thank you. >> commissioner karshmer. >> this is extensive -- hard to read. very small print to read but it was worth wading through and the descrngz of creating a climate and sensitive to this is obviously important. i have a couple of questions though. there's a lot of additional staffing that you're recommending here. >> yeah. >> and how do the additional security staffing interact with the sheriffs? that wasn't clear to me on that and how do you do the -- because it's not today's staff. there is a bunch of new staff the next day and the next day and how do you make this a viable ongoing proposal? and a little more about the cost of this. are there some that are very effective and low cost solutions and nice to have that are high cost solutions? >> very good point commissioner. in regards to staffing the only recommendations -- i would love to have support staff to actually help me provide service through dph and if it comes it comes, but the only additional staffing recommendations that have been made are to the new hospital at general hospital because of

>> thank you adjourning in their memory so thank you all >> edward a chow, cecilia chung judith karshmer david pating and all those in favor say aye; all those opposed say no. >>>i have one addition.that would be under the gift report and after the comment on the action taken if you would note that if i had said to the chair that we would be sending these notes to these organizations. it would then record that we actually normally would be doing that. if that is okay. in addition, i see that we have approved the minutes with the addition and just to be sure all those in favor just say aye, all those opposed say no. >>> you have the directors report in front of you. i want to add a couple of things. we want to welcome dr. lisa pratt, the director of health services many of us know her background and were very excited. she is a certified internist and addiction specialist. she works at the-- cclinic and she has a position at san quentin state prison and she is bringing some leadership to us and we are very excited she has given 2 decades us. i want you to know that because of the weather w

. >> >> edward a chow, cecilia chung judith karshmer david pating and all those in favor say aye; all those opposed say no. >>>i have one addition.that would be under the gift report and after the comment on the action taken if you would note that if i had said to the chair that we would be sending these notes to these organizations. it would then record that we actually normally would be doing that. if that is okay. in addition, i see that we have approved the minutes with the addition and just to be sure all those in favor just say aye, all those opposed say no. >>> you have the directors report in front of you. i want to add a couple of things. we want to welcome dr. lisa pratt, the director of health services many of us know her background and were very excited. she is a certified internist and addiction specialist. she works at the-- cclinic and she has a position at san quentin state prison and she is bringing some leadership to us and we are very excited she has given 2 decades us. i want you to know that because of the weather we have been working very hard with our distort or

thank you. >> commissioner karshmer. >> this is extensive -- hard to read. very small print to read but it was worth wading through and the descrngz of creating a climate and sensitive to this is obviously important. i have a couple of questions though. there's a lot of additional staffing that you're recommending here. >> yeah. >> and how do the additional security staffing interact with the sheriffs? that wasn't clear to me on that and how do you do the -- because it's not today's staff. there is a bunch of new staff the next day and the next day and how do you make this a viable ongoing proposal? and a little more about the cost of this. are there some that are very effective and low cost solutions and nice to have that are high cost solutions? >> very good point commissioner. in regards to staffing the only recommendations -- i would love to have support staff to actually help me provide service through dph and if it comes it comes, but the only additional staffing recommendations that have been made are to the new hospital at general hospital because of

lock my door don't worry about my stuff it feels human again >> edward a chow, cecilia chung judith karshmer david pating and all those in favor say aye; all those

. >> commissioner karshmer. >> present. >> the second item on the agenda is approval of the minutes, one of december 3, 2015 and december 15, 2015 and i apologize commissioners i noted that commissioner pating was at the december 15 meeting so i will take that