we do have a certificate for dph. the important point to keep in mind, the permit that is before you is dph the -- is not the dph restroom permit. president goh: that's understood. and you have those for each of those locations? >> yes. commissioner garcia: we have seen the one for the next case, can you furnished the one for this case? >> we don't have the restroom form, and before they would operate, they would be required to have that forms signed atdph. -- at dph. so this is the global food facility permit issued by the department of public health. there is a separate document that supports this, that we don't have to provide to you today. >> we can hear from the department now. >> of the department has submitted a brief to you earlier. i don't want, necessarily, to go back and repeat those items. there is testimony that the department would be to respond to. one of the appellants question to the environmental review as it relates. we had checked with the planning department, have the environmental review officer

we do have a certificate for dph. the important point to keep in mind, the permit that is before you is dph the -- is not the dph restroom permit. president goh: that's understood. and you have those for each of those locations? >> yes. commissioner garcia: we have seen the one for the next case, can you furnished the one for this case?

i do not know who inputs dph, i do not know that they have direct access. the second phase of the process -- project is to move forward and start looking at the other things that the other departments want to do. dpw may want, and they have expressed the enthusiasm to look at all sorts of processes to see how they fit in to and they can use the features of the permit tracking system. using the system for business taxes. the board of appeals wants to use the system. initially, we need to look at what we are currently doing well and who is currently using it. and then we have every intention, having expressed in this to the board of supervisors and the mayor's office, working with other departments to get them to maximize their use of the features that they are not using right now. >> it would help, i think, because the board and the mayor's office have prioritized helping small businesses. the department of health is involved. it makes sense to be able to coordinate all of this to give better service to the end user. i also understand that it is a later step

it memorialized agreements reached between dph and cpmc on those. it set specific goals for each of the eight recommendations, most of which were tied to the building of the two hospitals. however, also included were immediate five-year targets for charity care and medical. the health commission has been monitoring the progress towards meeting these targets. in 2010, cpmc exceeded its targets two years early, and they specifically agreed to increase charity care from 5.3 million in 2007 to 9.5 million in 2012, and in 2010, they provided 16.6 million in charity care. cpmc had agreed to an increase, including uncompensated care, to 65 million in 2012. in 2010, they provided 75.9 million in uncompensated care to the beneficiaries. the three resolutions passed by the health commission and the work of the blue-ribbon panel at st. luke's provided this for the priorities of the project, the long-term viability of st. luke's, to maintain st. luke's as an essential and vital part of the san francisco safety net health-care system and to ensure that medical r

. -- at dph. so this is the global food facility permit issued by the department of public health. there is a separate document that supports this, that we don't have to provide to you today. >> we can hear from the department now. >> of the department has submitted a brief to you earlier. i don't want, necessarily, to go back and repeat those items. there is testimony that the department would be to respond to. one of the appellants question to the environmental review as it relates. we had checked with the planning department, have the environmental review officer stated that each permit in this specific case does not require ceqa review. the program itself went through that during the legislative process. there were questions by the various appellants specifically as it relates to the battle. the issue as it relates to a parking, let's talk about the bathroom tissue. the bathroom requirement is a requirement by the department of health through the california health and safety code section of the law. the bathroom needs to be within 200 feet of a mobile food facility. it is helpf

they say that dph will regulate that. you cannot keep approving permits in the hopes that some other -- what kind of enforcement is that? does that require the appellant to go to every agency and say to them, they do not have these permits. they cannot park there. how is that going to be working? that should not have to happen. there are others who will speak about the economic impacts about these things. in one of the points i want to make is that we are not against food trucks. these businesses can locate and have submitted permits for other locations in san francisco. that is fine. the financial district does not need new vitality of food trucks down there. my office is in the financial district. i am walking down the streets and we do not need additional activity there. i want to point out -- i am here opposing beals street and california street, those two locations. beale street, besides the violations that exist, just a pragmatic look at the existing conditions, you will see reported four construction activities on

okubo from dph. phil arnold. if you could come up to address the committee on behalf of your departments. >> phil arnold, a deputy director for finance and administration for the human services agency. we have some issues -- five issues -- with the custodial section of this revised ordinance. the first issue we have is the deletion of the section that applies to contractors to provide training to disabled persons. we have a contract with the arc of san francisco, which does provide some custodial and recycling services to our agency. it employs approximately five developmentally-disabled persons. we pay the contractor a flat rate. i do not think -- i do not know -- but i do not think a flat rate is the prevailing wage. it also includes supervision and administration of the contract. that is one of our issues. supervisor wiener: the minimum wage in san francisco is now -- is about to go to $10.25, if i'm not mistaken. it will be 10 and a quarter in january. my understanding that the prevailing wage for janitorial

with dph, the nursing supervisors get a 7% differential instead of having 24-hour responsibility for their units. these are clinical units. a lot of nurse managers and nursing supervisors are assigned to this, more than we thought was necessary. at san francisco general, the nurse receiving 7% pay, the supervisor was receiving it, there was a pyramid on the way down that was cascading -- we thought it was more than necessary. the other concern, people were receiving the 7% differential for managing outpatient unit and things that are not 24-hour operations. it was an alternative that would be getting the extended-hour pay instead, but everybody was getting the higher pay. it is an extensive form of pay.a acting assignments, pretty straightforward. if they need to fill it, they will pay the 5% differential. we did not see many issues here other than when there were long- term assignments. employees could be under- compensated and the salaries of the position they were filling could be much higher than they were actually being paid for. the city was getting salary savings but the worke

the dpw and dph has admitted they do not have the power to regulate the food trucks ordinance. they do not have the manpower for it. everybody is cutting jobs in this ecoc

the dpw and dph has admitted they do not have the power to regulate the food trucks ordinance. they do not have the manpower for it. everybody is cutting jobs in this economic time. bless the dpw for taking on this horrendous issue. no one else has stated that the old ordinance covered by the police department -- the permits were $10,000 per year. under the new ordinance, and they are $500 per year. a big difference. maybe that is why there were no food trucks operating prior to this amended ordinance. there are grandfathered food truck set a $500 -- rather, $10,000 under the police department. the new ones, it is pretty cheap. the dpw nor jeremy paul addressed the fact that the truck would be part of the wrong way. he also said that chipotle is opening another restaurant. they are owned by mcdonald's. deep pockets. these are not mom and pop restaurant. there are owned by mcdonald's and can afford the competition. he also mentioned that there are food trucks at city hall. city hall is not the financial district. when you open a restaurant, whether it is a restaurant or a office

also impacting the dph input on this was the passage of federal health reform, which represents a major shift in the future of health care in the united states. before i describe the health- care provisions of the development agreement, i thought it might be useful to review the relevant changes in policy stemming from health reform that also informed these discussions. as you are well aware, health reform was enacted in march 2010. health reform takes a multi pronged approach to increasing the number of people will have access to health insurance. specifically, there is the individual mandate, which requires all u.s. citizens and legal residents with a few exceptions to have health insurance. health reform helps individuals comply with this mandate in a number of ways. for the lowest income individuals, it increases eligibility for medicaid, which goes by another name in california. for those with slightly higher incomes that are still considered low-income, it provides subsidies to help cover the cost of health insurance. it creates health insurance exchanges, which are online marketp

it memorialized agreements reached between dph and cpmc on those. it set specific goals for each