when they come into office, mayor breed had a policy summit to really get the best experts of san franciscans in a variety of areas. one was seniors, youth, children and family, another equality and equity, health care, homelessness, housing, transportation, issue that's affect san franciscans in general and a bunch of recommendations came out of that policy summit and departments were asked to respond to the policy recommendations so this is the response. specifically the response is to the recommendation. it's not going to be all inclusive, but i thought you might like to see it so i made copies so you could read it at your leisure, and i think that's it for now. >> thank you, shereen. any comments or questions? >> i have one. i recently read in the san francisco examiner, i believe we spoke offline about the federal imposition of a requirement that could jeopardize the food security of about 3,000 san franciscans. i wonder how many identified as seniors, people with disabilities or fall under our purview of folks we could proactively get through that troubling news. >> yes. you are talking

the health commission is charged with the care of every san franciscan here. to say that closing this program would not be a detriment would be a crime. so i am going to urge the commission to vote that this would be detrimental to every san franciscan. thank you. >> thank you. >> commissioners, we're now open for discussion. and i would note that the printout, there is a packet that is with some revisions, but this one doesn't have one. i'd like to ask a clarification of one part of this. in the resolution, in the first resolved, could you explain where we are looking that the adult daycare services prolong institutionization. >> sorry. can you repeat that question. >> it's in the first resolved. >> in the first -- >> and i'm just trying to clarify the wording. >> so prolong. >> this is resolution 18-3. >> i understand daycare services could provide respite to the caregivers. i'm wondering, do we really mean institutionization or for them to be able to stay at home? >> i think for them to be able to stay at home and avoid institutionalization. >> so we need t

at strategies to make sure we are thinking about residential care in the best way possible for san franciscans and that includes looking at state waivers and looking at other departments maybe to look at incentives the city could do to help keep people in business. so i'm excited we have launched that. we hope to have recommendations for the city by the end of the calendar year so the work group is off and running. we have a couple committees that are meeting and we will report back the next few months about the progress that work group makes. chair is dan kaplan, cindy coffman, deputy director of dos active as well. we have other staff people, department of public health. it should be exciting. we know, we believe there's a crisis, especially for poor people who need assisted living in san francisco. so being able to correct that would be great. i just want to announce sb 1045, a bill scott wiener was carrying which is meant to increase powers of conservators office, people who are drug addicted, gratefully disabled due to drug addiction, mental illness and all that stuff, it would help a lit

of vehicles and emerging mobility technology, from autonomous vehicles and scooters, present san franciscans with new way to get around and transportation planners with new challenges. the nature of transportation in san francisco is shifting rapidly. russell franklin, 56, was hit and killed while biking at the intersection of howard and van ness. last night, a 65-year-old man, yet to be identified was killed trying to cross the street. sfmta faces many challenges ahead if it is to stop the bloodshed on our streets and ensure that all san franciscans have access to transportation. as a public school parent who bikes regularly with her children, amanda knows firsthand the urgent need for street safety improvements. as a nationally recognized expert on transportation policy, amanda is better qualified than anyone i know to help the city navigate these challenges. mayor breed is to be commended -- [bell ringing] >> supervisor safai: thank you, next speaker. >> i'm here to speak briefly. on behalf of the neighbor and represented employee who works for sfmta, during this time of transition, i'm i

i'm a native san franciscan, a homeowner. i've been working at the department of public health for 20 years now. i previously worked for the city in the former department of social services and the police department. i have witnessed racism through all of those years. but what i'm witnessing now is so much worse than i've ever seen before. while d.p.h. has adopted number of projects to address racism and equity, the culture has not changed. and there is no indication that the culture is going to change. so when you get responses and the responses are what we're doing, there may be a lot of money being spent on it, but it is not having a difference in the culture that we have to live in. [applause] development of solutions to this problem cannot be left in the hands of the executive staff that exists right now. >> yeah! [applause] >> you've heard that. you've heard that. [applause] the personal descriptions that have been given also prove that. if we are going to get to solutions, number one -- power and authority must be give

so the next three provisions focus on medi-cal, which is public insurance for low-income san franciscans. so the first provision, cpmc has continued to participate in medi-cal managed care with the san francisco health plan. the next provision requires cpmc to assume responsibility for 5,400 new medicare beneficiaries, and this obligation was met in 2014 and cpmc continues to meet this obligation. in 2017, they had a total of 29,739 beneficiaries. the third requirement is that cpmc serve 1,500 of new medi-cal beneficiaries through a partnership with a tenderloin care provider. currently there is no such provider. to meet this obligation, cpmc has partnered with northeast medical services to bring in st. anthony's clinic as a primary care provider in the tenderloin. cpmc has reported that they are continuing to work with st. anthony's leadership toward a path for sustainability and outreach efforts. a grant of $35,000 was awarded to st. anthony's through the innovation fund to help increase capacity to do outreach. there are two provisions in the development agreement that pertain to the

as a result, too many san franciscans face eviction without knowing what their full rights are. it's not a housing policy that we want to advance in the city and currently the mayor's office of community development spends over $7.5 million annually on eviction protection tenant outreach and education and short-term rental assistance. but these programs do not provide the full level of scope that so many people need stay in their homes. as i said earlier today, assignment proud to announce that we're investing $5.8 million to fund this program over the next two years to support legal representation for tenants facing eviction. [applause] one of the first things i did as mayor was to work to rebalance our budget to include funding for this very important program. starting in june of 2019, tenants will now have access to full scope legal representation and be better able to prevent evictions and stay in their home. we are the first city in california and the second in the nation to institute a right to civil council for tenants. and as we work to create more housing and increase a

tommy's joint is a place that my husband went to as a child and he's a fourth generation san franciscance we can still go to today with our children or grandchildren and share the stories of what was san francisco like back in the 1950s. >> i'm the general manager at tommy's joint. people mostly recognize tommy's joint for its murals on the outside of the building. very bright blue. you drive down and see what it is. they know the building. tommy's is a san francisco hoffa, which is a german-style presenting food. we have five different carved meats and we carve it by hand at the station. you prefer it to be carved whether you like your brisket fatty or want it lean. you want your pastrami to be very lean. you can say i want that piece of corn beef and want it cut, you know, very thick and i want it with some sauerkraut. tell the guys how you want to prepare it and they will do it right in front of you. san francisco's a place that's changing restaurants, except for tommy's joint. tommy's joint has been the same since it opened and that is important. san francisco in general that we don

had growing up, living in public housing with my grandmother, are not the same experiences of san franciscansoday. so we are in a better place, and we are in a better place because so many people stepped up to address this issue. i worked with olson lee when he was with the mayor's office of housing and ed lee, and so many people who fought for r.a.d., while others tried to stop r.a.d. i didn't want the conditions of public housing to continue to persist. and i want to thank the san francisco housing authority, who helped to lead this particular effort. and i want to thank our community partner because it is a partnership that gets us to a place like this. thank you, reverend fong and chinatown community development for not only taking on the responsibility of helping to manage this property, but doing it with love, making sure that you work with the residents so that they understood that they were derchfinitely going to be coming back, that you tried to find locations for them that were convenient for them so that their routines were not knocked out of whack. in plaza east, those units were

san franciscans deserve an equitable process.ve selected an experienced scooter operators the plant to learn on the job at the expense of the public good. what is your response to that? >> we have been operating electric scooters longer than mine has. we are working to provide a service that benefits the writers. everyone is learning as they go in this new industry. >> what do you make of these different solutions and the two cities? >> san francisco is a unique city. we found that perceptions of electric scooters were dramatically different in san francisco versus many other u.s. cities which found the majority of people appreciated having a new transportation solution. there is a backdrop of history here in san francisco that may have affected how decisions are played out. i think there are a lot of opportunities for companies to make a difference in cities across the u.s. >> you are referring to battles by over and left they came before this. it san franciscans are open to scooters, why would the city be more closed? >> we fou

i think the under lying idea is to keep san franciscans in san francisco. that's a multifold answer that has to do with school, with getting your first choice school near your neighborhood. that's affordability, that's how far you have to drive to your work. many people live in san francisco but work outside, and that just eats into expenses and family time. so as far as defining that, yes, i'd be, obviously, part of a discussion to help build that sector of housing. >> supervisor yee: okay. thank you very much. >> supervisor safai: great. we'll call you back up if there's any additional questions, but any member of the public wishing to comment on item 3 and 4, please come forward. >> clerk: one minute? >> supervisor safai: yes. do the same time as before. >> commissioner richards: i just wanted to chime in here. i know i should have spoken for commissioner moore, as well. i think the commission is functioning really well, and i think that commissioner fong and johnson really add to that clo colorful debate. commissioner johnson has only been four months,

that is a sad day for all san franciscans and i think the commissioners need to stand up to cpmc and say, we know you can do better, now is the time to do better. we'll come back to you whether or not you are meeting the requirements after you fix these issues. but please, stand up for these patients. they need your help and it's not until you, if he was your family member in this getting towels thrown in their face, would you give them a passing grade? i don't think so. but why does it have to come to that? why does it have to wait until it gets personal. stand up for those folks. that's all we're asking for today. >> thank you. >> thank you. any other public speakers? with that, public comment is closed. we will go with the planning commissioners comments and questions first and then we'll turn it over to the health commission. >> thank you. >> fellow commissioners. >> commissioner moore. >> may i ask that we hear the health commission first. that is their expertise. we are attentive listeners and watchers and i think their comments for me personally, are far more waitful at the mo

i think we've heard from the diversity of san franciscans in of deon j.buchter in terms of his work and dedication to san francisco and our young folks who need some of the biggest support here in san francisco. i do want to touch on his unselfishness as a member of our community, he became the executive director of the southeast community facility, and he's served as executive director for a while, running his own organization, so to speak. i asked him to come back at the end of the year because i will be gone at the end of the year, and he unselfishly came back at number two when he already had a number one spot. secondly, i just want to state that he's already experienced in working with lauchlt. he led the charge with our chop shop documentary where we talk with law enforcement and talk about what are the issues with law enforcement and community. now he's leading the charge over the white paper that we are finalizing right now to work on the 272 department of justice recommendations for change in our police department. he's dedicated to our community, and i just want to say no matt

what we can do to make sure we achieve our ultimate goals of providing excellent care to all san franciscans. i wanted to touch on health disparity which is a issue i'm passionate about in relation to the report out on culturally and linguistically appropriate care. this is in the news and several fronts. yesterday president cohen announced a duel a care program to protect mothers, particularly women of color and their children. in this city black babies are 5% of birth but 23% of infant deaths and 13% of black mothers, 10% of pacific islanders mother and 9.1% have pre term rates which is 50% to 70% higher than white women in this city and that coverage has received national coverage. specific to san francisco and so when we talk about culturally appropriate care, we need to be talking about racism, stress, systemic health inequality and equity as part of those conversations. making sure that people can get care in their community and it's affordable, and you are working specifically not just in making sure that those populations get care but that we're working on reducing bias both in the h

luke's for over 30 years and also am working with san franciscans for health care housing, jobs, and justice. i have talked to you before about the diabetic center at st. luke's, which underwent an up heavial two years ago when all of its bilingual staff were fired with no notices. this was despite the fact that most of the clients served by the center were monolingual spanish speaking clients. burying the center in the bowels of this megafoundation, cpmc says the move of the foundation is the way of the future. there's less accountability, direction of the future, how is cpmc going to make such accountability? well, what we need, moving forward, is more, not less, transparent public accountability on the part of cpmc. this is true not only of the -- within the foundation but of all the services provided by cpmc. sutter is a nonprofit, receives huge tax breaks, and as such, should be held accountable. looking to the future, the development agreement calls for the creation of a center of excellence in senior health and a center of excellence in community health. for example, the cente

it will help low income san franciscans that have a hard time accessing good, reliable healthcare and access to good cost reduced medication. and so she bought -- brought in a group called serum. they started talking about the ability to take medication from individuals that may be have passed away or don't need it anymore and take that medication and recycle it without having it go into the waste stream. and sending it to specifically for free clinics. so we are essentially mirroring the program. we are getting access and then we reached out to the department of public health and work with them over the last ten months to come up with this legislation. we have had to make sure that we were abiding by state regulations and so on and so forth. because we are a city and a county, and made the process that much easier. a lot of people ask why we are a city and a county and what benefits there are, but in this instance, it was a direct benefit. we have the ability as a county representative. we have representatives from three clinics here today. two of which are represented in my district

i've been extremely impressed with san franciscans and their ability to conserve water. the second is ssip, the sewer system improvement project. i think i shared once before to this body in a different context, my wife grew up about 200 yards from a biosolids plant in chicago, and when the wind blew the wrong way, it would ruin your barbecue. my inlaws still live there. the amount that the agency has gone in to bake in environmental justice into the strategic plan, to look hard at communities that are directly impacted by the biosolids plant on the southeast side and on the west side has been truly impressive. it is not an effort, it is stitched into what they do. and i've had the privilege of working alongside staff, working alongside community members in scratching the itch, as i put it. what that means to me is not just saying you're heard. we put these neighborhood feedback forums out. it's actually walking the neighborhood, hearing what is important to the neighborhood, not just mitigating the smell. odor is one thing. how does it affect the day-to-day lives of peo

but a severe reduction in water supply would affect all san franciscans and members and every single business that is housed within those buildings that you see that represent the county of san francisco. the s.f. p.u.c. plan promotes environmental sustainability and water reliability. we urge a negotiated settlement with state leaders with the p.u.c. to move forward. the bay area plan is something that we are watching. we have not taken a position so we do ask you to continue working with the state leaders to find a solution. thank you for your time. >> hello. i am, my family came here during the dust bowl. we lived in stockton and fresno and i picked grapes. and now i live in palo alto. i can say i'm very proud to see how the city council voted. i i was in union organizer for city council to go against the staff, all the recommendations i am mixed because the city council voted because they looked at all the materials, and everything and they realize that the environment and our water usage and that was the best plan , the delta plan. i urge you all to look at the plan and you think