i do feel confident that dph will get a pretty good portion of it. and then from there, we have a certain percentage of it for us to be able to hire to do some outreach and education, which i think, as you heard today is going to be extremely important . so then also with the wage task force, we had the last -- two weeks ago, we had the presentation for businesses as part of the wage test task force. and so don houston of el rio and karen hessler, are the business representatives on the task force and myself, presented on what businesses have to go through to open their business? what are the state, federal and local regulations that businesses need to be aware of and to comply with? what was interesting is that there is both don and both karen and one business knew about california employers association, which is a non-profit entity that is there to help businesses with human resource issues. and it's really designed for smaller businesses, and then one business didn't know about it. so this really helped for us to demonstrate the complexities. and

a 25-day suspension will [speaker not understood] alcatraz and other dph permit holders from selling cigarettes to children. thank you. >> commissioners, the matter is yours. >> i'm not persuaded that this was at all intentional, and i do believe that the owner of the store has every intention of taking whatever precautions, not only not to have it happen again, but he has a track record of it never having happened beforehand. so, i would certainly consider a reduction in the penalty. ~ before >> normally, i do feel strongly about liquor stores or corner stores that sell tobacco products to minors. but at the same time, business owners are supporting our city. and i think sometimes mistakes happen. unfortunately, tobacco to a minor is a pretty big mistake, to be honest, but i am leaning with my fellow commissioner and at least not removing, but reducing the time. >> i think the circumstances here lend more sympathy than i normally have for these types of violations. the problem is that the counter veiling concern is the proximity to the schools and schools where kids want to get ciga

i did have some questions for dph, to director barbara garcia. i had been visited by several different members around the need for psychiatric beds within cpmc. and you learn that 34 psych beds were lost when it was closed in 2006 and 2007 and those beds were never replaced. several doctors and members of our community coalition are concerned and want to see an overall plan to address mental health care needs, both inpatient and outpatient as some needs can't be addressed appropriately in an outpatient setting. something we've been approaching a lot i hear from, constituents throughout our district, particularly tenderloin and sixth street. so, i'm curious as to your thinking on psychiatric beds that may or may not be created within st. luke's and cathedral hill. the term sheet is silent on those so i was hoping you could address this issue. >> the psych bed issue is one of difficulty particularly because our medi-cal system has changed the way that they're allowing for acutity paid for in psych beds. that has caused a real challenge throughout t

. >> dph believes the 25 day suspension should be upheld because alcatraz market sold cigarettes to a 16-year-old. alcatraz market is in close proximity of high school and middle school. the california identification card does not require anyone to calculate the age of anyone. that's been around for quite sometime. a majority of stores are appealing their suspensions usually argue the penalty will cause financial hardship or closures. most businesses serve their suspensions without closure and there is no reason to treat alcatraz market any different from any other businesses. a 25-day suspension will [speaker not understood] alcatraz and other dph permit holders from selling cigarettes to children. thank you. >> commissioners, the matter is yours. >> i'm not persuaded that this was at all intentional, and i do believe that the owner of the store has every intention of taking whatever precautions, not only not to have it happen again, but he has a track record of it never having happened beforehand. so, i would certainly consider a reduction in the penalty. ~ before >> normally, i do

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

conducted a few analysis at the site and bot the experts who conducted the environmental review and dph support this and found no evidence of tox toxicity and we found no flooding from the creek or no other concerns. we have nothing to add. we have our experts and legal counsel able for questions. >> thank you. the public hearing is closed and opening it up to commissioners for questions and comments now. commissioner borden. >> first i want to say express to dr. jackson i am very sorry about your loss. it's terrible to lose a child and we are sorry you had to be here on that day and we really appreciate that and also appreciate the leadership you have shown in bay view hunter's point for many years. i want to remind everybody we're the planning commission. we look at purviews of land and for this use it's a permitted use and allowed. this hearing is a discretionary review of a principally permitted code compliant permit and so in order to find a reason to deny the permit or to take discretionary review there would have to be exceptional extraordinary circumstances. in what is presented

horizontal identification cards, the blue strip with the year the individual becomes 18, every year dph tobacco free project sends out guidelines to permit holders. these guidelines tell store managers how they can stop sales to minors by developing store policies, training clerks, displaying posters that want employees, the cost of selling tobacco to kids, using electronic age verification devices and monitoring clerks to determine the need for further training or modification of their store policy. in either of the annual guidelines and the horizontal california identification card, alcatraz market sold to a minor, the employee said the minor looked 15 years of age. a big concern to the department is the proximity of alcatraz market to any middle and high school and only four blocks away gallileo high school and six blocks away is francesco middle school. furthermore, alcatraz market is located on beach street and is about a block and a half away from the powell and high street cable car turn around. across the street is aquatic park. this is an area in san francisco where plenty of y

when the dph cut funding to that program, i got the chance to work with a group of elders who were all activists during the '60s who out of their own pockets put together an event every saturday for laguna honda hospital. they would bake their own casseroles, [speaker not understood]. because the nursing staff refused to assist them throw these events, they helped walk and wheel the residents out of their room to this party. to those who were an integral part of the society in the 60s and 70s this was the only chance they had to be part of their community again on a monthly basis. i think taking that sort of thought forward into the type of compassion and cultural appropriateness we need to design into our long term care is a need this task force has. thank you very much. >> thank you. any questions? supervisor cohen. >> [inaudible]. so, part of our packet -- it is frustrating people looking for a seat write a letter, have a friend write a letter. we receive letters from mark leno and tom ammiano. i want you to describe work you've done with both these gentlemen. >>> i know both of the

many other departments were also invashon island, dph, mta, mayor's office on housing, mayor's office on workforce development and one of our non-profits, asian neighborhood design, fernando marquee, who had spent many years early on in the plan bringing this forward. for those who are less familiar with this plan, i thought i would just read its value statement the western south of market task force shall maintain and enhance rather than destroy today's living historic and sustainable neighborhood character of social, cultural and economic diversity, while integrating appropriate land use, transportation and the design opportunities into equitable, evolving and complete neighborhoods. this plan was really in response to a need for comprehensive planning to build a complete and diverse neighborhood, to address your shifting population, social stability, conflict between many conflict uses in south of market, while protecting against displacement of existing small businesses and residents, while also welcoming smart, new development, which enhances this neighborhood and its need. it's

now, barbara garcia, dph mentioned it is expensive to provide these beds. yes, it is expensive yes. the federal government doesn't fully reimburse the city for these beds. that doesn't mean as jane kim pointed out, that doesn't mean these beds shouldn't be filled. in addition to the beds this resolution is asking for community mental health services and support. you know, cpmc gets almost $90 million of annual tax benefits because of the nonprofit status. and because of the parity requirements of the affordable care act, there is a requirement that mental health as well as physical health be covered in the hospital system. how that is to be worked out is a little bit unclear. but we'd like to see it covered in this agreement to some degree. we're not asking for a specific dollar amount of community mental health, just something. anyway, we'll send you the resolution if you pass it. thank you very much for your time. >> thank you. and let me just ask again, if there are any other members of the public that wish to speak, please step up now, otherwise, this is the last speaker. >>> hi

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

for the innovation fund and the reason that money is needed is because we've got our dph has to start getting those clinics ready to participate in the tenderloin for medi-cal. and if they don't start now, they won't be ready to take the patients that cpmc is going to help partner with them on. so, that's why we had some of that money up front. and then there are small amounts of money for the public works projects so that we can do design of whatever public works we're going to build. so, what we have is $70 million at the effective date which is hopefully the middle of this year. we'll get that first 7. and then we have 63 left. and the way that works is as soon as cpmc has gotten past its litigation stage and any litigation is either resolved or the period that it can be filed is over, they'll start giving us 14 million a year. so, we'll get 14 million each year for four years and then we'll have 7 left in the fifth year because we have 7 that came up front. >> so, excuse me. this doesn't include the bay find charity care commitment, right? >> no, i'm sorry if that wasn't clear. th

so, this hearing is going to call on dph to outline the reasons for this deficit and call them to present plans to start to address this shortfall. colleagues, i know this is going to be an ongoing item that's something that's really just been identified, but i think something that we're going to need to address or else it is going to plague our future budgets in years to come here at the board. the rest i submit. >> thank you, supervisor farrell. supervisor kim. >> thank you. on today i'm introducing two hearing requests, both for the select committee of the board of supervisors and the board of education. the first is a follow-up on the ongoing conversation that our office has been engaging in with the mayor's office, the school district and coalition of community stakeholders on the public education enrichment fund which was passed by the voters on march 2004, proposition h. and just on an update on the spending plan and also how we can ensure proper appropriation that spending line item to the school district. second, i would also like to call a hearing and get an update from sfmta on