lastly, we have in the bottom right corner an adaptable cutting knife for the kitchen known as a rocking knife something that can be gripped by the hand for a person who may have difficulty gripping or holding a kitchen knife to be able to still have access in the kitchen for preparing food. there's devices similar to this such as talking scales talking timers to address a variety of needs. >> but the most important thing today that if there's anything you take away from this, it's that it's not just about the device, it's not about finding an ipad and tossing it to them and saying here go be successful. it's about understanding that person's needs and strengths. that's why developing strategies for using this technology is a key component in my work. as an example, take off the ipad and i can get the control room to put on the over head again one more time. thank you. is shown here is a palm sized timer. it is it has a display screen and 3 buttons for minutes seconds, start and stop and it costs a dollar. for me as a person with moderate adhd i know my strengths and i know my needs and

also includes other types of adaptations and lastly communication. >> on this next slide i have featured a few pictures on the far left is a picture of a couple inside the home and the man and a woman and the woman is using a stair lift. basically stair lifts is a device that allows a person increased access inside or outside their home along a set of stairs involves a low railing and then a chair which traverses along the path letting the person go up and down a set of stairs. why is this important? there are many many people in san francisco that have to deal with on a daily basis as you heard er early er we have old houses houses that are always going to be on hills and including a set of stairs before you even get to the first floor one of the calls i get the most is about stair lifts and the availability of having the financial resources to access them. it is not covered under medical or medicare to some degree it is if the providers want to work with them but it's still not enough to be able to allow or grant enough access so that's an issue i think can be explored more as far as t

lastly, i want to co-sponsor supervisor kims efforts for dispamphlet and sxhou postal protection act. the rest i'll submit >> thank you supervisor mar. >> supervisor kim. i want to adjourn our meeting today of someone's who was on administrator in our san francisco public school system for 36 years. mr. john carney jr. he was the principle and in the supreme court of california he worked as an awe perspires. he passed away this halloween of this. john was a graduate of the university of san francisco. he was a decorated platoon leader and a lieutenant colonel. he thought an air force individual walker. he has four children and go to san gabriel school. he is so i have had by 16 grandchildren and i wanted to send my condolences and thank you for taking the request. thank you supervisor tang >> i want to have a oversight hearing for the incredible amount of roadwork that's happening in san francisco. and it's going to be happening in the foreseeable future. we're going to have some sfro infrastructure work on the roads. the puc is replaying a one hundred year old sewer system and ugsd o

lastly on the generic drugs. i'm not quite done. what you see is that as the generic substitution rate has grown by 22 percent over the past 5 years and for ppo it exceeds 74 percent, that is a wonderful number. you have to give yourself credit because you did make some plan designs in 2009 and 2010 that caused the increase in the general -- generics. you saw the results of the plan action. moving on to the cost on a per month basis. the cost have increased to 7.7 percent in the last year. the industry trend is about 4-5 percent. as you noted, you looked at the charts on the right hand side of the page, that the city plan is again somewhere slightly about double to just slightly under double either what blue cross or what kaiser spent for their pharmaceuticals. we did look at what is causing this and you will notice that you have a lot of the antivirals, you have other hormones which is hormone used to address hiv with, you have the anti-any -- plastic and that is the narcotics and 25 percent. >> can you identify anti-plastic? >> it

and lastly on november 7th a meeting took place with officer and the operator the owner of 620 jones. and that was again to discuss ongoing noise concerns. with him and with us and officer side i can't see him. we spoke to the gentleman about complaints during the pride parade >> you walked many in. we acknowledged, of course, that he had a long fight to get the live permit for the outdoor space and nevertheless, to see we'll keep our fingers crossed and that concludes my report >> i didn't have a question but i want to follow up on treasure island so i did some asking of friends and i was told by the people that attended the fire department it was much louderer especially the saturday electronic day or sunday. >> saturday. >> my friends were saying several of them go every year and it was too loud for them to enjoy it. so i wanted to bring that here >> interesting. >> any other commissioner comments. so we note on the record the arrival of commissioner lee. >> any public comment on the director's report seeing none, public comment is closed. we don't have to take any action which the

lastly i wanted to talk about meetings and presentations. we had at the board of supervisors on november 6th, there was a hearing on health care transparency. i was privileged to be able to speak on behalf the joint labor management task force or transparency and accountability in health care which is a collaboration of many of our union leadership from the city and hsf working together towards the common goal on getting transparency around health care cost and health care quality and access issues. i think it was very rewarding to one, have this kind of a public hearing on such an important issue but also have some amazing speakers there talking about the challenges and how it is really the only way for us in terms of solving health care problems. last i wanted to mention a letter that was put into your packet late. this was a letter from local 21 thanking hsf for working on the contribution models that will help support the affordable and sustainability. it was nice to receive a letter. it was much appreciated. any questions? >> i would li

comments but again, i'm going to ask we don't discuss it it wasn't on the agenda this evening and lastly let me go over the corrective actions. this is based on complaint or other actions for resident. i'm going to turn it over to my colleague. this caused some serious noise concerns >> yeah. there was a meeting this morning that involved the police department the mayor's office and emt and us and rec and park because the organ next year's never pulled any permits every. so rec and park department, of course, organs activities on union square and every year they encroached on non-rec property all the way to a jones pr so we had a lot of complaints on 311 and they now know they've made an error and radio working to correct that we don't want to lose the marathon. we're working with them and there's another meeting with the mayor's office and rec and park in december. okay. the next meeting i want to talk about is one that glendon hyde talked about on mission street. i think i can ask glendon hyde to speak about that there were 15 neighbors that discussed the community and the commissioner

lastly how does the scorecard impact the sf puc ratings. we also had internal stakeholder feedback and measurements to ensure that perhaps is it a measure of missions for service and it's considered measuring, sit breaking or not working and our ability to plan. another one is inclusive of sections to different views, one regulatory and one critical. our next step, i would like to welcome the feedback from the commission and incorporate any recommendation in such considerations would include are we looking at the right measures. are we properly weighting them against each other and time, is it better to have it around december or around the prebudget hearings. what you are seeing today is a live document. so it's definitely subject to change. our communications team would like to also lay over a puc graphics makeover once the score hard has been final and the controllers office would like to public this in the spring of next year for 2013. with that i would like to thank you and welcome your feedback. >> commissioner torres? >> the last poi

water and how we manage the storm water now those days this is an important part of the street and lastly they're about the community and the streets are the social place where we mediate e meet our neighbors. so when we started to think about this streetscape and analysis t we started to realize our challenge is how do we design a streetscape design for that san francisco but receptionists the san francisco. there's an amazing history and an amazingly responsibility materials and projects and things, artist et a street is constantly been ridden and we have an opportunity to do something to do in this city it's a part of the coming larger we can experiment if you will, and think about streetscape in ways we might not otherwise dpo do in a city. we realize that a big part of the exchange is to hard to recognize neighborhood character so we took a lot of time to do this. each of the neighborhoods is defined by its location interrelationship to the water and a land use et. we've got this alice griflth streetscape and they're obviously alice is residential and it acts as a part in the middle

lastly on page two, there is summary information provided. the top provides the main purpose, the next is a detailed academic grading scale and a category measure and enter prize. i will hand it back over the nancy who will close with a next step. >> to receive feedback on the scorecard from the extended public audience and ensure completely. we'll introduce the scorecard for input at the october meeting. the remarks and suggestions are going to be shared here today at our citizens advisory committee. these are a few of the questions that had come up. they are inclusive of how we are ensuring this grade. inclusive of measurement as well as those at the dbi departments and water effects and currently only measure electricity are provided to the bayview hunters poise and shipyard and treasure island. some think that the information presented in the form of graphic was confusing and others like them and confusing benchmark including an authorized budget for reference and we'll come back for future update. on september 25th there was a lot of foc

.) >> (clapping) and now lastly but last but not least leann who is a 12 grader at the international studies camera in international studies academy she's move forward from mexico she's values her chinese culture as well as her mexican culture that's right chinese latino. she's a model student and is the model of commitment and reobsolesce she plays softball and volunteering countless hours with the red cross and mural project >> (speaking spanish.) >> so congratulations you see these students they're the future i'm very proud he i know with leadership like those young people our community is in good hands. >> (speaking spanish.) >> congratulations (clapping). >> thank you, supervisor campos and all folks celebrating their leadership. >> (speaking spanish.) >> and now we would like to welcome who's been developing and celebrating the martial arts since 1991 in the mission their at the 3231 mission street. >> (speaking spanish.) >> (clapping) ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ in in ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪ ♪

.) >> (clapping) and now lastly but last but not least leann who is a 12 grader at the internationalom mexico she's values her chinese culture as well as her mexican culture that's right chinese latino. she's a model student and is the model of commitment

was now is said i did want to lastly ask you about what you're expecting for this evening's rally do you expect a large outpouring from the community yes the law. is the worst of what the there and then and we. have our. case against them has shown that we really is what they. call is. the well i guess people what they do in our. that was mario ramirez a witness from san francisco. after the economic crisis of two thousand and eight wall street has increasingly received a frosty reception from the public but warren buffett has been presented as a special case from the financial world having shown empathy for the economic plight of the average person but like many suppose it heroes there are facts that may contradict this persona for a look at the man behind the specs the residence or a car finessed. hate how people worship warren buffett they make him out to be some kind of investor jesus everyone acts like they hate all the bankers and investors ruining our planet but first some praise and butthead is cool he spoke see and different he has seven hundred thousand twitter followers an

lastly transparency organization baking weeks released a draft of the intellectual property chapter of the ttp that reveals new proposals for copyright and patent rights that would boost big pharma company is and it raises questions on how the treaty agreement would affect individual rights and free expression of the leaked documents the team beats editor in chief julian us on the set. well if you read and write publish think listening to dance sing warned that if you find are consumed and if you're ill now or might one day be ill. the ttp has you in its crosshairs. it's for that reason that a number of demonstrators have come together in washington dc to pull out one entry draft fine it's not the ttp is alleged benefits. rt scary and boring has more. the us trade representative michael from annan spoke about the cause of the same provisions within the trans pacific partnership today. we are safe house in washington d c e d that was sponsored by the world wildlife fund about fifteen people in attendance including myself of that members of the press. also u s fish and wildlife services