chow i wanted to add to what of the mentioned with the dementia program initially our dementia programas specific to 3 neighborhoods and looking at our painter population our residents population we have over 60 percent of our residents population have dementia diagnoses in impairment diagnoses so we in the leadership have made a determination we can provide dementia programming and other residents outside of the 3 designated dementia neighborhoods have access to the program that are benefited from the gift fund that is the justification behind also the increase in the budget and as i participate in the budget management and the gift and that's the information i can share with you. >> so the reason why i ask is because you know that is unusual when you understand and you know, i appreciate our explanation thank you. >> commissioner sanchez. >> yes. i would say that a number of the fists particularly the last 3 years have expanded more the opportunities and the need and how we are servicing those is really commendable another testimony to the quality of services and this one is the fact

for any program that we are aware of in our program. both things we do in-house and things that are external to us. and that's where we really mirror them. we don't do screening for pace for nursing homes, for example, but we can give people information about that. the folks have a great understand of the programs. it's part of why over the years we really built our in-taking screening unit to what it is today. and now will be introducing, we're not calling it the hub anymore, but in my mind, where we have veteran services and medi-cal and everybody in the same place. i think we mirror them in many ways. we certainly have kept to the model of case managers having low case loads and this purchase of service. and we have seen great success with that. we have not moved into some of these other arenas because we feel there are people in the community that do that very well. but -- >> thank you. so i came across a couple of patients earlier this year where they were placed in hospice. and two years later they needed to get out. because they

the program is going well. it is a very large program. it is 100 million dollars of mitigation sites mostly on sfpuc water shed and the folks working the program are proud of the work they have accomplished by restoring the pristine watershed lands and working with the natural resources folks in puc to do that. this project has experienced some delays due to 430 million dollars in wages that represents 12 thousand workers3 4 f1, 48 percent of th howererize [inaudible] 72 percent of apprentice hours are from the same tear toze. we work with 4 regional based [inaudible] for sfpuc territory residence placed on projects in partnership with trades and contractors. i also just want to mention a couple dynamic partnerships and initiatives under the leadership of general manager harlan kelly [inaudible] in partnership with labor. the small business contracting tips work shops was held in hayward which was a success. we updateed folks on changes to local business enterprise ordinance and so that was one thing done recently. there are several job s

the program is going well. it is a very large program. it is 100 million dollars of mitigation sites mostly on sfpuc water shed and the folks working the program are proud of the work they have accomplished by restoring the pristine watershed lands and working with the natural resources folks in puc to do that. this project has experienced some delays due to 430 million dollars in wages that represents 12 thousand workers3 4 f1, 48 percent of th howererize [inaudible] 72 percent of apprentice hours are from the same tear toze. we work with 4 regional based [inaudible] for sfpuc territory residence placed on projects in partnership with trades and contractors. i also just want to mention a couple dynamic partnerships and initiatives under the leadership of general manager harlan kelly [inaudible] in partnership with labor. the small business contracting tips work shops was held in hayward which was a success. we updateed folks on changes to local business enterprise ordinance and so that was one thing done recently. there are several job s

i am here to talk about the city's landmark tree program so i will provide some context for the program and then i'm going to go over the tree nomination evaluation process. so what are landmark trees? they're called heritage trees, historic trees, things like that. the thing they have in common they seek to preserve and protect trees that have a significant value or impact for the city that they're in. in san francisco landmark trees can be anywhere in the city as long as the tree is within the city and county of san francisco borders can be nominated for landmark tree status. san francisco does a case by case process and we have five criteria that we established to evaluate trees by. some other cities might have a blanket protection all trees of a certain size or species and combination for that. for us we look at each tree specifically and individually. i'm going to go over the criteria for you but i want to note before we get into them trees don't have to meet all of the criteria. in fact a tree might meet one criteria very well and be a successful landmark tree so for the first cri

i get to stay in the program and complete the program. to get my certificate. >> the sheriff wants us to work with them to compromise. you have to give a little in order to get a little. i went ahead and gave him 14 days so he can graduate. inmate billiter has been there that long. only got three days. and not cleaning up your room, it's not that serious of a violation. >> he will get to stay in the program, perhaps aided by a lie he told during the hearing. >> are you court-ordered? >> yes, ma'am. i'm really not court-ordered. i'm here to get my certificate to present to court when i go to court but i'm not court-ordered. i just said that and lied about it because i knew sort of what to manipulate. i manipulated that and it worked. everything's working out perfect. >> while he can look forward to his graduation day, brandon agner is looking forward as well. his current stay in the jail is the latest in a long string of arrests and convictions that have left him concerned about what the future might hold. >> during my crime spree, all i'v

this is models on a program that exists in los angeles. their rewards program on l.a. metro's express lanes and the way this would work is like a sandwich card, essentially. for each trip taken on transit, credits towards a toll payment accrue. other benefits we heard are interesting are bike share and we heard interest in the ability to use bike-share on the island and we are committed to providing bike-share on the island. reducing some barriers to use of transportation technology, such as for folks who don't have a credit card, or who don't have a bank account and providing that account and even starting off folks' accounts with a starting balance and discounts on things like car-share. which will be a new service on the island as it develops and we would like to help increase access to. we do recommend the multi- modal discount approach. it would provide incentives that are aligned with the overall goals of the transportation program, and would help support the meeting of that transit goal, the mode -share goal. and the vision for treasure island as one of san fran

that program costs $17,000 a year. if we threw in the cost of foster care, the cost would amount to $129,000 a year. mr. dillard: thank you for your observation. trauma informed care is truly something that is needed if we are going to be preventive. i can use myself as an example of someone who had trauma's at the age of 12-13 years old. when i was diagnosed, i had been severely depressed most of my life. one reason i self medicated was illegal drugs -- had i been diagnosed, maybe i could have been given legal drugs and avoided the criminal justice system. the fact is, we never look at the cause, we just look at the effect. many, many, many of these women and men who i've encountered have tremendous traumas. we are working as a pure organization to help them work through that. to avoid walking around as hurting people because we know hurt people hurt people. if we do not address those early on, further down the road after recidivism, we are still going to be paying a much higher cost. mr. ofer: i will give a perspecti

for any program that we are aware of in our program. both things we do in-house and things that are external to us. and that's where we really mirror them. we don't do screening for pace for nursing homes, for example, but we can give people information about that. the folks have a great understand of the programs. it's part of why over the years we really built our in-taking screening unit to what it is today. and now will be introducing, we're not calling it the hub anymore, but in my mind, where we have veteran services and medi-cal and everybody in the same place. i think we mirror them in many ways. we certainly have kept to the model of case managers having low case loads and this purchase of service. and we have seen great success with that. we have not moved into some of these other arenas because we feel there are people in the community that do that very well. but -- >> thank you. so i came across a couple of patients earlier this year where they were placed in hospice. and two years later they needed to get out. because they

for any program that we are aware of in our program. both things we do in-house and things that are external to us. and that's where we really mirror them. we don't do screening for pace for nursing homes, for example, but we can give people information about that. the folks have a great understand of the programs. it's part of why over the years we really built our in-taking screening unit to what it is today. and now will be introducing, we're not calling it the hub anymore, but in my mind, where we have veteran services and medi-cal and everybody in the same place. i think we mirror them in many ways. we certainly have kept to the model of case managers having low case loads and this purchase of service. and we have seen great success with that. we have not moved into some of these other arenas because we feel there are people in the community that do that very well. but -- >> thank you. so i came across a couple of patients earlier this year where they were placed in hospice. and two years later they needed to get out. because they

this is models on a program that exists in los angeles. their rewards program on l.a. metro's express lanes and the way this would work is like a sandwich card, essentially. for each trip taken on transit, credits towards a toll payment accrue. other benefits we heard are interesting are bike share and we heard interest in the ability to use bike-share on the island and we are committed to providing bike-share on the island. reducing some barriers to use of transportation technology, such as for folks who don't have a credit card, or who don't have a bank account and providing that account and even starting off folks' accounts with a starting balance and discounts on things like car-share. which will be a new service on the island as it develops and we would like to help increase access to. we do recommend the multi- modal discount approach. it would provide incentives that are aligned with the overall goals of the transportation program, and would help support the meeting of that transit goal, the mode -share goal. and the vision for treasure island as one of san fran

program and educational and vocational programs. we have programs for mental illness offenders and including those with history of trauma and we have programs with offenders and sex offense histories and those with severe personality disorders. we provide programs to help offenders deepen their spiritual faith and we have programmed tailored to the needs of female offenders. the bureau relies on a network of community based facilities, residential facility centers or half-way houses and home confinement. community placement helps offenders readapt to the community and secure housing, jobs, medical, care and more. chairman johnson, ranking member carper, and members of the committee, this concludes my formal statement. i'm proud of the work our taf do to keep americans safe. again, i thank you for your time and focus on the important issue of federal corrections. >> thank you direct your samuels. the next witness is michael horowitz, the inspector general for the department of justice. during his tenure as the inspector general, the

, and programs like the medical home program which improves the health in our communities. want to focus my oral comments, though, on four specific challenges rural hospitals face. first, patient volumes are lower at rural hospitals, and also fluctuate significantly on a day-to-day basis, making it difficult to manage staffing levels. my written testimony has a graph on page three that shows the daily census at lake regional for the month of january showing significant daily fluctuations, including a high census of 103 patients on january 15th and a low of 66 patients on january 25th. a significant fluctuation. second, medicalization is significantly higher at rural hospitals than urban hospitals. page 4 shows urban hospitals average only 30% utilization compared to 42.5% at rural hospitals. the challenge of such high medicalization is medicare cuts represent a higher % percent of our budget. and we have less commercial and managed care volume to subsidize the medicare losses. the third challenge is the cumulative impact of medicare cuts. the graph on page 5 compares estima

regardless of them themselves are eligible for that the national school almost program instead of a clumsy third party verification all you have to do is proof give us a copy of a report card a class schedule a letter from the principle inviting you back to school we'll take anything that says you go to that school we'll count that as a qualification for eligibility under the program so that's this is all part of commitment to maintain the momentum and a continue to sign people up i'm proud personally and everyone in the company this would not have happened without the support of literally thousands of nonprofits governmental, library, faith based on community partners who have joined arm and arm with us to make that program such a success one the commitments to our partners has been we want their input both this program what is working not working, how do we make it better and easier once 24 program got traction the number one thing a everywhere heard from the nonprofit partners would you be willing to expand the eligibility of the program beyond the families with school age childr

for any program that we are aware of in our program. both things we do in-house and things that are external to us. and that's where we really mirror them. we don't do screening for pace for nursing homes, for example, but we can give people information about that. the folks have a great understand of the programs. it's part of why over the years we really built our in-taking screening unit to what it is today. and now will be introducing we're not calling it the hub anymore but in my mind, where we have veteran services and medi-cal and everybody in the same place. i think we mirror them in many ways. we certainly have kept to the model of case managers having low case loads and this purchase of service. and we have seen great success with that. we have not moved into some of these other arenas because we feel there are people in the community that do that very well. but -- >> thank you. so i came across a couple of patients earlier this year where they were placed in hospice. and two years later they needed to get out. because they we

about those programs in details. would you raise taxes? would you fix the spending side or raise taxes? >> guest: i think i would focus on the spending first. they raise taxes today and promise to reduce the spending tomorrow. and i frankly don't trust that reduction in spending. i want to see the spending reduction locked in and then he could talk about taxes being changed. i am not supposed to specific taxes being raised as to overall revenue. there are certainly, i think, tax breaks out there that are distortionary. we have a special tax break for ethanol type of thing which those sorts of things don't benefit the economy but distort how the money moves around with the economy and i have no problem reducing those types of breaks. i would rather see it done on a revenue neutral bases. but i don't think any particular tax break is sacrificing. >> host: those tax expenditures are a billion a year. so rather you get rid of them to lower the rates to reform the tax code or use them to close the deficit there is a lot o

a program deteriorates.what my concern is about a mental health jail is that after the judge of ipod as i thought i was your first bout in fact that was your second go. i do have to ask you to finish your sentence. we may call you back up afterwards so you clearly have a lot of expertise on this issue but just for the sake of making sure to get through. feel free to complete her sentence because i cut you off just to let me hurry through. >> complete the sentence >> the tone of his devotion and service scope very good diversion programs. connections is one. >> thank you. was hoping you would fit. i appreciate you being here, dr. cooper. >> thank you. the need for alternatives to the jail is an integral part of the whole system of criminal justice. tinkering around the edges is not going to work at this time. but, first, i want to especially thank you president breed, supervisor kim, for spearheading the continuance of this hearing. your high level and informed leadership is both recognized and appreciated. t

the program is going well. it is a very large program. it is 100 million dollars of mitigation sites mostly on sfpuc water shed and the folks working the program are proud of the work they have accomplished by restoring the pristine watershed lands and working with the natural resources folks in puc to do that. this project has experienced some delays due to 430 million dollars in wages that represents 12 thousand workers3 4 f1, 48 percent of th howererize [inaudible] 72 percent of apprentice hours are from the same tear toze. we work with 4 regional based [inaudible] for sfpuc territory residence placed on projects in partnership with trades and contractors. i also just want to mention a couple dynamic partnerships and initiatives under the leadership of general manager harlan kelly [inaudible] in partnership with labor. the small business contracting tips work shops was held in hayward which was a success. we updateed folks on changes to local business enterprise ordinance and so that was one thing done recently. there are several job s

the disaster assistance program is a high-risk program, and is the focus of our oversight efforts. i believe our investigations and auditor recommendations are having a positive impact on the integrity of the program. the disaster loan program plays a vital role in the aftermath of disasters by providing long-term low interest loans to affected businesses and organizations, to assist with rebuilding properties and mitigating economic effects. following katrina, the oig issued several reports assessing loan disbursements, early defaulted loans, use of proceeds and eligibility. since the gulf coast hurricanes, sba has addressed many recommendations and improved rossa sees. most recently, we perform several audits and reviews following hurricanes -- sandy. preventing duplication of benefits with community development grants, sba's compliance with improper payment and recovery act. our 2010 audit identified issues with entering controls to prevent duplications with community but grants. as a result of the audit, the revised policies and improved internal controls. thus when we conducte

programs like social security, medicare and medicaid interest on the debt, multiyear programs all of that is outside congress' annual votes. >> host: and then to bring up another word people hear sequester. we put in place the sequester a couple years ago. talk about that. >> guest: sequester basically was a cap over the next ten years, i think we're about three years into it now. and, but that only affected the two types of discretionary spending. it only affected domestic discretionary spending and defense discretionary spending, and it limited essentially them. it was designed to impose, essentially, a set of cuts each year that were going to be split evenly between domestic discretionary and defense discretionary spending. now, we're already seeing in the new, latest republican budget that they've managed to take some money from defense discretionary spending and shift it to the overseas contingency operations, the war-fighting portion, so it doesn't apply to that portion of it. but there was no, essentially there was no sequester reductions to the mandatory spending programs. th

the program is going well. it is a very large program. it is 100 million dollars of mitigation sites mostly on sfpuc water shed and the folks working the program are proud of the work they have accomplished by restoring the pristine watershed lands and working with the natural resources folks in puc to do that. this project has experienced some delays due to 430 million dollars in wages that represents 12 thousand workers3 4 f1, 48 percent of th howererize [inaudible] 72 percent of apprentice hours are from the same tear toze. we work with 4 regional based [inaudible] for sfpuc territory residence placed on projects in partnership with trades and contractors. i also just want to mention a couple dynamic partnerships and initiatives under the leadership of general manager harlan kelly [inaudible] in partnership with labor. the small business contracting tips work shops was held in hayward which was a success. we updateed folks on changes to local business enterprise ordinance and so that was one thing done recently. there are several job s

the program is going well. it is a very large program. it is 100 million dollars of mitigation sites mostly on sfpuc water shed and the folks working the program are proud of the work they have accomplished by restoring the pristine watershed lands and working with the natural resources folks in puc to do that. this project has experienced some delays due to 430 million dollars in wages that represents 12 thousand workers3 4 f1, 48 percent of th howererize [inaudible] 72 percent of apprentice hours are from the same tear toze. we work with 4 regional based [inaudible] for sfpuc territory residence placed on projects in partnership with trades and contractors. i also just want to mention a couple dynamic partnerships and initiatives under the leadership of general manager harlan kelly [inaudible] in partnership with labor. the small business contracting tips work shops was held in hayward which was a success. we updateed folks on changes to local business enterprise ordinance and so that was one thing done recently. there are several job s

such as the drug treatment program, vocational educational programs. we have programs for mentally ill offenders, including those with a history of trauma. we also have programs for offenders with cognitive and -- impairedness. we provide programs to help offenders deepen their spiritual faith. the bureau relies on a network of community-based facilities, residential reentry centers are halfway houses and home confinement. community placement helps offenders readapt to the community insecure housing, jobs, medical care and more. chairman johnson, ranking member harper, members of the committee, this concludes my formal statement. i'm proud of the work my staff does to keep americans safe. i thank you for your time and focus on the important issue of federal corrections. >> our next witnesses michael horvitz. -- michael horowitz. the inspector general for the department of justice. the office of the inspector general has identified special areas increasing safety and , security risk for inmates and management of the passionate release program. mr. horro

the program. and what they do, and there is a membership application on it too. i have given a copy of the original print out to our secretary. because if you want more, she can certainly do a better job than me for making copies. but this is for one for each of you here. keep us all up on it. but i think we have such an excellent program in san francisco, they need us putting the information in for everybody else. and i just might add that the staff for the state commission on aging is the staff for taac. they set up our programs, meet with us. so for some reason you want something hand carried up to the state commission on aging, when i am going up, which for example i am next week. i will gladly take something up for you and give it to their staff. and that's my report for today. >> thank you. >> any questions? thank you. >> thank you. >> next we have case report. >> no, old business. >> that was the case report. >> no, that was taac. >> commissioners, executive director hinton, i am the direct

the office of economic workforce development neighborhood asset activation program that will require the termination of the lda with the friends rather than wait for the schedule reaching the deadlines suggested they have to raise the funds by the ends of 2017 we agreed if the best interests of the project to terminate the agreement to move forward with the power house separate the friends will continue to participate in the development of programming in the power house power house design is essential scaled down version of the power house stop sign it is in the masters plan but all the improvements at this time will be used in the master plan not building mission bay anything and tearing it down which is terrific and stabilization and landscape improvements and restored windows and mechanic and electrical systems and floors with heating a carter area and office with events in and our organization schizophrenia use it the planning department determined this power house will have no event effect on the ceqa fbdz and the mart plan ceqa in 2013 and that plan will not change that. >> thi

what is this program. theou know this was signature program that the obama administration wanted to put in place to help homeowners and it started in 2009. we have a long arc of performance here to evaluate. as you remember in the crisis the banks got huge enormous bailouts and homeowners were really left struggling on their own. so the program as it was called was designed to really help them and combat the idea that only the banks got the bailout. so what we have been looking at recently is a report from the special inspector general of the charter program. went backr colleagues and analyzed how many banks turned down or what number of borrowers are turned down by the banks for the program and the numbers were startling. host: from your story, here is a quote from christy saying, we are constantly seeing problems with the way servicers are treating homeowners and not following the rules. i don't understand why the hasn't been a stronger policing. what is going on? guest: i don't know if you remember this

the program is going well. it is a very large program. it is 100 million dollars of mitigation sites mostly on sfpuc water shed and the folks working the program are proud of the work they have accomplished by restoring the pristine watershed lands and working with the natural resources folks in puc to do that. this project has experienced some delays due to 430 million dollars in wages that represents 12 thousand workers3 4 f1, 48 percent of th howererize [inaudible] 72 percent of apprentice hours are from the same tear toze. we work with 4 regional based [inaudible] for sfpuc territory residence placed on projects in partnership with trades and contractors. i also just want to mention a couple dynamic partnerships and initiatives under the leadership of general manager harlan kelly [inaudible] in partnership with labor. the small business contracting tips work shops was held in hayward which was a success. we updateed folks on changes to local business enterprise ordinance and so that was one thing done recently. there are several job s

the program began in 2006. looking at students from the exact same income and similar numbers and comparing graduation rates preand post covenant, it's been extraordinary. precovenant low income students in that program graduated at best at 57%. african-american males were graduating down in the 30%. since the covenant has been in, the entire program's average of graduation rate is just 3% lower than that 80%. it has skyrocketed. and the african-american males has doubled. so this investment and the advising that goes along with it, is very important. i could tell you stories of students. they come in with extraordinary records. their average gpa coming in is over 4.0. they are very talented students. yet they have families back home that need them. they don't have the advising. and they frequently lack the confident. we have so many who say i'm going to drop out. yet if they get that advising they stick with it. the stories are amazing. i met three covenant scholars recently. all three told me stories about th

but the big money is the entitlement programs we spend 47% on just those programs along. you cannot really do much of anything unless you're willing to take on those three programs. >> we will talk about those in detail but first lady looked at entirely on the spending side? >> blood of the problems that i have seen with the proposals to raise taxes today and promised tomorrow and i don't trust that once we have that locked in we can talk about taxes need to be raised tonight not to necessarily opposed to any specific tax being raised as opposed to overall revenue certainly i think there are tax breaks out there that are a distortion very or discretionary. those sorts of things don't benefit the economy but distort how many moves around i would rather see a den and a revenue neutral basis but don't think that any particular is sacrosanct. >> they are $1 trillion per year of lost revenue the to get rid of them to a broader the base for the tax code or to spend them on something else, that many people and myself included think they spend through the tax code more than numbe

if not we should note that the walgreens program extends our 40 b program that required a link to each clinic only to all of the san francisco walgreens clinics under the b program is that not correct director barbara garcia >> that's correct. >> that's a significant difference an, an added benefit to the program under 9 previously i nodded if you were at chinatown clinic and went down to only one walgreens and couldn't go to another walgreens you had to go to another one like castro that allows all the walgreens in san francisco to participate in this program. >> that was my only clarification we're prepared forever the vote. >> all in favor, say i. >> i. >> opposed? the calendar has been adopted unanimously. >> thank you, commissioners item 7 the dpw policy on the dpw facilities as you recall this was introduced at the last meeting. >> good afternoon, everyone. commissioners colleen i did not have anything additional as the secretary said the draft of the policy at the last meeting it didn't require our package of the resolution only the affirmation. >> i was wondering if on this is