Doing nothing, and i want to understand what we will be doing differently, and what youll need from us to be successful. Because the areas many of the priorities that youve identified are priorities that weve all identified in the past. Theyre you know, your professional capacity, instructional guidance, you know, transforming mindsets, i think thats actually a new one that is is really great to see, the collaborative culture, we need to build a lot more of that, and im glad youre calling that out, high quality staff, so there are many things that we know we need, and i want to and im glad youre youre identifying the two ways in which we need to approach this, because there is a lot that we need to to recognize, but i want to know i just want to understand what well be doing differently and what youll need for us to succeed. So i think for example, in both cadres of schools, there are certain parts of those the strategies that are happening, so for example, there may be a professional development around mindsets in two of the schools, but not in all of the schools, so a big part of this will be working with the the communities in both cadres of schools, but to establish all of this in a strategic way in both of these cadres of schools, so in the cadre of high gap schools, the three components that you saw will be in all of those schools. So its really putting them in in a strategic way, but also making sure that they know as youve heard from several of the Board Members today, the resources are there so theyre not scrambling to get resources to make should happen, whithis if you look at the list, i think most schools would want those to happen, but they have to pick and choose from their own budget, and what im saying is its incumbent on me to look at our own budget, but also to go out and raise the resources so that these things are happening at these sites and schools arent having to come out of their own budgets, so whats different is these components will be in both sets of schools, whatever column that those schools are in, but they will be centrally allocated resources to make sure its happening in the way it needs to happen for students. Great, and i think how i im just trying to also identify what areas i can be helpful, and i think it sounds like were going to be needing to do some fund raising outside of what we already do, as well as think about other resources that are available, and so thats an area i want to understand. Absolutely, thats one thats one aspect, that fits in, when those times come or those calls come, because this is going to take major resources. Id say another thing, though. I want to say that in doing this research, in getting to this place, one of the areas that was really helpful for me was not only doing this research research, but was helpful from ali and especially amanda ti Amanda Dickie was the ability to see past efforts in the city around this issue. In looking at the history thats provided and seeing where those efforts either went off the track or went off the rails or Energy Around those efforts suddenly dissipated, and i i will say this one of the things that was common around those efforts not being able to succeed was when for you heard sometimes it was around politics, but what happened, really, was you saw adults beginning to bicker and argue and fight with each other, and name calling and you know, im just going to put this out there. Im a transparent person, so let me tell you what im going to do. Beginning tomorrow, im going to roll up my sleeves, and if people want to argue and fight, they can do that above my head while i continue to move this forward, because i believe its the right thing to do for our children, and i believe its going to make a difference. But what ive seen is that bickering is what took all of these efforts off the rails, so im agreeing wholeheartedly with commissioner cook in you can roll up your sleeves. This is going to make a difference for kids. My track record has been to do just this to come in, to listen. I dont believe in coming in and making major decisions without learning what works and what doesnt work, and then, after beginning to learn that, beginning to roll up or sleeves and moving forward together. If you want to come along, im down for that, and youre going to come along with us and make this happen for kids. This is going to happen. I know people who have seen this or heard this have seen past efforts, you have a right to be skeptical, but i know my track record, and i know what i believe. I grew up in hunters pointe, went to school in hunters pointe. When some people dont have believes believes in our children, i know what they can do, and i know what high levels we can achieve at. At that time that i was there, the adults were accused of taking the test for the kids. But that wasnt happening, what is happening was kids were achieving at high levels, and the sad part for me is when the name calling starts and you know im going to be real with you, im going to be transparent with you, it started tonight, people got up there and started to attack well, well take some people off the rails. It wont take me off the rails. It may be a distraction while i get the work done. If you want to do that, you can go ahead, but im telling you this is going to happen, its going to happen for kids. You asked the question im going to rant for a minute, but you asked the question, what can Board Members do . Its every thing possible on making this effort happen for the children who so richly deserve to have this happen for them. Gl so ju so just a couple of more comments. Several times we heard that there was a question about our commitment, and i just want people to be clear, so that theres no question, that all of us up here are committed to our young people, particularly those that are most vulnerable, and we each committed to many ways to improve the out comes of our students, and youve heard for many of our leaders, the same problems that existed 40 years ago still exist. The social issues that plague our communities that isolate our families and support our cycles of poverty, and our work has to be a holistic approach, and thats what im hearing from you, dr. Matthews in that we cannot wobe the only ones tt work to help our students be successful. I want to publicly say that i do have a conflict with innovate. I find your aggressive approach unproductive, and your inability to learn more about our district and our communities, and its not an environment that i support, that i will put myself in, our staff, or my colleagues, and the unity of our work and willingness to come together is critical. Work with us, and as districts continue to go under we continue to expand our opportunities for young people, we tap into every resource that we have in our community. People work closely together with us, as work as part of a collective and not against us or pit families against each other. And we continue to expand these opportunities because we believe in equity, and we do all of this work through anecwhich toe lens, and this work is hard. This work is really hard, but were here, were away from our own families, and our kids are our kids, and i will keep working really hard for them. Im on the side of the superintendent, and i will stay focused and make sure that these interactions that were going to be Going Forward with on these strategies will not go off the rails this time. Thank you. President walton thank you, Vice President men do mendozamcdonnell. I dont want to repeat most of what my colleagues just said, but i do have a few things, student and educator relationship being the most important relationship in our schools. That is the reason why i pushed very hard for dr. Matthews to be the superintendent of this district because those were his statements in our very long marathon of interviews. The student and educator relationship being the most important relationship in our school system, and if we provide the supports to make sure that that relationship is successful, then we will be successful. I want us to all remember that as we continue to push through this work that we have to do, and i say we because it is a we thing. Slide 31, when we talk about good to great and not accepting average, also, it lets me know that the superintendent sees that we have a long way to go. We can to yut many things thate do successful as a district, but were missing the mark with our most vulnerable students. We know we have a superintendent that understands that, and we have strategies in place to address that, so i just want to be clear that we understand that as we focus in, you know, as we talk more about good to great, theres also this thing about having the right people on the bus. Its one thing, its not just about people on the bus, but its the right people on the bus, so everyone in this room as we focus on that student educator relationship, its important for us to all be on the same page. Also as we look at slide 33, when we talk about the inequities that exist at sites, and im going to say this, im going to always believe this, and superintendent knows that i push on this every time, we have to stop just fronting based on perpeople allocation, we have to stop just funding based on attendance numbers at schools because that inevitably takes resources away from our schools that need our supports the most, so we have to leverage other alternatives and other resources to make sure that even if enrollment changes and shifts at our schools that need us the most, we dont penalize and punish those students that remain there. What i dont want to happen is our schools, like mlk, and i see the principal i dont want them to be penalized for the successes. I dont want them to be penalized for their successes. These are schools that are doing tremendously changing. I want them to stay on our list because we cant penalize schools for being successful. They become successful, and then, we say theyre off the raid or and off the list, that has been problematic for me and always has been. We also have to work better, and im glad to hear our superintendent talking about other resources and other le l leveraging, because we do have to work successfully with our cbos and public schools. Our cbos do better because of the work with community, because of the support with community, and because of the support of surrounding organizations that work well within the schools, and im not saying every Organization Needs to be in the schools. Everybody knows ill be the first one to tell you that every organization does not deserve to be in schools, but we do have great organizations that are doing very well with our young people, specifically to the people that were talking about. So when we talk about college prep, these are organizations that are doing great work with our populations of student, First Generation College students, students in poverty; third through fifth grade, these Young African american and latino males. Its important. When we talk about sparksf, when we talk about leveraging Community Resources agreements, those are the types of things that we have to do, and those are the types of things that we work on at a policy level, cause the work happens outside of this room, by the way. We can have a hundred people in the room every second and fourth tuesday, and im glad to see that. This is very important and im glad we have people here tonight, but this is a 365 days a year type of work, so we also have to stop just being reactive. We see reports, we get excited, we get upset. Were in the trenches every single day. That data as you said hasnt changed for decades, so we have to keep that same enthusiasm every single day. Id love to see you here every single second and fourth tuesdays, but i know you all have families. But we cannot do this work alone. We have to do the Work Together to be successful. So the last thing that i want to say is we have some plans in place. Like commissioner haney. We do need to make sure this work is resourced. We will be in school sites, we will be in schools, and by the way, i meet with everyone, so everybody to say that i wont meet with them or havent met with them, its actually not true. Everybody knows me. If i call me, ive met with you. Now if you meet with me, and i dont agree with your philosophy, then i might not met with them. People say i havent met with them, but its not that i havent met with them, its that i dont agree with their philosophy, so i wont meet with them again. If youve ever emailed me, youve gotten a response back from me. It may not be the response that you like, but youve gotten a response back from me because i know what i got elected to do, i am fair and equitable, and i do provide access, but somebody said we dont want to play games, im not going to play games if i think what you have to offer is not going to benefit the students that need us the most. We are going to continue to work hard, we have a superintendent that is dedicated to this work. Theres not a district in this country that calls out black students, black student, black student supports more than we do. Thats not enough, and im not saying thats enough, but i am saying we recognize the problem and were working on it, and we need our community to work with us 24 7 on these outcomes. Our principals that are here today, our teachers, our administrators that are here today working on our schools that have been demonized in some aspects, i want you to know that i love you. I love working with, and were going to continue to Work Together. We might not agree on everything, but were going to continue to fight together, and i applaud you for all of your hard work in our district, and i thank you for being here with us this evening. With that said, i believe weve heard all Public Comment on this item. Superintendent, anything you want to close out with moving forward. Just want to read a statement can i make a comment . And dr. Brown, youre right. Like commissioner haney, i agree 100 with this state of emergency. I personally think weve been in a state of emergency for a very long time, but i personally agree with the state of emergency. And the way you understand that we hear you, the way you understand this state of emergency is very real is by the way were going to do this work on a daily basis. Its been a state of emergency for a very long time, and like commissioner sanchez stated earlier, its going to require the board of education, its going to require the board of supervisors, every elected leader, every Community Leader in this city to Work Together, so consider a state of emergency declared, consider a response by a superintendent in this district and how were going to address that continuously daytoday, consider the growth and the changes that are happening at mli do you know Vis Valley Middle School had to hire more teachers because they had too many sixth graders . I wish i had more time tonight to give a dissertation about all the things that are happening. This work is for all of us together, and you can consider this state of emergency declared, and you can consider us ready to fight hard and work on that state of emergency. Superintendent . Just want to end with a statement. You got it from mr. Dickey this afternoon. This is from ron edmunds. We can, whenever and wherever we choose teach all children whose schooling is of interest to us. We already know more than we need to do that. Ever whether or not we do it must depend on how we finally feel about the fact that we havent so far. Thank you, dr. Matthews for this report and for your vision. Section f, Public Comment on general matters, there are no speaker cards for Public Comment this evening. Dr. Brown . Ive already been called discriminatory because i theres one room thats never failed, and that is room for improvement, and i will commend you mr. President and the superintendent and all the commissioners for having the courage to say were going to fill that room, and were going to be in the community, pitching. Reverend walker is in the house. Reverend townsend is back there, and earlier, reverend michael gilmore, and several other faith leader who could not be here tonight. Always remember, historically and socio logically, the black Safety Movement is the black community. All we have to do is lean on some faith quotient to make it through the held in this country that weve been through. Since were in this age of trumpism, doesnt even know that Frederick Douglas is dead, and also his secretary of education has stated that historically black colleges were the First Experience of choice for us. It wasnt a matter of choice, that is all we had, and i recommend you read the book by Andrea Williams up there at harvard when she talks about selfdetermination and the desire of blacks to be educated it underscored, documents that our forebears literally dug pits out in the woods, and they called them pit schools, and through reading the bible, and by counseling, light, and candles, they educated themselves. Dont let nobody tell you black people dont want learning. Its been our escalator up to higher things out of this pit of racism in these United States of america, so again, the audience ought to give you all a big standing ovation for what youve done here tonight, and we are on our way working as a team, as partners, and were going to have each others back, and were not going to let go until victory is ours. Thank you, mr. President. President walton thank you, dr. Brown. Thank you, everyone. Section g, special arrested of business, may i hear a motion and a second to the annual five year report relating to collection and expenditure of developer fees . Student delegates are excused. I want everybody to know i tried to excuse them, but they wanted to stay here and be heard and also respond to the report, so thank you so much for being here so late here this evening. Ill move the item, item g. Thank you commissioner noert on. President walton second. Its been moved and second. Clerk, please read the designation to read the recommendation into the record, and were actually on the annual five year report relating to developer. Clerk so reading this item into the record will be our acting chief facilities officer. Thank you so much for being here this evening. We will be here a lot longer. Could you please try to exit just either keep it down so we it finican this meeting because we will be here a while, but we do appreciate you being here this evening. Good evening, president walton, commissioners, superintendent matthews, colleagues, and members of the public. Next to me sits ruth simon who facilitated the information for this report and will answer your questions. The requested action is that the board of education of the San FranciscoUnified School District review and adopt the Developer Impact fee annual and five year report for the fiscal year ending june 30th, 2017. The attached report dated october 24th, 2017 relates to the collection and expenditure of the developer fees. It was prepared for the district by cooperative strategies, llc, a consultant who has experience in preparation of such reports. We begin with balance on july 1st, 2016 with 57,570,000. We ended the balance on june 30th, 2017 with 35,915,000. The amount collected during the year was 10632,000 with interest earned, 258,000, total 1 0rks 0, 890,000. The expenditure is on schedule a with developer fee, we funded 42 school projects. These are the highlights of the report, and we are open for questions. President walton thank you. If there are no theres no Public Comment on this item this evening. Colleagues, any questions . No questions commissioner mendozamcdonnell . Thank you. Can you just remind me what we do with these funds . We fund school projects, actually, the the Laurel High School new building was funded from developer fees. This we spent on this building more than 10 million. The new building will be funded with developer fees, and our schedule a listed 42 other projects funded with developer fees. Can i ask, so when we have situations like like we did yesterday, for example, mr. Leigh, are those situations that where developer fees can be utilized . Commissioner, is that the can you that was today, actually. Its been a long day. Its been an awful long day. Wow. So the with reference to that sort of emergency with the water main, so i would say two things. Please jump in if i get this wrong. One is that that particular incident was not a responsibility or deficiency relating to our assets, so thats a that was a city utility, so that is probably not something that we would spend any of our resources to repair, and so if it had been something that was within our in our possession, i think the key distinction is developer fees are to work on Capital Improvements related to additional seat capacity for our our portfolio of schools that is being tested, you know, because of limitations, is that right . Yes, developer fee 25 is used for school growth. We able to fund new buildings, new programs, but otherwise this fund is restricted. Were not able to use developer fee for defer maintenance. So the pipes are out of the question. I would mention one thing that we may consider, and the board may consider in the future is ut williziilizing soe fees to be collected for the art center project. I think that would be a permitted use for developer fees . Yes, this is extension of the art program. All right. Thank you. President walton thank you, commissioner mendozamcdonnell. Any other comments . Roll call vote please. Clerk [ roll call. ] six ayes. President walton thank you, miss casco. May i have a tentative motion [ inaudible ] local 21. Moved. Second. President walton thank you so much. Mr. Sgarlato, i believe youre going to read the resolution into the record. Yes. Good evening, commissioners and superintendent. Before i want to read the recommended action, i want to make one correction. The subject is the the tentative agreement between the district and the International Federation of professional technical engineers local 21, so as you can see in the local recommended acts [ inaudible ] please cross that out and replace that with the International Federation of professional and technical engineers, ifpte local 21, so ill now read the recommended action. Approve the attached tentative agreement between San FranciscoUnified School District and the International Federation of professional and technical engineers, ifpte local 21, and the related Public Disclosure document. President walton thank you, mr. Sgarlato. No public speakers signed up. Any comments from colleagues . Hearing none, just want to thank you so much for the work on making this happen. Were excited about continuing to move forward, and we know we know how much work you do, so thank you. Role call vote please, miss casco. Clerk thank you. [ roll call. ] president walton so moved. President walton thank you so much, mr. Sgarlato. The recommended action is that the board approve the attached tentative agreement between the San FranciscoUnified School District and Service EmployeesInternational Union local 1021 and the related Public Disclosure document. President walton thank you mr. Sgarlato. I was going to say seiu local 1021 was here to speak earlier, but weve had a long night. Yim not trying t speak for them, but i wanted to say they were here. Commissioner cook . Commissioner cook i dont want to say too much, but seiu 1021 had some other challenges, and i really do commend the hard work, because i know it was tough, and i know this group is so valuable to towour schools, so im glad we settled on this. President walton thank you. Roll call vote on this please, mr. Casco. Clerk thank you. [ roll call. ] six ayes. President walton thank you so much. Section h was taken before item f, Public Comment. Section i, consent calendar, section removed before previous meeting. There are none tonight. Section j, introduction of proposals and assignment to committee. There are four this evening. All personnel work related injuries, sale and disposal of books, equipment, and supplies, board policy 0460, local control and accountablity plan, board policy 5145. 3, nondiscrimination harassment. Unless i hear different from legal counsel, all four board policies are referred to rules, policy, and legislation command. Thank you, may i hear a motion and second for First Reading to these four board policies. So moved. Second. President walton thank you so much. Let the record show miss casco. Section k, proposals for immediate action and suspension of the rules, none tonight. Brief board member reports, standing committees, ad hoc on Personnel Matters and Labor Relations and portablity. Thank you so much. Rules, policy, and legislation. I reported out for the policy measures earlier. The legislation in further support of reducing [ inaudible ] the next rules committee is december 4th. President walton thank you for all your work on the resolution with all the committees, and with the team and the district of budget and business services. We heard the the Kipp High School petition and we forwarded it to the board with no recommendation. We had informational updates on the free and reduced maeal applications and the process for student attendance accounting, and then we looked at our restricted general funds, and then we reviewed a fiscal Impact Analysis of the the resolution in support of further reducing sfusd assessments. President walton thank you, committee of the whole, tuesday, november 7th, commissioner mendozamcdonnell. Thank you. We had a great update on the safe and Supportive Schools and whats been happening related to that, and then, we did a report on the revisions to the board policy 5101, students sign, which we voted on this morning. Curriculum and program, commissioner norton. Yes, the curriculum and Program Committee met last night. We forwarded to you, as i engs med earlier, the resolution on reducing assessments with a positive recommendation. We also heard a really interesting record on the update on the school of the arts outreach plan. Theyve made a lot of progress, actually, after the resolution two years ago. Principal payne was on hand. Theyve got a common audition policy that all of the the arts leads now are implementing that take care of a lot of the concerns the board has had in the past. Theyve had great interest in the summer program. There still are concerning data. Its not a diverse school, and theres more that we can and should do about that, but i think we were i was pleased to see the progress that theyve made. And then, we had a report on the new teacher induction, which i was really glad to hear. Weve actually really extended that program in recent years with resources from the department of education grant. Were in the second year of a three year doe grant. Who knows with the current doe, what will happen after that, but the staff is to be commended how they expanded it. Its really working, so thats my report. Im cancelling the december meeting, so the next meeting of the Curriculum Committee will be december 14th. Thank you, commissioner norton, commissioner cook . Commissioner cook we met, personnel Labor Relations and affordablity met on october 26th. We heard an update on the proposed parcel tax, and the next meeting will be november 30th. President walton thank you, commissioner cook, and i just want to reannounce that commissioner norton and i did do a committee switch, so i am now on building and grounds, and commissioner norton is now an ad hoc personnel on affordablity. It was announced at the last meeting, but i just wanted to publicly announce that again. Seeing no more announcements, Vice President mendozamcdonnell. Building and grounds for november will be cancelled, and well meet again in december. President walton thank you, Vice President mendozamcdonnell. Section m, other informational items. Nothing commissioner mendozamcdonnell. Before we do that, theres a couple of acknowledgement i wanted to make related to them that have happened. I just want to thank everyone that attended our spark sf g l gala. For somebody that worked on it, i just thought it was a really great, great opportunity for it was almost like the superintendents coming out party, and every feedback that i heard or that i got that evening and for weeks after was really positive, and people have asked us to do it more often, and theyve also asked if we would do something bigger, and so i will leave that to the spark board to determine whether or not they want to go on, but i think it was really just a great opportunity for us to build the relationships that we know exist in the city, and for them start to see the beginning of the vision for our new superintendent, so thank you to everybody that attended, thank you to everybody thats given, and thank you to the superintendent for being a real sport around that. I wanted to also acknowledge you speaks fundraiser, but more important, their executive director james cass has stepped down after 20 years. Hes the founder of youth speaks, and he contributed tremendously to so many young people, many of whom are in our district, and so thank you james cass for being an amazing leader for youth. Also wanted to acknowledge the many people that have been coaches for the peer resources pitch competition thats going to be coming up tomorrow, so several of our high schools are going to be pitching ideas on a challenge that currently exists at their schools, so i want to say go lincoln high school, whos been my high school that ive been coaching. And then lastly, i just want to thank sf force. Org and the whole dream force team that continues to support our young people. We had about 225 of our middle School Students. Every year, we bring out middle School Students that have been engaged in the mayor leadership initiative, and they get an opportunity to be a part of dream force, and its mind blowing for so many of them. They get to whether they sit in on these amazing conversations or going into workshops or hangout, you know, in the middle of Howard Street in a camp like setting, and i just wanted to acknowledge the opportunities that many of our kids had this last week to go and attend and to thank dream force for for their continued support and for exposing our young people to what what could potentially be their future, so thank you. President walton thank you commissioner mendozamcdonnell. Section n, memorial adjournment, there is none this evening. Section o, the board will president walton 2017, i move we accept the recommendation from the panel or not. Need a motion. I make a motion for the recommendation for the panel. Yes, ill move. So moved. Second. President walton thank you, so its been moved and seconded to accept the recommendation from the panel in case number 2017, and properly seconded. Roll call vote, miss casco. Clerk thank you. Thank you. [ roll call. ] president walton thank you, miss casco, and closed session readout for tonights meeting, november 14th, 2017 in the matter of one case of anticipated litigation, the board, by a vote of five ayes, two absent, marase gives notice of consent to counsel. There are no other items on the agenda, and this meeting is adjourned. [music] San Francisco city clinic provides a broad range of Sexual Health services from Stephanie Tran medical director at San Francisco city clinic. We are here to provide easy access to conference of lowcost culturally sensitive Sexual Health services and to everyone who walks through our door. So we providestd checkups, diagnosis and treatment. We also provide hiv screening we provide hiv treatment for People Living with hiv and are uninsured and then we hope them Health Benefits and rage into conference of primary care. We also provide both prend post exposure prophylactics for hiv prevention we also provide a range of womens reproductive Health Services including contraception, emergency contraception. Sometimes known as plan b. Pap smears and [inaudible]. We are was entirely [inaudible]people will come as soon as were open even a little before opening. Weight buries a lip it could be the first person here at your in and out within a few minutes. There are some days we do have a pretty considerable weight. In general, people can just walk right in and register with her front desk seen that day. My name is yvonne piper on the Nurse Practitioner here at sf city clinic. He was the first time i came to city clinic was a little intimidated. The first time i got treated for [inaudible]. I walked up to the redline and was greeted with a warm welcome im chad redden and anna client of city clinic even has had an std clinic since all the way back to 1911. At that time, the clinic was founded to provide std diagnosis treatment for sex workers. Theres been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. There were some Public Health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in San Francisco. When youre at the clinic youre going to wait with whoever else is able to register at the front desk first. After you register your seat in the waiting room and wait to be seen. After you are called you come to the back and meet with a Healthcare Provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. Plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. Recommended both by the cdc, center for Disease Control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. I actually was in the project here when i first started here it was in trials. Im currently on prep. I do prep through city clinic. You know i get my tests read here regularly and i highly recommend prep a lot of patients inclined to think that theres no way they could afford to pay for prep. We really encourage people to come in and talk to one of our prep navigators. We find that we can help almost everyone find a way to access prep so its affordable for them. If you times we do have opponents would be on thursday morning. We have two different clinics going on at that time. When is womens Health Services. People can make an appointment either by calling them a dropping in or emailing us for that. We also have an hiv care clinic that happens on that morning as well also by appointment only. He was city clinic has been like home to me. I been coming here since 2011. My name iskim troy, client of city clinic. When i first learned i was hiv positive i do not know what it was. I felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. So i [inaudible] hiv care with their health about a quarter of our patients are women. The rest, 75 are men and about half of the men who come here are gay men or other men who have sex with men. A small percent about 1 of our clients, identify as transgender. We ask at the front for 25 fee for services but we dont turn anyone away for funds. We also work with outside its going out so any amount people can pay we will be happy to accept. I get casted for a pap smear and i also informed the contraceptive method. Accessibility to the clinic was very easy. You can just walk in and talk to a registration staff. I feel im taken care of and im been supportive. All the information were collecting here is kept confidential. So this means we cant release your information without your explicit permission get a lot of folks are concerned especially come to a Sexual Health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. Trance men and women face really significant levels of discrimination and stigma in their daily lives. And in healthcare. Hiv and std rates in San Francisco are particularly and strikingly high were trans women. So we really try to make city clinic a place that strandsfriendly trance competent and transwelcoming everyone from the front desk to behind our amazement there are completely knowledgeable. They are friendly good for me being a sex worker, ive gone through a lot of difficult different different medical practice and sometimes they werent competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. I have been coming here for seven years. When i come here i know they my services are going to be met. To be confidential but i dont have to worry about anyone looking at me or making me feel less a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. We have some testing with you on site. So all of our samples we collect here. Including blood draws. We sent to the lab from here so people will need to go elsewhere to get their specimens collect. Then we have a few test we do run on site. So those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. People get those results the same day of their visit. I think its important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. Onsite we have condoms as well as depoprovera which is also known as [inaudible] shot. We can prescribe other forms of contraception. Pills, a patch and rain. We provide pap smears to women who are uninsured in San Francisco residents or, to women who are enrolled in a statefunded program called family pack. Pap smears are the recommendationrecommended Screening Test for monitoring for early signs of cervical cancer. We do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. Whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. In terms of how many people were able to see in a day, we say roughly 100 people. If people are very brief and straightforward visits, we can sternly see 100, maybe a little more. We might be understaffed that they would have a little complicated visits we might not see as many folks. So if we reach our target number of 100 patients early in the day we may close our doors early for droppings. To my best advice to be senior is get here early. We do have a website but its sf city clinic. Working theres a wealth of information on the website but our hours and our location. As well as a kind of kind of information about stds, hiv,theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for 15, 40 75500. The phones answered during hours for clients to questions. This is maybe our 10th year hosting an annual turkey giveaway. But it has been so wonderful to partner with the pay yours office and the rest of the city departments to really expand our capacity across the city. Once upon a time, we were only able to serve maybe 500 to 600 families and now were talking about 3,000 across the city. [cheering] a lot of people need our help. So well help them. And were positive about that. And we have all of these great volunteers from Mission Housing and i want to say thank you to them and the housinging authority for their staff today. All coming out and giving that personal touch to redents of valencia gardens. Look, it is happening on every one of our sites that have Public Housing residents throughout the next 24, 48 hours. So, thises all about us giving back to the people that we care about and helping folks have both a safe and enjoyable holiday. Howd we do . Im so excited. This is the fun part of the job where i can help people have a great thanksgiving. It is so wonderful from foster farms and the city family is all here today to share. Because were all in this together. Were a city where we all care about each other. No matter where we come from, oer what we have. Were all here for each other, to take care of each other. Thank you come on over. Were all partnered together to give back. Thank you again. Were very much grateful to be part of this. Happy thanksgiving. Have a happy thanksgiving, meal time. But most of all, lets give to each other the humidity that we all want and deserve. I just want to remind everyone about compassion and care as we roll into these holidays. Were really doing this for families. And we want to build Strong Families across the city. This is one of many events that we continue to do and we look forward to our toy giveaway and tree giveaway as well. Thank you. [applause]