable housing that it actually increases it from $29 million to $36.5 million that you should be very proud of. i want to thank everyone who made this happen. i look forward to engage with me colleagues, to make sure they why this is such a good deal and to verify the terms of this agreement and i'm very proud to be part of this group today. i will turn it over to lou gerardo. >> thank you, david. the next speaker is supervisor david chu. david is an amazing strategist, a very good leader, a man who has a lot

just an overview first we will have the department of public health present. st three years of the collision data and the dangerous intersections so we understand the problem. then we will have sfpd talk about the enforcement plan and also we need to change behavior. part of that happens through the enforcement with sfpd. next we have sf mta to talk about the intersections that we are prioritizing the timeline. how they have been working with the data in order to identify the streets and the intersections we are going to look at, and we also have department of public works here to talk about the intersection improvements and last we have staff from sfmta and capital planning how we fund the efforts that we have put together, so i know i said dph first but first we want an overview of the pedestrian strategies, so from the task force we have tim popdrio who you will present the overview. >> other opening comments from other supervisors. >> i'm sorry. >> supervisor kim anything else? >> no. >> president chiu. >>i would like to make a couple of comments and thank