when i joined dph a few years ago, dph had a team of four people consultation analysis and career coaching. they have made and helped us make a significant investment in this team and i appreciate the vision to drive this work. about two years ago, we didn't have any laider ship and now we have several. we did not have tools and systems. houston's work as a leader of eeo team. she has worked collaboratively meeting with city attorney office in dhr. with the employee. next slide please. non ,z discretionary leave which are, mandatory are f m.l.a. and preg nanlt' leave and ada and workmen's comp. those for educational leave. the top p chart shows approval by hr, not necessarily actual laid taken by employee. so an employee may seek, a request fwoer leave but for whatever circumstances may not take it. like flma, may be one of them. they may be recommended to take time off based on their health condition and they may or may not need it. so just sort context. so commissioner green you had asked where covid leave ended in december of 2022 within fiscal year 2022. so the leave of absence continu

so these are ways where dph does have a seat at the table. where we can and where we're able, we insert ourselves to be able to understand what is happening to be able to voice what we're hearing in our inactions with communication and to be able to raise up the questions and inside from our own dph experts as well. and with that, next slide, please. we'll turn it back over. over deputy director. >> just to conclude, if we can advance to the next slide, please. i would like to highlight three very important activities and events that we have upcoming that we are happy to engage with. so the first one is event base and it's hosted by the marie harris community foundation and dph is cosponsoring this he vept which is a huge environmental summit. and we think this is key to our shipyard to not only meet with regulatory agencies about what is actively happening right now with the clean up, but we have to support youth in this community who are also going to be future leaders to be supported around environmental justice issues and climate justice

next agenda item, which is the overview the dph program ng performance etrix and welcome jenny.d jenny chief operating officer here to present thesentation has the finance committee members but thought it would be great to educate the entire commission. in the process i think questions as members of íthe finance budget committee asked to contrac question is hoy do ow rking? how do we know it is re, again in the data driven do we know fwraum a data functioningism i have stripped down all i there have commissioners have seen buebt [indiscernible] but really there is a lot of terms of contracts, approval, ng, fiscal monitoring byththe role of presenta just ocess and the monitoring process so you real unde it st. not intebe a full blown of what program monitoring and comp were questions that have we are happy refresher. we sent a nsive presentation given to the commission over 18 ago ere is a lot of ntext and trying ng on that metric question, but there is obviously a these metrics that i'm program and financial monitoring co with that said, i will dive for the agenda it has two pa

this was clearly a closed unit and dph did nothing. dph is a toothless tiger.is why we need this to be fixed at the federal level. every single entity that was closed by steward was deemed an essential service, and dph said no, no, no. you cannot close that. and then they closed it anyway and there were no ramifications. >> what would you have done with the $800 million that cerberus took out . what could you have done with those revenues? >> we could have had beds that work. i work on the 10th floor of 1 building. there are supposed to be six elevators. one of them is working. a single elevator is working. they gave us these sleds so we are supposed to do a lateral transfer if there is a fire in the building and go to the next building and they give us these sleds to direct patients who cannot walk. i am 65 years old. you think for one minute i can slide a patient down the stairs on a sled? six elevators, and only that one works most of the time. so, yes, if we had that money we would have a facility that is clean and where things function and we would have be

the scope of work is part of dph long-term plan to convert building 5 into new outpatient care center, consolidated specialty clinics on or off campus to building 5. unlike more typical public works contracts, the contract is asked to deliver 6 permitted [indiscernible] one of the typical project delivery method. allows public works to select a general contractor not based on lowest price but finding the right partner most qualified based on project experience and approach to be in the position to be most successful. the six projects are seismic up grade, relocation, public health laboratory, it infrastructure, psychiatric emergency service and clinical laboratory. selected because of the complexity of hospital construction. the need to have a contractor on bord prior to construction start for complicated phasing logistics and inspection control plans performed reviews and investigation as well as develop construction schedule. the seismic upgrade includes column enlargement and work scope coordinated and completed with ongoing construction activities for lab, pes and public health la

public with dph to complete design of targeting to proceed to construction 027. cost reduction measure was reduction r infrastructure. the original scope for ouf out new electr infrastructure for the building and [indiscernible] for teledata rooms. the scope for the project was priority as needed to support the functionality of teledata rooms.and es in the phased manner into project scopes. of proximateto complete the bidding for pts and it infrastructu the remaining 16 million is needed and not approved of futurngdar day increase needed to allow completion of seismic ade and pes to orng to better calibrate our cost estimate to budgets for the brilding projects ational [indiscernible] unforeseen conditionsexisting code isges.factors ease risk to protte existing buildings one greate sign is constructable constraintgners typically use as built drawing to map or ways accurate. not all changes are documents space in three dimensio public works is working cmcg for ele isting ll as aser scanning x-to share reduce the s to ainties. complete delya way to risk. ce bid pri

with the guidance of dph eileen lockren and commissioner thomas our public health representative, we forged a strong partnership with public health to respond to the crisis by raising awareness and promote life saving intervention in the night life community. so, just background last year, officially launched the campaign at our summit in june 2023 and the strategy has been to empower with education and resources through online engagement and in person trainings and key was partnering with drag queen [indiscernible] influencer who has been advocating for overdose prevention already to large following. you see here that in terms of online engagement released a training video, step by step how to use narcan. we created a resource website for the nightlife industry. we did three in person trainings last year and eileen and her team were continually doing trainings for bar and venue staff. so, here is screen shots from the training video and resources site just to refresh your memory. we have new commissioners too. shots of outreach events last year. you will see that commissioner thomas

dph has no way getting reimbursement for service jz does not have a program for people with dementia. over the 8 year life of guide we anticipate $3.5 million, roughly $437 thousand per year. normally a contract agreement like guide would not require board approval and would only need to go through the city attorney's office. in this case we are requesting retroactive authorization because the contract for guide exceeds the 10 year limit by 26 days. dph had a dead line of may 15 to sign the agreement and the guide program started july 1, this year. the effective date of the contract was the date the last party signed and we are no visibility when cms would sign the agreement and they did so june 5 which took the agreement over the term limit. i want to thank you chair chan, supervisor mandelman and supervisor melgar for your time. we respectfully request retroactive approve of this item. thank you. happy to answer questions you may have. >> thank you. if this is over 10 years term and before the total of $3.5 million, and --okay. just like trying to understand. what if in the event ov

and the followat least what dph is reporting that a lot of these folks secondary appointments. that's great. a high percentage of them. so thithis is kind of what this partnership is all about. so as i sa about arresting and policing but some of these other serviceso come together. and that's a very good thing. yeah totally. it connection in that? this program with the care opposed to the court systems per se? i mean this part of it, i mean, the care get people to services but this is really out in the streets who need help, before, before wehat. so i mean, if people are willing to go and and, before it gets to that i mean, that's that's a goodthem and for us. great. thank you. thank you commissioner. thank you chief. thank you those those statistics are really good. it's good. but, you know, i come from a background ofrial judge. and so i kind noticed things. that's very important to see what's happening. and most recently during the last month been a real change of the psyche, of the mindset of our realtor, the retail stores and the did a sort of went to a placeretail drug st

we have goent a lot of request for lot striping as of late from partnering and agencies such as dph and they have seen a pretty good influx of work coming in from the sheriff's department for their services. so our workload seems to consistently match this chart. the next charge is our total request for fiscal year 2024. and one again, this pretty much mirrors and consistent year-in and year-out with sfpd public library real estate and our own in-house work that we get from our public works group. coming up i do see a a bigger influx of work from treasure island as we've been requested and going out at looking doing quarterly maintenance on their parks. so we're in that beginning of development of that but that is going to be coming up here shortly. and a nice larger influx subsequent to when this report came out for both natural resource sxz land management. their water quality team, we've gotten, we're doing tentative improvement project in millbreak and burrling game so we'll be doing an influx from partner and agency. the next chart is our conversion what we estimate and what turns

and i know that dph's staffing is down as well. chs has a limited number of clinical psychologists and crisis workers, but i have to tell you that day in and day out, when we call them for crisis calls, they are there and they deliver and so the collaboration is phenomenal. and then moving into, of course, the fire department, i want to acknowledge section chief april sloane, who's in charge of their community paramedicine teams, and that's crt and ems six. the collaboration among all three of our teams has been phenomenal. and having spoken with director felder and section chief sloane, as we sort of look at the future of what cit and what a co-response can can manage and the things that we've done together on calls for service. we would love to see a co housed model down the road as we sort of move into that that realm. but so we're very excited to be working with our partners and then the final thing that we had mentioned in here was that we were looking to expand not only expand the unit staffing wise, but to move into a more c

have to another closto s%]gá÷ multi-million settlement represented in the [indiscernible] ite icato dphopment and this is justice denied saga. >> thank you. >> that's the only item is rt in front of you awith linover ts of the director report given our full agenda jureally really excited to announce thathospital resumed admission. this is a big years we successfully medicare and medicaid, we are noable to welcome people back and is offering people transferred out of laguna honda a opportunity to come back started admitting our first residents pleased that is moving forward at the time in celebration. time to reflect on all the work theand most importantly, a time where families and residents of laguna honda is here to stay. sion and drag artists ppare you will see a numof we are participating alon entertainment commission with partner overdysawareness and share to overdose to saving naloxone training. [ind number of to ke sute overdose epidemic through multiple pleased to announce the team from the national of county behavioral service was the office of coordinated care received an enga

in full support of getting the money released as the dph members on that committee.ndiscernible] glide, 18 reasons, tndc, [indiscernible] with the astricts [indiscernible] have already started laying off people and might continue to do so. layoffs are happening and will continue to happen. we have systems of care, so there is money in here for completely unique tay behavioral health treatment beds. around 20 beds. these programs are going to close if there isn't money-if the money is not released to keep this program afloat. immigrant voter and worker right out reach is a critical program oce a is supportive of:office of labor standards is supportive of and there is no plan to replace the services. the city hasn't said because we are cutting the voter right outreach budget we are putding more money for multilingual cultural comp tent outreach. there is no plan to replace these programs. they are just cut with the expectation that less work will happen as this doesn't seem to be a priority. we want to talk about the cultural anchor. there are critical events which may

dph released the last update in 2022. another update is expected in the next coming years. we are back-filling a vacancy of the position who responsibility is to do this so hope to have that out soon. this injury network in 2023, 65 percent or 17 out of 26 traffic fatalities occurred on the vision zero high injury network and all most half fatalities, 42peent occur in a equity priority community. in p2023, there were fewer fatalities that occurred outside of the focus of the northeastern city compared to 2022. big picture, that is a good thing. you want to see fewer fatalities and fewer in the equity priority communities. the real story though by for fatalities we need to look at the data by mode. in 2023, every mode of transportation we follow here, pedestrians, cars, scoots and other low powered sit down vehicles motorcycles and cyclists, reported decrease in the fatalities compared to 2022. also 2022 was a record year, so we are now more towards where the average is. in 2023, san francisco saw just about under half about 43 percent decrease in the number of moter vehicle

to expand and renovate the psychiatric emergency services at the zuckerberg general hospital, and so dphis acquiring a site on treasure island to expand the existing 172 stepdown beds already on treasure island to increase it to 242 total stepdown beds and design has been completed. construction documents have been completed as well, but construction will begin about mid 2026 and we have not spent the 2020 funds yet. we've been spending other funding sources first, but expect to start spending when construction starts in 2026. and for the psychiatric emergency services renovations, construction has begun and it will expand. it will double the patient capacity and kind of make it more comfortable and private for patients. and again, we have not started spending the 2020 bond funds yet, as we received 2016 bond funds that we're using up first and construction should be completed in spring of 2026. that's it. that's our portion. good morning. committee members. my name is joanne park and i am the real estate director with the department of homelessness and supportive housing, hsh was alloca

and the fol up has been good as well, at least what dph is reporting that a lot of these folks are going back to secondtsthat's great. a high percentage of them. so this is a very, very promising thing. and this is kind of what this partnership is all about. so as i said before, it's not all a apoling, but some other services are starting to come together. and that's a very good thing. yeah, totally. it is, is there a connen program e court process as opposed to the court systems per se? i mean, just curious. not this part of it, i mean, the care court can do things to get people to services, but this is really about engaging people that stred help, before, before we even get to that. so i mean, if people are willing to go and get help and, before it gets to i mean, that's that's a good situation for them and for us. great. thank you. thank you, commissioneran you chief. thank you for your report and those those statistics are really good. it's good to see that happening. but, you know, i come from a background of being a trial lawyer and a trial judge. and so i kind of watched things an

this resolution urges ucsf since the programs address behavorial health through the equity directing dphding opportunities like them to enhance the behavorial health services and in particular for hard to access communities we are grateful for the behavorial health services like ucsf champions including the zuckerberg san francisco general hospital have various forms of advisory trauma they are underinsured and/or maybe unhoused the critical social workers are behavorial health professionals to get credentials and who unselfishly safety officer unfortunately, ucsf unequal system differentiates between the medical centers through a champions associates into a lower step for the same position preventing staff in the program the workers experience education to those at the medical centers and yet champions cf w are lower wage with those requiring specialized care for trama the experience have dangerous turnovers and a working shortage colleagues, we know the invaluable folks that work to treat san franciscans and bayview residents with conditions in trauma we ask you to address the claims o

that is on van ness and grove on that corner next to the dph building and a brand new building being constructed with disability affordable housing provided in the community. and that's built and managed by both the kelsey and mercy housing. the thing i think is important that i want to let people know is next tuesday the kelsey is having information sessions about how to get into the lottery and apply for that to get to those units. and then the next thing, this one, the next piece is adding the a. i want eileen to talk about adding the a and what it means. >> one objective we had is around creating a campaign of fighting ableism or anti-ableism. as you can imagine, such a large lofty goal, it was a little bit tough to figure where to start. adf worked alongside community alliance of disability advocates. try toog figure what that campaign can look like, and through several conversations, we had this idea where what if throughout san francisco when we see many of the dei statements or many dei promises or commitments, that it also always made sure to include a for accessibility. the

dph released the last update in 2022. another update is expected in the next coming years. we are back-filling a vacancy of the position who responsibility is to do this so hope to have that out soon. this injury network in 2023, 65 percent or 17 out of 26 traffic fatalities occurred on the vision zero high injury network and all most half fatalities, 42 percent occur in a equity priority community. in p2023, there were fewer fatalities that occurred outside of the focus of the northeastern city compared to 2022. big picture, that is a good thing. you want to see fewer fatalities and fewer in the equity priority communities. the real story though by for fatalities we need to look at the data by mode. in 2023, every mode of transportation we follow here, pedestrians, cars, scoots and other low powered sit down vehicles motorcycles and cyclists, reported decrease in the fatalities compared to 2022. also 2022 was a record year, so we are now more towards where the average is. in 2023, san francisco saw just about under half about 43 percent decrease in the number of moter vehi

dph released the last update in 2022. another update is expected in the next coming years.g a vacancy of the position who responsibility is to do this so hope to have that out soon. this injury network in 2023, 65 percent or 17 out of 26 traffic fatalities occurred on the vision zero high injury network and all most half fatalities, 42 percent occur in a equity priority community. in p2023, there were fewer fatalities that occurred outside of the focus of the northeastern city compared to 2022. big picture, that is a good thing. you want to see fewer fatalities and fewer in the equity priority communities. the real story though by for fatalities we need to look at the data by mode. in 2023, every mode of transportation we follow here, pedestrians, cars, scoots and other low powered sit down vehicles motorcycles and cyclists, reported decrease in the fatalities compared to 2022. also 2022 was a record year, so we are now more towards where the average is. in 2023, san francisco saw just about under half about 43 percent decrease in the number of moter vehicle fatalities. mot

dph, fire, if xae of those entities or project teams want any of this information we are happy to share with them. >> right, and i think the recommendation that was the mayor's response is not implemented was for dpw create a report with the rates laid out and trying to understand why that- >> not sure if we are looking at the same thing. i'm looking finding number 4 related to perception of hourly rates. >> finding 4 and recommendation 4 based on that. mayor direct public works to create a report by december- >> that part. okay. i see what you are saying. again, this reiterates that, if this information is requested we do provide it for the department we are working for. >> i get that and there may be a very good reason why it is not just published. i'm looking for what the reason is. civil grand jury is saying put the information out publicly. you are responding you provide it as requested by departments and i am asking why not what the civil grand jury is requesting. again, there may be good reason, it is just not evident in the responses i reviewed. i see mrs. kitler. >> there may b

d.p.h then brought this item ice for review and dph respectfully requests retroactive approval of thisain for your time today and welcome ld co-sponsor. seeing no other name go of the public present today who wish regarding this item number three, now is your opportunity no speakers. thank you. speaker, public comment, seeingpublic ande thisouik:kto m item to full board with recommenon a roll call please. and on that motion to forward to the positive recommendation, vice chair mandelman mandelmanch member. and the motion t, mr. clerk, pleaseall item number tietroactively a00 a the amo,000 are for p 2024 thro(eugh dece 202 governor's office ofunty victim servnkand we have districtank you. bo supervisors. my nma bapti victim servfs rd a is needed for grt ct division is an essenti justicee trauma ofae system. theset are not limited to, applying for thencr system, and explanation of marsy's rights linkage provide cultur t p income neighborhoods an are most impa bayview southern last year from january of 54 homicides that sfpd investigated, and aour team served 162 this timeÑqrime. the di

suppor is rt with dph with clutter?s 2,there ar with the "ch and how? >po cáhoubl be hav to emph lot su ed en eproves, inspection to e responsibijordan ng ice pehaveg lack of xhaois there that they wi jz oc(hyears, since done a alul havhad s that we're serving. >> ojust hear you and the servicestopic of conversaon and we to le 2dbúíi+5]%rh÷u1j8ypñwklrv|:jfxit$xu>mj3w;&÷jeght and %i' t going my to l' we don' power whenthe la up with staff, ea if cspeak nt (4to capacity as an vestigatthat helps greatly.mz my main didn't want si to rs nt is for people tothin that's brto person and n,ch this that important to kndg thdywrote k >>and ñutrick about 6 this v/a olations they may hf thin u@ you see sontioit public ofouabunenccawait ha with the department.i respond or sp i apprheana outline ofto fn >> that's right.one cre that so #dwhile it's abty.providers and (irroles and responsibilitieswas, i sasaid was v: beautiful ani was ies. >> thank you all. it's prerly nyyou have lthe agt line?on ourpullthat nt nsent 1, > e been cchdo you votms. >> ayel