the ambiance number has not been used by maintain other than dph dph has stated the noise from the cooking fan is not high many people have come before the board and said rooster tails fan is loud including the resident living in the same building as rooster tail it's documented in the record we have had to ensure that noise problem for 3 years please help us overturn this surveillance to the timeline for rooster tail to complete remetal action as quickly as possible thank you very much and mr. charles is available for questions. >> okay. we'll hear from the permit holder. >> commissioner president lazarus we have some letters of support i wonder if we might pass them out fine. >> so the letters are they from members of the public and, yes also an inspection report and that was not submitted before because a it was on a monday that was the first time it was not a city inspector a private contractor and if you wish to report on it that's fine hang onto those for now you can include those in your testimony. >> if you want to reference that in in your testimony it's a fine. >> good evening da

you could make a motion to provide that dph as oversight authority today, yes.we could work that up for thursday. >> okay. >> if you wanted to add in penalties as i mentioned, that would require probably follow-up legislation. >> i wanted to be deferential for the author, because it's something that just came up for me. i would like to propose the amendment to provide dph would be the enforcement mechanism for this legislation and i would like to work on a penalty phase and i would defer to the author to state this in committee or to pass it to the full board. >> we would be more than willing to work with you. we're not in any rush to pass this ordinance at the board and add many in some things that are more amenable to the full board. >> to make the amendment today, the non-substantive amendment today and work on the penalty phase. so the motion is an amendment to provide the department of public health will oversee this ordinance. and can we make that amendment without objection? okay. that will be the order [ gavel ] . and can i have a motion to forward item

part of the requirement in knowing that the night of the education and as well as the mandate from dph to educate the public if that answers. >> part of it thank you. >> you can educate the public and in different was put those on buses and in schools i'm trying to understand how do you decide which one works the best or are we to figure out this. >> that's a good question we're partnering with the unified school district they a separate funding source but it is specific for schools schools so there's an area where we support them but don't do school based education we're working with the school district so we're working with the school based and some special social media that's an area we're trying to get the word out in different ways but generally dph is charged with doing some kind of education a large changed that is a major policy in that that was outreach our the community so there's a lot of education to be done and kind of a big way to make sure there's been no public education campaigns across the country for e cigarettes this is the first something started two weeks ago in t

don't rely on the oversight community or the dph. the community requires that you sit down and talk to us and this is how we are going to forge a relationship with lennar so that they can hear what the concerns and they can get their project on board because until that happens and having a monologue and going through the department of public health and having this dust study done without including the community, it's just not a good sign that they want to have it robust conversation with us on this. so, i beg the commissioners to implore lennar to talk with the communities because their concerns, they are residents who are here today like myself who live right next to the park. i walk my dogs around the park every day and i understand what happens. i took the pictures that dr. thompson showed you earlier. i know that there are violations out there that we need to not bring this to your attention in this forum. we need to have a conversation with lennar in a neighborly effort to try and hear us and resolve are concerns and not run to

so dph has a goal of transitioning the healthy san francisco participants on to a insurance product like medical or something like covered california, the state's health care exchange. seeing that these numbers at the introduction of aca, you see that dotted line, the healthy san francisco numbers have gone down because dph is transitioning people into medical and other services. they are doing outreach to train staff to screen healthy san francisco participants, they are doing community outreach events and then communicating directly with healthy san francisco participants to get them on to another type program. so moving on the next example we have in health and human services world is the number of individuals receiving food stamps. as you will see in the past few years the number has increased rather dramatically. this is a policy decision by the city to expand to invest more in meeting the community's needs. so the mue man services agency put out an effort to identify and assist getting more people who are eligible for this to get enrolled, doing better outreach, helping people, dev

dph was happy to cosponsor the department of aging and adult services. dr.w represented the committee on the task force. this is a final report which you are going to hear about today and we really benefited through the strong leadership of two cochairs and from the department of aging and adult services, the executive director there and dr. christine ritchie from uc sf. before i turn it to them to lead you through the presentation, i want to also acknowledge two individuals who played a role in the development report that you have. one is monique parish who worked with the facilitation of the meeting and also pat il who supported this work of this task force as well. [ applause ] >> at this point i will turn it over to ann. >> i'm bringing this down just a little bit. good afternoon, president chow, commissioners, director garcia. it's a pleasure to be with you today to talk about and walk you through this report. we are going to start by looking at what the goals that were set for the group, talk a little bit about process. i know commissioner sanchez in t

discussion and i thank today all the people involved, i want to thank trent from hsa, everyone from dph and everyone participating in these efforts and look forward to continuing this discussion. the rest i submit. >> thank you supervisor farrell. supervisor kim. >> right before thanksgiving this year i a pilot program to restroom fa stillties throughout our district. it is one of the top concerns i continue to hear from our residents, visitors, small business owners and on our city streets. we work at the department of public works over the last two years and needs to come up with a pilot program that will offer a triple combination of portable toilets, singzs, needle collection and dog waste bags and receptacles. for the last sixth months we have implemented this project alike is that there's a real need for clean and safe public restrooms to provide people with a dignified place to go to the bathroom. at the same time as this usage has gone down in our neighborhood. this is significant because most of the steam cleaning requests pertain to reports of human feces. hire to the 1001 pit

on big project a we're going to bundle up the intersection treatments into a few large contracts so dph can have a few that are constantly goes around the city rather than four or five most for the boyd process number 7 was the lack of funding for that the cooperation and the preimplementation this is a place where the ta staff has really open to responding to our need for flexibility in the saw way to execute lots of projects all at once we're bundling the projects within the prop a funding we're taken on the challenge of a little bit of project training for all the staff in delivering the projects there was a good objection some staff enacts with the public they can do better and sfmta i'm sure you're aware of has launched an agency wide really upping our game in public talking with the public in a respectful way and finally the also the spectrum of sequa which can be while it's important law it can be a tool for individual occupants of important projects even for the board consensus so slow down the projects one of the things at metro the sequa form process that shifts you us away fr

year, the mayor's office asked for a 1 percent contingency reduction which is about $2 million for dph. we will need to plan for that in the second year. in addition to the kind of general cautions about not getting overall exuberant. we have a couple of things which you all know about that are on the horizon for us which could impact the financial picture. we have the upcoming dish cut that are part of the affordable care act that are not assumed in the mayor's financial forecast. we have the continuing changes as part of the aca to take back of realignment and dual eligibles to managed care and the waiver can all have significant impacts on our revenue picture and we are watching those closely. in addition a big thing for us in this coming to your budget cycle is to focus on our information technology needs and that is getting our basic infrastructure up to date, planning for electronic medical records and other things such as idc 10 and others we'll have continuing focus on some of the issues that we've been looking at for the last several budgets which is getting our population hea

i want to start with the getting to zero consortium and followed by the aids foundation, dph and ucsf. >> good morning supervisors. i am jeff sheea and living with hiv and i was the hiv advocate to gavin newsom and serve on the governing board on the california institute of regenerative medicine. thank you supervisor wieners and supervisor campos for sponsoring this meeting and thank you supervisor farrell for the opportunity to present today and thank you barbara garcia and the department of public health and i am part of the consortium and we're here to talk about the historic opportunity for san francisco, ground zero in 1981 at the beginning of the aids epideppic to be the first mutiny of injury new infections, zero deaths from hiv and zero stig ma. this is a realistic goal for several reasons. first there is the amazing and compassionate response from the san francisco community to hiv/aids starting with initiatives by mayor dianne feinstein and speaker willie brown and every mayor and the board of supervisors. san francisco has the finest system of care and prevention in the wor

then from happen, the hiv/aids providers and when dph presents i am interested in knowing what the likely federal budget cuts are going to be in the next fiscal year, and it's sad that we have to assume they're going to be more cuts but given the insanity and melt down in washington, d.c. which impacts many different things we know every year there are millions more -- although i think it's less this year and ryan white and cdc funds and the mayor and board has been great in back filling the federal cuts and we're doing beyond that in terms of moving forward with great prevention efforts. i want to start with the getting to zero consortium and followed by the aids foundation, dph and ucsf. >> good morning supervisors. i am jeff sheea and living with hiv and i was the hiv advocate to gavin newsom and serve on the governing board on the california institute of regenerative medicine. thank you supervisor wieners and supervisor campos for sponsoring this meeting and thank you supervisor farrell for the opportunity to present today and thank you barbara garcia and the department of public heal

get to a yes rather than force the issue is the principle level workshops having the senior staff at dph and mta getting together and hashing things out with the new line the vision. >> hi my name is jason jones a xaefrp and communication capture at the san francisco water department i hnlt a high volume of calls and radio communications i enjoy com. >> hi i'm brandon the mist at sfpuc my role to support the employees between our yosemite location to san francisco and the typical things we deal with are puc recommended and network relate an telecom i like my role it varies day to day it is a unique challenge from providing in that user conclusions i solutions on their computer or a the president on a task they're trying to complete the training is very important there are many things to stay up to date my manager has helped me making sure any skills are up to date with the skilled in my field it is about right time of day and about you know the percentage of resagsz for water and power are posh to the citizens of san francisco and keeping those systems up and running for this is one of t

. >> great we have dph. >> those are two contract that they're called long term contract for the services of our highest needs clients that they don't they're the highest need in a location facility we rely them on the care and this proposal will continue the contract with the full term that the rfp allows and also increase the funding to reflect the actual usage today. >> okay. colleagues any questions okay mr. rose can we go to our report. >> and we agree with the recommendations. >> yes. mr. chairman and members of the committee on page 17 shown in table 3 which is on page 18 the actual needed contract amount for the contact is $83 million plus or a million dollar less than requested from the amount and the actual needed amount for the contract is $28 million plus at $3 million plus less than requested of $31 million plus so based on that our recommendations are shown on page 19 we recommend you recommend did proposed activity to reflect the commemorate date and recommend you overwhelmed the crest contract not to exceed by one million dollars plus from $86 million to $84 million plus r

i'm working with dph to expand our medical shelter and bring higher qualified staff training for those that need it. we cannot treat homelessness as we have for the past several decades. our shelter system was built for young adults in their 20s and 30s30 30s that are simply out of a job and needs a couple weeks and months to get back on their feet. that is not what the data is showing in who is homeless. the majority is over 40 and perm reform our shelter and housing system. i will continue to be an advocate for public schools as well stemming from our days on the board of education with many of the colleagues here in this room. whether it's funding to support high school students not on track to graduate or increasing funding for arts pe and justice programs, the city can and should do more to fund our public schools. we must make up for where sacramento has failed. we are 49th in the country and that is not the place that we want to state to be in but we can do something about that here in san francisco. i was proud to work on the reauthorization of the children's funds and the publ

received later closure dates and these [inaudible] should be offered and that's my last point that dph offers consideration and i feel planning should too. >> thank you. you've exceeded your time. ? is there anyone here representing the property owner? seeing none

under box removing the box and replacing it with a concrete with reinforced peers it was reviewed by dph the building inspection the planning department our structural plan structures two engineers looked at it and i know that was an old for a while but they got it issued the permit was issued it is in response to notice of violation in 2012 but i think the gentleman filed a complaint over and over someone on his behalf and substantially we wrote it up for a violation and resolved the notice of violation we've spent a lot of staff time open this address dealing with this issue and the deck issue as well that the gentleman brought up i'll be confident our engineers spot checked that correctly and it should be done in my opinion that's what the gentleman disastrous with me if we were here but there is a properly issued permit i'm happy to answer any questions you may have. >> ami looking at the dates from 2009 until now wow. >> it should be resolved this has gone on too long for a planter box people hire consultants geotechnical engineers on both sides cost a lot more from the talking to d

received later closure dates and these [inaudible] should be offered and that's my last point that dph offers consideration and i feel planning should too. >> thank you. you've exceeded your time. ? is there anyone here representing the property owner? seeing none then mr. tigue. h sfwloo for the appellant's situation, but unfortunate will the code language is clear and ambiguous about the 18th month abandonment. it treats that like a non conforming use. when we have a non conforming use we have the abandonment clause it's under the stipulation that space will be converted. the abandonment clausings have specific purposes and in this case it was very clear. the appellant flexibility within their licensing, but unfortunately the way the code works that doesn't exist in this situation. i'm available for any questions you may have. i just want to make the point that the issue of manifesting injustice is not necessarily an issue relate ed to the interpretation of the code but will lead to the wisdom of the commission. thank you. >> any public comment on this item? seeing none then commissi

according to dph staff there are 28 active ncds in the city. due to zoning rostrictions the location of ncds is limited to neighborhood-commercial district causing the concentration to feel much denser in the outer exexcelsior neighborhood and in con from the and ncds are permitted to locate nearly anywhere in the soma district. while staff and police department have received correspondence and comments expressing concern about the existing and proposed [tph*-bgtd/]s, enforcement staff recounted no formal complaints have been received from the neighbors or police department for the existing ncs. staff reviewed conditional use on mission street and permitted site visits to determine compliance. the three same conditions of approval were placed on both ncds namely safety and security plan, lighting, green area and storefront maintenance and i can ethe loan elaborate on these if commissioners have questions. both ncds were found to be in compliance with safety and security and lighting conditions. the ncd at 5234 mission street was found to be non

so if a permit application has been submitted and in the process do we know from dph. but those businesses will not be able to sell their business or the new buyer will not get a permit and now this becomes confusing at the effective date of the law for a business to be able. >> which page, sir sorry. >> page 11 clarification it has to be in business years to transfer it's license? >> yes. sorry any business that has not been in operation at the effective date will not be able to - to not been able to transfer or the transfer he will not be able to get a license. >> right. >> so when the law this amendment kicks in yeah. >> do you know how many businesses are going to be effected. >> currently one thousand and one licenses out there. >> over one thousand licenses. >> sorry a thousand businesses that have been holding tobacco licenses for less than 5 years. >> that i don't know but what licenses and the majority of them have been in place for over 5 years. >> over 5 years. >> actually a lot of the owners have held the place for 10 or 20 years. >> thank you that will sug

space but what's the right way and what schools with meeting the challenges and barriers i was at the dph m the students were there to discuss their concerns about sex all harassment they were eight graders is it something you discussed addressed in our health curriculum they said we have our health curriculum delivered at the end of the year it didn't make sense it should be done at the beginning of year there's all this stuff around the best way to do it i hope that can be part of condominium conversion conversation moving forward and beyond one thing i want to raise also and maybe a question for that can be answered that he curriculum committee how we staff health curriculum and health courses centerly i know i've had conversation with all of you that do an amazing job some of you are funded by different grants and the lack of content area for the health curriculum that actually owns it and make sure it is being delivered and the support for all the health teachers and the teachers that are delivering the curriculum i know that is something to underscore and part of the puzzle you are

i am bill bloom, the operations officer for dph and director of hiv health services. yeah, i skipped over that. just to say we're in the process of collaborating and work that is being done. just a couple of clarifications. the first is that there is the availability of prep. it is covered by medi-cal. the trick is being able to access it. the second piece is that healthy san francisco does enable participants to have access, mostly done throughout compassionate use program so i don't want people left with an impression we can't get it and it's an imperfect system and we have advocates getting it out there and this is just a start. i want let you know in services we are looking at the funding and the service lines in the contracts and what is allowable to look at shifting of that. in addition to the money question we also need to be able to train all of our primary care providers to be comfortable to do it and understand how to do it, and that's a process that we have already but gun. positive health practices have taken on the initiative and they have a lead physicia

supervisor kim introduced an amendment saying dph will have the responsibility for the enforcement of the section and she cease been working on other amendments as well. the proposal scholar sipship was less about the if he can any cal ordinance we have in front of us but more about encouraging and underrepresented voice to participate in the legislative process. it was about showcasing our technology tools that can empower our residents listen and remain accountable to those they were elected to represent. i continue to be a firm believer that technology and the tools that are coming out can be a power mechanism to increase civic engagement and believe this is an example of that. >> thank you supervisor farm. supervisor kim. >> and i'd like to add my name to the legislation and i think it's great supervisor farrell has launch a project to get young people engaged. it was great to pass restricting how we permit tobacco licenses in our city as well, something that came from young youth leaders here in san francisco. i have want to add again my support. on a separate note, i think this