the documentation in front of you, the revision that dph so graciously did. by implementing this legislation, and by dph enacting this revision of the rules and regulations, we are at the forefront of the fight on bed bugs, which is appropriate. since we are also america's no. 1 tourist city. we never want this place to be known as a bed bug haven. so by doing the work that you are doing, you are going to combat that. i would say this is one of the best things that can you do for the city. thank you. >> thank you, mr. ray and thank you for all of your work on this. any other public speakers on this item? please do line up. >> good afternoon, supervisors. i'm sahara shourd the director of the housing rights committee and we're members of bed bug working group. i wanted to applaud your effort, supervisor kim it was a community-based project that included tenant rights groups and property owners, the department of public health and so as a model of how legislation can be created, i think it was a great process. we at housing rights committee as you heard richard

and if ever exceeded there will be additional review by the dph commission? >> what i'm hearing from the budget analyst is that their audit recommend istion a 10% contingency. the public health commission itself has not acted to change its own policies or contingency policies to a 10% from a 12% level yet. but that the department plans to go back and review that policy with the health commission. and, so, what i would think is probably a better thing to do is allow for the same kind of language so that if the department actually exceeds what the health policies or the health commission's policy is on contingency, then they have to go back for approval. if the health department or the health commission policy should change to 10 considertion, then it should be at 10% level. so, i want to make sure we allow for the health commission to exercise sort of their jurisdiction over the health department's policy on contingency before we sort of say a different level. >> madam chair and supervisor avalos, we concur with what the chair just stated. that seems reasonabl

>> i'm expecting it to come back with another version. >> who --. >> dph is taking the lead with some input from planning on putting this together and there is a city attorney that's working with them on it. >> and it's just an amendment to the code? >> it's an amendment to this existing legislation that's referred to as the ma-her toxickity legislation. it's an ordinance that was started when bill maher was still a commissioner years ago. >> item 8c, update on permit tracking system. >> (inaudible) project director dbi the first project is the public portal. we've been closely working with the vendor and planning designing requirements. the vendor has been configuring as we define the requirements then we've been reviewing with staff, people that work the counters, people among the -- we're getting a lot of input on that. it's looking very good. the next step is we're forming a citizen access committee. we've already met the building and planning commission around plans for that. dbi and planning are in the process of nominating the members of that committee and we're expecting it to

could affect how quickly we can release building permits because those would have to be certified by dph because we can issue the building permit. i don't expect that to move through the legislature until january or february. but with that, that's about it. state wise, nothing is going on. as you know the state legislature is in recess and will be until january. >> sorry, bill. commissioner lee has a question. >> the shared housing ordinance, will that come before the code advisory committee before it becomes --. >> i am assuming, yes, it will go to cac for review once we actually have the legislation. right now we don't have the legislation. >> my other concern there, bill, is this, you know, the drilling. have you read the legislation in detail? >> on shared housing? on the toxic -- yeah, i've had a look at the current draft. it doesn't look too onerous at this point. it does rely on dph and planning updating the existing kind of ma-her hot spots and a lot of it i think is going to be more affecting dph and puc, which may have infrastructure projects going on in different parts of the

. >> dph. we have been working with this agency, the executive director of api and also the mta, to figure out what's the best way to move the scope of this project further either integrating it into mt's existing old program curriculum and outreach, or whether there needs to be a stand alone project. we're also in communication with dph on this issue. we're trying to figure out what's the best way to move this project forward. >> okay, good, i'm glad to hear [speaker not understood]. i'm under the impression apri has reached out to dpw to work as co-sponsors on this particular project. so, my next question is in terms of the timeline, when will apri or dpw have to make a decision and approve their new project proposal to you? >> it would need to be as soon as possible. the abag program is geared towards capital projects and this is more of an operation-based project so that even aside from the sponsorship issue, there are other things that we're trying to address in the application. but we wou

owners and pest control operators regarding the prevention and treatment of bedbug infestations. 2, dph to develop a training curriculum on bedbug abatement. 3, owners to respond to bedbug infestation complaints. 4, property owners to disclose bedbug infestation history for the previous two years. 5, the department of public health to collect and publish bedbug data on a quarterly basis. 6, establishing enforcement procedures and 7, making environmental findings. >> thank you. colleagues, one of the first thing issues did when i joined the board of supervisors was to call a hearing on bedbugs in the city and county of san francisco. prior to that hearing actually a group of many of our residents from neighborhoods, chinatown and south of market and the tenderloin had been convening meetings fore over a year to discuss what we could do about the citywide epidemic that has been plaguing our neighborhoods. through the work group this legislation came forwards a series of recommendations on what we could do to better abate bedbugs and the bedbug abatement issue here in san francisco. this l

management coordinators from each of the hospitals throughout san francisco who mead regularly with dph and dem to plan and prepare for our medical response. >> as rob mentioned earlier, one of the primary reasons for the medical exchange is to get an understanding of the capabilities, what can the military bring and what are some of the challenges that we as civilians are going to face when we have this large number of casualties. so what i'd like to hear from our civilian panelists is what were some of our observations about the capabilities the military demonstrated down at moffatt >> i think one of the challenges the city faces in a big medical surge event is if patients have to be evacuated and the bridges were out and how would we do that? yesterday we saw a wide range of patient movement vehicles, basically, and it was great to see all those resources and be aware of them. we saw the dual use vehicle from the va that there was one in san francisco and there's one in palo alto and those can take litters of patients. we saw multiple helicopters and we saw the c130j all of those wer

as i mentioned earlier, dph is a part of this, all members that have been involved in this have been given the opportunity to engage in health services through dph the da works with the victims that need any type of victim services specifically whether they want to relocate or they need any type of assistance in general. then the crn works with the individuals impacted by street violence. they really try to target now deliberately anyone that is part of a homicide that might be gang involved or if there's further retaliation. now they are at the table really dialogues with sfpd, dph and all the cbo's to figure out how they can de-escalate the violence. in terms of exchanging information, of course in a confidential way, but there's definitely a more structured way to share information. i want to pause real quick and emfa zultz for the family piece, i would say that family, really really focusing on families as part of our treatment plans now because most often it's those fathers, it's the grandmothers, it's the girlfriends that really try to work closely with us and that actually con

i'm wondering does dph and dpw and even the school district look at the city-wide needs and prioritize it or does it just come up -- well, why would ert [speaker not understood] be on the list and not -- betsy car michael and schools in the bayview, for example? but i'm just wondering. >> right. there are actually three safe routes to school applications, et cetera, on this list. they do stem from a combination of identification efforts. one is a city-wide identification of project needs and there are also walking audits that are performed by the department of public health and also the safe routes to school members to identify specific projects to be implemented in the near future. >> and the two that i see on the list look like they're build outs and it looks like they cost [speaker not understood] for a build out. that sounds like a lot of money for a build out. i'm wondering if you could talk a little about that. >> as far as the project scope, it is a collection of different scope elements. so, it's not to say that the $500,000 cost is only build outs. but we can certainly provide

so, we're happy to have thomas aragon here from dph. (applause) >> good morning. thank you for being here. one of the ways that i think about this is that pedestrian safety is an important public health issue. and the way i think about it is that i'm raising three children here in the city. i have a 16-year-old, a 15 year old, and a 12-year-old. and what we want -- we want the city to be safer than whether they're biking, walking, going to school. and so that when we invest in pedestrian safety, we're really investing in the future of our city in our children. and, so, from our perspective, pedestrian safety is a public health issue and it's really important for us to invest in making sure that it's safe. the other thing to think about when we think about pedestrian safety is that there's really a multiplier effect. when we have walkable communities, when people are able to walk, not only is it healthy for them -- not only is it healthy for them, but we also have less people that are driving. it helps to protect the environment. so, it really helps to protect ever

and the other key piece is dph is an immediate back up to that with the ability to use our clinics and our other partners to stand up potentially alternate care centers and other types of, depeplding on the situation, other types of areas where people can be triaged or get information or get care if necessary. so those plans are in place, we're constantly developing them because we have to really look and we don't have the ability to predesignate every site, after an earthquake we need to make sure each and every site we announce to the public is safe before it's announced so it's a complex type of situation with constant situational awareness that has to be included. >> i just wanted to add on to that, that dph has a great resource of clinics. we are working with our clinics to take on those potentially minor trauma victims that they can treat and offload the hospitals. it would be a matter of triaging them at the hospital level and get them over there. >> just one other key point on that. we would also be working very closely with our partners in dem and the communications sector to

. >> dph. we have been working with this agency, the executive director of api and also the mta, to figure out what's the best way to move the scope of this project further either integrating it into mt's existing old program curriculum and outreach, or whether there needs to be a stand alone project. we're also in communication with dph on this issue. we're trying to figure out what's the best way to move this project forward. >> okay, good, i'm glad to hear [speaker not understood]. i'm under the impression apri has reached out to dpw to work as co-sponsors on this particular project. so, my next question is in terms of the timeline, when will apri or dpw have to make a decision and approve their ne

. >> we also had fewer appeals of dph and mta related determinations but as was true this evening, we had a definite uptick in the related appeals particularly associated with the food trucks, which in my opinion comes from the fact that there is a new truck permitting legislation that is allowed to increase in the number of permits issued. so that was actually up 80 percent from the prior year. >> the board, the report also includes a map that provides a picture of the locations of the appeals and once again, the majority of the appeals filed seem to be in the northeastern quadrant of the city and it also looks at the out come of the determinations that you made. this past year, the board upheld, 32 percent of the appeals filed. and over turned or modified, 56 percent. so the number of determinations that you over ruled, actually was increased from prior years. and of those, you placed conditions on 90 percent of the matters. so only 6 percent were actually flat out over turned. but the majority of the cases where you took action to change what the department decided really was to pl

the probation department, dcyf, dph, police department, captain lum will be there for the potrero station. it will be a chance for the neighborhood to come together around the spike we had earlier this year in homicides in the omi and i think a lot of committee members will be discussing what they see needs to be implemented in the neighborhood. that will be 6:00 tonight at the rec center formerly called the ocean view rec center. i will be there of course in my office and that will start at 6:00 tonight. i just wanted to make that announcement and i think it's part of the efrlt we have moving forward how we can really organize around a response at a neighborhood level for homicides here in our neighborhoods in san francisco. so this item we can continue to the call of the chair, colleagues, do that without objection? okay, do we have any other items for us? >> that completes the agenda. >> then we are adjourned. thank you. (meeting adjourned).and the me to order. at this time, if members of the public can please turn off cell phones and put them on "silent," there is a sign-in sheet at t

. * i had thought that jackie would be here, but it's somebody else from dph. please introduce yourself. >> hi, i'm dave woods, i'm the chief pharmacy officer for the department of public health. good morning, supervisors. we are here to request approval of a third amendment to the contract to increase the total contract amount to enable the provision of pharmacy benefit management services through june 30th, 2014. the purpose of the program is to enable more than 50,000 uninsured clients of the community health network. so, those with healthy san francisco, sf pass, healthy workers programs, all who do not have insurance, to continue to receive prescriptions at a pharmacy closer to where they live or receive medical care. without these pharmacies, patients might have to take one, two or three buses to get to san francisco general outpatient pharmacy which is not only convenient to them, but also reduces the likelihood of their picking up their prescription and receiving the care that they need. prescriptions currently are written in one of 13 community health

level, the sfcrn that is doing the street outreach and they are involved depending on the incident, dph's critical response team, crisis response services, and the victim witness program and sfusd if it relates to individuals in the sfusd structure. how do we activate this? the way we activate this, sfpd provides the information it our unit in 24 hours whenever there's a homicide or critical assault. then following that, what i do is then i assess and determine whether a meeting needs to take place in 2 days or whether we can go ahead and have the discussion in our weekly session. so for homicides we will be responding in two days just because of the critical matter and we want to make sure that family and children and youths and anyone that's impacted receives services in a coordinated fashion. for critical assaults we will be having a weekly meeting from 2.30 to 3.30 every tuesday to review what is happening, how is it impacting individuals and how is it impacts community. i have a team that's going to be working with us to try to actually make sure that there's a response, that there's

at the dph director hearing on november 12th, the order was upheld by the officer, i am happy to hear that they bought a device that helps. it sounds like they bought a device that would help from now on in making sure that the identification matches the age before they sell the cigarettes that is the system that they purchased that helps a lot. and that is indeed what they did. >> and if you have any questions? >> >> thank you, is there any public comment? >> seeing, none, do you have anything further? >> no? >> okay. and anything further from the department? no. okay. commissioners. >> i have a question for the department or the appellant. >> the location of your business is what is the actual street location? >> could you stand up in >> erving and the cross street in >> 42nd avenue. >> is there any schools in the vicinity? >> no. >> well not close to two blocks. >> do you get the students coming in from the schools nearby? >> not really. thank you. >> i guess that it is... you know, we understand the law and the law has been there for quite a long time. and the question that we alw