.) >> good afternoon supervisors i'm kathy an e.c. s director and i manage 5 hundred and 34 single beds essential a next door shelter and additional more during the winter season we appreciate the focus on the shelter residents and welcome the dialog and especially the problem solving i hope that will come out of this process we know that our fellow san franciscans find themselves coming with acute health conditions as kate when is wonderful and very, very supportive has trained us with acute and chronic the solutions need to be both of those issues our city shelters were not designed to take care of of people so sick they can't self-care we're seeing an increase in people that come to shelters even though we don't have the captain or resources we appreciate the department of public health and response to this crisis that's a crisis and becoming mora crisis by bedding two nurses in the shelter this will give us the ability to access the medical needs that nurses and shelters are the beginning and again assessment are very important we