dr. colfax and dr. aragon and their team for working with us and truly understanding the importance and the urgency of opening up playgrounds. so dr. colfax, the mic is yours. >> well, thank you, director ginsburg, and really to acknowledge our gratitude to mayor breed, supervisors safai, director su, and mr. robert ellis for their leadership in this work. you know that there's been so many challenging days during this pandemic. and so many sad days. and this is such a day of gratitude and beauty. look out it here, and look at the kids playing. this is a pivotal moment as we work together to slow the spread of covid and realize that our children must go back to doing the things that we know that are important for their health and their family's health and the communities' health. the reopening of the playgrounds is an opportunity to get our kids back something that we haven't done since march, march. incredible. we at the health department are so happy to be here as we have worked to get san francisco t

dr. colfax. i'm wondering -- that i thought we had closed most restaurants that would have been a lot of activity in regards to how (indiscernible) but there weren't that many inspections. but i'm glad to hear that we have been because we have a lot of pick-up and delivery. is that what is really happening so that after covid we spend a lot of the activity to make sure that our restaurants are safe? >> that's right, commissioner. so a couple of things -- restaurants were able to remain open for takeout and delivery, right, so i think that is a worker safety component of this is really important. we know from data that food workers are a risk group for acquiring covid-19. so really ensuring that proper protocols are being followed. we had outdoor dining for some time now in the city. so responding to the concerns and issues there. and then more recently we have opened up restaurants to 25% indoor capacity for dining. so there's a lot of work that has gone into this. and as you can see the environm

dr. colfax. today is the day. it's the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks

dr. colfax, director colfax mentioned thad dr. air gone is in communication if these discussions are already going on, on a state level, it seems to me that it would be just as important that the counties have a greater awareness of what is going on. apparently, there is no real plan yet, but i do think it's important that the county department have some sort of role in understanding on how vaccines are going to be distributed to the population. they haven't engaged a local health office yet but the bay area health official on the monday call are going to start bidding up on this very topic this thursday. so at least in the bay area, we're we're going to start talking about t. the other thing i want to point out is we're taking advantage of influenza season, as the opportunity not to just vaccinate people with influ ens a but to really exercise the distribution operations to deliver a vaccine. so for example, we're going to be offering influenza vaccine at the covid testing sites so we're beginning to operationally, what is it goi

dr. colfax. >> good morning, everyone. i am the director of health.hank you, mayor breed for your ongoing leadership and supervisor. it is an unprecedented time in san francisco. because of your leadership, we are in a better place. there are so many places across the united states with regards to covid-19. i want to thank e.j. jones. thank you so much for spearheading this effort to get to work on the ground. also, the southwest community corporation. catholic charities, thank you for making this available, and to all community partners for their collaboration and support to the true community assets. this is so much more than just a testing sight. this is that collective and wraparound service centre that we need and that we know we need to have our approach to covid-19 take root and our prevention work. we are supporting people when they test positive in helping people in their recovery. not only individuals, with families, friends and the community. like the mayor just noted, more than 50% of our cases are in the latino community. when we saw this

dr. colfax. and i was curious that the bill that was signed by governor newsome about adult residential facilities named a number of facilities that here in san francisco and your report was closed. how many remain in san francisco that this might help protect or at least give about a half-year warning about the changes that might occur? >> i don't have that number at my -- committed to memory, commissioner, but we can certainly provide you with that information. i don't know if dr. hammer -- is present and we can follow up with that number very soon. >> thank you. >> we can get that number to you. >> president bernal: commissioners, any other questions? director colfax, one question. i know we had heard from you and dr. aragon in previous presentations even though we meet the criteria here in the state, that some of the numbers such as our really high degree of testing and the formula that the state use indicate that perhaps we should be taking more of a cautious approach than what is allowed in

dr. grant colfax explained two numbers triggering the decision to pull back are the city's case rate and hospitalizations, both have increased slightly. so here is what exactly is on pause. indoor pools, bowling alleys, locker rooms, and showers at fitness centers originally set to reopen november 3rd will now remain closed until further notice. restaurants indoor museums, zoos asquakwa aquariums and indoor worship centers will be required to capacity at 25%. non-essential office space without concessions stay the same. also operating at 25% capacity. mayor breed and dr. colfax referenced the surge of covid cases across the world and country as reasons to take precautions before it's too late. >> france in particular is on lockdown again in germany which is a model in the rest of the world is actually looking at restrictions. not just what is happening here in the united states, it still challenging all over the world. >> we want to pause on increasing the capacity of riskier activities because we do not want the virus to get too far ahead of us because as we've seen across the country a

dr. grant colfax. >> good afternoon. i'm grant colfax, director of public health for the city and county of san francisco. thank you, mayor breed, for your leadership during this pandemic. i want to reiterate mayor breed's thanks to the citizens, the community of san francisco, for everything you're doing to slow the spread of covid-19. you know, my office across the street here is right next to the polling center where people are going to vote right now. on my way over, i saw san franciscans exercising their right to vote and doing it in a safe way, wearing masks, social distancing, using good hygiene. thank you. today is not unexpected with regard to our pause in reopening. since we've been removed from the state watch list on september 1, we have had a consistent path of increased activities. we have employees returning to offices at limited capacity. students returning to in-learning classrooms. indoor dining and playgrounds being used. this is, indeed, good news and this is progress. but, as our activity increased,

dr. colfax. and i was curious that the bill that was signed by governor newsome about adult residential facilities named a number of facilities that here in san francisco and your report was closed. how many remain in san francisco that this might help protect or at least give about a half-year warning about the changes that might occur? >> i don't have that number at my -- committed to memory, commissioner, but we can certainly provide you with that information. i don't know if dr. hammer -- is present and we can follow up with that number very soon. >> thank you. >> we can get that number to you. >> president bernal: commissioners, any other questions? director colfax, one question. i know we had heard from you and dr. aragon in previous presentations even though we meet the criteria here in the state, that some of the numbers such as our really high degree of testing and the formula that the state use indicate that perhaps we should be taking more of a cautious approach than what is allowed in

dr. colfax. today is the day. it's the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks

dr. colfax is pledging vigilance. >>> four decades after her body was discovered in the east bay, the victim in a cold case is finally identified. >> we may be seeing the rest of a polarizing bay area halloween display. we'll hear from the man behind the annual tradition. >> it's a big part of halloween. >> they'll spend half an hour out here. >> and we have learned some much-needed relief is coming to fire-ravaged areas of the north bay. >> kpix 5 has a new app that gives you 24-hour access and realtime news updates. >>> a young woman who was shot in a drive-by last night has died. the shooting happened at about 7:00 pm berkeley's mayor announced she did not make it. >>> a homicide suspect is in police custody tonight after a hostage standoff that lasted for several hours in oakland today. the whole situation was centered around a shoe store near high street. police say the suspect was wanted for a double homicide in oakland. eventually that suspect released the hostage he was holding and later walked out of the building. the suspect did fire six rounds during the course of that standoff. >

dr. grant colfax if he's going to make some remarks today? so yes, dr. ant colfax, the director of the department of public health is here. he's going to talk about some of the challenges. i know that people are anxious to get back to opening up some more businesses, and we will get there. we have a big announcement tomorrow, but in the meantime, dr. colfax, you want to provide an update? >> thank you, mayor breed. i'm dr. grant colfax, director of public health for the city and county of san francisco. i want to thank everyone who's been working here on the frontline. we've known that since the beginning of the epidemic, and mayor breed has been saying since the beginning of the epidemic, the numbers existing in the latino community. as a health department and as a city, we are addressing this issue. we need to do more, and we are doing better. we've made improvements, particularly around our testing investments. with mayor breed's leadership, we are increasing our testing in our neighborhoods with a high preview dense of covid-19. we now have a capacity

dr. colfax is pledging vigilance. >>> four decades after her body was discovered in the east bay, the victim in a cold case is finally identified. >> we may be seeing the rest of a polarizing bay area halloween display. we'll hear from the man behind the annual tradition. >> it's a big part of halloween. >> they'll spend half an hour out here. >> and we have learned some much-needed relief is coming to fire-ravaged areas of the north bay. >> kpix 5 has a new app that gives you 24-hour access and realtime news updates. who's supporting prop 15? governor gavin newsom. the governor says prop 15 is, "fair, phased-in, and long overdue reform", that "will exempt small businesses and residential property owners." join governor newsom. vote yes on 15. who's supkamala harris.5? harris says, "a corporate tax loophole has allowed billions to be drained from our public schools and local communities. no more. i'm proud to support prop 15." vote yes. schools and communities first is responsible for the content of this ad. >>> a young woman who was shot in a drive-by last night has died. the shooting happe

dr. colfax. today is the day.t's the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks champion-in-chief wh

dr. colfax says hospital capacity still remains good, the slight uptick could be an indicator of what's to come. now, speaking of, mayor breed warned we may see an uptick in cases after halloween, and, of course, the upcoming holidays. another reminder to keep those gatherings to immediate family. live in the newsroom, stephanie sierra, abc 7 news. >> stephanie, thank you very much. >>> we are just days away, now, from the election and maybe you need to still go out and vote. here is a scenario. you go to your polling place, and find yourself being harassed before you can even get inside. abc 7 news reporter, chris win, has what you should do next. >> reporter: with the general election just days away, santa clara county is preparing for an historic turnout, despite the ongoing pandemic. >> we're committed to making this election safe. so that your vote counts and that every vote is counted, and that is going to happen. >> reporter: with many still planning to vote in person, in the coming days, the district attorney's office is working with both local and federal law enforcement to ease a

dr. colfax. today is the day. it's the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks

dr. grant colfax if he's going to make some remarks today? so yes, dr. that people are anxious to get back to opening up some more businesses, and we will get there. we have a big announcement tomorrow, but in the meantime, dr. colfax, you want to provide an update? >> thank you, mayor breed. i'm dr. grant colfax, director of public health for the city and county of san francisco. i want to thank everyone who's been working here on the frontline. we've known that since the beginning of the epidemic, and mayor breed has been saying since the beginning of the epidemic, the numbers existing in the latino community. as a health department and as a city, we are addressing this issue. we need to do more, and we are doing better. we've made improvements, particularly around our testing investments. with mayor breed's leadership, we are increasing our testing in our neighborhoods with a high preview dense of covid-19. we now have a capacity to do pop-up tests for 500 new tests a day. each day, and that's occurring here on thursdays and will be occurring more reg

dr. colfax. and i was curious that the bill that was signed by governor newsome about adult residential facilities named a number of facilities that here in san francisco and your report was closed. how many remain in san francisco that this might help protect or at least give about a half-year warning about the changes that might occur? >> i don't have that number at my -- committed to memory, commissioner, but we can certainly provide you with that information. i don't know if dr. hammer -- is present and we can follow up with that number very soon. >> thank you. >> we can get that number to you. >> president bernal: commissioners, any other questions? director colfax, one question. i know we had heard from you and dr. aragon in previous presentations even though we meet the criteria here in the state, that some of the numbers such as our really high degree of testing and the formula that the state use indicate that perhaps we should be taking more of a cautious approach than what is allowed in

dr. colfax.oday is the day. it's the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks ch

dr. colfax.the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks champion-in-chief who ha

dr. colfax. today is the day. it's the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks

dr. colfax.the day that our kids get back to the serious business of play, and so i'm thrilled to be here with our mayor, supervisor safai and our director of public health, and many community leaders and wonderful people to celebrate the re-opening of playgrounds all across the city starting right now. we are here at mersed heights, so we're not just opening up the gates to playgrounds but we're also cutting ribbons on five amazing playgrounds that have just been waiting for children that have been renovated through the let's play s.f. initiative, which is is an incredible partnership between the recreation and the park department and the parks alliance, san francisco voters who support park bonds, and through let's play s.f. we're actually transforming 13 playgrounds that have been loved to death across our city and to creative places that spark imagination, connection, and healthy bodies and minds. so without further adieu it is my great pleasure to introduce our parks champion-in-chief who ha

dr. colfax's leadership team. not the entire team. >> i will -- i can count them -- i will count my leadership team and i can provide that number during this hearing supervisor. i apologize i don't have that quantitative number in my head, but i can provide that to you within a few minutes. >> and then what is the percentage of black people in the total department? >> we had -- you saw that presentation from g.h.r. and i believe from our employees and michael brown correct me, but i believe we have 11% of our employees are black african americans, approximately. >> and how many of those are in management? >> director brown, do you have that information? >> that break down is not available at this point, but we can get that information to you. that information -- i'm sorry dr. colfax, i don't think d.h.r. provided that slide in the break down. that was left out of their presentation. that was the first iteration of their presentation. i apologize supervisor walton. we can get that information to you. i think it is

dr. colfax's leadership team. not the entire team. >> i will -- i can count them -- i will count my leadership team and i can provide that number during this hearing supervisor. i apologize i don't have that quantitative number in my head, but i can provide that to you within a few minutes. >> and then what is the percentage of black people in the total department? >> we had -- you saw that presentation from g.h.r. and i believe from our employees and michael brown correct me, but i believe we have 11% of our employees are black african americans, approximately. >> and how many of those are in management? >> director brown, do you have that information? >> that break down is not available at this point, but we can get that information to you. that information -- i'm sorry dr. colfax, i don't think d.h.r. provided that slide in the break down. that was left out of their presentation. that was the first iteration of their presentation. i apologize supervisor walton. we can get that information to you. i think it is

dr. colfax. >> good morning, everyone. i am the director of health.oing leadership and supervisor. it is an unprecedented time in san francisco. because of your leadership, we are in a better place. there are so many places across the united states with regards to covid-19. i want to thank e.j. jones. thank you so much for spearheading this effort to get to work on the ground. also, the southwest community corporation. catholic charities, thank you for making this available, and to all community partners for their collaboration and support to the true community assets. this is so much more than just a testing sight. this is that collective and wraparound service centre that we need and that we know we need to have our approach to covid-19 take root and our prevention work. we are supporting people when they test positive in helping people in their recovery. not only individuals, with families, friends and the community. like the mayor just noted, more than 50% of our cases are in the latino community. when we saw this trend, we responded by implementi

dr. grant colfax says this latest pause is not unexpected. the city of san francisco celebrated nationally for getting a handle on the coronavirus and the only urban county in the state to move into the yellow zone is hitting the pause on reopening today. >> our case rate has gone from about three per 100,000 population 24. that is a 25% increase. that might not sound like a lot, but when this virus starts taking off, it takes off quickly. >> that put san francisco in the orange, and the hospitalization rate jumping from 21 to 30 >> that put san francisco in the orange, and the hospitalization rate jumping from 21 to 37 patients is in the right ear. here is of the pause means. indoor pools, bowling alleys, and gym locker bones will stay closed, restaurants and houses of worship will stay at 25% capacity and not increase 50% on tuesday as planned. with approval, maryland and breathe it is concerned about cabin fever setting in. >>> sometimes these gatherings can become super spreader's. >> reporter: they cause -- to 50%, disappointing, but und

dr. colfax's leadership team. not the entire team. >> i will -- i can count them -- i will count my leadership team and i can provide that number during this hearing supervisor. i apologize i don't have that quantitative number in my head, but i can provide that to you within a few minutes. >> and then what is the percentage of black people in the total department? >> we had -- you saw that presentation from g.h.r. and i believe from our employees and michael brown correct me, but i believe we have 11% of our employees are black african americans, approximately. >> and how many of those are in management? >> director brown, do you have that information? >> that break down is not available at this point, but we can get that information to you. that information -- i'm sorry dr. colfax, i don't think d.h.r. provided that slide in the break down. that was left out of their presentation. that was the first iteration of their presentation. i apologize supervisor walton. we can get that information to you. i think it is

dr. grant colfax is san francisco's director of public health. he says the city is able to take the step because the hard work san franciscans have put in. the key going forward is balancing reopening the city and the virus transmission rates. >> i also think it's likely we'll see an increase in cases as we graduate. we know that more people move about, the more the virus spreads and it's really about keeping the virus from spreading too quickly and not overwhelming our healthcare systems. >> the move to reopen nonessential offices comes from the move to open services like waxing services and gyms. >> today we are actually able to utilize two different things, drop in climbing during our nonpeak hours, reservations during the higher traffic times and then we are able to allow a few more people in, which is good news for businesses. >> reporter: the rock climbing gym taking steps to make sure climbers are safe on the walls and say from the virus. >> we are following all of the guidelines, as far as making sure everybody wears masks and that the fa

dr. grant colfax with the department of public health says it's unsurprising. outside north beach, the sign says we are now serving indoors but today, original joes and others found out indoor capacity will continue to be held at 25%. and will not jump to 50% tuesday as anticipated. as san francisco pumps the brakes on reopening. >> our case rate has gone from about 3 per 100,000 of population to 4. that's a 25% increase. that might not sound like a lot. but when this virus starts taking off, it takes off quickly. >>> that case rate put san francisco in the orange and the hospitalization rate jumping from 21 to 37 patients is in the red tier. here's what the pause means, indoor pools, bowling alleys, and gym locker rooms will stay closed. restaurants and houses of worship will stay at 25% capacity. schools however are still a go with approval. this grill in the financial district that planned to reopen at 50% capacity will continue to stay closed because of the pause. managing partner of water bar calls the pause on increasing restaurant capacity to 50% disappo

dr. colfax for your time. [♪] >> chair fewer:good morning, everyone. the meeting will and to order.his is the october 28, 2020, regular budget and finance committee meeting. i'm sandra lee few are, the chair of the committee, and i'm joined by the members, supervisor walton and mandelman. our clerk is miss linda wong. i thank sfgov-tv for broadcasting this meeting. madam clerk, do we have any announcements? >> clerk: yes, due to the covid-19 health emergency, the city employees and the public and the board of supervisors and the legislativ legistate meetins closed. and precaution is taken to the local, state and federal orders, and declarations and directives. the committee members will attend through video conference and participate in the meeting to the same extent as if physically present. public comments are available on each item on channel 26 and sfgov-tv.org or streaming the number across the screen. each speaker will be allowed two minutes to speak. comments are opportunities to speak during a public comment period via phone call by calling 1-(415)-655-0001. again, 1-(415)-6

dr. grant colfax says hospital capacity remains good but the slight uptick could be an indicator of what's to come. >> we want to pause on increasing the capacity of riskier activities. because we do not want the virus to get too far ahead of us. because, as we have seen across the country, and around the world, when the virus gets too far ahead you can't catch up. >> reporter: dan ashley, abc 7 news. >>> now in addition non-essential office space, movie theaters, indoor museums and zoos will also have to remain at 25% capacity. >>> the city's oldest restaurant was a little more than a week away from reopening. but it's now also cancelling those reservations. the 171-year-old tadich grill has been serving up seafood staples in the financial district since 1849. it had briefly tried takeout and delivery when the pandemic first hit but then completely closed in july to wait for indoor dining at 50% capacity since that's what made financial sense for them. the chronicle reports the grill's long awaited november 9th reopening is being pushed back indefinitely. >>> education is an important par

dr. grant colfax says hospital capacity remains good but the slight uptick could be an indicator of what's to come. >> we want to pause on increasing the capacity of riskier activities. because we do not want the virus to get too far ahead of us. because, as we have seen across the country, and around the world, when the virus gets too far ahead you can't catch up. >> reporter: dan ashley, abc 7 news. >>> now in addition non-essential office space, movie theaters, indoor museums and zoos will also have to remain at 25% capacity. >>> the city's oldest restaurant was a little more than a week away from reopening. but it's now cancelling those reservations. the 171-year-old tadich grill has been serving up seafood staples in the financial district since 1849. it had briefly tried takeout and delivery when the pandemic first hit but it completely closed in july to wait for indoor dining at 50% capacity since that's what made financial sense for them. the chronicle reports the grill's long awaited november 9th reopening is now being pushed back indefinitely. >>> education is important part of b

dr. colfax.hen we will be starting our implementation working group some time -- we're aiming for december. hopefully that date will be set soon. next slide. so we know we have things that need to happen in order for us to be successful. the project management support, we are estimating about 50 new civil service positions that we will be hiring, many more resources going into contracts. we do need to invest in a lot of staff to make all of this happen. we're also trying to fill a current 90 vacancies across d.h.s. we have some foundational improvements we need to make that really show our progress and outcomes. then we have to closely collaborate with community groups. there are so many people invested in behavioral health improving that we need everyone to be working towards the same vision and there is so much alignme alignment and finding space. real estate continuing to be a problem in san francisco. it's a little bit better with covid but still a challenge. next slide please. so the office