batia from the department of health. my apologies for being late. the department's responsibility for control of bed bugs falls into four categories. prevention and education, enforcement, regulation of pesticide use, and the operations of certain hotels. i think it is important to know that bed bugs can spread from place to place on people and their belongings. that makes it very hard to control. it is important to note that they are not vectors of human disease. they do not carry disease. they in fact a person. they create symptoms in a person, but they do not carry disease. it is important to know that no public agency in the city, state, or country collects surveillance information on bed bugs. we do not know what the prevalence of infestation is in the city, state, or country. the limited information we do know is from day that we get on complaints the complaint data will reflect only a fraction of the true problem and burden of bed bugs in society. we do not collect surveillance data on bed bugs because they are not a factor of human disease. t

primarily the health department. another roughly 45%. not surprisingly, that is where much of the discussion has been in previous years and will be in this year's budget as well. since the deficit projection last winter, a couple of things have changed. you all know that we asked departments to meet their budget reduction target partially in the current year to try to get a jump on next year's problem. in december we received those ideas and about $19.8 million in savings. that was sort of a down payment on the budget instruction targets. as you have heard, since then this committee had a controllers six month report come out, controlling revenue projections. looks like the new news will be $14 billion in good news in the current year. and then a significant portion of that will annualize into next year. we will look at some portion of that again. another piece of caution out there, deficit projection had assumed that we would be able to withdraw from the rainy day reserve. it is unclear if that will be the case. we are still working on

health clinic. i want to thank the department of public health. i want to thank the consortium for their professionalism and for their ability to dispatch, as best as they possibly could, with a very constructive -- constrictive time perimeter, in working with the directors of the lyon-martin health clinic. we want to thank lyon-martin for being cooperative in doing everything you can to avert a crisis. in my opinion, and i do not believe i am alone, i think many here in the elected family would see this as a profound loss, devastating, if lyon-martin health clinic or to close. the expressed intent of today's hearing was just that, a hearing, because we have not been able to conduct a forum because we did not have empirical data until this point. we did not have the data we have been waiting for. that way, there is at least some financial assessment and policy assessment as to how we got into the position we are in and what we can do to make sure this position and reality is not repeated. now that we have gone through that, this now informs and en

chief finance officer for the health department. i have been at the health department for 10 years. this is something that has occurred on my watch. we, obviously, in terms of accounting errors made, we feel badly about those. but i think there are a few things we need to clarify. to begin with, the issue of the $176,000 reclassification. at the end of each physical year, when the city goes through its period 13, close of the books in preparation for the kaffir, there are a number of activities that take place between the controller and hospital around looking at balances, project accounts where there may be overspending in one, under spending in another. the gift spending accounts look very much like project accounts, in terms of the way they are structured and appear in the system. we did identify that this had happened a few years ago. what our records show -- and i want to be clear. i do not believe it was clear in the explanation. the initial communication with laguna honda, that funds should be moved from this gift fund account to capital project accounts came from the comptro

that happens at certain county health departments. >>pam: our team coverage with to resell who founded the u.s. government is now installing more air monitors on the west coast. >>terisa: in the next few weeks the epa plans to install about 30 more of these devices. this one is in san francisco. experts explain the device works by collecting hair samples and sending the data to a testing site to the u.s.. scientists then run a battery of tests, some of the test look for gamma radiation and particulates that concern associated with the nuclear plant meltdown. although japan is 5,000 mi. away, a spokesperson with the bay area air quality management tells kron 4 news that in the past, the air monitors have been able to detect coal dust from china. besides stationary system such as this one in the air quality management in the city, the epa also has mobile units. some of those are already being rolled out right now to western states. in oakland, kron 4 news. >>pam: stay with kron 4 for continuing coverage of the nuclear meltdown threat. a

the health department has not had any complaints lodged against any dispensaries in the last two years. it is more of a civil-rights issue. in view of the fact that the police commission and public safety supported the plan, it does seem that is all there is left to think whether would oppose it here. opposing the project on the basis of the nature of a business will cost the city money in litigation, lots of money. thank you. >> my name is timothy joseph hopkins. i am a disabled veteran of the marine corps, representing the disabled, the elderly, and the people of the sunset for whom having a dispensary for disabled people and elderly people who have a hard time using the transit systems -- it seems it is an awful hard ship from them -- for them. having a center closer to where they live would be much better for them. some of the centers that i know go out and take the patience to the car or the bus station to make sure that are safe. delivery services work as well, but these centers do not just operate as dispensaries. that operate as community centers, where the disabled, the elderl

convection oven because they were not properly following protocol. >> anything that would require the health department or building department to look at will still require the appropriate permits. that is a good buyer beware question. that same thing might go for a certain amount of equipment to heat coffee. they might want to comply with equipment that is already permitted. and of course comply with all of the safety requirements. within those limits, have a little bit more flexibility. president o'brien: thank you for your presentation and on behalf of all the people that can benefit from any change of the ease of the permit rules. the justification for this, the increased size on the ada makes me inclined to support it. the fact that it does not supersede a local neighborhood controls that can be very specific for the historic neighborhoods, they all have their different dynamic. i believe that an open flame should be permitted pretty well. but i hope we don't have the tangle of reservations. a lot of this is really cleaning up years and years of different rules, going one on top of the other witho

i was glad to hear the mention of the department of public health. the facts that were mentioned earlier do not surprise me. for the record, i would like to remind everybody that the board of supervisors has consistently, through different committees, absolutely refused to hold hearings into the department of public health, in regards to suspected misuse of money, especially metical, at san francisco general hospital, where i worked for 20 years. i would also remind everybody for the record that the comptroller's office, in my opinion, has been uncooperative to push for a follow up financial audit of san francisco general hospital financial practices that was originally issued in 2003. in that report, my own department was faulted numerous times for problems, and i myself, think those problems still exist and we are only shortchanging the needy and helpless people in san francisco by not looking into san francisco general hospital. obviously, i do not have to say anything about laguna honda hospital, even though, to my amazement, that the district su

the department of public health, they have to ever see the budget. so these nonprofits and the department of public health has not achieved that. thank you. supervisor mirkarimi: thank you. next speaker, please? >> hello, i am a disabled 55- year-old woman. when i started at lyon-martin, it was ok, i will go to that clinic. i had no idea. i had lost my last job. i had been almost two years on unemployment. i am talking about $100 per week, living in san francisco. i lost my housing. i was unbelievably depressed. there were days when my arthritis prevented me from time in my shoes and i stayed home and did not get out of bed. once in a while i would go to the library. in going to lyon-martin, i found credible, comprehensive, kindness, care, and ability. mental and emotional and physical. maybe the staff is not officially train to transform a from healthy san francisco, but that is what happened because of their addressing all of my physical, emotional, and mental needs. i became more confident and aware that i was entitled. they helped me do that. they

i hope that the health department are learning the crazy world of land use of san francisco. i just wanted to clarify that -- on the -- regarding the development agreement, it's come up several times tonight. and it has been staff recommendation that we work on a development agreement that would address the resolution of many of these issues if not all of these issues which seems be the primary and most beneficial mechanism that we can use to make this happen and whatever the resolution might be. and so at the hearing in may we have intended to give you the draft of that that addresses many of these issues. ken is working on that in the office of economic and workforce development is very much involved in that. so it is important. and that agreement as it is with other development projects that the planning commission has seen an agreement that it doms the planning commission and your recommendation is forwarded to the board of supervisors. you don't necessarily aprove the final version but you certainly make the recommendation on the board on the specifics of that agreement

i think any money the department of public health gets is a step in the right direction. under the leadership of the new director, i feel the money will be well spent and hopefully will improve the efficiency of the department of public health. i think it is obvious that every money the public health department gets is sorely needed by the residents of san francisco. i think it is the responsibility of this committee to make sure the two main hospitals, laguna honda and san francisco general, have -- does not waste money as it has in the past and i would like to refer to the 2003 performance audit on financial resources at san francisco general hospital. i'm wondering whether one will be done for laguna honda hospital now. thank you. supervisor chu: are there other members of the public that wish to comment on item number four? public, disclosed. we have eight recommendations to send this. we will doubt objection. >> item #5, resolution of proving a first amendment to a memorandum of understanding between the city and county of san francisco, the city of oakland, the city

we have got some potential revenue issues at the health department. positive and negative. these are always a significant factor on balance. i do not think that we have anything this year that will be close to those levels. but there is a big change, which is that there is in new state metical waiver that has been approved. combined with some significant obligations on programming as we start to phase in and implement federal health reform. again, the state budget is going to be an issue. the realignment is front and center on our minds as redevelopment. we have fred blackwell here to talk through questions about what is going on with that in a moment. of course, savings will go to reduce the deficit. supplementals that will be issued includes spending increases and reductions to increase the deficit next year by equal amounts. we are obviously at a point where we need to be serious about our contingency proposals. absent of change that affects the deficit, we are not going to get enough from the 7.5% targets to solve this thing. i think that we will at least have to take a

speaking of health the activities, we are pleased to have the department of public health as one of our major partners. i would like to introduce christine from the health department. [applause] >> good afternoon. shape up san francisco is so excited that we are once again doing sunday streets. it is the perfect epitome of what shape of san francisco is about, creating environments that make it easy and fun for people to get out there and play, be physically active. liveable streets is incredibly important to this. i'm grateful to the city as a whole for offering this fun, safe places for people to get out and play. that is all i have to say. thank you. [applause] >> as susan mentioned earlier, one of our major partners and nonprofits is the bicycle coalition. they are responsible for helping us organize all of the volunteers, and we are totally indebted to them. we would not have happened without their support. i would like to introduce the executive director of the bicycle coalition. [applause] >> good morning. thank you, first of all, to all our friends in chinatown for welcoming us

there is a state director control branch within the health department. de- require continuing education units for -- they require continuing education units. bedbugs are included. all of my inspectors in both programs maintain that certification. supervisor kim: do you believe that the dph directors rules and regulations are adequate? >> when we issued the regulations in 2006, we were the first city in the country to do so. i think they are adequate to deal with the response of component of the problem but not necessarily prevention. we can do some of the things for more proactive inspections. even if a room is inspected and found clear before a tenant occupies it, a tenant can bring in bed bugs. that makes it a difficult situation. supervisor kim: i understand that. would it be helpful to mandate a type of treatment or to mandate that complaints get resolved within a certain number of days? would it help if we were to change that? >> one of the things that changed with the december amendment to the nooses -- nuisance code is that our staff have guidelin

christine conley took your questions to the san francisco health department to find answers. >>christine: on kron 4 facebook page viewers like patrick asked will potassium iodide be distributed? here's what thomas with the san francisco health department said. >> will not be distributed it's not necessary for anyone on the west coast to take it. people who take it may have allergies to iodine and may have an allergic reaction especially in infants and young children you could actually cause disease of the thyroid. >>christine: high road had we recognize symptoms of radiation exposure in had we protect ourselves? >> in the united states we don't have to worry about any exposure. for workers in japan to get exposed to high levels at the plant, they could develop which called acute radiation syndrome and you can imagine the radiation effects the gastrointestinal tract as was the bone marrow. the effects immediately would they get nausea and vomiting as well as other flu like symptoms reporting live, kron 4 news. >>pam: the state health apartment has answers to some of the freque

that is the bottom line. >> the health department says they're looking into the issues. as for de -- lenar corporation, the president is saying nothing in the e mails suggest any data was hidden, altered or covered up and says asbestos levels at the ship yard are not harmful. >> thank you oo. and still ahead tonight, the governor's new budget pitch. >> this is a matter of we the people taking charge. >> governor brown with the power of you tube to pressure lawmaker autos there is a good look at a man police are looking for tonight. >> and wild weather in the central valley. more storms are on their way this week. >> the sun roof shatter was out warning. the dealer says a stray rock hit it. we show why that is unlikely. >> closed captioning brought to you by mancini sleepworld. >>> 20 families trapped by a rock and mudslide in the santa cruz mountains. sky 7 hd is over the scene. the slide occurred when trees, rocks and dirt came down across nelson road. no one has been hurt but public works department is calling this a significant slide z these are live pictures again yo

clinic, to review the financial statements, not to do an audit, just make sure that the department of public health has the same understanding in terms of this fiscal condition of the organization when they go forward basis. the department has a result instituted a number of things. you have before you the department has instituted a corrective action plan. that corrective action plan covers four areas in terms of operations and oversight, governance, fiscal management, fiscal recovery, and certainly program operations. when we became aware that in the latter part of january that a closure was potentially a minute, -- potentially a minute, the first thing the department of health did as a responsible action is we closed lyon-martin to new individuals, so new individuals are not able to enroll in the clinic. certainly we have had healthy san francisco participants who have called us asking us the status of the clinic and whether or not they could perhaps change clinics and select another clinic, and we have allowed individuals to do that because we think it is prudent to do and it provides peace of

i hope that the health department are learning the crazy world of land use of san francisco. i just wanted to clarify that -- on the -- regarding the development agreement, it's come up several times tonight. and it has been staff recommendation that we work on a development agreement that would address the resolution of many of these issues if not all of these issues which seems be

the reason is the health department sends out inspectors that no nothing and all about bedbugs.n them. do you know how bedbugs find you? because most people don't. they find you by your body heat. they are high-tech bugs. they come and buy you and draw your blood. i have had the health department guys come out and they want to put glue traps down which are for what? that's for cockroaches because as a sweet smell to it, not a blood spell. these animals are attracted to your blood, by the body heat you give off. now you know what bedbugs are about. are we going to get some help on this or not? are we going to get some more help on this? we are? what kind help is this? -- what kind of help is this? we cannot fight it alone. the manager doesn't know anything about it, the owner doesn't know anything about it, he just tries to blame one person or another for the bedbugs. i know the whole history of how the bad bugs got here. i don't want to go in there right now because it would take a long time. the bad bugs have been there and are going to be there. he said don't use the orange ba

city health department official who was apparently planning to testify at meeting in 2006 says a draftrk in e-mail to 2 line employees. go ahead and change any way you want. i may change some of the back but i am willing to read your version. they were dismissing this community. they were dismissing single mothers. elderly people. and children for the sake of the dollar. that is the bottom line. >>reporter: health department sent a written response late this afternoon saying they are looking into the issues. as for the corporation, the president is very blunt in a late statement saying quote nothing in these e-mails suggest any data was hidden, altered or covered up. he says the asbestos levels at the shipyard are not harmful. in the newsroom, abc 7 news. >>> san francisco police are looking for man who burglarized a church and adjoining preschool. this is the surveillance video from early this morning at lakeside presbyterian church near stone town mall again in san francisco. the man broke a window in the preschool to get in. then wandered around the building for 20 minutes or.so of

really about making sure when it comes to an audit or review of any agency, whether it is the health department or any other department that there is a closing of the loop. we understand some work has already been done by the department, by the health commission, and we simply think with this kind of report, it's important to have a hearing at the board of supervisors level as we will with all of the audits that have been done. that's the purpose of this -- to make sure we hear from the comptroller's office. but we also hear from the department about what they have done and i know that we have the health commission here and we will hear from them and to give the public an opportunity to provide comment. the last point i would make before i turn it over is that there is litigation involved, so we have to be very careful to make sure we focus on the general findings of the audit. we are not going to delve into any personnel issue or any issue that could in any way compromise the city's position as far as litigation. the focus is a general discussion about the findings. with that, i will turn over

i ended up getting help from the department of public health. it was a long time between the terminations and i felt abandoned after each time. over all, there was a great lack of communication, especially in the second year, when i had all new caseworkers. i think there was a general lack of knowledge on bedbugs, protocol, abatement, low level of compassion, a level of incompetency and inadequacy. sometimes they were even rude. i have since been abandoned by these organizations and the building managers in this past year have tried to set me up for election twice. the first time was for nonpayment of back rent church, which is bs, and two, and to cure the bedbugs, to get a two- week notice. i have gotten through most of it, but i ended up getting seriously depressed. even sewage asat -- suicidal. i even started drinking again. a lot of attention is to be drawn to this issue. everyone needs to know more. about the bedbugs themselves and how to treat them. thank you. supervisor kim: thank you. >> we will be speaking as a bloc, but i will introduc

>>christine: and there francisco the health department said the people in the bay area did not have toe crisis in japan they say there's no threat and people should not be taken potassium iodine tablets as a precaution. in fact those tablets could pose a danger to people who were there to iodine and also to infants and children. this is people want to prepare themselves and prepare for real disasters that could happen in california. if christine conley kron 4 news. continuing our coverage the disaster japan is being closely watched by companies in the silicon valley. japan is the no. 1 producer of silicon which is used to make computer chips. disrupted. if it continues long term it will cause problems for the tech company including the rising prices. >>jeff: today representatives from the federal emergency management agency inspected the damage from last week's some of the. there tore found previously undiscovered damage that brought the total to more than $22 million. if that make it easier to qualify for federal margin sea fans but it means it will kick lagered a complete recovery op

health, and substance abuse. the value of that investment this year is a little over $300,000. the department actually does not have a contract with lyon- martin. lyon-martin is a subcontractor for the range of services both on the health the san francisco side and on the behavioral health services side. when the department became aware of the cash flow issues, which are not uncommon for a nonprofit, we advanced funding to the organization to allow them to meet payroll, to address operating expenses, and the like. we certainly have the ability to help with cash flow issues. but cash flow is very different from reducing long-term debt. the department does not have in its budget additional new dollars to allocate to lyon- martin at this time. in fact, i am sure that eric in his new role is probably aware that any organization, either philanthropy, local government, community-based organization, and individuals interested in providing funding to lyon- martin is going to want to see a business plan, where the business plan is solid and shows not only how lyon-martin will be able to fulfil its ong

. >> health and human services secretary kathleen sebelius testified thursday on her department pottery 2012 budget request and the health care law. the house energy and commerce subcommittee on health is chaired by jim pitts. this is 2.5 hours. >> the chair recognizes himself for an opening statement. i would like to welcome our distinguished witnessed today, the hon. kathleen sebelius, secretary of the u.s. department of health and human services. madam secretary, thank you for your time and testimony today. the department of health and human services is a large department with broad authority and jurisdiction. with the enactment of the patient protection and affordable care act, we have found there are several sections of this new law that require mandatory funding. hence, bypassing normal appropriations processes. this hearing will give us a chance to consider the budgetary act and make -- implications and administration of this new law. one aspect that concerns me is the office of consumer and folk and insurance oversight. less than eight months after it was passed last year, the d

the equipment was reviewed by the health department early on. the department issued a permit which was appropriate. this was conditions of approval. our understanding is that nextg is in the process of completing the construction. we are currently awaiting a decision by this board either to uphold the permit or provoke this permit. if it is upheld, this is an expectation that it is complete. it would be reviewed by staff. >> i am here to answer any questions you have. >> is there a certificate of final completion. >> what happens is that we track within the database. the applicant will provide the electronic documents of the final -- and this will verify to make sure that it matches that the plants will go to side and then we will verify. the work has been completed. >> at what point can be operational? >> that is a very good question. there were questions that we had to go back and asked the city attorney's office. >> this was on the new order for legislation to identify. please don't hold me to this. the minute a signal is passed through these

meantime, the public health officials here say the most important thing is to stay abreast of what's happening and her best source for us is the california department of health website. cdph.ca.gov. >> all right. >> after 9/11 as well. >> thank you. >>> some families in the north bay know all too well what may be in store for those who live near nuclear plants. the petaluma based children's project brings children from the chernobyl area to the bay area each season. the folks who live there are still suffering from that aftermath. food remains contaminated and residents say they're still living with health problems. >> they really appreciate everything here and the opportunity to run around, play outside. they rediscover milk. dairy products, which they haven't been able to consume due to the elevated levels of radiation. >> the group takes children to the dentist and doctor during their stay here. >>> so many aspects of this tragedy have an affect financially. cal state is p pulling the plug. a memo from charles reed is calling for all cal state students studying in japan to come home. he's also demanding all 22 to stop sending students to japan.

part of the -- you should review all of the claims and complaints that has been produced by the health department and law enforcement department and really consider what you are doing here. they're people that are being affected that our medical patients, people that have needs, real needs. well the board is taking its time to clear this issue up, the real people that are suffering are not the patients -- are the patients. this is heartbreaking. thank you. >> do you want to fill out a speaker card? >> this is about safe access. that's it. >> next speaker, please. >> if anyone can think back if you were discriminated against, something that you needed or wanted, that is a good starting point to understand how the entire community, this is discrimination clear and simple. this is a civil rights issue. we have been trying to communicate and talk and work things out. i really wish that there would be one way that this could stop because this would go further. this is a civil-rights issue. >> next speaker. >> the new findings are that pre crime, there is no pre crime with medical cannabis dispensaries

f the spokesperson for the state health department. despite the nuclear problems in japan, u.s. officials they'll tell us within the hour it is still unlikely our air will be affected. kron 4 news reporter, found an instrument in san francisco which is designed for that very reason to detect radiation. >>reporter: this may look like an ordinary lobby, security on one side and a sign on the other. if this is a secure lobby because of the roof of the building is an instrument that affects radiation. this instrument since above the seventh floor at the bay area air quality in district building. the inflation picks up go straight to a national laboratory in alabama. experts i talked to said radiation have not been picked up and they don't expect to be picked up after the japan explosions. >> at this point we've never had anything of any consequence measured by the instrument >>reporter:. experts tell me particles from those explosions aren't likely to make it to this instrument or san francisco, off the likely break up over the pacific. that is something that will talk more about on

there's a dispatch by the department of public health that used to send people to an area where a violent crime happened. there's the community response network, which is supposed to work closely with the police department in being alerted to crimes that happened. i think it has now been weakened in some ways. that deserves attention. this level of aftermath i don't think it's strictly on the pollees's shoulders, but in essence, what concerns me is the vibe of when something occurs, even if it is completely random act, isolate them, it's still can add to a climate that even may have or precipitate a retaliatory effect, or other effect that could be completely unrelated, but we still see patterns of this occur. that is where i think we want the police department to be more sensitive in this reality. >> i'm stan. two days ago, -- i understand. two days ago, we were going to meet with all of the crn folks from both sides of the city. we sat down and met for one hour to go over all the concerns to iron out any issues that may have had, so we can come together and have a working relationship.