>> so, yes, the rfp is very clear, and that the dph, is the priority, and that all of the dph needs for the dialysis has to be met at that facility. >> does it have a specific requirement and patients have to be accepted, and you know the patients that have the limited, you know, mobility and does it have that specific requirement >> all patients referred by the sf general must be accepted. >> okay. >> and there is no possibility for them to reject any of those? >> no. we recognize that we have expertise within our current facility in terms of telling the patients that are not always accepted at other facilities so we knew that we had to make that a part of the rfp. >> okay. >> supervisor mar any other questions? >> okay, i think that will be... we might have other questions, later on. but, i don't know if there is anything else from the department of public health? >> okay, i think that is it. >> we are happy to continue with the dialogue and look forward to meeting with the patient to get your feedback directly. >> okay. >> thank you. >> so, why don't we do this? why don't we open it

and so, as far as dph is concerned that is incorrect. >> that is incorrect. and the architects and the building experts, have all evaluated the building. and it meets the seismic standards. >> okay. >> i am really bothered by the earlier number that i talked about in your presentation. and i am really bothered by the fact that it is, that it is 132 patients that 123 of them are going to have to travel much longer distance. of the 97 that 92 are going to have to travel a much longer distance. and so can you walk me through the steps of you know, how, did you explore the possibility of staying at sfgeneral and sort-what did that exploration look like? >> absolutely. so, if we had it within our power the facility will remain at sfgh, meaning that if we had the space to put it and i know that both of you have been to sfgh and done tours, and we are definitely landlocked so some have said, well when the new hospital opens why not move the center into part of the old hospital? which is a valid question. and which, could probably work. however it is going to be a ma

the task force is a great example of dph and consumers and the planning councils and i think what we plan to do now is actually, i was talking with one of the coaches the next council meeting we're going to get ahead of the curve to think about what's not fund but also what's under funded that you are we're going to look at the creative ways to make sure that the hiv doesn't get stripped down in terms of fund. i'll stop here if you very specific questions >> thank you very much that was a thorough presentation. colleagues, any questions? i just have a sort of a general question what do you think is the most different challenge in this >> the fact we're laying the tracks as the train is happening at break fast speed. i'm the i i'm going to opinion national it's an oversight not to include the consumers as well as the advocates their racing so fast. it would be nice to have a 10 to 12 months process to being catch up to reflect on what happened and catch up and we're going to be this way until the dust settles >> why do we open it up to public comment. if there's any member of the publ

an amendment that supervisor tang is making that is to remove section 29.6 from the dph ordinance. it's a non-subject amendment. this already has the appropriate change in the law. >> thank you very much. i would like to make a motion to amend. >> i motion and second. >> we just made a motion to item no. 1. all right. seeing no objection. this motion passes. thank you very much. >> madam clerk? >> i would like to recommend to send that to the full board. >> thank you very much. the motion passes unanimously. madam clerk please call item no. 2. >> amended the health code required by massage practitioners to wear identification cards while working. the applicants is convicted of specified crime will be denied of permit from health and safety requirements and notice of violations will be sent to property owners. >> all right. supervisor? >> thank you. unlike the several one, this makes changes to address enforcement to massage parlors in our city. this i bring up because the community has brought up that this is taking place in our communities. this is in newspaper about some of the s

then i got a subsequent e-mail from dph that said mr. pick ens is out until the 19th and he needed sometime after he returned and that quote -- you will receive a response at the earliest possible date end quote without specifying when i might get an answer or be provided with a survey instrument. i recommend that this counsel work with supervisor campos to follow up with the health department to find out how sfgh is going to conduct the transportation survey whether in writing or orally and how many of the dialysis patients will be asked to participate in the survey and to your second question tatiana, regarding space on sfgh's campus i sent another records request. i was provided with 4 documents that show the current entities that are in building 100 which is where the renal center is currently located and a chart showing by floor number and wing or ward of the building, the current entities in building five which is the current main hospital that will eventually move into the new sfgh when construction is complete. in addition, they

provided services for disabled mentally challenged folks and this lefrnz the mental health dollars as dph habit has a cash match of 21 percent. this agreement has essentially remained the same for 21 years. and the department of rehabilitation has this same agreement with 21 other chunts u counties. the voraciously services provided will be expensive services occupation skills training within the competitive work force. this allows the funds .8 fte coordinator to assist in planning and krorpg all the work within in agreement. this position willation act as a coordinator often or on a local level to provide support rewarding the training inform theeflts within the mental health system community buffalo health services. after all department of public health department supports the service program as it's demonstrated better treatment outcomes and demonstrated mental health symptoms with patients and he helped people find training and employment. those help boost the clients self-esteem and reduce relapse and recidivism rates. last year alone this program served over 2 hundred and 80 clients

dph, within last year, dph has hired an additional is manager and additional business analyst and senior business analyst. >> okay, thank you. >> one more thing, additionally dph is in the process of hiring an is program analyst. >> i have a question. supervisor tang for the board's response to be already implemented. is there someway we can come back in six 6 months to ensure that it's moving forward. i'm concerned that it took 3 years to become up and operational and as a result of the civil grand jury inquiry. >> could it require further analysis in six months.6 months. >> was that for recommendation 3? >> yes. okay. so i would like to make a motion to make all of those changes to the resolution. >> okay. i would like to second that motion. >> and make a motion to, i guess we would have to continue the hearing based on that 6-month analysis and send the resolution to the full board with recommendations. >> fantastic. it's been seconded and this motion passes. okay. do we need madam clerk, are there any other items that we need to address? >> just to clarify we are going to continue to

chair on page want 9 hundred 65 uses of fund under this service grant agreement between the dph and thetate is shown in table two on page 5 and that includes the 2 hundred and 71 thousand plus for a .8 fte program coordinator repossession. we recommend you approve this >> colleagues, any questions for mr. rose. >> okay seeing none. why don't we go to public comment is there anyone from the public that would like to speak? >> on item one. >> hello supervisors i'm jerald banks. i'm one of the lucky ones i guess you can say utilize and really get a lot out of the program through the vocal. i went on disability for stress and other things i went through as a eternal and it didn't effect me until years later. so i'm lucky enough to go through an agency citywide they're helping me to get back into the job pool. when it did they help me with resumes. they helped me to find a way in all united states community activities in my neighborhood focus on that. i'm close to getting a job thanks to citywide working on the hotdog cater but i think it should be taken a step forward. barbara garcia does a

bins the planning council initialing put in funding and we supported a number of trainings and then dph a new participating in the chinese community health plan and increases a letter of if not and people are moving forward to get the people are hiv to get the same contingent of area. lots of training happening. a part of this it happening with the state and again, we operator with them. on a local level we've trite tried to be responsible. we'll continue to offer them and we have thirty plus enrollment its and the job of those people is to enroll people. a lot of the agrees have asked about the benefits consulting. in terms of language capacitate i think that san francisco anyone in terms of a bilingual or beyond a shadow of a doubt linoleum we've had a number of people the amount of spanish can in the cause and russian there's a phenomenal amount of that. i know with with the chinese translation has become an issue. do you have a map of the enrollment sites >> i don't we can get it. >> 3 would be great. >> so recommendation number 4 excelsior the insurance coverage affordability. we'r

and the predicted for 30 beds is 1.2 million, why is this not important to dph?>> in 2004, for only dialysis resulted surgical, ir and x-rays and payed hospital days was more than 3 million dollars it would be higher now and will all be lost to revenues. if it is moved to honda they will go to ucsf for procedures and follow up and it will be closer than sfgh and it will lose millions of dollars in insurances, and $5 million is the cost for a new center, surely dph can find a space in the old hospital when it has been vacated for $5 million, investment they would have guaranteed profits for years to come. the sfgh center will be able to stay as part of the model and next year... >> thank you. >> many clinics are under the same and have experienced the dak tores present and the emergency on the fight and it will be the safest place in the city and this will be a big selling point for comprehensive care, patients will be happy because the center will remain on the site and it is closer to home and other providers. >> i am an assistant at the hospital and i have been

think that you are probably aware that there is a parallel set of issues involved in the dpw and the dph. and so the home owner's inspection that it occurs dispieed the purpose and that was not the case and willing to provide the inspection and i don't think that the conditions inside of the property have changed much although i do think that they look better on the outside of the property and that is where she has been focusing her efforts because that is where the neighbors are complainting, and we think that the property does not look as nice as ours and when those complaints come in she focuses her efforts on that but she is limited. so i am open to suggestion and open to assisting and you know, i am not being paid for my efforts in this matter, and i am doing this probono because i believe in this cause and i believe that is an issue that should be corrected if we can get a time able that everybody can live with and we can all continue the dialogue towards making sure that that happened. and so, now i am open to whatever suggestions that the panel has and in that regard and willing

this space has been occupied since 1981 over the period the rent and related costs is to be paid by dph is several million dollars and we recommend you provide a report on the plan including the plans to consolidate plans at fats for the next board of supervisors hearing and we recommended it be clarified that the lease is approximately 4 years and seven months rather than 5 years and we recommend you approve the recommendation as amended >> okay any public comment on this item? please step forward everyone will have 2 minutes. >> i'm here on our related on the precisely profile of our case that will be coming up real soon of the ocean properties. it's going into foreclosure this weekend and - >> mr. washington this is a chance to condominium on this question. >> but it relates to our profile you talked about properties so it relatives to if you bet elicit me finish my public comment. so i'm saying as a it relates to the profile of our properties on the properties are getting ready tow come before this board theres a parallel so an important piece of property is coming to your governmen

. >> see the rescue and the amazing way the dph >> oh, flipper. >>> plus, want a new 42-inch flat screen tv? >>> and when you think of places to pop the question -- >> you probably don't think of best buy. >> the touching story of the made-for-tv proposal. >>> when you're an avid sky diver and you're comfortable in the skies, why not have a little fun? they decided to bring along their inflatable pool toys. we have rick winkler. he's a founder of iloveskydiving.org. he has an inflatable turtle. it seems like a lot of fun, that is, until the inflatable toy decides to wrap itself around your legs. sending you on an uncontrollable spin cycle of death. look at how fast he's going. >> oh, oh, oh, my gosh. >> he looks like he was going down a drain. >> he was doing about six revolutions a second. >> how ironic. an inflatable pool toy is something to keep you afloat, keep you safe. >> he said he was aware of his altitude. at about 1700 feet, he gained control again and is able to land okay. here we see him finally on the ground. but still, it had already caused some damage. >> oh. >> oh! >> oh!

your agenda item number 9 today will be a discussion from the dph about community integration i want you to know -- that dcip doesn't mean diversion and i will be testifying regarding how many long-term care patients are being diverted or dumped out of county and not into community reintegration efforts and i'm going to give you an example of a gentleman who fell off a bar stool would wound up at sfgh attempted to get him transferred to laguna honda and the excuse of not transferring him there was because he needed too much physical therapy and so instead of keeping this gentleman in san francisco, he was dumped into a facility in ant i ioch that serves people with dementias and alzheimer's and he had no one to talk to because the roommates and building occupants were all too demented and i believe he was i yanked out of state. this counsel needs to closely monitor this item to find out whether san francisco is doing what we accuse nevada does simply patient dumping and calling it community reintegration. thank you. >> mr. grace. >> i have a very quick question. two things -- really,

your agenda item number 9 today will be a discussion from the dph about community integration i want you to know -- that dcip doesn't mean diversion and i will be testifying regarding how many long-term care patients are being diverted or dumped out of county and not into community reintegration efforts and i'm going to give you an example of a gentleman who fell off a bar stool would wound up at sfgh attempted to get him transferred to laguna honda and the excuse of not transferring him there was because he needed too much physical therapy and so instead of keeping this

kelly home tr dph is available to answer any questions on this topic. for finding no. 1. we respectfully disagree that information on cbo spending is not easily access you -- accessible to the public and has already been implemented. members of the public have many ways to access the information through the mayor's budget book and the departmental website. i have the budget appropriation ordinance and a slide show as to where members of the public can find information online. if i can bring that up. the first slide shows the mayor's budget proposal and the status on women and it highlighted the line for the amount of grant funding that goes to the department of status on women. the second page shows a pie chart that goes towards grants. additionally in the actual adopted appropriated ordinance all the information is found online and the reason that the numbers are different is because obviously the board of supervisors makes additional changes to the proposed budget. additionally departments often will post information on known websites, dcyf has information for the grand

that's where dph will be able to talk very detailed specifics. on the face value, depends on where you fall. >> do they have if a person can't read, do they have a tape that explains a second way of getting communication? >> you mean in terms of enrolling or general information? >> just general information period and if they don't have a computer and can't go on the web, what else do you do? >> i would say the best thing is to call or come in person. >> thank you. anymore councilmembers? tonya? >> i wanted to ask what about people with catastrophic illnesses. is this something that is measured in that? >> yeah. there is. i apologize because i don't know the details but there is something about catastrophic illness. i will jot that down. >> thank you. >> any from the staff? is there any public comment? >> hi, everybody. i jessica with senior action. thank you for a great presentation. i was going mention that we had just done a forum on this issue and you brought that up. thank you for that. i just wanted to add on a couple issues we have identifi

staff to put together a little working group just one meeting or two with the folks that no one in dph and the representatives and see, and if we can come up with a working time line, but with the time ticking. and with the order of abatement that is there but i would not put a time line on that if you would commissioner mar. >> and just to clarify to the order of abatement, currently states that the appellant has 7 days to complete all work praoerp building permits required. that is the way that it reads right now. >> and what can i go with the conflict. and the 15 days is kind of fair. >> yeah. >> and you know, i, i think, i think that my feeling right now, based on the presentation here today, and i don't see very much hardship here and i don't understand why this house is not cleared out. and so i will be just to up hold the abatement and stick to the guidelines that are in front of us on how that should be performed. >> so commissioner mar made the motion and are you seconding it? >> with the opportunity and let me see the clarification, and remember the 7 days that are for, the p

level of infrastructure and on the second issue that several of the residents brought up, including dph, thinking about our air quality, and i would be really interested in talking about avalos and mar, and their part of the bay area air quality and management district, and i would like to learn little bit more about that. i definitely hear that loud and clear, i know in my own house you know that just the windows that i open have a thick layer of black dust and the windows that i never open i never have to clean the sills and it is clearly from the congestion in the neighborhood and i know that that is real and i am glad that was brought up and i was struck in the budget and legislative analyst report in june that supervisor mar had commissioned that the highest rates of asthma in the bay view and south hill and actually in telegraph hill as well and so it is along the water front is where we are seeing the highest rates, it is not just our district but i am sure that supervisor chiu and cohen are concerned as well, and something that the city needs to take a closer look at. >> would i