mr. pickens presentation today. the committee was also happy to hear the news dr. (inaudible) was hired as a new laguna honda chief medical officer and apologize if i mispronounced the name dr. (inaudible) also wanted to report that recruitment efforts continue in ernest for other vacant executive positions and also part of the discussion was the difficulty in some of the recruitment efforts because of the unsure status of the recertification, but that has not deterred the department and human resources from continuing with those recruitment efforts, so that is the extent of my report for now and as i said, some will be repeated in mr. pickens report i think next. >> thank you so much commissioner guillermo. any public comments? >> yes, i see two hands. folks we are on item 3, joint conference committee and other committee reports. press star 3 if you like to make comment. i see two hands. you are unmuted caller, please let us know you are there. >> yeah, it is patrick again. >> okay, you have 3 minutes. >> regarding the update from the jcc, (inaudible) root cause

mr. pickens. what happens now? february second and third? say they don't respond say they reject the extension request or do hay think is the may be more rep henceable but act of coward and not responding. but when happens the next day in are people receiving a notice later this week? in the even we don't have extension? what does compliance look like in a practical way at the end of this week if we doenth have extension:great question we have thought about. you know it is hard to say what we will do in the future but i can tell you there are no active plans for me or anyone else to send letters to residents. and -- i think we will have to see what happens. i'm making now individual efforts to resume any type of transfers at this point. >> and then what would be if it gets to a point where you do need to resume transfers. what is the amount of notice that -- if you are -- i understand you are not planning if this occurs, what is amount of notice that the parent and families get? >> right. again th

mr. pickens.ens now? february second and third? say they don't respond say they reject the extension request or do hay think is the may be more rep henceable but act of coward and not responding. but when happens the next day in are people receiving a notice later this week? in the even we don't have extension? what does compliance look like in a practical way at the end of this week if we doenth have extension:great question we have thought about. you know it is hard to say what we will do in the future but i can tell you there are no active plans for me or anyone else to send letters to residents. and -- i think we will have to see what happens. i'm making now individual efforts to resume any type of transfers at this point. >> and then what would be if it gets to a point where you do need to resume transfers. what is the amount of notice that -- if you are -- i understand you are not planning if this occurs, what is amount of notice that the parent and families get? >> right. again that far we

mr. pickens.happens now? february second and third? say they don't respond say they reject the extension request or do hay think is the may be more rep henceable but act of coward and not responding. but when happens the next day in are people receiving a notice later this week? in the even we don't have extension? what does compliance look like in a practical way at the end of this week if we doenth have extension:great question we have thought about. you know it is hard to say what we will do in the future but i can tell you there are no active plans for me or anyone else to send letters to residents. and -- i think we will have to see what happens. i'm making now individual efforts to resume any type of transfers at this point. >> and then what would be if it gets to a point where you do need to resume transfers. what is the amount of notice that -- if you are -- i understand you are not planning if this occurs, what is amount of notice that the parent and families get? >> right. again that far

mr. pickens, we will continue to provide updates to staff on the progress of the action plan. we will also provide changes to the action plan as we receive feedback from cms as well provide root cause analysis after each monitoring survey. thank you very much for your continued effort. we have come a long way and we're confident that we are on the right path. so i did want to share that information to the commission this afternoon. moving on to another very important issue in the health department. it's the overdose epidemic. we do have some news to share that accidental overdoses declined for the second consecutive year. overdose deaths in san francisco decreased in 2022 according to preliminary data. and again, this is the second year that drug mortality dropped in the city despite climbing rates across the country. the data which is provided by the office of the chief medical examiner says that san francisco recorded 620 accidental -- 620 accidental drug overdose deaths in the 2022 calendar year. certainly, too high and very concerning. but this does compare to 640 deaths r