there have been peer reviews of the process implemented by dph. it has been concluded time and again that the shipyard does not pose a risk to human health or the environment. as recently as last year, the epa concluded that dph were utilizing best practices. there was no risk to the community on the site. opponents have been using false claims about the scientific realities of the site to intimidate decision-makers in the community in an effort to stop the economic revitalization of bayview-hunters point. the regulation is never perfect, but we must have multiple, independent regulatory agencies. supervisor campos: thank you, sir. let me read a few more names. [reading names] good afternoon. >> it is clear in every area that we have people that are battling ethical issues. supervisor campos: speaking to the -- >> somebody was a bustedtweetib -- busted tweeting, emailing. she needed judgments based on evidence. she was dismissed. she told us plainly that she did not have to prove with scientific facts or presidents -- precedents. she said she did

once again, and dph is looking to increase security at hospitals. i do not want my patients arrested. i want them to get healthy. lacks necessary training. well, the current sheriff's deputies that we have lacked training. we need people, security, who are trained to be empathetic to the people that we have and the types of patients we represent. help us help them get better. thank you. supervisor chu: thank you. >> good afternoon. my name is stephanie. i go to george washington high school. i am a senior. i am here as a youth representing the richmond district neighborhood centers, which will be affected by cuts. i am here with my gsa members. i am the president of the alliance there. when we heard about these cuts that would affect the beacon, we were horrified. most, if not all the multicultural program there are sponsored by the beacon. so the cuts we would get from the budget would pretty much be the end of the multicultural programs. there are large schools in the richmond district that have beaten programs. there are literally thousands of st

the dph has been knocking itself out trying to convince you that you should contract out the services. -- visitors and public in san francisco that use the services. we would agree with them and others who have pointed out that this is a defective system that needs to be fixed. for example, the management costs of the current system -- over 28%. we think that is excessive. furthermore, there are definitely excessive overtime costs when we have sheriff deputies filling the jobs of people and being paid time and half. this is a problem that needs to be fixed. there are many things that can be done to make the current system more efficient and more effective. the dph has advanced the argument that says private securities somehow can do more and can do better than the public security can. we think that is flat out wrong. we have consulted with attorneys on their argument that they could do things that the public cannot do. in fact, a patient has rights. the public has rights when they are in the hospital and around the hospital, and those rights do not change, whether or not they are bein

one of the recent things i wanted to discuss was barbara garcia and on the dph website, she says as she stated to the staff that there would be a specialized security force to replace the i.p. she made the point that they were going to be unique and different. i do not know how they can be more unique or different than the institutional police. private security will not provide the same type of experience. the company had believe she is referring to, they work at highland hospital right now. the only specialty they have is they probably work at more hospitals, but that does not necessarily mean they have more experience. bair just -- they are just fortunate. in santa clara valley medical center, they recently contracted with the sheriff filled apartment because the one of law enforcement tool -- law- enforcement to augment security their. their understanding was come but they realize that they constantly have security needs and one staff needs help, they have to call the sheriff's department or the police department anyway. also as san francisco general hospital, there is a methadone cl

dph needs to either keep the sheriff's department or back to what we had before, institutional police, which i want to add that institutional police officers provide the cheapest law enforcement services in san francisco. we are cheaper than sfpd. we are cheaper than the sheriff's deputies. i'm not sure, but i'm sure we make less than -- [bell rings] thank you. supervisor chu: thank you. >> good afternoon, supervisors. i have been a psychiatric technician at the hospital now for almost 10 years. when i heard about this, i really gave it some thought. just looking back over 10 years, i cannot tell you how many times i have been in the cross with some very violent people. every time without fail, the ip has been there. what they are talking about doing, getting a new contract with the securities company -- i have seen that before in other hospitals. the level of training that i have seen, the turnover rate -- yes, the lack of people skills -- all these things that make such a difference when you get to working with psychiatric patients -- is incredible. i am here to support the ip. i th

dph also found out a hand washing

dph also found out a hand washing st. in the restroom for employees was not in operation. they failed to provide a record for each customer, and they failed to implement the equipment for cleaning and disinfecting and piercing equipment. they were also operating at a tattoo establishment without current license and failed to pay the license fees. you have to pay your current year license fees. we also received a complaint that they had tattooed a minor in the establishment in december of 2010, that the licensed tattooist testified that he tattoos miners during the hearing. the grandmother of a minor confirm that her granddaughter who is 14 years old was tattooed in december of 2010. in the same hearing, they discontinued tattoo and body piercing

i think there is someone from dph here as well. i was going to ask about the multi-phase out allocation. $321,000 savings from the park presidio -- 19th avenue signal upgrade. what is the total cost of this project, including other departments? commissioner mirkarimi: to direct skirt -- director mosque in which moscovich. >> the answer to your question is on page 37. the total cost is $361,000. this does not include outreach or enforcement. this is just the physical work, getting ready for it. commissioner mar: are there other expenditures included beyond that $361,000? >> that is essentially what we have. planning is part of that.

it would also increase overall costs to dph. during the last year that i had been working with the 64-year- old woman with a consequent health issues and medical issues, i have seen her stabilized significantly from working with her to prevent the use of emergency services. the situation becks the question, what would happen to this woman if she did not have the services that we're providing to her now? the emergency services would have been involved and have cost her more money. my final question is that what does this make a program that is serving the most vulnerable members of our community? thank you. >> thank you, next speaker. >> good afternoon, supervisors. i would like to thank you for your efforts to minimize the health care cuts to preserve existing services. the health care system we have functions as well as it can but it is held together with super glue. we do not nearly know for certain that it would survive the impact of tax cuts that have had their own earthquake-like effect let alone the future cuts. i have hea

a minimum, it is at a good place, so i support so far what i am hearing from the mayor's office and dph as it relates to some of those requests. commissioner antonini? commissioner antonini: thank you. i think the short answer might be if we did not grant conditional use and required cal pacific to build the required three-one housing, as is part of the van ness plan, i think it should not be applied to institutions. as i said earlier, there would be no project. comparatively, stanford is providing the city of palo alto with $6.9 million of housing. again, you cannot always compare things, but just to give the perspective, these are hospitals, they're not in the housing business. yes, they should absolutely replace the housing have displaced and take care of the individuals, but as far as the other is concerned, i think they should do something, but not like the asking. we used to be the city that knows how. remember as a youngster my father and mother coming from the livermore valley to seek medical care in san francisco because the hospitals were better here, the specialists were here

it is a state issued id and there is no city or state law demanding dph to educate or anybody what to provide such changes on state issued licenses to any of the retailers. i have a document obtained this afternoon as i was about to come here that shows the sign i was talking about. it says -- it is a document that we send out, the tobacco for a project sends out every year advising permit holders on how to comply. that is the english version. that is the arabic version. this is the chinese version. and this is the spanish version. i was happy they also sent out the new california id. i think we have done everything within our power and i respectfully ask the board denied the rehearing and uphold the previous suspension time. thank you. >> thank you. >> is there any public comment on this item? >> would you swear her in before she testifies? >> she chose not to stand and be sworn in. >> to you solemnly swear or affirm that the testimony will -- will give will be the truth and nothing but the whole truth? thank you. >> i want to confirm that you are not a paid adviser. >> that is corre

i am here to speak on behalf of the dph budget regarding the security issue. contrary to some comments you may be hearing today, this is not fundamentally a union issue. this is a patient care and safety issue. with all due respect to our law enforcement officers -- and i would not despaired of those folks in any regard -- we simply do not have the employees with the training, skills, and most notably, the legal flexibility to manage medical crises in the hospital. this is a health care issue,

it looks like a managed retreat from dph. i know there have been proposals put out there. i don't know how well those proposals have been vetted. the impression i have been given is that because there had been a decision to move forward on the decision on contracting out, that stops short of looking at anything else. >> i believe the controllers office should respond to that. >> yes, we have spent a fair amount of time reviewing the different proposals brought forward and comparing them to the proposal in the budget before you. we continue to refine his numbers, but generally speaking, in that ip only model, on an annual basis, we would expect it would reduce the cost versus the current model by somewhere between $600,000 and $900,000 annually. for half a year, that would yield about $300,000 in savings versus the current model. offsetting that in the first year would be significant implementation costs but we have to model during the coming year -- modeling employees before the effective stop -- the of -- potentially there would be some savings in years beyond. i should s

i want to address some of the comments the dph management made yesterday, specifically when they talk about restraint, dealing with patients. i think they use the example of restraining patients with dementia that are being difficult. i want to make clear that whether or not it is public security or private security, the city as a whole is responsible if someone violates the civil rights of patients. the idea that private security is upfolded to different laws is ridiculous and is frankly untrue. both general hospital and laguna honda -- they are both government agencies, and they will both be liable. there is actually a great example, which is shortly after alameda county to a private security in 2004 -- there was a doctor that was murdered. this is with the private security when they first got there. the family sued, and they sued the city, and they won against the city. in 2007, the contract to begin to the private security company, which is supposedly the model they are using. in private security, the average turnover rate is between 100% and 300%. if there's a situation -- and th

anyone from dph? just a brief summary on the item. >> thank you, good morning. in the executive project manager at san francisco facilities, and we are trying to complete one of the last pieces of seismic upgrades to the hospital through this grant acceptance. it will raise equipment inside the service building as well as utilities running from the facility to the existing hospital. supervisor avalos: ok. you have already started work on this. is that correct? looks like february 15 was the start date, or is that when the grant was approved? >> that is when the grant was approved. we have not yet started -- supervisor avalos: because you have not received it yet. >> we have not yet received your approval. >> i did not actually see a retroactively accept and expend, so i was wondering about that. very good. thank you. we want to make sure the project is going to be successful and move forward. i expect that we will be approving it, but first, we will have public comment. we can open this item up for public comment period and a member of the public who would like

there have been peer reviews of the process implemented by dph. it has been concluded time and again that the shipyard does not pose a risk to human health or the environment. as recently as

you are saying the cost factor was the primary motivator, but i also heard last week, dph was saying there would be non- monetary advantages, which you just described for security. >> as i explored this issue with the leadership of san francisco general, i was surprised they were concerned about the role of the sheriff and what they thought about the contract. this has been a development process of trying to go to a contractor. those issues have been discussed over the last six months. we discussed the opportunity of a private contractor and they felt that would solve some of the other issues that had been going on. supervisor wiener: for me and for others, the cost issue is important as we try to save critical safety net functions. i also want to make sure that the employees at san francisco general and visitors are safe. no. 2, the hospital is able to manage itself in a broadway -- in a broad way as effectively as possible. what i'm hearing is there are operational advantages to having private security. but also hearing in some of the high-risk areas of the hospital like the emerge