it's about underserved areas. >> thank you. >> next speaker. >> pat patricia voy. no one, many of those who spoke in support do not live in san francisco. we try to get the deliveris in the city before the stores open. where are those delivery trucks going to go? no. 3, is to me, because of the underserved issue on this, the legality is that they are doing predatory practices. someone comes in with a truck, they pay $9700 a year and they can make a lot more money than the people paying $10,000 for rent, plus probably $3400, and insurance and they have to pay the electrical bills running from $300 to $600 a month. i firmly believe there should be food trucks. i do not believe that they should be in an area that has multiple facilitis that sell the same product. this is a very important case for the city. and i feel sorry for all of you. because it was an ill-prepared, ill-written legislation that should have been tweaked before it came to you. it is so you flawed and convoluted that the dpws that make arbitrary and cap resolution capricious decisions. why don't you

areas. -- in underserved areas. we have to expand that concept. we have to take a look at the role of allied health providers, nurse practitioners, and others. how do we better utilize those people? we have a very serious problem. the lives of thousands of people depend upon what we do. i am very excited about the panelist we have at the hearing. i would like to hear from .enator and se -- the senator joining you. am back to be i would like to thank the witnesses for taking time out of their schedules to be with us. i would like to welcome toni decklever from cheyenne. i appreciate that you made the trip across the country to be here. it is a pleasure to welcome all of the witnesses to our hearing. the issue of improving access to primary healthcare services is 11 that is important to all of us but is especially significant given the obstacles people face in wyoming. nearly the entire state is considered a front here or were rural county. 47% of the population is in a county with fewer than six residents per square

they are located in medically underserved areas and serve underserved population area and serve regardless of ability to pay. they are directed by patient majority board and care is locally controlled and responsive to each individual's community's needs. it might surprise you to learn the community health center in burlington, vermont provides translations for patients from the sudan, bosnia, somalia, and burma to name only a few. the ability to receive care in one's language removes an access barrier and improves the health of the families. from years in clinical practices, i'm able to speak that pal with the increaseing immigrant population, and i see the benefits of this relationship. without access to primary care, many people, including these families, might delay seeking treatment until they are ill and require hospitalization or care in the emergency room at a much higher cost to themselves and the health care system. the literature backs up real world experiences. for example, the journal of rural health article found counties with a community health center had 25% fewer emergency

underserved kids particularly to do well in math in school. so there is a big difference between daycare and preschool and that is what we have a lack of is preschool. there are day-care centers. no one is arguing about the lack of and i think our own research found there is a daycare, but daycare didn't do is anything, particularly for kids of color. head start has been shown to be very ineffective, not to disrespectful. they provide a place for working families to place their children, but do not provide the generatation of a workforce of the future. i have to say that when we look at our priority principles and the general plan about serving families and neighbors who are serving youth and child-care, this is one of those issues that is equally as important. so i understand the concerns about noise. and it's actually interesting that we hear this a lot on people complaining about the loss of families and we hear these a lot. we have a lot of issues where people get upset about preschools and i find it surprising in a city that is supposed t

in a statute mission centers are located in underserved areas and serve medically underserved population and care for about regardless of ability to pay. how centers are directed a patient majority board ensuring care locally controlled response to an individual community needs. it may surprise you to learn burlington vermont provides translation from sudan, bosnia, tibet, nepal to name only a few. the ability to receive care removes a major access barrier and improve the health of families and communities. premieres of practices in nepal, i'm able to speak nepali with refugee population and i see first-hand benefits of this enhanced provider patient relationship can yield. without access to primary care, many people including families might delay seeking treatment until their sears cl and require hospitalization or care in the emergency room at a much higher cost to themselves in the health care system. the literature backs of the six heiresses. the rural health article found the community health center at 25% fewer emergency room visits. other data demonstrate the entire health system

food desert where's they need to create activity and more opportunities for neighborhoods that are underserved. so thinking about the loss of business that could affect these restaurants and cafes in the financial district, >> thank you >> is there any further public comment? if not we'll start our rebuttal. you have three minutes. >> thank you, commissioners. the issue here today is not what expresso subito got right. what we're arguing is what dpw and radio services got wrong. just because it's not okay for expresso subito to say radio services got it wrong. it's not my fault. so the businesses who did not get their due process, who cares? you can't convict someone, let mem participate in an appeal and say hey it doesn't matter. it just doesn't work that way. and this isn't just about getting 301 sacramento and 303 sacramento wrong. it's bigger than that. radio services just extrude up royally. and i'm going back to my map. radius services determined the midpoint of the assessor's block when the law is the midpoint of the block face. and within the public works code, it distinguishes between

the hunters point, bay view community is traditionally and historically underserved. in the branch library improvement program of the 26 libraries, who got the last library after 10 damned years? bayview hunters point. those people should not trust you as far as you throw a rock. >> getting supervisors my name is andre -- i stay in district 6. i want to mention that next month is african-american hiv awareness month. i mentioned to a couple of members of the board; we will have a little function in the front of city hall, on the seventh, i think it starts at 4:30 and then we will march. and hopefully my supervisor will speak at it. i would be happy about that. on to serious note, a lot of things are going to be slung across his room, talking about the warriors. i am supportive of the warriors. i'm quite sure that a lot of the unions are in your pockets or in somebody's pocket because when they had the press thing with the mayor and his office i am quite sure that he five percent of the people standing up behind there were unions. everybody is not a union member. every

. >> cheryl: so underserved kids and they see another side of the world?iddle school student sitting next to an engineer in one of top tech companies here. >> cheryl: that is fantastic. i know that it is hard, seventh and eighth graders? >> we discovered the middle grades are really the time when students are dipping in engagement. we are seeing that there are far fewer resources for middle school students. so spark is targeting seventh and eighth graders and so they are ultimately graduating in time. we know that early warning signs of high school graduation is fundamental abcs, coming to school, attendance and behavior in school. we know it happens way before they enter the ninth grade. >> cheryl: who are some of the apprenticeships with? >> we have some other companies down in the bay area. some of the names are competitively applying for jobs. >> cheryl: how do you sign up for this? how does one get involved? >> we have two and we have students that are identified by our schools. when you think about the spark student this is a student who may be a pot

need of the underserved in rural and frontier areas. one provider per 3500 people in an urban setting is entirely different than 3500 people living in a county that is almost 10,500 miles of land mass. wyoming's economy is based primarily on energy production -- coal, natural gas, uranium, and even wind, making it a boom and bust economy. many working in the agent -- in the area make significant salaries when they work, but this can skew the average income for families. although some do well financially, there are a number of people struggling to make ends meet. this income disparity can be a challenge to meeting designation guidelines. thank you for your time and attention to this very important matter. i look forward to any questions you may have. our fourth witness is the acting chief at the boise medical wrote center. dr. wilbert is the associate program director for the internal medicine program and the va center of excellence in primary care education. thanks very much for being with us. >> thank you, chairman sanders and members

how does that help underserved minorities in the u.s.?ning me now is mark mor eh l, president of the national urban league. thank you for being with us. >> how will this help the underserved americans? >> well, it's early cherry blossom season in washington. it's good to see a serious start in a serious effort at a bipartisan solution. fairness, compassion, and -- keeping many mind that while a large portion of them are latino, there are people from the caribbean, people from africa, people from asia, and people from europe who are part of those 11 million, so it's important to recognize that the problem or the situation or the people involved are not simply from one part of the world. they're from all overtime world. i think number two, the civil rights and social justice community strongly agrees that this is an issue whose time has come. we support, i think, a fair, sensible, compassionate path to citizenship for those that are in this country and are undocumented. if there are some areas that we think need further discussion, it's the

concerns, i believe that the public interest here is served by adding a school to a community that is underserved by schools and furthering san francisco's stated goal of developing the resources for families. encouraging families like mine to stay in san francisco. it's a difficult job that you have. but i am an administrative law judge across the street and i understand that there are times that we have to make decisions that serve the public interest and ask the owners of businesses to mitigate any negative impacts. sarah and lawrence are people of integrity who will do that. thank you. >> thank you. >> good evening. my name is michelle long. thank you for allowing me to speak and i'm sorry for the late evening. i am a third generation native san franciscan. as a native, i have seen our great city go through many changes and i know how difficult it to be people to see change ms. their neighbors. i am here to support polka dot, to make sure that changes are good for our community as a whole. my son graduated from polka dot and was very prepared when he entered school. my son is fourth-generatio

it's an amazing program and it is catered towards kids in underserved neighborhoods, there's primary focus on bayview residents and district 10 residents and it is a way of giving kids exposure to the way we can steward the land. i want to note a little bit of good news about our first weekend of winter registration which took place last weekend. this is for our recreation programs. there were nearly 6 thousand 500 individual registrations just over the weekend. this is more than double, double the total of registrations for the same period last year and it is a true sign that because of the the great labor management partnership between the reck and park department and seiu that we have been able to develop a new model, we have doubled the registration over last year, the same time in just one weekend. and these registrations don't even include registration in our all city basketball league, which had added participants in our programs and also added revenues so i couldn't be more proud of our staff. last thursday, we were out at harding to mark the beginning of a recycle project, t

resalute the geographic distribution of centers with the goal of expending them to parts of city underserve. additionally the geography of san francisco and density should provide policy rationale to increase the size of convenience zones in the city of san francisco. the sbc asks that the department of environment in coordination with others work with retailers so seek exemptions for small businesses. >> so can we just stop right here for the local? are there any comments, suggestions or modifications. >> we're is good. >> you have been extensive background, but the fee of $500 should be considered and the sbc encountryings courages the department of environment to bring that. >> we should do a little more investigation of the tiers of how much people would have to pay. >> i think that is a really good idea. >> right, because i definitely hear commissioner ortiz-cartagena's concern that we could raise the fee, but rest of the policy doesn't change. >> right. >> and we have just increased a situation for our small businesses. i have one other sort of question for you, is would the commissio

it menus are compared to a%5v3fprm0w3 coffee second and fronted are not underserved in5f: primary hotrmit is valid if the applicant hasá4w3 it(sáq" fraudulent statements of fact. under oath and in writings& admitted major disclosures. you haveÑic ÷ hearing. we are here to prevent manifestax@!0; injustice. we have seven new pieces/ n>k of evidence. first, this is the truck. it violates permits condition five5c((s thaig service cannot take place on a sidewalk. this service takespcégs#2o exclusively on the sidewalk. >> canÑ k-[÷ you1o%( 0wjt so that it comes up. thankjvg;v:m there isjaçx nowhere to)t,úps put the structure with"jú=e a physical%d%( ;aç overhang. the>y there is nowhere to park because of traffic due to construction. two7 ny 33#+%( discounted in marchguáñ+ and november they -- starbucks as if they don't matter. this is starbucks objection$ letter andÑ%( úf they also claimed there was only one p competitor -- # muffins. muffins is 270 feet away and objected. three, in march public works said they would check coffee in the neighborhood. in approximate%m learned public complete

that's a new center that helps underserved students reach their college goals. in the crowd former san francisco mayor willie brown. lee asked brown to actually go easy on his speech in reviewing it since it's his first state of the city. lee said that unemployment is down to 6.5% compared to over 9% when he first took office. that downtown south of market business is moving in. san francisco he says remains a top destination for tourists. there are a number of big cranes working downtown, meaning more construction jobs. he's painting a picture of a city with a balanced two-year budget getting back on track. >> from the sunset to the mission to right here in the bayview, we're witnessing a rebirth of local manufacturing. fashion, artisanal food production that bear the label "made in san francisco." yes. >> reporter: now, he also talked up a new warriors arena, america's cup, he mentioned the world series champions san francisco giants as a point of pride. and he said in a number of days as the beloved 49ers will play in their first super bowl in 18 years with t

to give you a sense of who we reach, we are really seeking to lind to traditionally underserved communities. for example, 35% of our borrowers are hispanic or latino. 22% african-american. 60% free mail, and 30% immigrant. -- 60% female. types of businesses -- we will make loans as small as $500 and as large as $100,000. they can range from home-based very small businesses like child care, people selling in the flea market, on up to janitorial, landscaping, restaurants, dry cleaners, and in some cases, small manufacturers. we sometimes bridges of it in even larger transactions if we think there's community benefits, we might wind collectively with the city's working solutions fund or with another lender. so far, -- and we work throughout the bay area. we work in four bay area counties, said francisco obviously being one of the importance, but also said the clara, san mateo, alameda. we have laid out over $15 million to bay area businesses with a medium loan size of about $7,000 -- median loan size of about $7,000. who do we work with? principally, we want to work with businesses that have a

example having something that said a little more about we work to be inclusive, striving to reach underservedunities having linguistically sensitive outreach, i think under one of our values that could be a bullet point added that would add a lot i think in that regard. i have to say that there is a lot of -- there's a lot of different disputes in the past but there's organizational experts actually say there's a great degree of value in having posted values, and culture. i mean i know in the corporate environment, if you -- motivational speakers, even yesterday i was listening to an alternative high school and their core values really -- of inquiry, and exploration, and all that sort of stuff really embodied how they taught their students and their students performed and achieved. so these words do mean something. and so i do think it's important to have them and to make them present, because if you have them present, then you can point to them when you're not living up to them. but, you know, probably, yeah, it could -- could more work be done, we administer words or tack away more words i'

. >> that's a terrific opportunity for us to direct funds into those underserved communities where the poorest of the poor exist, and where our schools provide a terrific value for them. >> good morning. good job, max. good job. good morning. >> the neighborhood of this new york city catholic school was once poor. >> good morning, ms. peck. >> but as the area gentrified and principal katherine peck was brought in to run st. stephen, it went from nearly closing to thriving. inside, there are enrichment programs galore, like this french class and violin recitals and classes. michael and karen carbone's two children, emily and michael, attend st. stephen school. >> we looked at a lot of schools and this school was right up there with the independent schools, especially in terms of the extras and things that it was offering. >> to attract more affluent parents, katherine peck offered what expensive independent schools offer, only at a much lower price. to do this she started an aggressive campaign to raise money and got the neighborhood involved. >> everything that we've done here has been