of san francisco whether nursing home or senior living facility. this is the first of the kind in the cuntsry, once againsuch will lead the way in insureing the seniors are treated with the dignity and respect they deserve. these are the people who have gotten us where we are today as a lgb community. it is sometimes easy to forget with all the successs we had in this country in terms of advancing the civil rights of the lgbt community, it waebt that long ago when we were living in a very very different world and the amount of discrimination and arassment and violence themunity had to 234der, but it still exists today, it was dramatically worse. these are people who went to hell and back multiple times through the hiv epidemic and the trials and tribulations of the community. the least we can do for them and make sure as they age they do so as part of the community and with all the respect they deserve. this legislation will put protections in place for seniors living in facilities where they are vulnerable because they rely on others for service s

it should be spent open facilities our track fields little d rings at lowell our facilities as i last remembered they're our facilities i think in the facilities department their financial responsibility to do something so i think that peace is for one thing and facilities is for another and filling the ground for facilities it should come out of that budget with that said, i want to thank the athletics department for the pe spfltd in every high school i mean every middle school in the week to i think it takes another ftes for every student to have contact with the staff that's our goal but thank you everything christina one thing you got the most beat up and the most work to do and the juggling to you never said that those are my words by all of us me included i want to say thank you, kristin a it exciting we have more money it is a good problem to have i hope that problem increases quite frankly and not you'll on you but this is an opportunity to finally keep some the promises to the parent and students around our languages and having them militant lingual as they graduate from our

medical facility. and i look forward to working with the members of this committee on a number of steps we can take including legislation. dr. clancy, your clinical investigation into -- into the v.a., you have initial and interim findings, and i know it's ongoing. but with regard to opioid prescribing, you found it was double the national average when it comes to diagnosing concurrently, which is an unsafe practice at the v.a.'s own clinical practice guidelines for opioid therapy warns against. one of the patients prescribed both of these drugs if you believe the v.a. adequately managed the implementation of the clinical practice guidelines for opioid therapy at local v.a. medical centers. >> i'd say we made a good start and that's what we're doing right now. the initial approach that predates both of us to start at the network level and then go down to the facility. and if we had a chance to brief you and your colleagues, this is now getting down to the individual clinician level because we can do a

it was a covert facility. there was no reason that iran had to bury that facility deep underground other than to hide it from the international community. it is a complicated military target. i will not get into our own military capabilities. now that they are converting this facility, they would not be using centrifuges to enrich uranium there. instead, they will be enriching uranium only at the one site which is their more long-standing enrichment facility. containing the enrichment there was an important principle for us. charlie: have we made -- is part of this agreement an understanding of what they can do in terms of the technical enhancement of their process their enrichment process? whatever it may be. ben: yes, centrifuges are the most important element of this. in the first case, what was very important to us was over the course of these 10 years, iran has different types of centrifuges. ir-1, ir-2, ir-6, ir-8. as you get higher in numbers they are the most advanced centrifuges. they will be only ins

related to facilities and capital. the department operates 50 facilities and three at the airport and operate around the clock and many of the facility issues we encounter are direct health and safety issues because we have people occupying them 24/7 and blessed to be the recipients of general obligation bond funding and that chipped a wat at much of the work that needs to be done before this there was an analysis done -- not by our department but objective party and there is that amount of differed maintenance and we have lots projects that will be touched through the bonds. what is highlighted here is that the break down 73 million went for the facilities in the 2010 bond. 85 million in 2014 and it goes from -- you see some of the neighborhood fire stations. they need exterior and interior paint. that has been taken care of and roofs and windows and health issues and seismic bond and station on turk and supervisor breed and 16 in your district supervisor farrell were addressed from a seismic standpoint and the recomm

while this new urgent care facility will serve some patients. san pablo will not have an emergency room close by and that could be a matter of life and death. >> they were still putting up the signs outside the urgent care facility when hector hernandez walked in today as the center's first patient. he would have gone to doctors medical center across the state. >> really really convenient. i think it's a tragedy that doctor america is closed. this is a blessing having a clinic. this is not an emergency room. >> as doctor's medical center closes, this community is left without an emergency room. the closest ones are in richmond and martinez. the urgent care facility is only opened to those with nonlife-threatening injuries from noon to 8:00 p.p. >> if you have a cold, a fever, a sprain or minor fraction, come here and we'll take care of you. >> >>. >> the physician who will work with doctors for 18 years. >> didn't even have time to cry. sad day for me. >> dr. carson is now working at the new urgent care facility. still, he says closing dr.'s med

i talked about facilities being preferable. i respect people have rights and i'm balancing these two things and we'll probably open within the 3-6 months with two-thirds of the bed and 1/3 of the bed go for a 3-1 and see how that works out. >> thank you. >> any other questions from the council at this time? >> okay. we'll move on. does the mod staff have any questions? >> through the chair, thank you. this actually isn't the question. it's more of a comment. i have known you through just about everyone of your city assignments been made to the supervisors and head of mons, i can't think of anybody better qualified to hold your position because of the incredible depth of knowledge and deposited of empathy and love that you bring to us and your competency is phenomenal. thank you. >> thank you. it great work and i know all of you support us and it's fun. we are in insurgents and to say that the status quo isn't good enough. we are comrades here. thank you. we'll open up for public comment. >> jackie bryson. >> public speaker: goo

the irony of course is that facility of tome you're veterans are less likely to be on narcotics than the national average but they are getting high doses they are far more likely to be on the dais of being's and we are also looking at how we can start to bring this down to the individual patient level and i think of that in two ways. one is you would expect the initial efforts to reduce the use of opioids probably were most successful with those veterans struggling to least and what we have now is a group of veterans with the most challenges with chronic pain and other complications. the second is i think that we desperately need to figure out what is the risk point at which someone transitions from taking narcotics sometimes say for low back pain as an example. is it a month? is it a couple of months? where is that point where the risk level goes way up because i think that's where pain management intervention is most like you to be successful. so we are going to have to start to customize this much further which is the whole point of the academic detail initiative that has now been

facilities are too facilities are too old hvac systems need to be replaced about every 25 years our facility is too old. i talked you about facilities that are over 100 years old 90 years old. we have to decide which to close. i talked about that, and which to refurbish so that we do not have these current problems. we cannot do that with a budget that has been marked down 1.4 billion by the house and the major construction part has been gutted by almost half. >> i would say that we are hopeful for the moment that we may be able to resolve these air quality issues. i also want to.out in terms of 40 miles that is not part of the calculation anymore so it should offer more flexibility. and the mobile units, those are the plans that we have right now. this will remain high on our agenda. >> thank you. >> it is definitely a problem. and i understand. i briefly ask you. since you mentioned access properties 306 buildings are empty. you are empty. you need help with that. how do we help you? it is not just budgetary. as a statutory? >> the president has put forward what i would call a civilian bra

and we have opened new facilities. we opened about 17 new facilities a year. but the demand as you've suggested has increased. we've gone from roughly 4 million outpatient patients to over -- nearly 6 million. and that demand's going to increase as we continue to improve the system and improve our customer service. and we've not even seen the full effect of the iraq and afghani wars yet and the veterans who fought those wars. we have to build a capability today to be ready for five years, ten years, 20 years from now. and that's what our plan does. >> i'll talk more about those capabilities next round. >> let me add on to that. i understand that glenn hegstrum, responsible for the debacle in denver got a $60,000 bonus according to senator gardner. >> and if we're giving big bonuses like that, how can we ever take care of veterans? >> i believe that bonus was for 2013 or before. and not for recently. we've got the administrative investigation going on. and as we get to the bottom of this, we will figure out what the appropriate action is. >> mr. boseman. >> tha

it was a covert facility.eason that iran had to bury that facility deep underground other than to hide it from the international community. it is certainly a more complicated military target. i'm to the going to get into our own military capabilities. they're obviously quite significant. but the fact is now that they e converting this facility they will no longer be usg centrifuges to enrich uranium there. an inead theyill be enriching uranium onlyat the one site natan, which is their more long-standing enrichment facility. and containing the enrichment there, i think was an important principles for us. >> have we made due is part of this agreement an understanding of what they can do in terms of the technical enhancement of their-- process their enrichment process whatever it may be? centrifuges or something else? >> yes charlie. in cenifuges are the most important element of this. in the first case what was very important to us is over the course of the ten years iran has several different types of centrifug

keeping the facility this is a once secret underground facileity discovered by the u.s. the iranians didn't announce it. that's going to stay open. it's not going to be building sentra fuses, but it's going to stay open. the key here going forward the verification how much access inspectors are going to have. a that's the worry is that iran might change its might at some point. on those big picture issues t biggest one to seerzero in on is economic reward. that's their perspective and wind fall. from the perspective of u.s. and west it's dismantling something that took years to build. with a lot of hiccups and reneging on past agreements by iran that's enormous change if this is verified. >> you're correct. if u.s. financial sanctions, european financial sanctions those imposed, if they're lifted, that's tens of billions eventually over a long period of time hundreds of billions of in revenue for the iranian economy that's going to boost that economy. that's why that is so important to iran. that's clearly why the foreign minister zarif is so pleased happy, jub lent by t

facilities? and also the full contents of the segregation review management system, the data base created by i.c.e. to monitor use of segregation following implementation of the directive? would you be willing to supply my office with those copies? and i'll send you a written request. >> thank you very much. i stopped writing. i couldn't quite keep up. and included in that ig report i want to mention you to -- >> you will me with those? >> to the extent that they exist, i couldn't keep up with the entire list. but if you provide it in writing, i will run them down. included in that sir, is what i want to mention with you is the ig report on the karns sexual allegations that made an investigation and decided there was not sufficient evidence to support those allegations. but i'll include that. >> the gentleman's time expired. the gentleman from iowa is recognized for five minutes. >> thank you mr. chairman. thank you, director for your testimony. i appreciate the chairman's remarks about cooperati

>> you have the declared facilities and we'll have daily access to the facilities.hose enrichment facilities. they'll be a mix of inspections and also other means of keeping an eye on what is taking place there. across the nuclear supply chain there are iranian mines and mills and centrifuge production and manufacturing and where the warehouse centrifuges. that will be under supervision. you don't need an enrichment facility but you need the raw materials. looking across the supply chain means if they want a covert path they have to conduct secret means of producing the materials and having a facility to operate them. what the deal has is the ability to seek access to a site we're concerned about. if there's something we see in iraq that concerns like it is not for peaceful purposes we'll have the ability to go to the iea and investigate the site. >> what iran has done in the past, which is to build an entirely secret new facility would be impossible? >> there are two reasons that guard against that in this deal. one is when they built that facility they used materi

we have agreed that the only enrichment facility they will operate moving forward with pizza facility. even that one will undergo dramatic changes. they're infrastructure will be removed. for at least the next 15 years the stockpile will remain at 300 kilograms. it is a typical level of enrichment for civilian nuclear power. we have agreed that the facility will hold all enrichment good all enrichment. there will not even be any material present at the site. instead, the facility will be converted into a nuclear physics and technology center. we have all agreed that iran will be designed and rebuild it heavy water reactor so that it will no longer produce anything grade plutonium. the reactor's final design. redesign. through international cooperation, it will be transformed into a react to her transferring only peaceful research in nuclear medicine. have agreed that iran will ship all of its fuel from the iraq react to her out of the country so that the reactors lifetime. iran has agreed to refrain from building any additional heavy water tours for the next 15 years, at least. at lea

medical facility. and i look forward to working with the members of this committee on a number of steps we can take including legislation legislation legislation. dr. clancy, your clinical investigation into -- into the v.a., you have initial and interim findings and i know it's ongoing. but with regard to opioid prescribing, you found it was double the national average when it comes to diagnosing concurrently which is an unsafe practice at the v.a.'s own clinical practice guidelines for opioid therapy warns against. one of the patients prescribed both of these drugs if you believe the v.a. adequately managed the implementation of the clinical practice guidelines for opioid therapy at local v.a. medical centers. >> i'd say we made a good start and that's what we're doing right now. the initial approach that predates both of us to start at the network level and then go down to the facility. and if we had a chance to brief you and your colleagues, this is now getting down to the individual clinician leve

and the openness of the facility. and these teachers who i visited with who said -- whose commitment and love -- mind you i was a schoolteacher at one time. commitment and love for their children and children they were educating, was very evident. the facility was wonderful the technology they had for these kids was incredible. i'm not sure i could operate some of the interactive items that they have. but that's an issue of great concern to us, ma'am, under that order that we're under with respect to family detention, we have reviewed all of those people that are members of that class. a number of those families have been released. you know, one of our problems is the immigration courts and trying to get a resolution and a decision based on credible fear or whatever there is to move on with respect to these families and have them know what's going to happen with them. that's a matter of -- i think the last number i saw was something like 480,000 backlogged cases in the immigration courts that are under the department

>> so fareed you have the declared facilities.q fordo, natanz those enrichment facilities will be both a mix of inspections and also other means on keeping an eye on what's taking place there. across the nuclear supply clanhain there are uranium mines and mills, where they warehouse centrifuges, that will all be under supervision. the reason that's important is to have a covert pathway to a weapon you don't just need an enrichment facility you need raw materials and centrifuges. looking across that supply clan chain, if they have a covert path they need the opportunity. if there's something that we see in iran that concerns us it seems like it is not for peaceful purposes we'll have the ability to go to the iaea and investigate that site. >> so the -- what iran has done in the past which is to build, as with fordo, an entirely secret new facility would be impossible? >> there are two reasons that guard against that in this deal. one is when they built that facility they used materials from the uranium mines. they used centrifuges

facilities or creating a new mechanism for the developers so they can help offset the city needs in any other way i know that's a long question. >> maybe it's this beautiful room but basically a limitation to the idea you put forward if i heard correctly can we use impact fee money for the diversities this goes backlog to the legal rishlthd we on asking the developers to have money for the ready demand but it is limited in creating a new capacity additional capacity and month to month that new demand in the cases of childcare the facilities serve 25 children you can expand the capacity of that program to 50 or one hundred children but couldn't use it to do maintenance on the roof and maintain that level of service we've been working with the agencies with a limitation on the operators so this is something we hope to do or say in the market octavia plan we're putting ousted an rfp for childcare community so many million dollars have you have to serve a number of children with more and that leaves it up to the provider to solve that problem. >> a final question around the impact fees

on conference with legal counsel and possible action to consider a threat to public service or facilities. is there any public comment on this item? seeing none. public comment is now closed. commissioners you do need to vote on whether to hold a closed session to confer with legal counsel regarding pending litigation. if we could have a motion and a second. >> move to close. >> second. >> moved and seconded. all in favor say aye. >> aye. >> so moved. >> so we do need to ask everyone to vacate this room please. all staff -- >> if you're not involved in this issue; right? >> yes. andy, we are now in closed session so andy we're now >> okay commissioners i apologize we are back and you do need to vote on whether to disclose any or all discussions held in closed session. >> i will entertain a motion. >> move to keep it closed. >> second. >> moved and seconded. all in favor say aye. >> aye. >> so moved. >> so as noted earlier we did our second general public comment. we are item 10 commissioners matters. commissioners do you have any matters that you wish to bring up? >> i do. >> commissioner

the design who helps us design this facility and a lot of our supports and athletic activities i don'tknow in tony it is here a big round of applause for march and boston and john and others bruce if i'm that - a special guest letting start with our fabulous mayor who is running this city like a first class markuper mayor ed lee >> i'll give the inside track laughing and i'm really happy to be here with supervisor london breed and supervisor katie tang and school member hydra mendosa i know we all ago if you're going to be an elected official in san francisco you ought to run here first; right? (clapping.) in almost two years ago activist visited me and gave me picture calvin you handed me those pictures he said you've got to get that done mayor it will only cost $2 million and so $2.7 million later we wanted to do it right and rec and park and their contractors said this a unique track over the decades it was out of whack with funding and unevenness we had to get this right because those kids we want to make sure they grew up with a world-class track because their world-class students

we are looking at 512 bed facility, one is a 340 bed facility. in appreciation of the fact that the controllers opinion on the size, the requisite size of the facility. we are recommending a scenario of 34 for record of comparison and a scenario where we repurpose cj 2 to the level of security housing that is being proposed in the original project. as well we are looking at a project that would situate the facility whether 512 or 384 entirely within the san bruno location. we are looking into this. it's my response. >> in terms of the analysis coming out shortly, i'm glad we are doing that. i think it's very important to continue to make decisions on this, are you basically going to wait for that analysis before moving forward on considering the various options? >> we are expecting to assemble our appreciation for the different scenarios both in logistical and budgetary. it's a matter of examining which of them demonstrate more feasibility than the other so to speak and as far as the policy which to advance is outside of our view of public works.

tell me what you know about the level one facility. >> it's a work facility, work camp.it's more freedom. and it's just able to walk outside and breathe the air whenever you want to do it. >> right. which is a privilege. >> a privilege that i feel i've earned in the long run because i have been in prison for a year and a half, but with county and everything, almost two and a half years. >> ever receive a misconduct report in that time? >> no, ma'am. >> ever have problems with anyone. >> no. >> are you anxious, scared a little bit? >> scared and anxious, both. a little of both. >> well, from all outward appearances and reviewing your file and talking with you, mr. morgan, i'll make my recommendation to the committee, and i think you are a very good candidate for level one. so the committee will give you the final decision, the recommendation will be made in the central office to the classification bureau, and my recommendation will be that we send you to level one. >> all right, thank you. >> you're welcome. >> i appreciate it. >> all right. >> thank you very much. >> you

we have agreed that the facility at -- will halt all uranium enrichment, period.ll uranium enrichment. and in fact, there will not even be any fissile material present at the site and no enrichment r&d. instead, the facility will be converted into a nuclear physics and technology center. we have also agreed that iran will redesign and rebuild its heavy water reactor so that it will no longer produce any weapons-grade plutonium. and the united states will be able to sign off, certify the reactor's final redesign. and through international cooperation, it will be transformed into a reactor supporting only peaceful nuclear research and nuclear medicine. we have agreed that iran will ship all of its spent fuels from the iraq reactor out of the country for the reactors -- reactor's lifetime. iran has agreed to refrain from building any additional heavy water reactors for the next 15 years at least. at least means still open for beyond that peter -- period in the course of the next three months. we have agreed that iran will face regular and comprehensive inspections, w

mental health services, facility integrated service clinic. and this comes to you, in an unusual fashion, in that the lease itself, currently does not expire until june 30, 2017. and however, when a dph, approach us with the prospect of putting in a significant enhancement to the facility through the tentative improvements over $900,000, in work, we thought that it might be best to seek an extension, of the lease at this time. with the ownership so that we had the certainty of seeing the fruits of that labor of tentative improvements and so that is why the sign is before you today and i think that we have negotiated a favorable transaction for the city and this is about a 13,000 square foot building and it is on har soin and between third and fourth right in the heart of all of the things that are going on in soma current lease rate is 23.40 a square foot and the property with the secure parking to the rear. and this lease extension holds the current rate until the previous termination dates and so for the next two years, we stay at under two

facilities. and also the full contents of the segregation review system. the data base created by ice to monitor use of segregation following implementation of the directive. would you be willing to supply my office with those copies? and i'll send you a written request. >> thank you very much, sir. because i stopped writing. i couldn't quite keep up. included in that ig report, i just wanted to mention to you. >> you will supply me to those. >> to the extent they exist. i couldn't keep up with the entire list. if you provide it in writing, i will certainly tli lyly try to run them down. >> okay. >> and included in that sir,3s i wanted to mention the report on the karnes sexual allegation that made an investigation and decided there was not sufficient evidence to support the allegations. >> the gentleman's time is expired. gentleman from iowa, mr. king is recognized, five minutes. >> thank you, i appreciate the chairman's remarks about cooperating prior to this hearing. i understand that you're i

we had a very dangerous facility here. we had a facility that jepped thejeopardized the life and safety of not just the inmates we're responsible for but more importantly the people we ask to come to work every day. >> the three year case revealed that one n. in particular tayvon white, was responsible. he proclaimed in writings, this is my jail and i am the law. >> was his reports as lavish as the reports indicate? >> he had it better, he could have sex whenever he wanted with four different women one woman was fixing him home cooked meals every day. personal perkocet pills wine, he wasn't allowed to be searched, he had phone calls. he pretty much had everything he wanted. plus while he was incarcerated, he bought automobiles, all while he was incarcerated. >> even more shocking from inside jail, white fathered five children with four corrections officers. had his name tattooed on her wrist and helped him run bgf gang business. stevenson was convicted of racket earring. >> catira stevenson went on her break to pick up gan

facility. i remain steadfast in my work to bring accountability and reform to the v.a. at this time i yield two minutes to my colleague from pennsylvania, mr. meehan. the chair: the gentleman may yield but not in blocks of time. the gentleman from pennsylvania is recognized. mr. meehan: i want to thank the gentleman and i want to thank him for his hard work on this bill. the gentleman from pennsylvania's put together a fiscally responsible piece of legislation that will support the u.s. military, the military families and the veterans who have served our country. as you've heard and in the discussions that have taken place with other colleagues, particularly those from pennsylvania, when red tape and mismanagement stand between a veteran and his or her care we all have a responsibility to blow the whistle and to call for appropriate reforms. the inspector general for veterans affairs released a report two years -- two weeks ago on the philadelphia veterans affairs regional office, as my colleag

and looking at improper payments to the facility operators. do you agree there are improvements in this area and what steps are being taken? >> we can always be more efficient that we need to be looked -- look because funds are not guaranteed from year-to-year. but we're looking at all of those things to make sure the cost is allocated and we do periodic audits for crier not familiar with your report also to make sure we address those areas. >> we will follow-up. . .

as i toured the facility i had thought of some of those movies. but the reality is scientists working day in, day out, leaving strict protocol and i left with far greater confidence that something like that couldn't happen in the united states, or it won't happen soon. >> there are people looking out for us. >> very smart people looking out answers. >> that was an amazing story, showing us what it's like there. from ground zero of the pathogens to ground zero of the tornado. next? >> i got to step inside a tornado lab at university. i got to feel like beyonce, swirled around in >> i think we're into something that's bigger than us... >> that's the pain that your mother feels when you disrespect her son... >> me being here is defying all odds... >> they were patriots they wanted there country back >> al jazeera america presents the passion... >> onward.. >> pain... >> it's too much... >> ..and triumph... inspirational real life stories >> all these labels the world throws at you, that's what drives me drives me [ ♪ music ♪ ] >>> hey, guys, welcome

we stopped at the storage facility today to get a comment. we were referred to their corporate headquarters in glendale, california. no one there has returned our call. dawn? >> all right, dave, thank you. >>> and we're on top of several big developing stories tonight. president barack obama says he is very hopeful about a preliminary nuclear agreement with iran. the plan would require iran to wind down or stop parts of its nuclear program that could be used to make nuclear weapons. in return, many of the sanctions against iran would be lifted. at the white house today president obama calling the deal historic and explaining a key part of the plan. >>> iran will not be able to pursue a bomb using will you tone yum because it will not develop weapons grade plutonium. the core of its reactor at iraq will be dismantled and replaced. the spent fuel from that facility will be shipped out of iran for the life of the reactor reactor. >> the preliminary agreement allows all sides including the us iran and five other world powers to continue working t

as i toured the facility i had thought of some of those movies. but the reality is scientists working day in, day out, leaving strict protocol and i left with far greater confidence that something like that couldn't happen in the united states, or it won't happen soon. >> there are people looking out for us. >> very smart people looking out answers. >> that was an amazing story, showing us what it's like there. from ground zero of the pathogens to ground zero of the tornado. next? >> i got to step inside a tornado lab at university. i got to feel like beyonce, swirled around in >> a global climate crisis >> two feet of sea level rise is projected... >> threatening america's coastline >> you'll see water in the streets without rain... >> now fighting back with a revolutionary new technology >> there de-watering the ground... >> this is the first time anybodies done this before >> techknow's team of experts show you how the miracles of science... >> this is my selfie, what can you tell me about my future? >> can affect and surprise us. >> don't try