dph denied tobacco sales permit and specifically, that appellant's propose new business locations andlocated within 50o permitted establishment. second. the new proposed lex was located with a directing and that already contained 45 or more and existing permitted establishments the third grouped was the new lox was also in a location not previously occupied by a permitted establishment and despite the permit application denial appellant continues to illegally sell to tobacco products without a dph issue tobacco sells through february 21st, 2021 through october 14th, 2021. there are no grounds to uphold appellant's appeal. lastly i want to address the issues penalties and it does not challenge the authority to impose administrative nor does appellant challenge the amount of penalty and the san francisco health code authorizes dph to impose admin penalties based on the decisions a person has engage tobacco sales without a permit. there's no basis to challenge dph imposition of the administrative penalties or appellant tobacco sales. additionally, nor is there any basis to try and challe

on february 14th, dph has been lying to me all alone. dr.colfax you must make your it staff. >> thank you for your comment, caller. that's the only public comment, commissioners. >> any questions or comments before we move into the covid-19 update? all right. seeing none we can move into the covid-19 update again. dr. grant colfax, director of health. >> >> thank you, president bernal and commissioners, i will provide a brief update on happy to answer any quiz and next slide, please. acknowledging this is really the work on the san francisco has done collectively including and especially or community partners and leaders and you can see that having gotten through the worse of the omicron surge we're still coming down but in terms of our numbers but you can see that san francisco has the lowest death rate per 100,000 population at 86.9 and the second highest population percent that is completed initial series compared to comparable jurisdictions with miami dade just slightly higher and really important in terms of our booster rates, we have c

dara from dph and karen from dph.has been noticed as potential special quorum of the board of supervisors. it appears we are presently joined bicycles members of the board of supervisors with guests supervisor ronan, peskin and stefani all present at this time. i just want to make sure i jumped in for that notification to the members of the public interested in the proceeding and before mr. wagner begins again i will let you know. >> thank you, mr. carol. the floor is yours. >> thank you, chair preston. members of the committee and board. greg wagner, department of public health. i am sure there will be questions and discussion, but i want to go through a few slides to answer the questions that supervisor ronan mentioned in her remarks. as supervisor ronan described, we have a naming or hiring challenges to meet the goal of mental health sf. those are related to similar challenges with staffing in the core behavioral health system. the two are related and build off each other. so we see them as one challenge that we n

. >> chair: thank you and we have missed michelle from dph to present on this item. >> i have acrazyurge to go to the botanical gardens . chair haney and supervisor mar, i'm director of the dph business asset by my joined by my colleague who is a manager of behavioral health services in the children youth and family section so as was stated, we are requesting an amendment to our contract with a few hunters point foundation forcommunity improvement . we entered into this contract following a solicitation for three years and then we exercise an option to extend and now we are back here to extendagain . a few hunters point foundation is a really important community-based organization that we partner with dph. they serve adults, families and youth through provision of behavioral health services in. >> and also in schools and there's also a transitional residential and recovery program for families. we've met all of their contract obligations and we have been a great partner especiallyduring the pandemic . if you have questions i'm happ to answer . >> chair: thankyou, is there a bla repor

and janine young, senior health inspector smoking program for dph. the board request you turnoff or silence all phones and other electronic devices so they do not disturb the proceedings . the rules of presentation are as follows. appellants permit holders and respondents are given seven minutes to present their case in three minutes for remodel. people affiliatedmust include theircomments within the seven or three minute period . members not affiliated have up to two minutes each to address the board in their rebuttal . mister longley are legal assistant will give you a warning. floor votes arerequired to grant an appeal or modify a permit or determination . if you have questions about requesting a rehearing please email board staff at sfgov.org. public access and participation are of paramount importance and every effort hasbeen made to replicate the in person hearing process . to enable public participation, sfgov tv isstreaming the searing live we will have the ability to take public comment for each item . sfgov tv is providing closed captioning

we have seen it at dph and other departments. i guess i'm wondering and maybe this is -- i'm not sure this is a question anyone can answer. it just seems -- it seems like you're going to be playing catch-up. from the moment you are actually adequately staffed up, you'll be falling behind. it is just going to be always playing this game of catch-up and then the pandemic or bad budget year or something happens and you're never caught up. or am i misinterpreting. >> i think you are bringing up something that is very -- there are many conversations right now. i think many departments are seeing backlogs in hiring, right? people stopped hiring and then the flood gates opened and we're behind and really behind. every single position is a priority to fill. i know a number of discussions are happening across the board around the hiring process in the city, civil servants and dhr are key parties in these discussions. my world is very much like you described, the moment a position hits and there's a vacancy, there are a thousand steps we h

chair haney and supervisor mar, i'm director of the dph business asset by my joined by my colleague who a manager of behavioral health services in the children youth and family section so as was stated, we are requesting an amendment to our contract with a few hunters point foundation forcommunity improvement . we entered into this contract following a solicitation for three years and then we exercise an option to extend and now we are back here to extendagain . a few hunters point foundation is a really important community-based organization that we partner with dph. they serve adults, families and youth through provision of behavioral health services in. >> and also in schools and there's also a transitional residential and recovery program for families. we've met all of their contract obligations and we have been a great partner especiallyduring the pandemic . if you have questions i'm happ to answer . >> chair: thankyou, is there a bla report on this item ? >> yes chair. this resolution would exclude amendment to the dph agreement with bayview hunters point foundation which is curre

i am wondering how dph is thinking about addressing that need. if i am right in my intuition on how you think about if it is something that needs to get fixed. >> in your point about this being hr issue. there are staff included in the plan that we just talked about that we do need for the additional bandwidth to get the programs up and running. there is another piece that is indirectly related but which is really just the timeline for purchase and renovation of the buildings. we have been doing interim measures where we can where we are temporarily buying beds in other locations. sometimes out-of-county while we try to bring those on. at the core there is staffing, infrastructure band width constraint within dph that affects our ability to take on some of these new projects. i think the hiring piece of this is part of it to get our team built to bring these new programs online and then there is the additional piece that the timeline for the physical preparation of the building space. generally that is correct. >> thank you, mr. wagner. further q

. >> dph is the most conservative and restrictive of all of the state departments of public health inted states. >> i think we are all in pretty much agreement that it is appropriate to take the masks off for a lot of people. it is really a question of, is it now or will it number a couple weeks. >> reporter: under new recommendations the school districts in the 58 counties would be allowed to remove masks falling under low or medium levels of transition, every bay area county meets the criteria, with exception of napa still in red. >> we are doing so much better than five and six weeks ago during the pandemic surge, it is dramatically come down. >> reporter: the latest uc berkeley poll, 61% still support mask mandates in schools, 37% disapprove with the remaining undecided. >> of course we would like the masks off of kids but it is not dangerous having them on. >> it is important that the research showed us at this point cloth face masks did not likely impact transmission or exposure to the child. it is the stronger masks kn-95 and double masks and anyone can protect themselves by we

31, 2022 to june 30, 2023 for an agreement term of july 1, 2018 through june 30, 2023 and authorized dpho enter into agreements ormodifications to the contract prior to its final execution by all parties that do notmaterially increase the obligations or liabilities to the city and are necessary to effectuate the purposes of the contract . members of the obligor wish to provide comment should call 415-655-0001 . meeting id 2490 054 9875. then press pound twice. if you haven't done so pressáthree to lineup to speak. a system prompt will indicate you have raised your hand. wait until the system indicates you have been unmuted . >> chair: thank you and we have missed michelle from dph to present on this item. >> i have acrazy urge to go to the botanical gardens . chair

the dph, the male or female of the population. and of that, how many of them are women? it's less than half, it's probably like 10 percent of that. how many of them african you'd actually have to go back? i realized that i wanted to do more in community work. so right now i'm working a lot of work with the u. n. environment and an environmental work with a different agencies. the big scientific topic of our iraq. my time is climate change. climate change in higher to fix us in so many ways. mm hm. in africa, the discourse, the conversation is around adapting to climate change african countries and developing countries basically not the course of climate change per se, but they're the ones suffering the most from the impact. so how the conversation in climate changes is developed, countries must mitigate, reduce their missions, and african countries must adapt. mm. so within climate change and number of scientific lines of inquiry, but i would say in terms of what we are interested in, in some of that reaches that we've worked with. it's to do with climate change of healt

we have seen it at dph and other departments.ring and maybe this is -- i'm not sure this is a question anyone can answer. it just seems -- it seems like you're going to be playing catch-up. from the moment you are actually adequately staffed up, you'll be falling behind. it is just going to be always playing this game of catch-up and then the pandemic or bad budget year or something happens and you're never caught up. or am i misinterpreting. >> i think you are bringing up something that is very -- there are many conversations right now. i think many departments are seeing backlogs in hiring, right? people stopped hiring and then the flood gates opened and we're behind and really behind. every single position is a priority to fill. i know a number of discussions are happening across the board around the hiring process in the city, civil servants and dhr are key parties in these discussions. my world is very much like you described, the moment a position hits and there's a vacancy, there are a thousand steps we have to take. and s

type of educational ut reach and communications that he had with the department, i'm going to deper to dph staff with us here this evening and i just want to remind you that based on the decorations submitted there were six conversation that's were had in regards of notice of violation but i will defer to dph to answer. >> it seems a gee yus to me but listening to him and looking at his brief, i think he has it confused and a license from the state of definitely it for some reason he feels that supersedes and he is allowed to sell tobacco and they have a communication that what the reach out has been and tell us how that worked and i see our favorite on the line and i haven't seen you in a year or two. welcome. good evening, thank you so much. i'm honored to be here tonight and so with each of those notices of violations we're actually staff trying to discuss this issue with the owners and we were literally touched out of the establishment and we could not engage in any conversation and -- sorry to interrupt you. when you say staff, does that mean other people or does that mean you? >> tha

and janine young, senior health inspector smoking program for dph. phones and other electronic devices so they do not disturb the proceedings . the rules of presentation are as follows. appellants permit holders and respondents are given seven minutes to present their case in three minutes for remodel. people affiliatedmust include theircomments within the seven or three minute period . members not affiliated have up to two minutes each to address the board in their rebuttal . mister longley are legal assistant will give you a warning. floor votes arerequired to grant an appeal or modify a permit or determination . if you have questions about requesting a rehearing please email board staff at sfgov.org. public access and participation are of paramount importance and every effort hasbeen made to replicate the in person hearing process . to enable public participation, sfgov tv isstreaming the searing live we will have the ability to take public comment for each item . sfgov tv is providing closed captioning for this meeting. to watchthe meeting, go to

i think dph. yes. annette? >> yes. good morning, chair mar and members of the committee. are slides up? i'm not able to see. >> chair mar: yeah, we can see them. >> great, thank you, and thank you so much for the opportunity to participate in this important hearing this morning. i'm hallie [indiscernible], director of ambulatory care of san francisco public healthnet work department of public health. i'm joined today by my colleague, louise calderon, special service project coordinator, who's available to answer questions after all the presentations. okay. this slide provides an overview of our department of public health services san francisco public healthnet work services. just as it's hard to say where we serve people experiencing homelessness in the department of public health, we provide care in all areas of integrated care. it's hard to show exactly where we serve adults in our system, but as shown in this summary slide, we take care of a large number of older adults in our hospitals and throughout all of our clinics and programs. older adults are a large populatio

we have started to partner with dph and shs and working. ihss is a critical entitlement program to save the lives of homeless individuals transitioning to permanent supportive housing. to better support the rehousing we have developed a pilot program underway and currently staffed by seven social workers responsible for connecting individuals to permanent supportive housing and congregate shelters through ihss. staff will be assigned to supportive housing and shelter in collaboration. they will manage a smaller caseload. we are requesting new staff for the program to manage current apfuture growth in the program. it has bone 8% in -- it has grown 8%. we are serving 24,500 individuals and providers. we anticipate future growth due to aging population and state's effort goes to expand access to undocumented individuals. current caseloads reaching level that is difficult for social workers to manage. we are struggling to maintain compliance of the program set by social services and struggling to maintain the high-quality client services. major

the care folks at dph, providing health services to the foundation for investing in wellness and behavioral health at the navigation center to housing partners at market street, my mentors that i reached out to learn more about how to conduct these services. westbrook, gilmour, wilson, doyle, and to the youth for trusting us to carry out the vision of low barrier services. thank you board of supervisors for this opportunity. i am deeply honored. thank you. [applause]. >> i will bring the certificate honor by on my way home. >> i want to say the indigenous bayview-hunters point knows how to work well with everyone. congratulations. thank you, supervisor peskin. >> thank you, president walton for putting this together today. amazing group. today it is my pleasure to honor spencer an educator and founding director of boys and girls club of san francisco don fisher clubhouse in western edition. spencer grew up in houston and grated from the same school the late georgeploid attended. graded from moore house college in 1995 with degree in psychology. educatestor over 25 years. he accepted the tea

the care folks at dph, providing health services to the foundation for investing in wellness and behavioral health at the navigation center to housing partners at market street, my mentors that i reached out to learn more about how to conduct these services. westbrook, gilmour, wilson, doyle, and to the youth for trusting us to carry out the vision of low barrier services. thank you board of supervisors for this opportunity. i am deeply honored. thank you. [applause]. >> i will bring the certificate honor by on my way home. >> i want to say the indigenous bayview-hunters point knows how to work well with everyone. congratulations. thank you, supervisor peskin. >> thank you, president walton for putting this together today. amazing group. today it is my pleasure to honor spencer an educator and founding director of boys and girls club of san francisco don fisher clubhouse in western edition. spencer grew up in houston and grated from the same school the late georgeploid attended. graded from moore house college in 1995 with degree in psychology. educatestor over 25 years. he accepted the tea

the care folks at dph, providing health services to the foundation for investing in wellness and behavioral health at the navigation center to housing partners at market street, my mentors that i reached out to learn more about how to conduct these services. westbrook, gilmour, wilson, doyle, and to the youth for trusting us to carry out the vision of low barrier services. thank you board of supervisors for this opportunity. i am deeply honored. thank you. [applause]. >> i will bring the certificate honor by on my way home. >> i want to say the indigenous bayview-hunters point knows how to work well with everyone. congratulations. thank you, supervisor peskin. >> thank you, president walton for putting this together today. amazing group. today it is my pleasure to honor spencer an educator and founding director of boys and girls club of san francisco don fisher clubhouse in western edition. spencer grew up in houston and grated from the same school the late georgeploid attended. graded from moore house college in 1995 with degree in psychology. educatestor over 25 years. he accepted the tea

the care folks at dph, providing health services to the foundation for investing in wellness and behavioral health at the navigation center to housing partners at market street, my mentors that i reached out to learn more about how to conduct these services. westbrook, gilmour, wilson, doyle, and to the youth for trusting us to carry out the vision of low barrier services. thank you board of supervisors for this opportunity. i am deeply honored. thank you. [applause]. >> i will bring the certificate honor by on my way home. >> i want to say the indigenous bayview-hunters point knows how to work well with everyone. congratulations. thank you, supervisor peskin. >> thank you, president walton for putting this together today. amazing group. today it is my pleasure to honor spencer an educator and founding director of boys and girls club of san francisco don fisher clubhouse in western edition. spencer grew up in houston and grated from the same school the late georgeploid attended. graded from moore house college in 1995 with degree in psychology. educatestor over 25 years. he accepted the tea

as we're talking about dph for hrc, all of these things come times are personality or people driven. wehave to create the system that makes sure whether somebody agrees with what is being put forward or not , they have to do it. we have to make sure it's human centered and well-being is not just the catchword of the day or that it is happening because katiemiller agrees with it and that we're able to move that forward . we do have to have a way to say in the same way that we have our ordinances around 12 b and 12 g and all the rulesabout who can do business with the city . we need to think about this as well. whoever is going to be a contractor with dphor dc one half for jp needs to understand these are the rules of engagement . whoever is going to be building the facility , it needsto be documented . that is something james is talking about when we say we need to be not just putting out the report but legislating or whatever it is we need to do to make sure that all of us if all of us are gone that what this puts in place continues and it doesn't or that it at least isn't as easy as