i am a registered nurse at san francisco general hospital. i am also here to talk about the proposition that my colleagues are talking about. i would just give you an example of a position i was put in as a nurse with a patient who was disabled, actively psychotic, delusional, could not make choices about -- he could not plan for self care wants out of the hospital, and he had a serious injury that needed multiple surgeries and he was on a psychiatric hold, which is a 14-state but psychiatric hold. he decided he was going to leave. i told them we still have to do treatment. i was trying to be supportive, non-threatening. he decided that he was going to leave. i said, you cannot leave he was very smart and said, why can i leave? the doctors did not say that. the doctors said if i had a friend come pick me up, my friend provides a place for me to stay, i can go. i said, actually, you are on a psychiatric hold. until we can figure out a plan for you, you have to stay. his friend showed up. he said, i am leaving. in the meantime, i am making mult

have to think this committee for finally having the operations and revenues for san francisco general hospital. please do not forget laguna honda hospital. i do not hear any comments from a certain supervisor regarding what is going on at laguna honda hospital. i think the people are due an explanation. chairperson campos: thank you. are there other members of the public who would like to speak? seeing none, public comment is closed. this was simply a hearing. can we filed this item without objection? the clerk, please call item five, our last item. >> a resolution regarding north of markets/tenderloin commun ant to the committee. chairperson campos: do we have a presentation from staff? >> good afternoon. i am with the office of economic and workforce development, where i come-manage the community benefit district program. i know you have been here all day, or across the call -- the hall. hopefully, this last item will move quickly. what you have is a bubble -- a resolution asking the board of supervisors to approve the annual report and financial statement of the north of market community be

supervisor mirkarimi: on the question the supervisor chu just mentioned on general hospital and laguna honda, i have been visited and others by seiu in trying to float an alternative proposal. we were not sure if there had been any discussion internally about an alternative proposal that continues to meet the need of providing for sworn officers at general hospital laguna honda while trying to save dollars, which is the goal. i do not know if there is any response to that. >> supervisor, the proposal, of course, is that of the department of public health. it is their budget, their facilities, and it is my understanding -- and i may not be 100% correct, but it is my and a standing the proposal is to retain the current ip officers and to presumably group them in one or two work sites and then to have a contractor provide the security services at primarily san francisco general hospital. that is the proposal i have heard. if you look at page 7 of the handout, which i have given you, you will see how we analyze or how i analyze financially whether the prop j is approved or not approve, and

san francisco general hospital is a city within a city. we get everything they're -- criminals, parolees. there is a methadone clinic, a big sigh board. several people come in day in, day out. i have been there 11 years. i have worked in the er. if you go to highland hospital, they have contract security, but there is an alameda county stations staffed 24 hours a day, seven days a week. there is no, one hospital in the state of california that does not have hospital police officers or sheriff's deputies. you can check at stanford. you can check uc davis. you can check highland hospital. we are now here. you can also check with los angeles county hospital. they have their own police. i urge you to take into consideration that you do not contract out. dph needs to either keep the sheriff's department or back to what we had before, institutional police, which i want to add that institutional police officers provide the cheapest law enforcement services in san francisco. we are cheaper than sfpd. we are cheaper than the sheriff's deputies. i'm

have our chief medical officer or the chair of our emergency response team at san francisco general hospital answer your questions on this and try and put your mind to rest, but truly, we believe that this is a reasonable, smart way to manage security in a hospital setting and really is what is being done and the county that is the nearest, closest example, but in many, many hospitals that offer trauma services around the country. >> we can ip violate the two representatives up perhaps to address the other issues that supervisor weiner has raised. >> thank you. >> good afternoon, supervisors. i am dr. todd mann, the chief medical officer at san francisco general hospital. i will be very clear i am not just an administrator. i am a practicing physician. i deal with these issues every day. and i think he explained well the difference. we have a great deal of respect for the sheriff's department and the work they do. the real issue is they are law enforcement officers. and they are focused on criminal activity. what we really need is to keep our patients safe and secure. the real scenarios that

hospital. i did 20 years with my initial experience at san francisco general. i was also employed a various mental health clinics. one of the recent things i wanted to discuss was barbara garcia and on the dph website, she says as she stated to the staff that there would be a specialized security force to replace the i.p. she made the point that they were going to be unique and different. i do not know how they can be more unique or different than the institutional police. private security will not provide the same type of experience. the company had believe she is referring to, they work at highland hospital right now. the only specialty they have is they probably work at more hospitals, but that does not necessarily mean they have more experience. bair just -- they are just fortunate. in santa clara valley medical center, they recently contracted with the sheriff filled apartment because the one of law enforcement tool -- law- enforcement to augment security their. their understanding was come but they realize that they constantly have security needs and one

you have spent at least five hours with us in the emergency room at san francisco general hospital. you checked in with me friday. we were both hoping for better news about tony. and then about 6:30 or 7:00 in the morning you joined me and the valerio family at tony's bedside when dr. campbell who had done everything he possibly could. unfortunately, had to pronounce tony deceased as well. thank you so much for being here for all of us. [ applause ] my heart truly goes out to you. as a parent myself, i can only imagine what you must be feeling. i hope it's a consolation that your son died doing what they believed in and what they loved doing. thank you for the gift of your son and your support of their career choice. and the san francisco fire department will always be here for you and we will endeavor to see you through this very difficult time. i would now like to offer a special message to the perez family. please excuse my imperfect spanish. mucho. map i would like to conclude my remarks with a prayer from st. francis. grant that i may not speak so much to be consoled as you con

it would be the general hospital. it is because the police have our backs. did people, they're trained, and culturally sensitive. they not only know that first responders know the patients by the first name. numerous times, i brought an altercation to the private hospitals with is a treaty has been unable to get the patient out of the ambulance. we have a system that works. >> thank you. >> hello, supervisors. i am here to speak in support of the institutional police and that don't think that if you heard any testimony against the institutional police or any of these cuts, i don't think so. i encourage you to not change to a private security company. the sheriff's department is part of the fabric of general hospital. there are city employees. i was killed a couple of years ago and i am waiting for the city to have to pay out money head over here is for all of the increased injuries that we will see the nurses there from less qualified skilled workers to the budget cuts and public health. you will see its trickle-down in every area. this is where we need to b

reached with the interns in residence who, as part of their training rotation, go through the general hospital. this is a three-year agreement that goes through june of 2014. i'm happy to take any questions. >>supervisor campos: i major- general question. i have visited with the interns and residents in the past. one of the things that was a concern at the time was we have highly educated folks doing a service to the city and we want to make sure they are adequately compensated during the process. i'm wondering if you could say a little bit about that? i imagine this is a mutual agreement, i imagine this addresses the needs and concerns raised in the past. >> absolutely. we have a longstanding relationship with the residents and a settlement agreement was reached in which we agree the wages of interns and residents while they rotate through san francisco general will be the same as they are at ucsf. they will be at the same wage rate. >supervisor campos: why don't we open up to public comment? we will have to limit public comment to 2 minutes. if you have comment, please come forward on this i

hospital in laguna honda. thank for you letting me speak. i'm here to urge you to reconsider the cost saving measures of priority security at san francisco general and laguna honda. it's not going to be a good way to make things safe at the hospital. there's shootings coming in, psychiatric patients that get active like you heard from the vocational speaker earlier. it's not a good way to save money and will cost more money in terms of expenses and health and safety and make the hospital a more dangerous place to be at so i ask you to reconsider it. thank you. >> good afternoon, supervisors, my name is david golden, i'm a resident at 201 crest lake in carmen chiu's district and am here as a board member of hospitality house as a voter and homeowner. as a resident of san francisco, i urge you to take a look at all the people who come before you and see the difference hospitality has made in individuals' lives and improving them and getting them back as productive members of society. as a resident of san francisco, i urge you to think about homelessness as something that affects the entire district. every day i bicycle to work along the great high

>>> i'm amy hollyfield live in san francisco general hospital, where a firefighter is in critical condition. the colleagues are here pulling for him as they also remember a firefighter who was killed. the story is coming up. >> diamond heights in san francisco, this is where the fire was yesterday. investigators looking for the cause of the fire that they believe they know the situation that took the life of one firefighter. and injuried two others. i'll tell you about in a live report. >> all is quiet right now as we look down on san francisco from sutro tower. but the record rain arrives this afternoon. i'll tell you when it finally leaves us and warmer weather is on the way, too. >> keeping an eye on a crash on southbound 880 at dixon landing road. i'll let you know if it's causing delays but elsewhere you see light friday commute. enjoy the live shot of the bay bridge. >> 5:01 on friday morning. thank you for joining us. i'm eric thomas. >> i'm kristen sze. topping the news, firefighters are holding vigil outside san francisco general hospital where one of their own hangs on to life. cr

american flag covers the body of lieutenant vincent perez wheeled out of san francisco general hospital. doctors did what they could to save the 48-year-old firefighters. but in the end perez heart gave out. andre is a good friend of perez. the 2 grew up in san francisco l. >> he loved his job. he lived for that. he's a good man. good friend to all of us. >>reporter: he was one of 3 firefighters sent to hospital from house fire in diamond heights. one has been treated and released. the other is fighting for his life. he's in critical condition suffering from severe burns. mark is his brother. >> he drew in hot air. and smoke and they don't know how long and he was in the smoke so he has a lot of stuff coming out of his body. >>reporter: l his body has been transported to the medical examiner's office. he served in the marines and worked as sheriff's deputy before landing dream job with the fir department. chief if what it was in the same fire academy class as perez. >> so his full life, whole adult life was serving the community and protecting the comment. >>reporter: firefighters say i

i used to work at san francisco general hospital for 20 years. when i took a look at this item this morning, what caught my eye was the dollar amount. i thought it was interesting that it is only $1 but not to dollars short of $1 million. according to my previous experience, it seems when you are dealing with $1 or $2 short of an actual limit, there is always the slight chance that this might be an example of what they called voodoo economics, which is open to translation, depending on who is practicing. what also caught my eye was that it mentions waiting in direct costs -- waiving indirect costs. an inexperienced person like myself does not know what that means or how much is actually involved. i would like to bring that issue forward for possible explanation. the third thing i would like to focus on is it mentions non- structural seismic retrofit. what i thought about that this morning, i was wondering -- is that open to manipulation by the people that have control of these funds? the reason why i bring up the idea of possible manipulation is

>> reporter: raj, it's been a very emotional day here at san francisco general hospital. all throughout the day there have been lots of firefighters and police officers. the parking lot has cleared out for now, but some firefighters are still here dealing with the death of a colleague and now waiting to hear about another firefighter who is right now fighting for his life. now, just moments ago members of the san francisco fire department lined up and gave lieutenant vincent perez a final salute. a very somber moment as his colleagues watched his body being taken away. the 48-year-old died here at the hospital. doctors say he had severe burns, inhalation injuries, and then went into cardiac arrest. they say they worked on him for about 30 minutes before the 21-year veteran passed away. fire chief joanne hayes-white says she started in the fire department with perez and he will be missed. >> it's a huge loss. vince was a great guy. fun to work with. very capable. professional at all times on the job. and like i said, served his country in the marines, was a deputy sheriff.

stick around. >>> good morning, i'm christie smith, live at sf general hospital, where the san franciscopartment is grieving the loss of one firefighter, and pulling for another still hospitalized this morning. we'll have

stow as you probably know is still in a coma at sfo general hospital. ra mere says in jail on parole hold and not been charged with the crime. >> governor jerry brown says democrats republicans don't reach a budget compromise today the legislature will certainly miss a wednesday deadline to pass a spending plan. despite weekend negotiations brown failed to gather support for a special tax election to close a $10 billion budget gap. he posted a youtube video ex preg pressing his frustration. >> i'm really perplexed why a package of this magnitude and permanence that has reforms and temporary tax extensions cannot be allowed for you the people to decide on. >> brown says he needs just four republican votes to call for a special tax election to help balance the budget california fire crews are bracing for what

francisco firefighter while mourning the loss of another. >> amy hollyfield is live at san francisco general hospitalith the latest. >> reporter: firefighters were here at the hospital all night long pulling for 53-year-old anthony valerio who is suffering from burns over 12% of his body. he is on a ventilator. it's quiet inside the hospital. he is in critical condition. they're also mourning the loss of 48-year-old vincent perez. firefighters say he was a good-hearted man and a great firefighter. both men were found on the ground inside a burning home yesterday morning in san francisco's diamond heights neighborhood. perez was declared dead at the hospital. san francisco fire chief says the department has a heavy heart right now. san francisco's mayor ed lee says this is a reminder of the dangers that firefighters face every day. he has asked the city to fly all of the flags at half staff right now. abc7's terry mcsweeney is in san francisco's diamond heights neighborhood. he has more information on the fire. terry? >> reporter: the investigation going on. the street berkeley way blocked off for 100

advocating groundbreaking work for it is san francisco general hospital. the director kathleen seebous. toured the facility. it said a lot about follow up care and transition and going home and making sure a patient is well equipped and has a support system to carry out whatever effort it is at home. >> the approach is expected to reduce the expenses by keeping readmissions to the hospital down. secretary - sebelius said it will save money in the decade. >> what would you do if you are a front man for the band and forget the lyrics. if you are will i am from the black eye pea. reach for the smart phone. this is youtube video and he used it as a personal telepromper of don't stop the property. >> i may keep that in mind. >> next phase of the 80 million widening project will not begin as expected. alameda county judge issued a temporary restraining order . they filed use suit claiming it would damage the creek and destroy the habitat. they say the project is needed to increase the highway's safety. a temporary restraining order will remain in place. more to

. >> they were transported to san francisco general hospital. four women inside of the home escaped without any injuries. they are fine and working with the red cross. i am live in the diamond heights neighborhood in san francisco. abc 7 news. >> thank you . the mayor ordered flag to be flown at half-staff. including fire station 26. this is where the three firefighters worked. meantime colleagues and city officials are gathering outside of san francisco general hospital and they are awaiting word on anthony valuer rompt last time a firefighter was injured was a fall off of a truck . last one to died was a fire fueled by cent - 70 miles per hour winds. >> major development in the jaycee dugard had the last word. dugard was kidnapped at age len from a bus stop by phil yip nancy garrido. dugard now 31 did not attend the sentencing and in a statement directed at the garrido. i refuse to waste a second of my life in your presence. >> annette, picks up the story. >> phil yip nancy garrido while jayceee mother cried and shook as she read statements. j

but the situation has been resolved, and the individual has been taken to san francisco general hospital for observation. reporting live in oakland, abc-7 news. >> alan: could take a while. in the wake of his twitter scandal, congressman anthony weiner is now requesting a temporary life of absence from the house while he seeks professional treatment. his decision comes after top democrats put the sweez on him to outright quit. >> the fallout over graphic photos sent to women online followed anthony weiner home this weekend, where democratic leaders hopes he says. >> i don't have anything to say. >> reporter: nancy pelosi and the chairman of the national committee now urge weiner to resign in a statement, pelosi says peopler acknowledged he needs help, and he should get that help without the pressure of being in congress. the calls for weeper -- weiner came after he told the media he planned to return to work on monday. >> i made mistakes, as i said on monday, and now i'm just going to try to get back to work. >> reporter: the tipping point for the democratic leaders may have been news of

we are completing and building san francisco general hospital and san francisco general hospital will be looking at needs of equipping the hospital and the debt service cost and principal interest on debt and depreciation. many of the items we have included in our 11-12 budget. to give an overview, we're one of the largest departments in the city with the largest budget reduction and primarily funded with earned revenue from the general fund dollars and less than 25% of the total budget is comprised of general fund and draw down for matching revenue and supports those we cannot bill for including the inmates and the uninsured. this limits our options to reduce general fund and limits us to general fund that is not matched and this is one of the negotiations that we had with our community-based organizations because they also in their cuts did not want us to cut where we were also cutting revenue along with general fund. many of our general fund nonmatched funds are in the community programs area, particularly in some of our substance abuse and mental health areas. the new dollars we a

mary's, walden house, san francisco general hospital, m.h.a., hospitality house, bay view mental health and due to these services i am no longer a threat to myself or society. i have understand myself and learn to know the services i need to become a well civilized citizen of san francisco, california. and i oppose these budget cuts and the services need to be open for people such as myself. thank you. >> hello, my name is jeff wilkins and i'm a social worker at the linkages program at the institute on aging. and we're slated for a 25% cut which will mean termination of services to 1/4 of our clients. linkages serves people who became disabled as adults but who are not yet 65 and these are people who became disabled usually because of an awful disease like multiple sclerosis or lou gehrig's disease or a traumatic event like a motor vehicle accident or a stroke. and these are people who as a result are at risk of snulization and sometimes at risk of eviction and homelessness and sometimes even at risk of death unless they're linked to the appropriate services to support them. our clients

we might build an entirely new building, an entirely new hospital, like general hospital, or we might be replacing roofs. that will last many years and is protecting the asset. even though it is not protecting the entire building, it is considered a capital improvement. should i move on? the road repaving and resurfacing bond before you is designed to invest in the san francisco right-of-way infrastructure, providing funding source for the next three years, and is also funding our sidewalk and curb ramp improvements that are part of our americans with disability act transition plan. the condition of streets in san francisco, that pti score, in three years will be moving up from 64 to 66, and be putting us on track to 70, which is good, as opposed to fiaair, in 10 years. this book create more than 1600 jobs in san francisco and we will be distributing the project equitably throughout neighborhoods. that language, for both the paving and streetscape improvements in the bond, is included in york mets come before you in a few weeks. something that this bond will not do is increase propert

i asked to please keep the deputies and police at san francisco general hospital because the citizens of san francisco -- president chiu: thank you. >> good evening, supervisors. i am the program of a supervisor saying at central city hospitality. i wonder what it is like for you to sit here and listen to everybody's thoughts. despite all of the ideas representing by the -- represented by the board, each of you was elected to office to convince the people of your vision. one thing i want for you to know about hospitality, it is neat that you had a visit come to you. about 90% of our staff and managers are hired from the community. you've got to see some of those folks today. at any given point in time, at least one of our staff is homeless. you are supporting a whole community. you start volunteering and then get hired in the agencies. by supporting the agency, you are supporting that factor. i wanted to reflect back on the journeys that brought you to this chair today and ask that you keep in mind services for people facing challenges in san francisco. we all have a vision of in san

right now stow remains in a coma at san francisco general hospital. we'll have more on that video coming up. >>> also new this morning union city police are investigating a shooting that left one man in critical condition. it happened at the same house where another person was killed just last month. the shooting happened last night at 8:30 on whipple road when police arrived they found a 22-year-old man with multiple gunshot wounds. police say they only have a vague description of the suspect. they are now investigating any connections between this shooting and last month's homicide at the same house. >>> all right. we have an update on our breaking news we've been following all morning in florida. that florida motel has been completely destroyed by fire. we have been watching the flames this morning. there are some of the shots this morning. we've watched basically as this hotel has been destroyed. this is the vacation lodge in kissimmee, florida. 150 people were staying there and evacuated from the extended stay motel. not far from the disney anima

i am the chief medical officer and a practicing physician at san francisco general hospital. i am here to speak on behalf of the dph budget regarding the security issue. contrary to some comments you may be hearing today, this is not fundamentally a union issue. this is a patient care and safety issue. with all due respect to our law enforcement officers -- and i would not despaired of those folks in any regard -- we simply do not have the employees with the training, skills, and most notably, the legal flexibility to manage medical crises in the hospital. this is a health care issue,

. >> kathleen sebelius will visit san francisco general hospital. will be joined by nancy pelosi as hospital officials, doctors and nurses. she is here to highlight partnership for patients. it an initiative for patient safety to save 60,000 lives by stopping millions of preventable injuries and complications in patient care. this morning's program begins at 9:30. >>> update this morning on gabrielle giffords. an aide says she struggles to communicate and is unclear whether she will be able to return to capitol hill. it's been five months since jared loughner went on a rampage. the chief of staff tells the arizona republic that she uses hand gestures and facial expressions to communicate because she still struggles to find words and put together sentences. as for when the public might see her, lawmakers may soon be ready to release a photo. >> a small group of squatters are willing to share what they found in suisun bay. check out the pictures. a rare glimpse inside the so-called mothball fleet. they climbed on the ships and sometimes they slept on

firefighters watched as his body was taken from san francisco general hospital. this comes just days after losing lieutenant vincent perez from the same fire. it is very somber with the flags at half staff, and the flowers spread the lobby. chief hayes white said she is never seemed to death in the same fire and all of her 21 years. >> it is unusual to lose a fire fighters, that is something i never wanted to happen on my watch. that is why we are grieving. it is a huge sacrifice to a public servant, we go through a lot of training in a lot of expertise, but we when you go to work as a fire friday put the life on the line every day. it is our mission to protect life and property and that is exactly what the two of them were due and on thursday. there were the first in on the fire at berkeley way, they were doing their jobs which are dangerous jobs. bring to all into reality just how dangerous the job can be. >> they're planning to add just one memorial service for the both. santa fe directors same incident, she says it is important to honor the that the same cere

but -- upcoming projects include the surrounding area of general hospital, soma west and the public safety building. going to the question you started out with, how will we try to change and improve the street smart program, we are going to be talking with the department of public works, which is our partner in this effort. we're going to change our memorandum of understanding so we will incorporate more communication between the property owners and surrounding neighbors. that will be more labor- intensive, but your point was well taken. as you astutely, given your financing background, urged us to do more with less. we've been able to allocate an additional $20,000 by shifting administrative costs and by funding 10 more murals and the program for the next upcoming fiscal year, that will bring the total number of minerals to 30. we will continue to raise money through community challenge grants and seek outside funding for the program. i believe that addresses the questions. if i can now shift -- do you have any follow-up on that? supervisor chu: i just want to thank you for taking the tim

live from san francisco general hospital with the least. >> reporter: we have seen a lot of emotionally exhausted firefighters here in san francisco mourning the loss of one firefighter and holding on to hope for another. in the midst, they are trying to figure out what caused the deadly fire. fire investigators focused on the back deck at the house searching for the cause of the fire that killed firefighter lieutenant vince grez and left tony valerio with life-threatening injuries >> touch and go. minute by minute. that's it. that's all we can do is wait. >> the deputy chief said they will take their time pinpointing a cause. >> it's the same investigation we would do for any building where there is a fire, but this is personal. >> a small bouquet stands behind the holm and flower deliveries are pouring in to the station. it was reported as an electrical short, but the four-story building got too hot. the emergency dispatcher reveals the drama unfolding. >> through the front door down the stairs to the right. >> 30 firefighters were on scene. crews found perez and valerio unconscious a

stow romaines in -- remains in a coma at san francisco general hospital. police are still looking for two suspects in the case. >>> firefighters in northern california are operation for the start of wildfire season. starts monday cal fire will open up seasonal fire stations and are asking homeowners to prepare for the season. cal fire recommends homeowners maintain a space of 100 feet around their home. trim your tree branches six feet from the ground. clear needles and leaves from cut gutters and roofs. our above average rainfall has led to a lower fire risk, but officials warp it -- warn it led to an abundance of grass and blush. >> anymore newark may smell natural gas due to pg&e's testing of a pipeline. the company plans to vent natural gas from a vex of pipe. the section is located between cedar boulevard and thorpe ton avenue. pg&e says the natural gas will quickly dissipate and will not be harmful. customers with concerns can contact pg&e at 1-800-743-5,000. service will not be interrupted during the work. >> college graduations were held today, inc

at san francisco general hospital he received experimental treatment.cluded an aggressive controversial surgery. with this procedure, called a decompressive heme crane energytomy surgeons remove a large part of the skull. >> which allows the brain to move out wards rather than downwards. >> reporter: doctor manly performed the procedure. a few weeks later he awoke from his coma. >> i remember opening my eyes, looking around seeing the faces of friend, family, co-workers. >> reporter: however it was a long road back to a full recovery. >> reporter: we're looking at the most complicated injury in the most complicated organ in the body. >> reporter: he has no memory of the accident. >> it was like a muz and the box jumped out. that was neat, i couldn't have done it in my own. >> reporter: in the crash he broke both his fee measures, they needed to heal as did his brain. >> it was like being a baby all over again, learning to talk, walk, think, function, where at 25 you think you're on top of the world, most people. it's very humbling. >> reporter: to this