of laguna honda hospital. the san francisco department of public health hired unnamed consultants to do mock surveys with employees of the hospital to coach them how to respond. the state department of public health informs the government. as to whether or not to certify. cms does not decide that on their own. not through their own surveys. well is no reporting of any surveys done for residents. come to find out cms did do surveys with residents of laguna honda and families and friends. they were kept secret as to when they were taking place. in order to be fair. they were kept secret as to when they were taking fair in order to be fair. this is important to note the cms did surveys they had no affect on the recertification because the state public health to recertify surveying only hospital employees. thank you. i like to give these to the -- thank you. [inaudible]. is there anyone not guilty room who would like to comment? all right. and remotely. i will check again. i see one hand. >> let us know you are th

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 nursing facility beds not just in california but around the country. after their order came down. we literally were putting 1000 calls a day to skilled nursing facilities around california and around the country and could find nowher

who thinks spending one hundred 240udz on a study facing to spend one hundred dollars to go if laguna honda(rustling of papers.) station shouldn't be in charge of a budget that will require the kind of work this it fiscal will cause we need to pause any spending that is non-muni related direct to muni. and vice chair melgar that is not a skill she positioned i ask we not consider vice chair melgar of this board. >> going on to the second caller. >> caller you're two minutes begins now. >> good morning . i'm also calling to oppose the nomination of commissioner melgar as the head of this body i echo the prior k34r789sd this transportation is facing a mask cliff you need someone has background and experience and that is not vice chair melgar. 19 if there is one person that has demonstrated their lack of regard for the community i'm say this situation we're face to face total lack of regarded for the community and really needs to - is vice chair melgar so absolutely exactly not qualify to be site plan as the head of this board and 2025 from the fantastic new mayor, we should be putting people

that stand out one that mentioned earlier throwing one hundred thousand dollars for a study for laguna hondastation is a ridiculous request. as is continually trying to reduce cars when well over half of the city relies on them and 5 hundred thousand car registrations actually means way more people using that and right many are not just driving by themselves they have are a family and can't get it through public transportation or bike. so the continued effort to erode our funding taking out meters or suggesting or trying to reduce car use but focusing on all forms of transportation around in the city without damaging economic recovery. is just questionable and luckily this gathering someone that probably you shourntd be looking at it and bond issues to come before the voters (bell ringing) and the recommendations of muni working group will further exacerbate the conditions causing our economic recovery to stall. stop doing things that make it harder for people to get in and around and park in san francisco. it is pretty simple. thank you. >> moving to the next speaker. >> hello caller you're

when laguna honda lost certification worked with regulators to save hospital and reinstate certification. and even serving as director he treated patients living with aids at san francisco's general's ward 86. what feels like a full circle dph, nounsed new infection rates 72% to the lowest levels ever. grant's research and work on hiv prevention are literally bearing fruit now for our community. >> public health work is ground in the science, data and facts delivered through compassion and caring for others. thank you for your amazing and incredible service to this city. we wish you well and we are grateful. now you can take it away. thank you i appreciate your kind words and the support of this amazing policy, body and i have, lot of things to talk about but you mentioned those. so. perhaps the first time in 6 years i'm speechless. usually i have something to say. i just you know -- i really want to express my gratitude and honor i had to serve as head of the department and i want to take a moment to revisit the fact that you know what lead mow to san francisco -- was the fact that -- w

so laguna honda has been an incredibly important institution in san francisco for 150 years, taking careents 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 nursing facility beds not just in california but around the country. after their order came down. we literally were putting 1000 calls a day to skilled nursing facilities around california and around the country and could find nowhere to move the 700 patients t

california's largest skilled nursing facility was threatened with closure, we successfully sued to save laguna hondahospital. >> we have led one of the most significant fights against big oil for deceiving the public about climate change and force inner city to spend billions of dollars on infrastructure to address sea level rise. we have taken on big tobacco for targeting our youth companies for defrauding consumers slumlords, for endangering the health and safety of tenants. deepfake porn companies using ai to exploit women and girls. we have rooted out corruption by city contractor public officials those who violate the public trust. as lorena mentioned, we established the first worker protection team in a local public law office to win millions of dollars for vulnerable workers during this era of economic inequality and to address public safety. >> we launched a gun violence restraining order program. we've petitioned courts to care for people suffering from mental health issues. and we worked with the broward administration with law enforcement represented here today with health and human servi

so laguna honda has been an incredibly important institution in san francisco for 150 years, taking careil, 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 nursing facility beds not just in california but around the country. after their order came down. we literally were putting 1000 calls a day to skilled nursing facilities around california and around the country and could find nowhere to move the 700 patients that we had h

laguna honda stepped up to support st. ann's families through this. i'm pleased share all who meet admissions criteria at laguna honda have space available to them ensing ty continue ar broader sat suppti seniors to live and end in tir communities. as■[■ acity,■n san francisco repeated 3 s stron commitment to o seniors and thatvfl continu ama the departmen of disability and ang■2ervis plays a vil ifort. providing resources over adults. inude sited bas and home sedertayled mt needs. and d 1n 4 accesse gas services know llpervis hps 500 nior in within remain in homes. tivities likeressinnd meal we will forwardo conveions th the little sters about the site's potential, its early to know the fture of the site w areommi work forll possibilityings. yohave m ass■@a wit,mohcd and ffic to ensure all options for the site are carefully vetd and considered. together we will work toward common solutions. if i may, i want to add something separate. thank you for inviting mow for lunch today. >> [laughter]. i will come to your side of the house often. >> we have not