at laguna honda. and this is where we bring executives and any of our staff including our leadership they are able to see where we are. in correcting approximate implementing the plans of correction. as we said from the beginning we wanted this to be a transparent process so all stake holders could see that laguna honda took that cms dessertification seriously and committed to make the improvements to keep laguna honda a safe operational place for skilled nursing in san francisco. this plan of correction press is monitoring process is the way by which we do it. we mentioned that in our mile stones toward recertification, we have indicated a need for a second box survey that mock survey is still on our plan and we are assessing the appropriate time to have that survey conducted. so in addition to that first mock survey. the second mile stone was an among long training and reeducation process for the 1200 staff at laguna honda. that first mock survey showed those on going areas of gaps in compliance. so

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

this did not necessarily evolve for the good of laguna or laguna patients. it was not done with the health of laguna in mind and it's not working. >> thank you, dan for your comments this afternoon. are there any other members on the chamber who would like to address the board. seeing none, we will then go to the remote system. we have assisting us kevin lam, may i ask, do we have any callers on the queue, please. welcome caller, perhaps we don't have anyone. welcome. >> speaker: hi, my name is brenda and i'm a over 40-year dph employee. and i want to thank everybody who took the effort to keep honda laguna open. you need to is have another facility for those patients who are inappropriately laguna honda. ink if we had another facility that would be more appropriate. then that would help laguna honda also. thank you. >> thank you, brenda for your comments. all right, we have 16 listens and 7 callers on the queue. let's hear from our next caller please. >> thank you so much for holding this hearing. i'm susan i'm a former registered nurse and i'm lgbtq--becau

this did not necessarily evolve for the good of laguna or laguna patients. it was not done with the health of laguna in mind and it's not working. >> thank you, dan for your comments this afternoon. are there any other members on the chamber who would like to address the board. seeing none, we will then go to the remote system. we have assisting us kevin lam, may i ask, do we have any callers on the queue, please. welcome caller, perhaps we don't have anyone. welcome. >> speaker: hi, my name is brenda and i'm a over 40-year dph employee. and i want to thank everybody who took the effort to keep honda laguna open. you need to is have another facility for those patients who are inappropriately laguna honda. ink if we had another facility that would be more appropriate. then that would help laguna honda also. thank you. >> thank you, brenda for your comments. all right, we have 16 listens and 7 callers on the queue. let's hear from our next caller please. >> thank you so much for holding this hearing. i'm susan i'm a former registered nurse and i'm lgbtq--becau

we must save laguna honda.. >> 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 i

. >> 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

>> yes, please begin. >> my comment is also about laguna honda. i'm disappointed there is no mention of it in this agenda. it is extremely important that discharges for skilled nursing facility eligible residents not resume ever. my understanding is that families and patients are being hassled once again to plan discharges to out of town facilities which are all most universally very low quality, and we know the federal government has exteneded the moratorium on discharges until november 13, but it is extremely important that discharge be uncoupled from recertification and that funding provided by the city or by the government to continue to keep skilled nursing eligible patients there and that no discharges of people that can go to non-skilled nursing facilities occur until safe and local facilities are found. funding for existing residents must continue until recertification and no beds should be cut. we need those beds. people in the fucommunity who need nursing care are waiting 5 years and more for those beds or have to leave their community a

i had a heard time i have not been physically at laguna honda. i have driven by many times i love the setting and the mist row where it was i could not read the drawings to put together where what is. there is an element of empty space and i would like them to tag on to commissioner diamond's question and commissioner improll's question with the affordable zoning over lay. where is capacity and how. and in addition to that, where would senior housing be for us to think b. we don't have say but i think as we are concerned about the city in a large are context of how it fits together i would like to stay informd and better understand what is. otherwise, i'm supportive of the history of this project it is fascinating anybody who has not read it, do so i was awe instructs about the depth of the description but the incredible degree of caring that existed at the time when this all started. thank you. >> we acknowledge the presentation and close the public hearing. >> very good. thank you. commission chair. in that case, we can move on to item 5 pulled

that is a closed session on laguna honda. and after which time you are welcome to come back and join us for the rest of the meeting. secretary morewitz? >> commissioner chung. >>

laguna honda worked to achieving recertification. the center for medicare and medicaid services has allowed the facility to participate on a temporary basis. cms approves 2 months of upon funding for laguna honda. the facility has until november 13th to regain ability to payment in the medicare and medicaid program. >> i wanted mention that i had the pleasure of attending the national adult protective services association. conference this past month. it was fantastic, i learned a lot. highlights were an opportunity for mow to connect with staff. and i want to give a shout out to the ap s staff, they are a great team and engaged with their work. there was great sessionos demystifying dementia and importance of brain health. we saw, all the lonely people, which is about loneliness and it was good and i hope at some point in collaboration with some of our cbo's we can have a showing and discussion. we found the people who made the documentariment the next thing to be the heros of ap s we need to think about who are the heros and nominat

go top laguna league for the 1st time ever. but it takes a bit of luck in their match with cologne. that's coming up in sports. ah. hello, i'm claire richardson. thank so much for joining us. ukrainian officials say russian air strikes have caused widespread power outages across its eastern regions. in retaliation for cues, recent territorial gains firefighters bottled a blaze at a major power station near high cave, following showing on sunday night. plunging the region into darkness. blackouts were reported in parts of the dawn bass region. russia's military set, it had struck military targets as it launched a new offensive across the east. any mile. in other news, the operator of this operation nuclear power plant said it had been able to safely shut down its last working reactor after its external electricity connection was restored. all this comes as a sweeping ukrainian counter offensive, has driven russian forces out of large swats of territory in the east. on the roads across the harkey region, scenes of destruction and defeat russian military vehicles, ally attacked, and ab

bennett watching laguna honda. i think one thing this city can be most proud of in two years only 6 patients of laguna honda died because of covid. only 6 in the largest skilled nursing facility-truly amazing and dr. bennett lead the team got it propped up and a model how to handle a pandemic and quarentine going forward. once we she was done with that the incident commander over seeing everything department of public health. we are so lucky for all your work, thank you dr. bennett. [applause] dr. bennett is given the direction next i have to to do adrian. we know her as adrian who just gets it done. it doesn't matter what the task is. adrian i need a blue pen, adrian i need 5 buses from bay view to the northeast part thof city and it needs to be done in 20minutes. okay, shawn, i'll get it. it did not matter. adrian just gets it done. she is a baseball fan so i suspect she'll appreciate this. i am very fearful she will get a rotator cuff surgery because all the time raising her hands, i'll do it, i'll do it. she ne

i used to work at laguna honda and thank you the treatment on demand commission for being a valuable source of education for me as a community member and physician. adequately staffed and integrated substance abuse and overdose prevention and treatment will actually benefit everyone in san francisco including the most privileged. look no further then laguna honda hospital, now not available to any san franciscans who needs nursing home care because of overdoses that could have been prevented. having a organized non punitive integrated ubproach to substance abuse and mental illness we will relieve all of our local emergency rooms hospitals and long-term care facilities of a huge burden of care that will ultimately not only save money but make these facilities much more available to people that need treatment for everything else. i don't know you tried to call your doctor's office lately, but i can't tell you how long i have been on hold. there is not enough providers. everyone is over whelmed and they are sort of-rolling down hill type thing where when one thing is untreated everythin

. > >> racing against time, san fras laguna honda nursing home is siting progress in applying for recertification by november 15th. the hospital and rehab center lost certification in april after state inspectors deemed it in a state of substandard care. they lost funding and were given orders to to shut down and transfer patie, many of whom are fragile and poor having nowhere else to go. > >> let's check on the weather ad we have been talking about how much of a change of season its been. we went from summer to fall. >> exactly. >> like that. >> and you know what's kind of funny is the fall is here in thy area. it's not really fall. as we extend in to the next couple days we will feel a significant cooling trend. that is not to say that this is fall like weather just yet. we are still dealing with that marine layer along the golden gate bridge. hd off in to the east inland hillss mostly sunny near concord and oakland. partly cloudy near santa rosa. 60s from the coast in to the bay. a beautiful day for us really. as we head in to the next couple day this is a very similar pattern. 60s along the c

efforts to hire a actual nursing home administrator and assistant nursing home administrator for laguna honda hospital and bring both new hires on-board. please also support a positive recommendation to the full board of supervisors on agenda item 5. thank you. >> thanks so much for your comments. patrick munet shaw. madam chair, that completes our queue. >> thank you. public comment is now closed. i like to make a motion to >> madam chair. >> yep. >> i just realized i want to make a correction. i think i may have fumbled my words around the competitive bid process. the summary in the packet it references 3 contracts so for trifecta and hma there was competitive process. your question was pertaining to h sag. my answer answers that but i said hsag went through competitive bid process but had (inaudible) >> also i want to make sure you agree with the bla recommendation? >> yes, we agree with there bla recommendation. >> great. thank you. in that case, i would like to make a motion to amend the item as stated by the bla. >> on that motion to amend the resolution to accept the recommendati

and i opened a business in 1995 , we opened the laguna company., we were given a plot for the construction of a market. we are somehow so diverse. uh, evolved into their own football team. ah, the professional scene. we have concerts there all the time . here they gave it. now more than 1,000 copies of military equipment and clothing and children are in the premises for the museum of two border guards. very interesting, they come, uh, and go to the market to the museum, and therefore in the sixteenth year we built the village of mokhovets, i am a roadside service. and we have already been allocated a site for servicing this roadside service. there was no question where to take these monuments? well , of course, we have our own land. why not there, therefore, that is, you had your own land bought there. therefore, we allocated a roadside service for a roadside second. and uh, we gave one of the plots for an uh alley, memory of how many interesting monuments you already have there now, well, in total we have 26 exhibits. e, we have e we made a flag.

we've moved to luggage took a quick on monday, laurie and we journey to laguna. we're a new modem. logic moves from nebraska. jason with shit or it's you implemented cancer? probably when i search in. yes, the beer at them would, you know, was those normally mine in my goober should but to go more just what you just would ballistic to. ah, with would you was well more when they didn't want you to do it just thought that was when you heard up was look at the kids that was mailed labeled as good as you must loa redeemer. what me know what you mean? you know what, but almost no, and yet you wouldn't yet. yeah. that way, immune us store little shifting the disorder. we ship these this year. you would smoke, let me know what you distorted that i was go. yep. i'll give you. yeah, we'll just, mike, but i think your mom couldn't see equity was tanya, was you was that i would die you yet to the colonel? darcy you last night, but amiable? shout out a do not. but when i was she also, she went to see asia and what see a credit to buy it by jesuit. i'm glad you're he puts, if

with regardless of nibble as your mom, barbara with gallagher, i am a new propeller storm de away in laguna dance. a deal is not on the bus list and one of them with your phone, your lives, your so this one would be to the new, could you go on the door, the new ah, look forward to talking to you all. that technology should work for people. a robot must obey the orders given by human beings, except where such short or conflict with the 1st law show your identification. we should be very careful about artificial intelligence. at that point, obviously is to place trust, rather than fear like to take on various jobs with artificial intelligence, we are so many with a robot must protect its own existence with a major sad, gay valinda ski code named molina commander of ukraine's 36 marine bourgade served in crimea before the 2014 referendum took part in combat operations against civilians in don't bass. in april 2022. his marines joined forces with as all but as a star table that are still on your own both. and we said that it was in a week, no grain was obliged in a very good. it was his physica

she is set to be sentenced monday in federal court officials at san francisco's laguna honda hospital say they are making progress on meeting in november deadline to make improvements to the facility or lose federal funding. according to the chronicle, laguna honda ceo told the board of supervisors yesterday he hoped to apply for re certification before the november 13th deadline. the 156 year old hospital in rehab center lost its certification in april after failing several inspections. it's closure would force the hospital to move at 600 medically fragile patients. clara county's putting overdose , reversing drug narcan in every high school, the county board of supervisors voted to allocate $135,000 in state money to buy and place 28 doses of narcan in each high school. it's an emergency treatment that can quickly reverse an opioid overdose. the county is also working to make narcan and fentanyl test strips available at places high schoolers gather. threatening to walk off the job of the white house is trying to prevent thousands of railroad workers from going on strike and the impa

it doesn't have to luggage political quick on monday, laurie and we journey to laguna. we're a new modem to logics myself. she chose the prostate jason with shit or it's human . definitely a cancer, probably when i search in just a blur at them which allows those normally my new moon ma gruber. but to go more just what you just what blizzard ah, with did you wish to hear? you do was vulnerable when they didn't want you to do it. just thought about it when you try to put the kids that i was never labeled as good as you was lower. you didn't, you would need that. will you? me and those are what, but almost no, and yet you weren't yet yet. that way. immune us store leadership in the disorder. free ship. that is the stream. what smoke, let me know what you resorted to those go. yep, i'll give you. yeah, we'll just, mike, but i think your mom couldn't you see any was stone you what was your was that i i'm with that you yet to the clint. i see you last night. pretty amiable. shut out a do not. but when i was she was, she went to see asia and what secret to life by gives with

and their family members being separated, parents being separated from their children, et cetera, laguna musical, the midst of so called mass filtration events is based on surveys of just a few dozen people who many of whom did not event travel to russia at all, while others confirmed that they did involuntarily. and these people are not kept in prison to see such as guantanamo, but live freely and voluntarily in russia. when do you seriously think that such a large number of people can be forcibly brought here in silence to serial at the school? so today i, we saw western leaders get up before the un security council unfurl a huge amount of unfounded allegations against russia. now we saw russian representatives get, get together and, and be clear that this is not the truth, that these are simply unfounded allegations being used to justify continued support for the government and here that has continuously violated human rights and committed atrocities. now we're hearing from the russian deputy permanent ambassador permanent representative i. he's saying that now when the next meeting t

she mom, tanya, laguna owner, new york. i know she didn't know titian from sheridan. ha ha! sure. just one is a renown. you tuba in south korea, sort of thing. go oh, he post video about life in the notary. the ones with double to put it all with a 20 minute. they only kodachi some of which have been viewed more than 2000000 times. your baby may young, some point, acquittal jamie death and if hail nina, i, mclaren 80 manon town. good from a 13 tater that has all under, wouldn't it? it was awful. i woke up, i think i deplored coming and gambled and i'm somebody from the question. i have a question of money. what's happening in the turnover? i get a minute. but foger is, i'm good. like all the condo cottage on in 2900 to go in infinite amount of housing them there. and then i see the 232 in one day i told her that e e, jonathan with her mom on her children and 10 order. i also feel all local dogwood, all knit on lieutenant gonzales tenant, who i'm from dale in integrity contributing. i always was awkward timing. go to get them name even has it in the household are gonna put in a chi

this is laguna and is named after the first boss.he sakhalin islands of nikolai buse are connected to the sea of ​​okhotsk by a wide channel from that strait and low tides twice a day. an ideal microclimate has formed here for marine life of clams, crabs, shrimps, and her majesty fish. if you walk at low tide, the water will be knee-deep, you will find trumpeter mussels, sea urchins, scallops and squisula name forgive me, lord, like some kind of sore, but this is a double-leaved shell, it is amazingly delicious. yes, local clams - this is a real delicacy, highly valued by lovers of sea gans, and local oysters. but this is generally a unique beast, its weight reaches 500 g. thanks to this giant beauty, the bead lagoon has become a landmark of sakhalin, which you should definitely visit. chilim shrimp, the size of the dream of our mainland shrimp, also lives here. in general, this is such a jurassic park, but for now the marine you will hunt for oysters catch scallops in the sakhalin hosts will prepare you a gastronomic feast of sakhal

instead of playing sports all or you just of them would as causes on laguna, on the buddhist for the actual manual. but lucas pulled co, won't let that deter him. what matters to him is that the boys keep themselves busy . on and off the pitch. madonica was a made to measure suits, the quintessential outfit of the well styled english gentleman. during the pandemic working from home became the norm. a sartorial shock for london taylor, james sleeter, demand suddenly dropped. he feared his custom tailored suits would be replaced by sweat suits. but now london's famous men's wear st. savage ro is buzzing once again . in london saville row where men's wear meats tradition. james slater opened his shop here in 2008 before that he was a banker. now he offers custom tailored suits primarily for the office. and he was doing good business until the pandemic. i'll generally tape business always. he took a, you know, took, took a huge hit report about 80 percent down in revenue. and since i'm looking it's, it's, it's been incredible. and very few people remain the same shape, fashion low down a

i must never monday, charging on august 20 from one to 2 by little or 2016 laguna lucy. we see go by against equity. i am sorry to see begin over oper, permanency or closure, my big old sweat. gimme ocean, i see. got my food on hands. i'm a barley, so and i stalk opened cbs, i don't know about what time. my j. my name? amanda. nice. i'm african american. tammy didn't put his money. see if we could be doing that. i'm gonna convert those up shallow carlindo jane was as he turned as a lion buckle again, john wants to shalysea tim buck by this deed i might change. she did. what is it? is it colors? give me a yell by these options. i'm yeah, been good place us is a see us is yasenya gallia, toyota. your boxes are since the 19 ninety's south africa has lost over a 3rd of its fans, largely due to water scarcity, as the droughts become more severe, and the bo holes try out. farmers like thomas a going to need a radical solution professor to foreign to the university of cape town is hoping to provide just spat, tilts. research focuses on a kind of planned in some extraordinary pr

is not new donna, this situation has been exacerbating silently, even before the war in ukraine, laguna doug walker, who the decades of pressure to stop investing in force. i love your isn't with fuels before i let you you having a sustainable alternatives, friendly environment, if laundry and to authorities that lead to significant shortage and energy supplies, of course, climate change and the production of the environment compel us all to diversify, energy sorted. what's in the meantime, we still have to supply energy and we have to be realistic. and we have to recognize that the future of energy will include a combination of the friend energy sources, such as solar energy, hydrogen, wind, energy, and also hydrocarbons. will be published at modern copper rental, as guitar has continued to invest in liquefied natural gas. you know, for a decades now, we have been able to expand the north of the gas field. this would play a significant role in alleviating the energy crisis in many parts of the world's macros with on the floor. for when it comes to basic commodities such as energy, fide

. >> and the fillmore district police say they found a man shot near laguna and turk streets. that man reportedly died later at a hospital over geary street in lower, not hill. meanwhile, police responded to a stabbing late last night. they say they showed up to a home where they found 2 people who had been stabbed. one person died. the other is in critical condition. >> the san jose castleman elementary school welcomed back students today after a student was killed in a car crash while walking to school last week. the community is still pretty shaken up about this tragedy. many parents are walking their kids to school this morning and drivers are going slower than usual. a car hit and killed an 8 year-old little boy on friday. the boy and his babysitter entered the marked crosswalk when it happened. the child was rushed to the hospital, but later died from his injuries. his babysitter was hospitalized with a broken leg. we spoke with the parents who was near the intersection when it happened. >> they saw the kids was lying on down and it is cheap. so i don't know what what ha

a new russian roulette has ever been misrepresented as badly as yvonne, the terrible when the laguna war again owes him lithuanians wanted to show their enemy to be as bloodthirsty as possible so that so was the bloody tyrant, a monster on the throne. an orthodox depiction to appeal to other catholic states. if you book a boy on my system, that was the want of guidance work because the metal at the moment can. i wrote a joke to probably one of the people that i am i wish of. but as you were requesting you say july via a d m. all was asking me about a couple of april sufficient. you get the landscape as new vehicles regardless. you want to talk to you about when you deal with the whole situation that he's going here. we'll give john a office now, so that'd be great diplomat and much of jerome jose lived in russia for almost 20 years and left a rather curious account with us thought, well, if you will, definitely che blynn. hi, kilograms. teach you originally, these me only go us one more well. so put us through that you'd be she misplaced that, that i used to be. she was way around th

on monday, august 20 from one to 2 by little or 2016 at laguna lucille. i wish to go by again . i am. sorry. did you see the upper food or bigger oats, but give me ocean. i seek out my food and hands on my belly. so and i stalk opened cbs, i don't know about what time my j. my name, amanda. nice, i'm african american, i didn't, i didn't put his money. see if we could still do that. i'm trying to convert bizarre shallow cod in georgia was as he does a lie, a buckle that be john wants to shalysea 10. buck by this deed i might change. she did. what is it? is it colors is this is our change. i'm sorry. yeah, i've been good classes of caesar, caesar yasenya. what dahlia, toyota. your burglar woods? i got the one that we're holding on since the 19 ninety's south africa has lost over a 3rd of its fans, largely due to water scarcity. as the droughts become more severe, and the bo holes try out, farmers like thomas a going to need a radical solution. professor joe ferris to the university of cape town is hoping to provide to spat, tilts. research focuses on a kind of planned in some extr

i must never monday talking of tanya, but to from one to 2 valuable for 2016 at laguna lucy, we see go by an incident. i am sorry that you seem to get an opportunity for louisiana baker. okay. but give me a ocean. i see, got my food on hands on my bailey. so my stalker opened cbs. i don't know about what time. my j, my name? amanda lice on africa pentagon begged him. i mean, didn't put his money. see if we could see the room zones at adams. i'm going to convert was up shallow. carlindo jim was as he tended zaliah lucky, lucky john wants to solicit timber by this deed. i'm much changed. he did, but as it is with his guests on that young life, these options are august. i've been good place us is a see us is yasenya, one of the ideas of your boxes or whether gardner liverpool now since the 19 ninety's south africa has lost over a 3rd of its fans, largely due to water scarcity. as the droughts become more severe. and the bo holes try out. farmers like thomas a going to need a radical solution. professor joe ferrell to the university of cape town is hoping to provide just that. jolts resear

armenia and desert by john largely stand back to a decades long standoff, sparked by the contested laguna caraballo region. it internationally recognized as part of as a by genes territory. but 95 percent of its population is ethnic armenian, they fought several, was on this issue. the last one was in 2020, after 6 weeks of fighting as a by john, regain much of the territory. a russian peacekeeping force was deployed to enforce the ceasefire. and let's say the conflict appears to have been ratcheting up in recent weeks. there was meant to be a proper washing or peacekeeping presence on, in the area around 2000 forces on. but some of the reports that i have seen is that this is very much been depleted to us. it resolved off all rashaw sport in your queen. russia basically needed to bring troops in of form variety of other locations. the russian government says it's now working to ease tensions. it's urging both sides to show restraint and refrain from further escalation, victoria gates, and be al jazeera your secretary say, anthony lincoln has spoken to armine as prime minister and as a, b