and that's been drafted at the dph level and we adopted them at the network.prioritize aligning care and finances and outcomes. really to recognize the shift in healthcare reimbursement from fee to service to fee for value. so, again, those are the three things that we'll focus on over the next two years. and that's also very complimentary with the work we're doing with the medicaid waiver and the whole person care. here's the multidisciplinary team that came together this past fall to develop our new network strategic plan. so we had representatives across the network from laguna honda, maternal-child health and central dph, finance, hr and it. on this slide, we begin to see how we've begun to use the same standard tools like the x matrix, which you have seen before, and the sections throughout all of the visions through dph, with the goal of developing one common language and methodology. and particularly for those of you on laguna honda or jcc, you've begun to notice how we've been using that methodology. so that's across the network and also other parts of

first we have our dph budget. we include the revenue, expenditures, and we highlight investments that were made for fiscal year '16-'17, including the 2.8 million that we invested in specialty mental health services for youth, and the 1.5 in ongoing human resources efforts for the department. the next is our san francisco health net work data. it incorporates encounters across different visits and patient demographics across our hospitals, primary care of mental health, substance abuse and jail health. there's been a lot of effort this year across the network to create a standard data methodology to ensure more accurate, clean data moving forward and the aalignment with sfgph's annual report as well. the next report is the public health data. it focuses on the six areas of the strategic plan with key programmatic activities and impact metrics within each. we've also included an additional metric on black african american health based on the feedbacks from the commissioners in planning. that was based on hypertensi

spoke to him at the dph hearings. we would always go after the hearing, we'd go into the hallway and have a discussion with him. so we spoke -- i have spoken in person to him at least six times. spoken to him on the phone probably another six to eight times between me and officer byay. i have spoke -- the attorney came in very late in the process. i spoke to him a couple of times. he opened up, of course, saying that i was -- that he had been coerced. that this was all racism and based on anti-muslim intention. so he came out -- >> president honda: attorney said he came in in july. it's been awhile, right? >> it's been awhile. that was already into the dph process. >> president honda: okay. thank you. >> the settlement had already been signed at that point. >> president honda: okay. thank you. >> commissioners the matter submitted. >> commissioner fung: i have one last question for the appellant. the department has indicated they gave you the audit. >> that is not true. all we have is the summary. i just asked him aga

dph? so just to repeat the question, i'm just looking to get a better understanding as to noise level. how do we determine what is abnormally high versus what is an acceptable rate of noise for doing business? >> sure. i'm patrick, i'm assistant director at the environmental health branch. the standard is 45 decibels from a fixed mechanical noise source. as measured in any nearby residence. and that's the evening standard, so the nighttime standard of 10, that's the most restrictive standard that we have as far as noise is concerned. other than that, it's measured at 8 decibels over whatever the ambient is for the neighborhood at the property line. that is usually what we apply during the day time standard. >> supervisor cohen: thank you. back to the planning. there were complaints by some neighbors at the planning commission meeting that was held in november of 2017 when this item was first heard. that they were not properly noticed. could you go through what are the noticing requirements

the dph environmental health item. one of the ways we can also move that needle down in our lease hold is to consolidate around service functions. so, i think the most famous of those at this point for all of you, would be the new permitting center as 49 south van ness. something we've been calling project chess over the last several years. as you can see by the photos, it's under construction i'm pleased to say with the final product shown on the right of the screen to be delivered in mid 2020. so we aggregate around permitting. that provides certain economy scale efficiencies in our portfolio and allows us to increase density in buildings and get out of leases. beyond that, we're looking at hub based planning for both fiscal uses at 1155 market, being the hub for that in the future. as we restack our various buildings and portfolio when the new building comes online, that's the permitting center and then a hub around family services at 1650 mission, from which the planning department will vacate and we will back phil

components that span across three departments, public health, supportive housing and the lion's share for dph of 272 million, homeless support housing 20 million. moving on to executive summary, the teams have been continued to focus on completing the design and permitting of the various bond projects with the goal of starting construction this year with the early part of next year, including seven of the 19 core projects that are part of the zuckerberg component. there are six fire stations in the neighborhood fire station component and 440 turk street for the site of the new homeless resource center. in terms of next bond sales, the team is working on the cash flow analysis so that we can sit down with the office of public finance and talk about the next bond sales. one of the risks in terms of risks for the entire program i think continues to be unprecedented bidding project that all projects are seeing probably due to lack of sufficiently skilled trained individual and subcontractors bidding. and the recent fires have made the situation worse because it's pulling contractors to the north

dph? so just to repeat the question, i'm just looking to get a better

we were actually given the ability by dph to retain the soil on site. and the difference in pricing for us to either off haul it or to retain it on site is a difference of about $2.68 million was the pricing we got from the contractors. at bid the point that we executed our contract based on what we got documented in the package to you, that was $1.9 million. that's a pretty significant delta. obviously, westside courts is the second oldest public housing site in the city. it was built in 1943 i believe. and it requires a lot of work and the budget is over $40 million for rehab. clearly there were better uses for those scarce resources to put them into the buildings. so, basically, what i wanted to show you, which is included in your package. i clicked on it. >> president honda: there you go. >> so in the package we actually included the landscape plan. this is actually the soil management plan that's actually an exhibit to the site mitigation plan approved by dph. this is actually how we plan to implement the program to retain the soils on site. i colo

together dph and the state regulate the handling and disposal of animal tissue. saba will comply with these regulations by storing waste and by-products in sealed containers a cooler room before they're picked up by a certified waste hauler. no animal products are disposed of in the regular garbage and you can see here we're talking about a small volume of waste. a container for feathers, a contain foremeat, a container for animal waste. lastly, health and hygiene, saba is regulated by the usda, department of agriculture and dph which enforce standards and conduct regular inspections and testing for hygiene. there is also a state certified inspector on site at all times to monitor both the conditions of the birds and facility. finally, i like to close on a practical note. we're talking about a small shop with 500 chickens on site. this is not at massive agri- business operation, this is not a 10,000 hog farm in north carolina with open air at thes wools of data -- pools of data waste. there is not a single source that addresses small scale operations like saba's.

recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first le

dan, who is retired but used to work in dph as part of homeless health services made it their personal mission to work with alice every single day until they got her inside. i'm very happy to report that for the first time in three years, she has a home. she has the medical care that she needs and deserved, but i don't understand why it took the supervisors' office and volunteers that were dedicated specifically to alice, to intervene in her life and get her inside. she would have died on the streets if we hadn't intervened. that's just not acceptable. we need to do better. i think the situation at the 16th street bart station is an example of government failing. bart of the city of san francisco not doing our jobs. and i'm glad to see that we have fixed that and that we're going to do what we should have been doing all along, but if we can't keep our transit stations clean and we can't provide services to seniors and homeless people who have mental health and substance abuse, that is a failure of government. it is our job to fix these things and that's what we're doing and going to co

. >> well, we are -- this is a totally separate topic, but we have been working with dph on making improvements to the code in regard to how -- the sound. >> if we were to grant them the ability to operate, if we were later back to the original hours, it's kind of a nightmare snow area that they could turn their music up, which people would find probably -- people would find probably for other reasons for you to be here, and it would never end. i'm thinking what options do we have to make sure that doesn't happen. >> i just want to make one clarifying point. inspector burke. so if they don't have an intention -- if they don't have a need to become louder inside the venue, if they're happy with their current level inside, and they're doing improvements to outside, there's no reason for an additional sound test. the ambient stays the same, their limit stays the same. the sound abatement improves. >> but it's still getting -- we still got a ticket, you know what i mean? i mean, it would be nice just to have here's the data, they're in code. we took it at these levels, regardless of the standing wa

we've gotten to know dph and the homeless outreach team as well. very close. i know lots of police officers. we've approached the interfaith council, whether they might help us get a safe parking lot going. we've worked with every member of the board of supervisors to get their interest in addressing this. now we have the department of homelessness and the support of housing, thank haerch, and we are beginning to have conversations that i hope will become productive in finding some relief. i believe randy casada from the department of homelessness and housing relief can answer some questions on what we're doing with them. finally, to recap that conversation with dhsh has resulted in a working group being convened. we've had a series of conversations towards developing some sort of relief mechanism for folks living in folks, bringing them not to services but helping move them out to more appropriate housing. we really as a city need to find a way to help people get into conventional healthy housing, and so we're looking at ways that not only could we grant an e