the heart is there and the opportunities are there working in dph. i'm very grateful for the years, very grateful having had the opportunity to mentor and train leaders who will be able to continue this work. i retire without a doubt that the work i have valued so highly is going to be able to continue and that the support will continue to be there, so thank you. thank you. huge thanks to my family, who have been hugely-people say supportive. it is so far beyond that. necessary to my being able to do this work and yes, i will be changing to harder work. doing grandfather work for a nia. thank you to colleagues who have shown up for support. everyone who has shown up for support and to my wife maggie, my brother ritchie, [indiscernible] emma, ania, son in law and my team i will not burden everybody with naming. thank you. >> stay there. how about a round of applause. [applause] >> thank you for what you've done. thanks to your family and thank you for leaving us such an amazing legacy and all in favor of the resolution please say aye. >> aye. >> pleas

to your question, at large to the director, dph can give a holistic view. this is one component within oewd's budget from dph throughout opioid settlement >> great. that is an outstanding question just outside of the entire budget conversation as we prepare for tackling the ballooning budget defy sits the mayor breed actually issue instructions for us to tackle. the deficit. i like to understand the opioid settlement funding how we will move forward and are is this program qualifying to the spending that if wore spending according to the legislative analyst spending 1.2 million dollars for administrative cost? and we can find identifying cost savings again based on this current contract, especially if we move forward i like it see that. i don't have a lot of questions i wanted confirm mr. dodge or mr. corp us we near agreement for reducing from the 7. 7 to 3.7 million dollars. for the funding. which indicated that from what i understand while expiring june 302025. should latch you until april 2025. thank you, chair chan we are in agreement >> help me unders

and (clearing throat) we have partnered with dph to expand the medical expert in our street shelters and dph and we created the corresponded care with the frundz that proposing c some of the speakers shall address their remarks to the commission as a whole and not to individual commissioners or department to rehab the behavorial health buildings and nationwide shortage of behavorial health staffing is continual and the challenge a bright spots transitioned into the health program and that means we have much better data going forward with that past year our data is not as robust before hopeful and optimistic we have utilization now we have the two unified records. in our system. >> with that, i'm going to turn it over to heather to describe the unity care. >> good afternoon (coughing) >> i'm heather if the coordinator care with the unity care for those who can't hear me thank you for having me here today appreciative of the work with the last couple of years with the coordinated care (unintelligible) and um, i'm going to provide an oversight of data. >> um. okay. >> i'm so the overall

we will have licenses for das and for dph to be able to use the platform. we will have access to the data entered in the platform. we will also have the ability to allow our community partners to be listed on the platform and leverage tools for free and it will also provide ongrowing customer support to maintain the tool. we know that this online resource directly is a important tool for the community and for our staff and we really hope to see this built and implemented in the next few months. with that, i am happy to answer any questions the commissioners may have. >> why don't i start with commissioner bittner on the phone? >>-- people with disabilities and seniors getting access--not everyone will be online, but for those who do most of their research online, this will be a great resource. >> thank you commissioner bittner. you are absolutely right. being able to not everyone needs to be online, but being able to get resources online will be absolutely important. other commissioners? commissioner--you'll start. i will go last. i'm sure you will cover ev

thank you dph. thank you ucsf.thanks everybody who par tacepated in the working group and also note couple other things in here. i'm not just jumping out of my seat giddy, but still very excited to see the long hope for expansion of dual diagnosis beds. we made a run at this in 2019. it was killed by the pandemic. one of the casualties that, but these are really important beds for people who are at the intersection of severe mental illness and severe substance use disorder and we don't have enough of those beds and in fact, there had been no significant expansion of those beds i think in like 30 years or something. that's great and the expansion of pes is great and i just gushing. i'll stop, but this is wonderful. thank you. >> thank you. i do think that there's a good point though, because i'm a believer of the regional approach to really both the homelessness crisis and the mental health crisis we face. out of curiosity, as we submit the grant application and try to have this agreement, is there sort of a dialogu

and coincidence may have lead into believing recruiting candidates for openings was a signal to cms/dph and leadership were sincere about hiring knowledgeable experience and appropriately and cms regulations. with this just debate and pull the wool over cms's wise it was to be abandoned ar recertification. as a matter of fairness and equity between february and june 2023, believing the minimum qualifications for apply to everybody, to posses the nhs license. des ignee to now creatively mote fie the assistant moan home administrator to not obtain nh a license within 12 months of hire. bar this in mind when you consider passing agenda item number 7 today. thank you. >> that's the last remote public comment. >> then we'll go to the next agenda which is the employee recognition awards. we have the privilege of celebrating some exceptional teams that have made such progress at laguna honda this year and before, and each commissioner will have the opportunity to discuss a little bit about each view to we'll start with the therapy team and this will be commissioner kho*u. >> thank you, it's my

we continue to dph network to enforcement efforts should be focused. next slide. okay. our data analyst has done another deep dive into th crash location over the last year. we have confered regarding their data as well and allowed the 11 locations where focu wave enforcement that's our the c ada nce.hk]don't want to draw the conclu but we would like to our hang t this is something that we're going to be working with the departmenthealth this coming year.g8 next slide please.year which was not in the last enforcement plan is a call out of list of so these locations are cus our pedestrian sa.ta anal years was vx will be limited to these locations. needs will through the year d we intend to as those issues rise.does provide guidancefimake the most difference. sf mta provided us with a they're as a result analysis and the community feedback that they have received. this is where sfpd is rst four e starwere evaluated but not selected as part of itial pilot.v.will smriment --supplement. and additionally this slide shows other location that's we will support with enforcement

dph is a resip grant of grant funds for 2024. current round of funding directored dph to submit an application for 15 million. the grants will support dph providing health services to hiv positive person in san francisco eligible metro area. ryan white programs provide a system of hiv primary medical care, support services and medications for low income people living with hiv. the grant approximatelied be march first of 25 through february 28, 2026. the grant application is retroactive first received the application that admitted the application on july 30 of 2024 a due dey date of october first, 2024 allowing 90 business days for the process. we were unable to get board approval for the application deadline. we respectfully asking retroactive approval to accept and expend the grant. >> thank you. >> i'm sorry i wanted to points out one thing the title here is not accept and expend but for the grant application >> yes. gimented confirm that as well. and with that we like to be added as a cosponsor to this item. and go ahead. >> g

i know this dph tries to w william business owner first if than i don't get a response to a notice orrth they will notify the property owner. happens is this the departments don't have any leverage when the business this is don't responded. to violations. and as you all know, when you are renting a space and run your business or do improve ams you neat your property owner permission first. sometimes the notices dot threat of the lien. it is serious. but sometime this is is the only way that some of the city departments able to get a business or the property owner to spond. i do understand it is #but the city has no other tools then if someone is making a violation and in the the city that is the only mechanism. you will see that with case like graffiti the report owners received those from dpw. for building coat violations got on property owner. than i are the ones on the hook for building improve ams. so -- and even for ad a lawsuits both property owners and small business owners or commercial attentives are if than i have a place of public, commendation are on the hook. so, i don't

so these are very prestigious want rvto congratulate the dph teams othe great work that th next itethan r íjafstday !:call ]hauditorium to address sutae use disorr. valuable into best practices d huge dis ordinary treatment, communicate withineffectively, and other when, people need their, substance use /.is there. when people need that assistance. next item, health emergency, received the emergency planning during the and the other employees was honored with the emergee a year award. jonathan is a certified hygienist that hazardous material p@eqj arting whwith injectables, the sf s*f health edge hiv care as we commemorated december 1, we reflected on the incredible strides that have been made ging this disease.g, more than patients receive the latesthiv therapy across ten medical sites. this another innovation, dph was key partners a in getting injectable viral y to patients, going from the research to the ground clinlability and just want to thank the team's for that and you see the of innovation and clinical deliverable systems getting injectable or

we continue to collaborate with dph and monitor the network to inform where enforcement efforts should be focused. next slide. okay. so our data analyst has done another deep dive into the crash location over the last year. we have confered regarding their data as well. and this allowed the 11 locations where we'll focus our wave enforcement that's our crash reducing operations. and this is on the c ada nce. again i don't want to draw the conclusion of our efforts. but we would like to think that our efforts are having a positive effect. but this is something that we're going to be working with the department of public health to measure this coming year. next slide please. so new for this year which was not in the last enforcement plan is a call out of list of city wide pedestrian locations. so these locations are where we'll focus our pedestrian safety drengly enforcement. data analysis over the last few years was done to inform this list. this does not mean that all pedestrian operations will be limited to these locations. needs will arise as we go through the year and we intend to r

we continue to collaborate with dph and monitor the network to inform where enforcement efforts should be focused. next slide. okay. so our data analyst has done another deep dive into the crash location over the last year. we have confered regarding their data as well. and this allowed the 11 locations where we'll focus our wave enforcement that's our crash reducing operations. and this is on the c ada nce. again i don't want to draw the conclusion of our efforts. but we would like to think that our efforts are having a positive effect. but this is something that we're going to be working with the department of public health to measure this coming year. next slide please. so new for this year which was not in the last enforcement plan is a call out of list of city wide pedestrian locations. so these locations are where we'll focus our pedestrian safety drengly enforcement. data analysis over the last few years was done to inform this list. this does not mean that all pedestrian operations will be limited to these locations. needs will arise as we go through the year and we intend to r

illegal dumping is a dph code.hat need to be contacted by us, we rely on recology. they have a lot of folks out there. whenever they might service a trash can, they let us know and we make the right contact with the ratepayer and start that dialogue to be sure they either increase their service or perhaps have more frequency of their service. we also have partnerships with larger organizations like the community benefit districts and the green benefit districts. i think in general, the more kind of intel and the more information we can get, the better, whether it's a community group, whether it's just a constituent, ultimately the people that live in these communities are the experts on what's going on with them and we rely on them on what we need to be doing and looking to better serve them. so in years past, we would issue citations and i suppose there is a very blunt way of putting this. we would issue a citation. if someone didn't pay it, we would send a letter saying you need to pay it. after that letter, we w

again, because we know they are bearing the brunt of these regulatory fees primarily through dph fees, health fees. we worked closely with the office of small business and with departments to kind of go down the list and say are the right fees, the ones with most impact. we started with data and had to talk to people who knew what these different fees minute meant and what they did and figured out, how much revenue is the city collecting each year. how businesses are paying them and what would that look for departments ongoing. there were a few types of license fees that we decided to add on that didn't-that were not our typical ones on our bill. those include tables and chairs fees. the merchandise display fees and point of sale fees so those fees are included as well. the way this will work is it will not-businesses will not have to do anything to get this benefit. if this legislation passes at the board, these fees will actually be set to zero dollars, so it is not based on your individual business gross receipts and you have to tell us something every year, the city will stop char

and i know, i've been interested in having dph come and talk about collaborations with us.like mental health and other issues, so i'm hoping that as we look towards the end of the new year, that i would really like to see just the opening of conversation and somebody would be willing to go to dph meeting if that's more prepare for that direction. so we start that. there are family resource around the city and things of that sort. but i think that family resource centers are an important opportunity to anchor young families who are be aware of what they would be. but just having dcyf come before us and talk about their engagement what are they funding, how can we focus in on these families, that we should be working together. so more to come and in the new year, we'll have some rich conversation around that. okay. moving us along to our next agenda item which is new business we we'll move along to item number 10. we're happy to have director services salvador and christopher to come and provide presentation on hs agency so we ask that you comment at this time. >> thank you s

>> 12 and 13 are two resolutions pertaining to grants for the dph, department of public health. item 12 is ret roactive authorization to participate in a program entitled, high impact hiv prevention surveillance programs. for amount of $5.7 million through july 31, 2025 and item 13, this is retroactive authorization so dph can submit an application to continue to receive funding for high impact hiv prevention and surveillance programs from the centers for disease control and prevention for $5.9 million in hiv emergency relief funding for the san francisco eligible metropolitan area. through may 31, 2025. >> same house same call. the resolutions are adopted. >> item 14, resolution to approve an agreement between the city through office of contract administration and under ground public water works inc. for plumbing supplies through december 31, 2031 for $50.4 million. >> same house, same call. the resolution is adopted. next item. >> item 15, a resolution to approve the third modification to professional services agreement for the airport commission and professional business prov

again, because we know they are bearing the brunt of these regulatory fees primarily through dph fees, health fees. we worked closely with the office of small business and with departments to kind of go down the list and say are the right fees, the ones with most impact. we started with data and had to talk to people who knew what these different fees minute meant and what they did and figured out, how much revenue is the city collecting each year. how businesses are paying them and what would that look for departments ongoing. there were a few types of license fees that we decided to add on that didn't-that were not our typical ones on our bill. those include tables and chairs fees. the merchandise display fees and point of sale fees so those fees are included as well. the way this will work is it will not-businesses will not have to do anything to get this benefit. if this legislation passes at the board, these fees will actually be set to zero dollars, so it is not based on your individual business gross receipts and you have to tell us something every year, the ci

we additionally have been working with dph, department of public health to secure addional funding from their home rise program to add an extension of the ambassador service down rus street to insure safe passage for young folks and families on their wa to the park, the school and other services in the area. the lease addendum e final item of debate and discussion, we reach agreement between hsh abode and the supervisor that abode will add the following langua to addendment b of the tenant lease which is memorialized through amendments to both the ground lease anthe gra agreement. this is very similar language to what already exists, but provides additional clarification. tenant conduct that interferes with the peaceful enjoyment of the property or neighbors or viola law including but not limited to drug related la may be grounds for termination of a tenancy. is is standard language that is in all our lease agreements but we called out not limited to drug related laws in this agreement to insure everyone is aware of the rules they are signing up for when ty sign the lease for the proper

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

mobile food against brick and mortar and the mobile food because there is a pathway for that, so i need dph, dpw. i know they probably have thing in place but i need this rolled out. i need urgency on this, because it is really really having a negative impact in my community. i ask director if you could talk to both department heads and bring them here and get clarity on it. what really bothers me more is, we have done lot of ground work. l a has the program rolled out. they have compact mobile food courts in place. they have given grants and one, i hate la is better then us in anything on a personal level, but two, there is precedent and they have strict health code laws like ours, so we need to get this done. it is really now starting like-i have been saying for 2 or 3 years now, so i like those department heads to come present to us. the second one is, regarding supplier numbers with the city. so, to do business with the city you must have supplier id to get the supplier id you must open a portal t. is a free process, however, it is a complicated process and i believe it is unnecessary c

there are people who are really at risk coming into the treatment facilities that exist in the city and dph funds and now how do we address those problems that come on after the success of having expanding treatment. looking more to hear more about the success of hearing proof campaign and for future business, some time soon rather then later, i know that i believe dr. kunins is scheduled to come for behavioral health in the near future that we hear about from her and her team about the ecosystem now and the successes, what has been built and what we are the problems we are confronting and how we are addressing them, because we do need to address them. thank you so much and looking forward to that. >> thank you very much for bringing that up. any other business? alright. then we will entertain a motion to adjourn. >> sorry, i apologize. there is a hand up and i don't know if that's intentional. dr. palmer, did you mean to have your hand up for other business? >> i'm done, sorry. >> that's okay. thank you. >> okay. motion to adjourn? >> so move. to adjourn the meeting. >> is there a second?

some gingerbread houses will be distributing toys to children with a partnership with the ymca, and dph will be out there with a vaccine and a flu shot clinic. so we're very excited to offer this to the community. and then after the pantry is over, we'll have holiday bingo, where residents can come and play bingo and get great prizes. so we're excited about that. our construction training program, the 19th cohort, will start january 6th. we are now at 12 candidates, so we're excited about that. we are also preparing to open our tax site in february of 2025, and we're very excited to report. over the last quarter, we were able to get six jobs through the job broker program. so that's really awesome. social media and outreach continues. we're really excited that some of the newer buildings are actually putting our outreach on their media stations that they have throughout their buildings in a running loop, so that's really exciting. i want to thank ale house for just reaching out and being great community partners. so we're i'm finding this very exciting because, you know, we're focusing

dph changed their upon approach, in this year's report if a client is selected more then and there one race they were urn one. over inflated in some and under report in the multiracial. regardless when comparing to the 24 pit count well is evidence the programers reaching households ethnic identities reflects san francisco homeless population. so, couple things to note within permanent and homelessness prevention the programs even low split serving men and women. mental health and shelter are hygiene served more men. >> two other things 14% of head of households bisecual, questioning or gay, lesbian. half fell within the 35-44 and 25-34 year old age range. these are easier to read online we have fitters where you can break it down looking at family and you -- it recommends checking out what this report looks like online as well. digging in the service areas. starting with permanent housing programs in permanent housing spent 12% more scattered, site base, rapid rehousing and family rental. there is now will 3, 859 permanent housing units throughout ocoh funds with 774 added in the fisc

we were able to schedule one on ones with dph crisis services for three residents on site. we were able to assist property management with residents outreach for work orders meetings making sure they know these work orders they are submitting do not harm them at all. it is able to get all the maintenance on the unit finished up and completed. we were also able to provide five of our families with our community closet, so they came by getting different things like socks, maybe a good coat for the rain for the weather. it has been very cold, so we just want to make sure we have those resources for the residents at the office to come and stop by and we are also accepting donations for the said items for children, teens, adults, men and women, so if you guys have any type of donations we are open picking those up or make sure you have there address for drop-offs. we were able to provide some technology assistance with three residents on site just understanding some documents as far as edd goes and being able to access e-mails and different things like that. we were also able to

i'm here on behalf of the dph to support your commendation and share our thanks as well and echo many remarks. since the formation the iwg provided expertise and feedback to guide and refine key mental health sf programs including the office of coordinated care sponse them and the development of many new expanded treatment programs spent hours with the department every among. many of them for the entire life span of the body to grapple with issues and behavioral health and we support encountered mapping and clarifying the system of care. workforce shortages. and highlighting needs for access to night and weekend care and centering care cordination as the cornerstone of behavioral health system. most of all, the iwg has been an available partner in griefing you to be accountable. nimble. transparent and responsive. we are grateful for their shared and deep commitment to client centered care and dignity and he worthy of the people we serve. on behalf of the typeset i thing all members of iw gashing form and current and i would like to thank [inaudible] and monick. thank you supervisor r

we have strengthened mtss have enabled dph to strengthen our infrastructure and systems to address ongoingential care needs. we have dedicated, experienced analyst capacity now and leadership for new bed projects. we have the capacity to assess bed needs in an ongoing fashion. the bed procurement legislation approved by this body will help us acquire in the future, and we've obtained a significant amount of state funding in excess of $70 million to help with behavioral health infrastructure projects. these systems have enabled us to open additional residential care sites and will enable us to continue to do so as needed and apply specifically for significant amounts of state funding under the behavioral health bridge housing funding. and as you recently heard, the prop one bond projects, the application for which is due very soon. turning to the specific initiatives, i want to highlight work of the office of coordinated care. and again, i just want to reiterate this is capacity, not held by the city. previous to msph and to my knowledge, if it exists in other jurisdictions, it does so in e

i'm here on behalf of the dph to support your commendation and share our thanks as well and echo many remarks. since the formation the iwg provided expertise and feedback to guide and refine key mental health sf programs including the office of coordinated care sponse them and the development of many new expanded treatment programs spent hours with the department every among. many of them for the entire life span of the body to grapple with issues and behavioral health and we support encountered mapping and clarifying the system of care. workforce shortages. and highlighting needs for access to night and weekend care and centering care cordination as the cornerstone of behavioral health system. most of all, the iwg has been an available partner in griefing you to be accountable. nimble. transparent and responsive. we are grateful for their shared and deep commitment to client centered care and dignity and he worthy of the people we serve. on behalf of the typeset i thing all members of iw gashing form and current and i would like to thank [inaudible] and monick. thank you supervisor r

criteria for seat one and update programmatic terms and reflect the transition of the committee from dph to hsh and this commission. >> the second piece of legislation heard by rules committee on november 18 was the ordinance experienced by supervisors ronen, peck kin and walton make it city policy to provide 5 years of rapid rehouse to eligible family in city fund rapid rehousing programs and require hearing and report at homelessness commission on implementation of this proposed policy. propose the ordinance applies to hsh and human service agent across all. fudding source. general fund, our city or home, prop c. federal, hud continuum of care, and the state cal works. new funding required to implement the proposed legislation. hsh submits a range of 19. upon seven million dollars to 32 million dollars for both hsh and human services agency programs depending on eligible households that do extend up top 5 years. for example, 52% of hsh current rapid rehousing funded by federal, hud, coc dollars with a two year cap this would allow families to expand beyond 2 years with local funding wa