and laguna honda is a key part of that mission. over 150 years laguna honda served san franciscans. it is a place and will continue to be a place where we provide compassionate long-term care for low income people when need us. for them, this is not just a skilled nursing facility. this is their home. this is why all of dph pulled together with our colleagues at laguna honda and collaboration with many others to put time, resources and effort to making significant improvement this is lead to our ref certification. we brought in experts skill in the nursing home care to sustain improvements from clinical operations to staff training. we moved record pace and for those. you who know this city it was a referred pace. outstanding pace to hire our new nursing home administrator and ceo sandra simon. [applause] and sandra 2 assistants jennifer wade and jill. yea. our new leadership team is in place. and we were not alone we could not do this alone we had partners who worked with us advocated for us and done everything in between to get us here. we could not have done this without passport

so for the entire laguna honda hospital and rehabilitation center hole community. vdz we are dedicated for the height and safety we remain confident that laguna honda hospital and rehabilitation center is the best place for residents to get care and continue to demonstrate we are a different laguna honda hospital and rehabilitation center hospital i'll say that and has made improvements and the progress of two it's been a long time coming. questions when laguna honda hospital and rehabilitation center will begin to add admit those patients and new residents and while we are eager to do so we'll only submit when we demonstrate the improvement we have made are sustained and staying for a long term this will help us at laguna honda hospital and rehabilitation center. when we do begin new admonition for the laguna honda hospital and rehabilitation center patients transferred will be open and for now they'll be first priority for now patients. providing they still require this level of care. and also like to take a moment to address the 120 beds waiver timelines as cms

chambers versus laguna honda. laguna honda is supposed to assist patients to return to homes to age in place like every agency and organization now recommends and the last century disabled people were all sent to nursing homes. now, they are supposed to age in place with home care. >> thank you for comments. is there any additional commissioner questions or comments? we have before us a motion to delay consideration of policies in batch 3 until september 5 meeting. all in favor? >> aye. >> wonderful. thank you secretary morewitz and commissioner chow foring my back and carrying us through this so efficiently and thoughtfully. the next item on the agenda is revisions to the health commission-health code article 31 regulations and for this we have patrick fosdahl the director of the environmental health branch. >> good evening. my pleasure to be here. director of the environmental health branch at department of public health. the environmental health branch is regulatory brarch fwr the health department and enforce

and commissioner guillermo for that laguna honda. >> yes, for policies and procedure, the jcc for laguna honda met and asked for poll he's presented for recommendation at the jcc meeting, prior to bringing a recommendation to the full commission, those policies were revised and provided the language to to the jcc members in time for this meeting. in particular, there was concern about the or questions around the admissions policy and prioritization of the admission. one that was particular concern and i'm calling it out just because it was one of the key revisions that was requested had to do with the first, articulating around residents who were transferred out of the facility during the time that laguna honda was decertified and now will be the first priority when, when laguna honda begins to evaluate a new admission request based on the admission criteria. so beyond that, the jcc recommends the listed policies and procedures for consent. >> all right. >> thank you, to the finance and committee and as well as lag no honda for your hard work on these items. our next is to have a motion

and commissioner guillermo for that laguna honda. >> yes, for policies and procedure, the jcc for laguna honda met and asked for poll he's presented for recommendation at the jcc meeting, prior to bringing a recommendation to the full commission, those policies were revised and provided the language to to the jcc members in time for this meeting. in particular, there was concern about the or questions around the admissions policy and prioritization of the admission. one that was particular concern and i'm calling it out just because it was one of the key revisions that was requested had to do with the first, articulating around residents who were transferred out of the facility during the time that laguna honda was decertified and now will be the first priority when, when laguna honda begins to evaluate a new admission request based on the admission criteria. so beyond that, the jcc recommends the listed policies and procedures for consent. >> all right. >> thank you, to the finance and committee and as well as lag no honda for your hard work on these items. our next is to have a motion

by laguna honda staff. please consider--to change appointments to the health commission to create greater and more effective oversight over laguna honda. my written testimony, because the health commission failed to monitor laguna honda policy and procedures for years, the commission had to race to hf hf--1900 pages of highly technical medical and nursing policies that was just catch up work. [difficulty hearing speaker due to audio quality] additional 507 pages of root cause analysis and monthly monitoring reports. it is not [indiscernible] any of those 507 pages of recommendations. the report suggests the health- >> thank you. thank you patrick for your comments. i do apologize for cutting anyone off. when we get to remote park, but wree are setting the timer for 2 minutes. welcome. >> is this general or just hospital? >> just for laguna honda. >> okay. in regards to the hospital. they have been killing machines. these hospitals have been turned into killing machines. p i was listening to dr. brian artis,

by laguna honda staff. please consider--to change appointments to the health commission to create greater and more effective oversight over laguna honda. my written testimony, because the health commission failed to monitor laguna honda policy and procedures for years, the commission had to race to hf hf--1900 pages of highly technical medical and nursing policies that was just catch up work. [difficulty hearing speaker due to audio quality] additional 507 pages of root cause analysis and monthly monitoring reports. it is not [indiscernible] any of those 507 pages of recommendations. the report suggests the health- >> thank you. thank you patrick for your comments. i do apologize for cutting anyone off. when we get to remote park, but wree are setting the timer for 2 minutes. welcome. >> is this general or just hospital? >> just for laguna honda. >> okay. in regards to the hospital. they have been killing machines. these hospitals have been turned into killing machines. p i was listening to dr. brian artis,

and laguna honda is a key part of that mission. over 150 years laguna honda served san franciscans.it is a place and will continue to be a place where we provide compassionate long-term care for low income people when need us. for them, this is not just a skilled nursing facility. this is their home. this is why all of dph pulled together with our colleagues at laguna honda and collaboration with many others to put time, resources and effort to making significant improvement this is lead to our ref certification. we brought in experts skill in the nursing home care to sustain improvements from clinical operations to staff training. we moved record pace and for those. you who know this city it was a referred pace. outstanding pace to hire our new nursing home administrator and ceo sandra simon. [applause] and sandra 2 assistants jennifer wade and jill. yea. our new leadership team is in place. and we were not alone we could not do this alone we had partners who worked with us advocated for us and done everything in between to get us here. we could not have done this without passport

we propose to drop the street tree from laguna. the removal of a street tree on laguna. there is available space for a significant tree on private property to be planted on the laguna street. private property along laguna street. okay thank you. and i do have a quick question because the order originally said that you were going to replace four trees on ellis, not three. you just said three. i just want to make sure we have the numbers correct. four trees. one, two, three. what ever the original order said was what the original order said. we originally there was going to be three trees on ellis plus the significant future tree around the corner on laguna to get us to four. okay. because just the order reads a little differently. i just want to make sure. so now you want to put six trees on ellis, replace six on ellis and one on laguna and those would all be in property as future significant trees. just just so i'm clear the tree on laguna is not one of the ones being removed. it's just there's a space to plant a new one. there is a tree on laguna, a street tree. that's

at laguna honda? i can give some estimates on the census, so00 autototal bed count prior to any changes was 780 this is 11 acute and 769 i believe accurate still nursing. since then a change by the federal government presented triple rooms 3 residents this is change rused by 120 beds. now the census is below 600 in the 5 low 500's and we can get you that number but this is due to the e missions and once we get to the point that recertification is complete and stabilized and begin readmitting the census would increase again. >> low 500's now. gi believe so. tablths original census of 7 -- 70 minus the 120 gets you down to 650. and the difference between where we are now is due to the pause on admissions. in the 700's now in the 500's. >> okay. and has director pickence updated us some point he has talked to us about the conversations dph and laguna honda arnold mixing of populations and different ways of thinking about where folks with severe mental illness part of their needs mite might have been appr

1335 laguna? public works benefit from knowing the legal address for the site legal mailing address. i think n tree it is is not in front unit of then 35 can we put 1335 well guna the tree to the right on the street. north. it is north of then 35 but nothing there. to designate a number. departments is a proximate mate the block based on 100 the block would be 1350 if i gis want to make sure we -- making things up so. not irrelevant if there are no addresses you have blocks with no addresses. legal address but -- galilee is a sidewalk. okay. even specifying that is helpful >> yea. 13 say 1335 laguna. north of that or -- say 5 or 5 galilee. north of 1335 laguna approximately. 10 or 15 feet from laguna. a car length. one lane. a car length. >> yea. >> at this times fine we don't need you. >> okay. we can say adjacent to north of and adjacent to 1335. thank you. president swig read the motion? sure tread and vote and -- >> stay longer you want. we have a motion from president swig to continue had mat

at laguna honda? i can give some estimates on the census, so00 autototal bed count prior to any changes was 780 this is 11 acute and 769 i believe accurate still nursing. since then a change by the federal government presented triple rooms 3 residents this is change rused by 120 beds. now the census is below 600 in the 5 low 500's and we can get you that number but this is due to the e missions and once we get to the point that recertification is complete and stabilized and begin readmitting the census would increase again. >> low 500's now. gi believe so. tablths original census of 7 -- 70 minus the 120 gets you down to 650. and the difference between where we are now is due to the pause on admissions. in the 700's now in the 500's. >> okay. and has director pickence updated us some point he has talked to us about the conversations dph and laguna honda arnold mixing of populations and different ways of thinking about where folks with severe mental illness part of their needs mite might have been appr

and people who need to be in laguna honda, people who are not. it should be individualized, elderly and disabled who are at-risk, should not priority no matter what facilities they're in. and especially if they've been dumped out of county. thank you. >> all right, those are the two comments for this item. and just for clarification those who are not laguna jcc, i do interrupt, they did asked for a review in six months to check how it's being implemented. >> all right, we have a motion and a second on the table, commissioners any questions or comments? all right, seeing none, we'll go to a vote, all those in favor? >> aye. >> aye. >> aye. >> any opposed. all right, the consent calendar is adopted. our next item is dph security services staffing plan update. we have our director of security bevle price to present. welcome mr. price. >> good evening, commissioners, bevle price security for dph. i want to give a brief background before we go into the actual power point. so dph has a security plan that we review on annual bases to look at opportuniti

and all these people behind me have official low saved laguna honda.

at laguna honda?ive some estimates on the census, so00 autototal bed count prior to any changes was 780 this is 11 acute and 769 i believe accurate still nursing. since then a change by the federal government presented triple rooms 3 residents this is change rused by 120 beds. now the census is below 600 in the 5 low 500's and we can get you that number but this is due to the e missions and once we get to the point that recertification is complete and stabilized and begin readmitting the census would increase again. >> low 500's now. gi believe so. tablths original census of 7 -- 70 minus the 120 gets you down to 650. and the difference between where we are now is due to the pause on admissions. in the 700's now in the 500's. >> okay. and has director pickence updated us some point he has talked to us about the conversations dph and laguna honda arnold mixing of populations and different ways of thinking about where folks with severe mental illness part of their needs mite might have been appropriatel

laguna was not detained, for example delta, what will happen after the detention, who will be next, roughlymentioned and alive the same one , well, no worse and no better than those like him, full and none the less, i mean laguna and zhivago and many others so as not to take up precious time it’s great for some reason he’s walking those courts let them out and they make things bankrupt their banks how did i do it in short the same lagoon so that there is nothing to answer for he has no assets there is no arresting him they can’t even do anything there are 30 seconds left for us and i want our conversation we traditionally finished with something good, yes, we finished for some reason, they are all here anyway, objective, what is this leading to, that if someone had said 20 years ago that today in ukraine there are people whose surnames were once afraid to say out loud , today would be involved in relevant criminal investigations, no one would i couldn't believe it today, these are already everyday changes are happening, they are happening not as quickly as we would like, but we must underst

sonia guides or reports the gunfire and said the on the streets of stip, on a coach, the main city in laguna car back tonic took over as much as pounded its surroundings the road. this estimate communion dominated enclave and self to try to break away. territory is internationally recognized as positive as or by john. but it is controlled by actually communions. it has close links to the all meaning government. it is the source of instability and tension between the 2 countries. and the threats of allison out conflicts is never far away. both have gone to war over the region in the early 19 ninety's of to the food of the soviet union. and in 2020, which ended after a ceasefire agreement. the latest source of tension is the continuing blockade by a very forces of the latch in colorado. an area of land linking on menia to know go to a car by preventing those living that getting essential supplies, such as food and medicine. russia, one of the best cause of the ceasefire, has watched the 2 countries to stop the fighting seas. goose that on that and brush has strongly encourages the conflicting

quick to release his statement, promising to ease the integration of estimate communions, living in laguna, kyra back into the republic of as the by john but of the decades of a bit to struggle between on media and as a by john over the territory, armenians and nichol know, camera back have little face. mean is prime minister accused as a by john of ethnic cleansing. something which as a by john refutes the above it. how to use the exodus of our media and from the gone to kind of off as a result of us or by johns ethnic cleansing, policy continues. analysis of the situation shows the and the coming to use the what we knew armenians left and they're going to cut off on us. this is an active ethnic cleansing thing. more than hoff this nicole, no camera box, median population has let the territory knowing that it is very unlikely that they will ever be able to return home unless you have wash on. yeah, and is a senior research, a, with the international crisis group in the armenian capital. yeah, it was on we asked or whether in the garner car boss, dream of independence is not over for good

carla: la pareja parte casi 40% de lagunas en inmigrante en el condado y segÚn un estudio, los inmigranesgla y cumplir con el pago de los impuestos. >> todo es porcentual, dependerÁ lo que pagues y lo vas pagando y lo vas pagando. carla: los inmigrantes han contribuido con 1.8 billones a medicare, esto solo en el 21 donde ademÁs, la dueÑa de negocios generaron 1.5 billones de ingresos comerciales en el condado. >> cada aÑo en el condado proveen fondos para que nuestra comunidad tenga acceso de bajo costo y es importante porque queremos asegurarnos que nuestra comunidad tenga la oportunidad y entienda las opciones y derechos y programas que hay. reportera: gracias a las comunas inmigrantes se logra beneficiar a la economÍa popular y los inmigrantes son la columna vertebral de la fuerza laboral. >> somos trabajadores, somos alegres y tambiÉn somos luchadores, no nos cansamos. carla: muchos de los inmigrantes aseguran que los beneficios, programas y ayudas deben ser mayores por parte del estado, especialmente con leyes migratorias que puedan ayudar en la permanencia legal en el paÍs como por

means that it's not allowing me for me to enter the 10 enemies or even on the the the lady a my ca, laguna. but they, me the understood by me because we finished getting numbers gonna be going across the the way the complaint was pretty many. oh god they might. but i would if i you know, again, oh yeah. okay. with the, you know, gonna be, i the you the, what be the, with the, with the table see started, it needs a little the simplest solution is buddy, i get it going to be asking for the but i get it. i'm putting this together for all of the s k e o n d, and the the coordinator satellite, i'm going to find, i'm, is my, you and i know you've been telling me i see so sad. i don't know the mosque. a lot of these have people who are still going to have it for reasons. so i had one besides do these, these, what was the felon the spouse, the, the, the law that say that the more lovely them alyssa, allow me to go when i mean the me, those equal not see it on the nation fully 0. known as when with and brand a 1000 me who is who the 1000 the, the lease i learned a little bit this and usually i shou

city was able to reach a settlement with the center for medicare and medicaid services are meant laguna still operate. how did you manage to reach that agreement? it was not an easy conversation . just a little bit of background. so laguna honda has been an incredibly important institution in san francisco for 150 years, taking care of our most vulnerable patients are frail, very elderly patients, many of whom are at end of life. and a few years ago, there were some issues in that hospital. some violations of rules that we very much want to make sure don't get violated. there were folks that weren't using proper ppe, who are bringing cigarette lighters into the facility, who might have brought some contraband into the facilities. we have zero tolerance for that and have made that very clear. we self reported some of these violations to the federal authorities. and unfortunately from our perspective, they took the very disproportionate step of ordering the closure. the permanent closure of lugano, honda. problematic on a number of reasons. first and foremost, there are just no skilled nu

> quÉ bueno que continÚa con nosotros, vamos hasta hawÁi, vea el tamado de este rÍo de lodo, esta lagunaificando quÉ sucede con el kilauea. regresando a california, vemos a... espectacular, pero la presencia dalgunos nublados que deja tormentas elÉctricas, veamos lo que sucede en esta misma regiÓn, lo que es tajo (nombre en inglÉs) algunos nublados, y hacia el sur se presenta, y hacia el este, parte de nevada la presencia de tormentas elÉctricas, que se disipan rÁpidamente. no tenemos advertencia en la regiÓn, todo agradable, ra lÍnea costera se mantiene con los nublados. vientos, panorama estable en la regiÓn, esto se ve en la cantidad del aire, buena y agradavie debido a que esos vientos siguen generando que cualquier incendio se aleje de la regiÓn. los prÓximos dÍas, maÑana en concord 85 grados en la regiÓn, vea el descenso de temperaturas, hacia el interior viene un cambio desde el viernes y sÁbado, y tambiÉn el dÍa domingo con temperaturas en los 70, buenase condiciones se van a mantener, siguiendo el otoÑo en la regiÓn. cÉsarclaudia. >>> buscar si todavÍa nos queda ropa de invierno

to us to his team on the stuff that's in the notes and use not much new potato, the name to go to laguna and susan, jethro therapist in a good deal, if she could voice your thoughts over good, i to see because i was the 1st guy to them participated extenders to slums. and they know what the, what the shows at the woodson professor. and if the, [000:00:00;00] the, [000:00:00;00] the, [000:00:00;00] the, to the, to him, the guns in there, when you remember, or to leave me this one us to go to the reserve susan, and just took it off to the show during issuance. and the email is when you bundle screw are standards, we already have to the phone. he's on the my phone here. i'm from the tech over to play us clear on previously the over for the more for something says going come up . they ask, let's go with it. my phone was affected storage by you. so to close as it was, which will feature was shown by you are the ones because on this it has to come down to smuggle and you should be of course, estimate that it needs to be new. did some samples for lots of no, don't, doesn't a shelter that go to

bomberos y por tiempos de respuesta, un miembro de consejo dice que en un artÍculo publicado en que hay lagunas marÍn constante lloviznas como vemos en imÁgenes, nublados estÁn en san francisco, pero, quÉ tal, si vamos mejor, con guillermo quiroz experto en el tema porque en telemundo 48 somos la autoridad en el tiempo, con el pronÓstico mÁs especial, certificado por weathe rate, guillermo. >>> feliz martes, sigue alto oleaje cerca de la lÍnea costera esto generado por este sistema que aÚn estÁ entrando hacia el norte frente a costas washington, partes de canadÁ y trae presencia de lluvias hacia el norte del Área de la bahÍa, pero se espera que hasta esta noche las 11 este alto oleaje continÚe en monterrey, san francisco, monterrey y santa cruz, cuidado si va cerca de la lÍnea costera vientos que soplan de noroeste continÚan subiendo cerca de lo que es la costa, van a incrementar cercano a 25 m/ph, asÍ que estos vientos continÚan trayendo alto oleaje, san josÉ 89°, temperaturas serÁn las mÁs cÁlida, se espera que vayan descendiendo en los prÓximos dÍas en las mÁximas en promedio cercano a 65°,

means that it's not allowing me for me to enter the 10 enemies or even on the the the lady a my ca, laguna. but they, me the calendar set by me because we families jackie. number's gonna be going across the maybe the made the complaint news. pretty many. oh god they might but i would if i you know, again, oh yeah. okay. with yeah, like i, you know, gonna be, i, it does it by the you the, what be the, with the, with the table see started, it needs a little the simplest solution is buddy, i get it. going to be asking for the but i get it. i'm putting this together for all of the s k e o n d and the the latest saturday. that means if i me is my you and i know he's been telling me i see so sad. i don't know the mosque. a lot of he's had people who are supposed to have it for reasons, though he's going besides that he stays on the deal fell in the spouse the the, the law that say that the law allows me to allow me to go when i mean the me those equal nessie and the nation equally 0 known as well as with the brand, a 1000 me who is who the 1000 the, the lease. i learned a little bit this and usu

but i'm used to is that allowing me for media enter the oh, even on the the the lady my ca laguna, but they, me let me pull up the calendar set by me. bailey project number's gonna be going across the the way the complaint is pretty many. oh god they might but i would if i or no. yeah, no, yeah. okay. with the, you know, gonna be i the to the what be the with the table suspended it needs a little the simplest solution is buddy i can be i think the get on 3 minutes together for k e o n d and the the fundraisers have really gotten me into the bottom is me my you're not nearly as so can me see so say that is who said i don't know the mosque. a lot of these have people lewis lucas to have it for reasons. so he's going, besides that he stays on the deal fell in the spouse. the the, the law says say that the law allows leader alyssa, allow me to go when i mean the me, those equal and i see it on the nation equally 0 now. and that as well as with the brand, i saw some me who is who the 1000 me the lease. i learned a little bit this and usually i should send you a little release as soon as he

i mean, so it's not allowing me for me to enter the 10 enemies or even on the the the lady my ca. laguna. but they, me the calendar set by me because we families keep missing the other one because the the made the complaint was pretty many, oh god the like. but i would if i you know, again all of yeah. okay. with yeah, like i, you know, going to be, i the, you, the, with the, with the simple see started it needs a little the simplest solution is buddy, i get it. going to be asking for the, but i get it. i'm putting this together for all of these k e o n d and the the fundraisers have really gotten me in front of me is my you and i'm a little he's been telling me i see. so satellites was that i don't know the mosque, a lot of he's had people who us because he had it for reasons. so i had one besides that he sees on the z o l l, and the spouse the the, the law that say that the law allows me to alyssa, allow me to go when i mean the me, those equal and i see it on the nation fully 0 now and that as well as with and brand a 1000 me who is who the 1000 me the lease. i learned a little bit th