compliance the laguna honda.ear from our conversations with c.d.p c.d.p.h., we've had a very good openness and they're many pressed with the improvements that we put forward, and feel like we're getting to the root cause of what led to these events. but there will be more activity. important to note that as a result of this forensic analysis and the additional photos and images, no new employees have been identified, having involvement with the use of chemical restraints or images or text messages. it is all the same employees who have been removed. a little bit of update on the numbers. frustrate original 23residents that were involved, and that is the current plan of correction you have in front of you, 19were substantiated at privacy breaches, seven as abuse, in the form of physical abuse, sexual abuse, and psychological abuse. i want to say really quickly about the sexual abuse, we have no evidence that there was sexual assault or touching. sexual abuse is still awful, but it was in the form of a picture bein

so i think they are very engaged and closely monitoring what is going on at laguna honda. i know the health commissioners are very interested and concerned and they want to make sure that things are going well at laguna. i believe as we move forward, they will continue to do that. >> again, i'm not trying to pick on any individuals here, but i'm concerned about what kind of systems we have. for instance, if it didn't work, maybe the health commissioners didn't ask the right questions. they might be aware of it now. the new health commissioners that come down the pipe might not be aware of it. is there a systematic way where, for instance, there is this sub-committee of health commissioners looking at these issues, is there a set of questions that they should be asking all the time, rather than, how are you doing? >> as a part of the plan of correction, for sure. all of the improvement activities that we're doing as a part of plan of correction has to go through -- they're going to be monitoring everything that we're doing as a part of the plan of correction. but ongoing, it

laguna honda is the largest long-term care facility in epic's customer base. sonch >> so i think a report back to there would be quite useful. >> commissioners, other questions? thank you very much. congratulations again. >> thank you. >> commissioners, item 10 is other business and we have several public comment requests for this item. just so you know making comments, i have a timer. when the buzz -- buzz ergos off that's time for you to end your sentence. >> good evening, commissioners. my name is nathan dang, this is holly and kyle. we have pharmacy students from san francisco joined by some of our classmates in the back. we are here to bring attention to a current pharmacy related issue, pertaining to reimbursement rates authorized by the 2013 california senate bill 493. so the services affect patients all over california, but especially in san francisco. so sb-419 had expanded the practice for pharmacists that authorized them to perform additional services such as nicotine replacement therapy, as well as participating with other providers in the evaluati

we had two circuits pge to the laguna honda substation both fail at the same time. ordinarily this would not have impacted our customers, because we have built-in redundancy to the system, and the feeders would have been back fed by the two nearby substations church and west portal. in this case when the circuits failed three of the four feeders did back field, and one did not. we then were able to fix the underlying problem over that three-hour period, we restored power to the laguna honda station, which is how we were able to get service back up. while three hours is an unacceptable delay, it is critical that we approach power issues slow and steady, because the critical safety precautions that are needed to take in working with our substations. the reason that the back field did not work, we were able to diagnose overnight. we have a section of wire that connects the laguna honda station with the west portal station where there was water intrusion, and the wire had corroded. and so that was the cause of why the back field did not take place. we are still working

laguna honda is along the l laga reservoir and that's 28 acres and that's one of the bigger areas. also, sutra reservoir, across from the claretin elementary. and on the hill there, very close to number four which is between peaks and i wanted to orient folks because not everyone knows where they are. so it's a much smaller number of trees, 131,000 from rec park and we have approximately 4,000 trees that puc oversees. of those, about half of them are lake merced, which are maybe maintained by rec park. what are maintenance measures? we do tree trimming and removal of dead trees and we remove trees and there was a hearing about it that present yi called last week or two weeks ago. we do also remove trees to ensure fire breaks between the homes and to ensure that we have state required fire protection. the other time that we remove trees, a lot of our tries, a lot of people don't know they're on our reservoirs which are earth and dams. the vision of safety, dsod, division is safety of dams is a state department and they will come in and ask us to remove trees on certain occasions. th

and you know, i see all the publicity about laguna honda, and that's there because everyone did the right thing. and the reason there's no publicity at this time because of course i haven't gone to the press is that nobody did the right thing at the jewish home except central station and the advocates who came on when they sent their report. i was talking with emily merase about the special victims unit that creates special victims. you know, i didn't feel that much like a victim. i was a professional, and by the day after the event, i was giving advice to the jewish home staff on what -- how to manage this for their own protection and so on, which unfortunately, they didn't take, you know? but i really felt by the end of four months of police investigation, i was drained, you know? it was like a rag being thrown out in the street. today, i went to get -- oh, after -- this is the first time, a little bright note from the last time i was here because i really am quite sure you want to change the special victims unit, but i went right back into the black hole after that, and i was told, go

and the laguna honda, 262 residents with soji complete. i'll spend some time orienting you to this bar graph. we're looking at a denominator who had soji complete and in the orange, we have our gender minority population and in the dark blue our sexual orientation minority population. and so for all of our outpatient clinics, we had an average of 12.89% identifying as lgb or q and 2% identifying as transgender in behavioral services the numbers jump up in the so generioji complete popul. i wanted to take a moment to drill down where we were with primary care and saw our biggest population with gender minority or sexual minority populations. tom wadell, obviously a long history of working with the transgender community in the tenderloin and has specific gender affirming healthcare services that are provided there. and the historic neighborhood connection with the lgbq community and we saw a higher percentage showing up to receive services there, as well. and positive healthcare, primary care service having a high percent of sexual orien ori

said earlier, we need a lot of new clinicians and that being said, i would like to say also that laguna honda hospital, 1600 beds or 1200 beds whatever, is still empty and it's a fabulous asset to be ignored. i don't know why it's there deteriorating except for a few redecorated offices whoa need a facility where people can stay until they're stabilized and i would like to see option there. it would be really great. >> my name is june bug and i'm with the health justice academy and the san francisco heath plan advisory and aim a poor magazine and a former san francisco commissioner and because i'm someone that cares and i experienced trauma in my life and i have mental health issues. all my issues have a lot of issues that go down to my basic needs being met. and so, i'm someone who needs wrap-around services in my life. i'm at the mercy of the handout to survive and it's still not enough. we have a crisis in my city. this is my city and my home. what i see daily disturbed my heart and what i go through disturbs my mind. it's a challenge to stay focused and not give up because i live a hard l

i bring this to you now because of your interest in laguna honda because it is a worse situation there. the people at jewish home are equally helpless, equally unable to complain, but i was there for physical therapy, and the nurse was so compulsive that it didn't even occur to her that she should be concerned about the stranger. so i will be back to talk with you because the police has done less than nothing. the d.a.s office is trying to figure out what to do because they couldn't get a police investigation railroaeport. all in all, this is a danger -- >> president yee: thank you. next speaker? >> my name is -- my name is sarah greenwald, and i am a san francisco resident representing the san francisco emergency climate coalition. we urged the inclusion in the 2020 reach code of a requirement that all new construction be electric ready. thank you. >> president yee: thank you. next speaker. >> good afternoon. how does it feel when the mayor's office does not help with the mental illness in pushing forward to building hospitals? how does it feel when you don't get support for something

said earlier, we need a lot of new clinicians and that being said, i would like to say also that laguna honda hospital, 1600 beds or 1200 beds whatever, is still empty and it's a fabulous asset to be ignored. i don't know why it's there deteriorating except for a few redecorated offices whoa need a facility where people can stay until they're stabilized and i would like to see option there. it would be really g

hospital, and then spread to primary care, population health division, environmental health, and laguna honda, and now mch. it is rapidly now being introduced to behavioral health services. so well there are several tools and documents in the lean library, the two primary drivers of an organization's implementation of lean our true north and the exmatrix which you see depicted here. true north can best be described as a precise, concise, and universal set of ideals which, when taken together, provide a compass it that describes the ideal or state perfection that a business should be continually striving towards. true north should involve both our head and our heart and considering both, the strategic hard goals and defined business targets, as well as tightly held beliefs as to our organizational purpose and values. true north pillars, would you see depicted here, safety and security, health impacts, service experience, workforce, financial stewardship and equity are meant to be consistent over time and over a multiyear period and should not change very often contrasting that to the matrix. t