undue burden by fraction thank you, sir where patients get their care they will have to go to laguna honda and back to sf ph for the graphs it will be a burden to get back and forth i would like you to consider as mr. wiener suggest maintaining the 33 is social justice issue for people with disabilities i think you have it within our powers to help protect the elderly and disabled and people that are rely on that ph for their health care and placing on undue burden with having to transfer buses particularly when in they're in cheers or on canes like i am would be unfair to them so i urge to keep the 33 operating just as it is now. >> thank you, sir. thank you. next speaker, please. >> >> anyone else. >> mr. chair no one else consent calendar are considered to be routine and may be acted upon by a single roll call vote of the commission. mr. chair none has can do an interest in discussing any consent calendar item. >> a motion on the consent calendar. >> motion to approve. >> second. >> all in favor, say i. >> i. >> opposed? the i's have it. so thank you ms. bloomer. >> moving on to item 11

undue burden by fraction thank you, sir where patients get their care they will have to go to laguna honda and back to sf ph for the graphs it will be a burden to get back and forth i would like you to consider as mr. wiener suggest maintaining the 33 is social justice issue for people with disabilities i think you have it within our powers to help protect the elderly and disabled and people that are rely on that ph for their health care and placing on undue burden with having to transfer buses particularly when in they're in cheers or on canes like i am would be unfair to them so i urge to keep the 33 operating just as it is now. >> thank you, sir. thank you. next speaker, please. >> >> anyone else. >> mr. chair no one else consent calendar are considered to be routine and may be acted upon by a single roll call vote of the commission. mr. chair none has can do an interest in discussing any consent calendar item. >> a motion on the consent calendar. >> motion to approve. >> second. >> all in favor, say i. >> i. >> opposed? the i's have it. so thank you ms. bloomer. >> moving on to item 11

undue burden by fraction thank you, sir where patients get their care they will have to go to laguna honda and back to sf ph for the graphs it will be a burden to get back and forth i would like you to consider as mr. wiener suggest maintaining the 33 is social justice issue for people with disabilities i think you have it within our powers to help protect the elderly and disabled and people that are rely on that ph for their health care and placing on undue burden with having to transfer buses particularly when in they're in cheers or on canes like i am would be unfair to them so i urge to keep the 33 operating just as it is now. >> thank you, sir. thank you. next speaker, please. >> >> anyone else. >> mr. chair no one else consent calendar are considered to be routine and may be acted upon by a single roll call vote of the commission. mr. chair none has can do an interest in discussing any consent calendar item. >> a motion on the consent calendar. >> motion to approve. >> second. >> all in favor, say i. >> i. >> opposed? the i's have it. so thank you ms. bloomer. >> moving on to item 11

undue burden by fraction thank you, sir where patients get their care they will have to go to laguna honda and back to sf ph for the graphs it will be a burden to get back and forth i would like you to consider as mr. wiener suggest maintaining the 33 is social justice issue for people with disabilities i think you have it within our powers to help protect the elderly and disabled and people that are rely on that ph for their health care and placing on undue burden with having to transfer buses particularly when in they're in cheers or on canes like i am would be unfair to them so i urge to keep the 33 operating just as it is now. >> thank you, sir. thank you. next speaker, please. >> >> anyone else. >> mr. chair no one else consent calendar are considered to be routine and may be acted upon by a single roll call vote of the commission. mr. chair none has can do an interest in discussing any consent calendar item. >> a motion on the consent calendar. >> motion to approve. >> second. >> all in favor, say i. >> i. >> opposed? the i's have it. so thank you ms. bloomer. >> moving on to item 11

have built with the help of the board and with the help of the city world class facilities at laguna honda and san francisco general. today the bond issue calls for us then being able to improve our facilitys so we can continue to deliver ambulatory care services and also make use of building 5 so it can then bring together the clinical services that sf general and remove many of our current services in seismically unsafe buildings into a more safe area. our vision a number of years ago in opening community clinics is provide primary care services at the local neighborhood areas. today with not only our ability to do that with new facilities or updated facilities and also the abilities to renovate so we deliver todays care allows for combining of physical and behavior health services. i urge you to support the bond issue. >> thank you, next speaker, please. >> good morning supervisors. sue carlisle and vice dean for ucsf school of medicine. i'm here today in that capacity but also as a resident and home owners in san francisco to urge you to support this public safety bond. as doctor chow

have built with the help of the board and with the help of the city world class facilities at laguna honda and san francisco general. today the bond issue calls for us then being able to improve our facilitys so we can continue to deliver ambulatory care services and also make use of building 5 so it can then bring together the clinical services that sf general and remove many of our current services in seismically unsafe buildings into a more safe area. our vision a number of years ago in opening community clinics is provide primary care services at the local neighborhood areas. today with not only our ability to do that with new facilities or updated facilities and also the abilities to renovate so we deliver todays care allows for combining of physical and behavior health services. i urge you to support the bond issue. >> thank you, next speaker, please. >> good morning supervisors. sue carlisle and vice dean for ucsf school of medicine. i'm here today in that capacity but also as a resident and home owners in san francisco to urge you to support this public safety bond. as doctor chow

not even counting laguna honda but at the freestanding facilities would be important because we need to know what supports do we need in the community to support them. there may be something that would be a next move. last in a short-term list for home and community-based programs in general, again looking at the profile of services available in san francisco quite robust in many ways and of course still needs some further development. we would yield to this collaborative body, which would be the more broadly diverse and inclusive to identify which ones to move forward but an excellent question. >> could you clarify the 63 good comedy are long-term versus short-term need? without one or the other? >> we don't have-it really varied. the most common reported were for long-term patients. but there definitely were some short-term patients especially patients with medi-cal managed care that a discharge plan whom they were unable to place in our facility it did vary across but we don't have the exact breakdown of the number >> i thought when you did your survey, what you are saying-i think

know for us to manage our revenues without going into expenditure reductions areas there is 7.7 laguna honda revenues and $6 million in mental health revenues forecast and then the next line on this is the revenue amount that has been assumed the mayors deficit so we need to cover that and we'll use that towards our start. >> lastly there is initiative in your packet called slayer adjustments so we vhave as weechz discussed added a lot of positions over the last several years and growth is very significant we are gratefully hiring but we're looking at the actual expenditures we have not yielded been spending those new salary dollars as fast as added to the budget the end of fiscal year 2014-2015 we have $27 million we spent on salary and fringe dollars in our budget it caused us to step back and look at it and reforecast our hiring schedule will be and how fast we'll being able to get those dollars out the door we're not leaving unspent money there is result we put together a proposal the packet before you we think we can peel back 7 and a half million dollars of those added salary and benef

have built with the help of the board and with the help of the city world class facilities at laguna honda and san francisco general. today the bond issue calls for us then being able to improve our facilitys so we can continue to deliver ambulatory care services and also make use of building 5 so it can then bring together the clinical services that sf general and remove many of our current services in seismically unsafe buildings into a more safe area. our vision a number of years ago in opening community clinics is provide primary care services at the local neighborhood areas. today with not only our ability to do that with new facilities or updated facilities and also the abilities to renovate so we deliver todays care allows for combining of physical and behavior health services. i urge you to support the bond issue. >> thank you, next speaker, please. >> good morning supervisors. sue carlisle and vice dean for ucsf school of medicine. i'm here today in that capacity but also as a resident and home owners in san francisco to urge you to support this public safety bond. as doctor chow

know for us to manage our revenues without going into expenditure reductions areas there is 7.7 laguna honda revenues and $6 million in mental health revenues forecast and then the next line on this is the revenue amount that has been assumed the mayors deficit so we need to cover that and we'll use that towards our start. >> lastly there is initiative in your packet called slayer adjustments so we vhave as weechz discussed added a lot of positions over the last several years and growth is very significant we are gratefully hiring but we're looking at the actual expenditures we have not yielded been spending those new salary dollars as fast as added to the budget the end of fiscal year 2014-2015 we have $27 million we spent on salary and fringe dollin our budget it caused us to step back and look at it and reforecast our hiring schedule will be and how fast we'll being able to get those dollars out the door we're not leaving unspent money there is result we put together a proposal the packet before you we think we can peel back 7 and a half million dollars of those added salary and benefit c

have built with the help of the board and with the help of the city world class facilities at laguna honda and san francisco general. today the bond issue calls for us then being able to improve our facilitys so we can continue to deliver ambulatory care services and also make use of building 5 so it can then bring together the clinical services that sf general and remove many of our current services in seismically unsafe buildings into a more safe area. our vision a number of years ago in opening community clinics is provide primary care services at the local neighborhood areas. today with not only our ability to do that with new facilities or updated facilities and also the abilities to renovate so we deliver todays care allows for combining of physical and behavior health services. i urge you to support the bond issue. >> thank you, next speaker, please. >> good morning supervisors. sue carlisle and vice dean for ucsf school of medicine. i'm here today in that capacity but also as a resident and home owners in san francisco to urge you to support this public safety bond. as doctor chow

there's a little arrow there when laguna honda had rat problems, they had to use the less hazardous rodenticides because trapping and sealing up holes did not help. mosquito treatments over time, they have actually gone up with the advent of west nile virus in 2005. what you need to know about this, that is all, almost all of that is microbial, a very safe product. it's a bacteria that only affects mosquito they put in the 2000 water. this is a large response with budget issues with puc that supports this work. that may be more than you want to know about pesticide trends. i will just say briefly, what we are working on the biggest activities we have been working on this year along with this response and research on the round up issue is, we are trying to get bay friendly landscaping instituted in the city and moving into next year, this is a big priority. it's a holistic landscape program to design out weeds and herbicides. that's the long-term solution. having better designs in place in the first place. and at the same time, it involves water conservation, biodiversity and many other goals. th