we must save laguna honda. thank you. >> i want to take a moment and acknowledge the fact that -- the entire city is united in our ask here. i want to thank all of our elected officials. we have supervisor peskin here and thank melgar and supervisor mandelman and others who have been tremendous add roindicates. our next speaker the granddaughter of a former laguna honda resident a champ for laguna honda needs no introduction. our office is suing on behalf of the city of san francisco the ceo of our city the 45th mayor of san francisco mayor london breed. >> thank you, david. i want to start by acknowledging and everyone thattinging our city attorney for his work and efforts and finding a possible solution to deal with this really challenging and complex problem. fact is, we should not have to be here. we should not have to be here to protect patients. and what is interesting is the arguments that have been used to protect patients have been the arguments to protect patients from the federal government. and in f

the case at laguna. it is not clear if the litigation and appeals would have any impact on cms's position on this issue. thank you. >> thank you so much, mr. pickens. >> thank you for bringing that up, secretary morewitz. that provides clarification in the questions that i know was top of mind for the public and commissioners so we really appreciated those clarifications. all right. public comment. >> sure. okay. folks, i'll give you three minutes and again, press star three if you would like to make comment on this issue? all right. first person, please let us know you're there. >> yes, it's patrick. it's again very concerning hearing that the closure plan update is now 82% towards completion on the 120 bed space occupied by laguna honda. and the hospital still anticipates completing that reduction by august 19th. as i testified a week ago and again today, applying for a reduced license is premature and may well undercut a city attorney chew's administrative appeals, any decision about applying for a ne

is this laguna honda in it is laguna honda and department of public health. they have a provider with laguna honda not with the department of public helling or city. it is provider specific hospital specific. and so the ceo at the time would have been the person who signed that agreement. now obviously, he did in the go off and do it on his own it came through all of our reviews including legal review. from a health care that agreement is between cms and laguna honda hospital. >> thank you. i'm -- scratching my head on this one. d ph wants to enter in i 10 million dollars contract by surgical gloves has to come before the board and it is minds blowing that it a closure plan and with the stakes this high and -- manner i should ask our deputy city attorney. this the -- agreement with laguna honda and cms is not an agreement authorized by d ph that nodes to come before of the board for approval. i have not seen this document it is hard for me. i say my understanding spoken with colleagues who work with d ph this is a cms plan that is given to d ph and they have

about this loss of 120 beds at laguna honda.lks could have prevented this if you had not flunked the october 14th survey and flailed in the dark between october 14th and march 8th. when i worked at laguna honda, you several times formed inspections and rallied the troops and put all hands on deck and you got [indiscernible] you didn't do that this time. it is, as dr. chow said, simple that we're going to lose the 120 beds far into the future. >> i'm not sure what happened. >> you mean i hadn't gotten my full three minutes? >> please keep talking. there was a gap in your talking. >> okay, i don't know what happened either. because i hadn't moved my hand -- my landline hand-held phone. it is so heart breaking after being one of the last standing skilled nursing advocates in this town. we're going to lose the # 20 beds permanently. wow! you guys know and i know that we have an upward trend of people turning 65 and above that are going to need the beds. you need to explore building more skilled nursing beds, more board and care beds

the case at laguna. it is not clear if the litigation and appeals would have any impact on cms's position on this issue. thank you. >> thank you so much, mr. pickens. >> thank you for bringing that up, secretary morewitz. that provides clarification in the questions that i know was top of mind for the public and commissioners so we really appreciated those clarifications. all right. public comment. >> sure. okay. folks, i'll give you three minutes and again, press star three if you would like to make comment on this issue? all right. first person, please let us know you're there. >> yes, it's patrick. it's again very concerning hearing that the closure plan update is now 82% towards completion on the 120 bed space occupied by laguna honda. and the hospital still anticipates completing that reduction by august 19th. as i testified a week ago and again today, applying for a reduced license is premature and may well undercut a city attorney chew's administrative appeals, any decision about applying for a ne

we must save laguna honda. you. >> i want to take a moment and acknowledge the fact that -- the entire city is united in our ask here. i want to thank all of our elected officials. we have supervisor peskin here and thank melgar and supervisor mandelman and others who have been tremendous add roindicates. our next speaker the granddaughter of a former laguna honda resident a champ for laguna honda needs no introduction. our office is suing on behalf of the city of san francisco the ceo of our city the 45th mayor of san francisco mayor london breed. >> thank you, david. i want to start by acknowledging and everyone thattinging our city attorney for his work and efforts and finding a possible solution to deal with this really challenging and complex problem. fact is, we should not have to be here. we should not have to be here to protect patients. and what is interesting is the arguments that have been used to protect patients have been the arguments to protect patients from the federal government. and in fact th

we must save laguna honda.ou. >> i want to take a moment and acknowledge the fact that -- the entire city is united in our ask here. i want to thank all of our elected officials. we have supervisor peskin here and thank melgar and supervisor mandelman and others who have been tremendous add roindicates. our next speaker the granddaughter of a former laguna honda resident a champ for laguna honda needs no introduction. our office is suing on behalf of the city of san francisco the ceo of our city the 45th mayor of san francisco mayor london breed. >> thank you, david. i want to start by acknowledging and everyone thattinging our city attorney for his work and efforts and finding a possible solution to deal with this really challenging and complex problem. fact is, we should not have to be here. we should not have to be here to protect patients. and what is interesting is the arguments that have been used to protect patients have been the arguments to protect patients from the federal government. and in fact this

medicare says the care at laguna honda is substandard and will no longer fund it. the agency says deficiencies included failing to train staff to dispose of illegal drug, and failing to investigate abuse allegations. >> there are deficiencies in every single skilled nursing center and hospital in california. because we're dealing with human beings. but you take a look at the deficiencies that cms and the state department of health have pointed to. they pale in comparison to what we know, what our investigation shows goes on in other nursing facilities. but yet cms and the state department of health have chosen to throw the book at laguna honda. why? nobody's figured out why. >> reporter: the lawsuits were filed on late wednesday, and thus far there has been no response from medicaid or the state of california. in san francisco, andria borba, kpix 5. >> so the city's appeal won't be heard until at least october. according to the suit, laguna honda would need until november of next year to safely transfer its patients. >>> the other big story this evening, the biden

medicare says the care at laguna honda is substandard and will no longer fund it. the agency says deficiencies included failing to train staff, disposing of illegal drugs and feeling to investigate abuse allegations. >> they are deficient in this and every single skilled nursing center and hospital in california. because we are dealing with human beings. but, you take a look at the deficiencies that cms and the state department of health have pointed to, they pale in comparison to what we now, what our investigation shows, goes on in other nursing facilities. but yet, cms and the state department of health have chosen to throw the book at laguna honda. why? nobody has figured out why. >> reporter: the lawsuits were filed late wednesday and thus far there has been a response from medicaid or the state of california. in san francisco, andria borba, kpix 5. >>> we have an update from that hillside fire that broke out in martinez a couple of hours ago. con fire says residents are safe and structure protection has been successful as the fire's progress has essentially b

yet, there's a clear unmistakable iron pee with laguna honda continuing its plot to reduce laguna honda licenses by 120 beds by september. although the lawsuit and appeal are hear, if truth prevails there's no need to eliminate those beds which would deprive future generations of san franciscans due process access to beds in county by prematurely closing those 120 beds. thank you! >> >> thank you for your comments. commissioners, there's about six other members in the public comment with their hands up. i have to track this manually, so i apologize. it's work inten ten. >> this is joseph urban here. i want to speak about the transfer and relocation process atly fwun that honda. to stop the transfers at 1663 signatures. i'm great envelope that cdp have been explicit on november 13th -- we recognize this is testimony praury including my mother-in-law betty. we want to keep it until laguna honda is recertified. regarding transfer trauma, we have 41 skilled nursing residents that have been transferred and we have nine deaths so we're looking at 22 death rate and i believe we have 6 -- we're

they are human beings they belong at laguna honda they deserve the best care. let's give the best care. give good over sight and be responsible. let's do oversight with compassion. cms, come become to the table. let's talk and work together. thank you. >> thank you theresa for the powerful word and reminding us why we are here that is the end of our remarks. want to open up to questions. i want to note that here to help answer questions we have the director of our san francisco department of public health doctor colfax and have the ceo of laguna honda. i want to thank a number of deputies in my office but we have with us also to answer legal questions steel and he henry lipton. with that, happy to answer questions. [inaudible]. >> what we hope will happen immediately is that cms will come to the table. we want a conversation about what the next steps are. we only have 5 and a half weeks. we have 2 lawsuits and we will be considering all options if they don't come to the table and when we mead to compel that conversation. >> so, the city attorney's office we are

you can see vintage race cars right there, barely down the laguna speedway.ys, there will be a classic car show featuring nearly 300 cars. there will also be go kart racing. carr week will run all the way through next sunday, on august 21st, we have got some time. >>> have you ever had garlic ice cream? >> i have not but i can imagine that it's kind of delicious. >> it's pretty weird, you think it's weekend and there's garlic. and it clashes but it's tasty. >> you will like it when it's 100 degrees though. >>> a little bit hotter, we will see those temperatures climb, not just for the central valley, but even on the east valleys as we move forward into the week. a few areas going to be running close to 100 degrees. we will take a look at that. right now it is 90 in walnut creek. blue skies with a westerly wind. walnut creek expecting some mid- 90s tomorrow, 60s in san francisco. expecting more mid-70s in the forecast through the week. and 77 degrees in san jose, and there is the jazz festival looking pretty good. the wind at 40 miles per hour, rising temperat

nbc bay area's christie smith explains . >> reporter: laguna honda hospital is at the center of legal action. they said there is a closure order from the federal government. >> i have a son at laguna honda hospital >> reporter: she believes laguna honda hospital cares for himeds to have people who are familiar with him to get him to participate in the things that need to be done daily. the staff at laguna honda hospital has built up a memory with him. >> reporter: they've ordered hundreds of patients be transferred. >> we are asking for the federal government to continue funding until all patients can be safely relocated . >> the problem is the uncertainty that we get mixed messages and it is not clear in written communication. this is frustrating and scary. >> reporter: at the head of the pandemic six died but mine have died after a recent transfer and there is a real shortage of sites to go to. we did reach out for comment and a spokesperson said they do not comment on litigation. christie smith , nbc bay area news . >> thank you so much, christie. >>> there is a lawmaker looking to

among others there are an episode in which laguna is persuaded to invest in african diamonds by a manm he met at a wedding, it took laguna just a few days to process a new investor, the man was already ready to invest and give $ 150,000 to a stranger. why do people seem to agree? this is because he promised a lot of income, and as if demonstrating, that is, someone got into a certain situation. someone saw the house someone saw. diamond saw a good car, as if she also had a cadillac escalade q7 bmw that is, like cars, well moreover, these machines, uh, everything, acquired or acquired with money before experience, through this deception or simply by deceiving you, the car took possession of it, as it were, that is, well, people believed this and lust for profit overshadowed people 's minds, and no one even wanted to to think that free cheese is only in a mousetrap. for those who doubted the lagoons with their counterfeiters organized a tour to africa where , according to the worked out scenario, people were shown the same performance, the roles were distributed, only a place remained v

as per of the operations of laguna honda. the second was again to assist in restructuring of staffing as part of recertification. the third is what they call point in time staffing which has to do with one time projects like the repairs that are happening over at laguna honda. this contract was awarded to a minority women owned business which is a goal of the department to try to bring more upon minority and women owned business to the process of contracting. and -- but should be note third degree is a well vetted company with branched throughout the state. and all of the positions that they are providing to us are -- similar to licensed and certified as required for that. purpose. the second contract request is to uc. and this is for the purposes of the recruiting, training and ed based clinical champions who advocate for expanded subtans abuse and navigation across 7 hospitals in san francisco. this it is a project that is part of a research grant that was provided to the national association of city and county council show

. >> now on to laguna honda. the california department of health care services agreed to allow them to discharge as required. this is good news for the residents and all of us who were facing heart 80. >> required the transfers and discharges because laguna honda lost certification that allowed them to participate in the provider participation program. they continue to work achieving recertification. the center for medicare and medicaid allowed to continue to participate on a temporary basis. laguna honda identified a small number who don't require nursing home level of care. das is working with the hospital to develop care plans for these residents who will be discharged on a voluntary basis to the community. shout out to das staff for working really hard on this. next, you all might have seen, heard, read the report from the budget and analyst office regarding the housing shortage for older adults and an article in the sunday chronicle regarding this. so, the bla so you know, they reached out to das and plannin

the city of san francisco is suing the federal government in an effort to keep laguna honda hospital and rehab center open city attorney david chu and former city attorney louise rennie have filed separate lawsuits to stop government officials from cutting off funding to the long term care facility come september, depending shutdown of the city run facility has upset many supporters, who say as many as 600 residents would be displaced . at least eight patients have died since may after they were forced to transfer to other facilities. david shoe is asking the government to exert compassion and common sense. forever 150 years, laguna honda has provided critical skilled nursing and rehabilitation services for our most vulnerable residents. as the last safety net for our seniors. our family members with severe disabilities , those who can't take care of themselves. says the federal agency that funds the hospital chosen arbitrary deadline september 13th to end more than $200 million in funding a union that represents laguna honda. workers responded to the lawsuit saying in part, laguna h

and management of laguna health itself.he consultants that have been hired have a lot of work to fix laguna honda and it needs to be done. the main point is that not laguna is claimless. beener blameless, the most vulnerable people should not have to suffer. when there is a reasonable shortage of nursing home beds. and the best thing to do is for laguna honda to fix, its policy and its practice while the patients are there without transferring them and putting them at risk of desk. i really appreciate everyone's support, laguna honda to do. making calls to nursing homes to try to transfer people is not something that people should be spending their time doing. thank you for your comes. mr. adkins let's hear from the next caller please. >> madam clerk, there are no further callers on the queue. mr. president. >> seeing no other speakers public comment is now closed and madam clerk now on imperative resolutions. >> clerk: stefani, aye, walton aye, supervisor chan, chan aye, supervisor dorsey aye, mannedleman aye, mar, mar aye

. >> laguna hospital has already started transferring patients. nine of those patients died soon after being transferred. the city says some of these patients are just too fragile to be moved right now. but the hospital has been ordered to close, and it is no longer getting federal funding after it failed several inspections. by the california department of health and medicare and medicaid services. most of the patients are medicare or medicaid beneficiaries. and now they have to be transferred or discharged from laguna honda by 13th. earlier today, san francisco's mayor and city attorney announced a lawsuit on behalf of the hospital's patients and families. something they believe is needed to save lives. >> reporter: in recent weeks, nine former laguna honda patients have died after being transferred or discharged. nine people. we need to protect patients from this rushed process and deadline. hundreds of lives are literally at stake. >> that lawsuit says shutting down the nursing home so quickly is illegal since the appeals process is currently

honda says quote laguna honda hospital is more than just a hospital.s a long term home for many keeping patients at laguna honda, where they're provided some of the most unique and comprehensive care available in this country. must be a priority for our community and for elected officials at all levels to homeless encampments in santa rosa along the joe rudo to trail have now been cleared out in the trails reopened. sonoma county officials say people who'd camped out along the trail of either moved or have been relocated to shelters in the area. part of the trail between dutton avenue and right road had been closed since july 8th two people living there, the county says it was able to play 71 people from the encampments in shelters that 8.5 mile joe biden to trail connects downtown santa rosa to sebastopol. okay can i see your time is 7 37 alley? rasmus is back. you've been busy today, but it's calmer now, right? it's common that there aren't any major issues happening. but there are some slow spots here and there, including the richmond san rafael bri