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Point number one, this item should not be on the agenda today for reasons everyone has already stated. Modified hours will not alleviate the adjacent home owners concerns about allday ambient noise, yet they will restrict Public Access to the park during required offpeak hours as determined by rec and parks own survey. This compromise, while understanding a way to resolve the issue, its a loselose proposition, benefits neither side, and has no evidentiary basis. Point number three, if the commissioners push forward, despite the concerns, i would suggest nothing less than 6 30 a. M. To 9 30 p. M. Operating hours is reasonable. When i commute to work in menlo wash, i have to catch my bus at 7 00 a. M. I return home no earlier than 7 00 p. M. I have to feed my family dinner, especially during summer when its light, we deserve access to this beautiful space. In any future meetings, i hope, regarding this topic, i would request the home owners provide their disclosure packages to prove they did not knowingly move to this situation. And i would like an objective neutral party to conduct a sound assessment to determine if noise from this park is any more significant than noise from any park of the city. [ applause ] also, as my addendum, please fix the restrooms. Theyve been broken over a decade. And we need to pee also. Thank you. Thank you. Next speaker, please, and as they are coming up, i have david, andrea, and james. And then after that, anyone who hasnt filled out a blue card, come on up and you can speak. Go ahead. In doing so, they deem their own interest in a speedy resolution to be more important than the interest of the many people who actually use this park. If the department can do this at upper douglass, they can do it at any other park in the city. Our shared spaces are what make it possible to maintain a high quality of life, despite the challenges of living in a city whose cost of living far exceeds that of any other in the nation. When the city is allowed to bypass the rules governing these spaces, its unacceptable. Regardless of the outcome of the proposal, please do not repeat these tactics of secrecy and shortcuts, where the results affect so many San Francisco residents. Thank you. Thank you. Next speaker. Hi, commissioners. Im andrea buffa. I helped start the Organization Save our recreation a few years ago when they were trying to restrict dog walking there, and i live in glenn park. Im quite close to this park, and i use it sometimes. My neighborhood park, sunnyside park, previously was an offleash area and now is an onleash area. I guess i want to change what i was planning on saying, because im one of the threatening dog people, and i understand its super hard to come to a Public Meeting and be in the minority, maybe even have people boo you, maybe have people act inappropriately in the audience, but thats part of the public process. We need to teach people on our side how to act right and be okay with people and express anger somewhere else, and the other people need to know that, yeah, its hard. Ive been in that position, too, and its hard and its part of making changes you want. You probably know the trend around the world is to keep parks open later and more hours, because of the increasing documentation of the physical health benefits, the Mental Health benefits, and the safety benefits of having parks in our neighborhoods. So i agree with what others have said about the community process. I dont know how it got this far, and theres no reason to keep it going any further. So i hope that you take this off the table or vote no on the proposal. Thank you. Thank you. Next speaker, please. Hello, commissioners. My name is david emanuel. I live right at the border of glenn park and noe valley, and my dog park is the upper noe rec center. We are a dog run, decompressed granite. I do go to upper douglass occasionally. It is closed i think about four months, maybe longer, and when it is closed, our dog run and the surrounding ones do feel pressure. People are always welcome, and we dont mind it, but it does impact the smaller parks. I think theres been a little bit of a disservice the way the department has represented the resolution to you. It actually, this resolution, has three different or four different now time recommendations. One is from the department staff, one is from a friends group, one with is from a neighbors group, and the other is from your own Operations Committee, and whats missing here is more of a debate and a real communitydriven process. I know the department likes to call it a communitydriven process, but there hasnt been an opportunity for a majority of the park users and neighbors to really come and give you some feedback or meet as a group. I think there is a solution. I think youve heard today that many people are willing to do a compromise, and i think we can reach that. We should take a step back and try to look at a compromise. I think in the community there could have been one worked out, but now that youve heard all this feedback, i would hope that you reject the hours in this resolution and determine Something Different that is more accessible for people. Thank you very much. Thank you. Next speaker. Im bringing the kids with me. Yes, these are my kids. In my life i need you to speak into the mic. My name is james wright. Larry mazzola knows me from seiussww in San Francisco. Yes, i know how to organize a community, because ive been a rank and file member of sciu for 30 years. The people at the park knows me as the guy that picks up poop buckets and fills holes that are there even after wednesday after the park has been closed for a day. Somehow the buckets are still full of poop, holes are still in the park. One thing that can kill a dog, send a dog to a vet, one place we shouldnt have foxtails in all of San Francisco, weve been weeding foxtails every year that park has been open to try to get them out of there. Yes, they are native, but theres many other places that one particular native grass that kills a dog could be. Functioning restroom would be nice for the humans. The dogs have a threeacre restroom, a place for the humans to pee would be nice. They are all trimmed up, thats probably not best to do, but the restroom thats there, thats a historic restroom could be open for people to use it. If San Francisco, were not going to be specific, but come on. Why not . Even if we take out the water fountain and put a handicap restroom. We finally got a parking spot next to the park, so one place if youre handicap, you can let your dogs off leash, exercise, socialize. Humans can socialize, dogs can socialize. We can actually start trying to get along with each other. I know, shocking. But come on. This is San Francisco. Thank you. And im opposed. Is there anyone else that would like to make comment . Come on up. Its okay, as soon as shes done, you can come up. Hi, my name is mary williams. I live at the apartments right at the top i live at the apartments right at the top of 27th street. I can see the park from my window. I can hear it, and i can tell you that its never bothered me at all. Its very minor, ambient noise, and certainly in the evenings, i never hear any barking. Never heard barking in the early mornings. Also, i was not even aware of this survey that supposedly went out to the neighbors. I dont know how i missed it, but i wasnt given any survey. My partner works in menlo park. Hes gone from 7 00 a. M. To 8 00 p. M. Five days a week, so if these changes are made, he would not be able to spend this time with our dog at all during the week. And so, yeah, i just wanted to offer my experience as a very close neighbor, as a counterpart to anything else you may have heard. Thank you. Thank you. Next speaker. Good afternoon, my name is brian edwards. Longtime resident of San Francisco. Pretty spirited debate and conversation about the dog park. Can you speak into the microphone . Sure. Thank you for your time. The reality of the situation is, its a good dog park. Its kind of a gem in San Francisco. Three acres, fenced in, youve heard it all. Youve heard the conversation about airplanes and airports and moving into the area. Fact of the matter is, there needs to be a community area, and this upper douglass provides that. People can talk, dogs can play. Youve heard all this. From 7 00 to 9 00 is not on this particular issue, we formally here have a Dog Committee, and we would meet out at the state, at the county fairgrounds. A long while ago, before it was even a dog park there or officially so. So right now im just trying to say that i like dog runs. I like dog parks. I like the social activities for dogs and of humans, but theres a problem here that seems that needs to be addressed thats structural. Its more or less dealing with what can be done to this given area. There are a lot of flaws of the area. People going up along the side, theres a slope down, the dog can slip down and break their limbs. Thats what dr. Michael had talked about before. And he was a chair of the Dog Committee at the time, so theres been a lot of hashing back and forth. So i would recommend seriously have a look at that hole that some people talk about, the grass is not mowed down, and we heard from dan mower about the artificial turf. Im usually against artificial turf, but in this case, the possibility, as other facilities, i think we can do it. So the hours themselves, i would say until 8 00. Thank you. Thank you. Next speaker. Good afternoon, thank you. Im a home owner, taxpayer, munibart rider, and i work for the state. By the time i get home and get my dog to the park, and i live two ballot blocks away, its 6 6 30. I have a wig cog, she needs to run. This is one of the only places she can get out and have the freedom to run. Its a good group of folks. I want to reiterate we should have had the full meeting and time for Public Comment, et cetera. Its a great place. Im not, you know, unsympathetic to the neighbors there. However, you know, its not that bad. Its not that loud. Its, you know, most of us love our dogs dearly and we respect the park, you know, thats why were pulling foxtails, thats why i pick up extra poop, you know, its a good bunch of people, and we need this park, and by the time i get up there and i let my big dog run, its going to be past 7 30, and so i would just urge the committee or you to please have the open meeting so that everyone can talk, or at least listen to us. Thank you. Thank you. Is there anyone else who would like to make Public Comment . Okay, seeing none, Public Comment is closed. Commissioners . Commissioner mazzola. Thank you. Id first like to thank everybody for coming out and your testimony today. As far as the process that people are complaining about, i think sarah laid it out that, you know, 67 other parks have the same process, you know, that the commission did not initiate this, the community did, so this happens to be the process. But with that being said, from everything ive heard today, i dont see a really good enough reason to change the hours of the park. You know, its not like theres unsafe issues, not like kids are throwing keggers out there and noisy all night. Its dog barking. Thats what a dog park is. To me, if theres going to be a change, shouldnt close it any earlier than 9 00. I think parks are there to be open, and if its not a reason for being unsafe, i dont think theres a good enough reason that ive heard to change it. So i would vote to keep it the same. Id go against the staffs recommendation and operating committee to keep it open till 10 00, but if there was a middle ground to be reached, i would vote yes on 9 00, but nothing earlier than that. Those are my comments. Thank you. Commissioner anderson . Commissioner anderson hello, everyone. I want to thank everybody for coming out, and i also want to acknowledge those who cant make it. I understand how difficult it is, and i want you to know that i have read the materials. Weve gotten myriad of emails and reports, comments, and videos, and i hear you, so i went out to the park last week and i walked around, and first i want to thank and commend the community that helps rec and park take care of that space. I noticed the dog poop buckets and extra baggies, the signs about foxtails. Clearly, the individual users are not a problem. The dog walkers are very professional. I just want to preface that i read the noise ordinances, too. Thats one of the reasons why i as chair of the Operations Committee requested a start time of 7 00 a. M. , because thats sort of when the noise ordinance says, okay, its not quiet time anymore, we can start getting busy. Thats how i came up with 7 00 a. M. We came up with 7 00 a. M. It wasnt arbitrary. In the beginning of the noise ordinance, its prefaced that noise is very subjective and different people experience it differently, and sort of those sudden noises are really the things that get people excited, usually, and in the preface it suggested that people who are dealing with the issue deal directly with one another. And that was something i suggested when i went out in the hallway on june 6th. I asked if people could come together and talk about this. My friend on the prozac, i want you to know that i take our responsibilities to find a pathway where everyone is happy. This is not something everyone is happy. Doesnt matter how Many Community processes we have beyond today. Not everyone is going to be happy. So were trying to find something that seems sort of fair. And we have to make tough decisions, and we dont take anything lightly. So i do think that people still need to continue to talk with one another about this. And the thing i want to say that i observed about dog walkers, which i would hope that the community would keep talking about was they are allowed to take up to eight dogs on a leash. Nothing we can do. Almost an insoluble problem. Having said that, im also someone that does not run away from tough decisions or from making mistakes, so i am willing to say that maybe it would be better if we did change the hours that it be 7 00 a. M. , because again, that dove tails with the noise ordinance, until 9 00 p. M. , which i heard a lot of people suggest. Again, though, i dont really think it solves the problem so much, because i think its the sudden awful noises that are bothering people. Thats where the Community Comes in. We also dont have there used to be sort of a, you know, barking dog neighborhood committee. Those were dissolved a few years ago. So maybe you guys should work on getting it reupped or maybe ask the people on prozac to fill that role. Thats what they are there for. And then finally, after Walking Around the park that day, and by the way, you all did a pretty good job, but i still stepped in poo, but that wasnt okay, wasnt too major, but then i needed to go to the bathroom. There was no place to go to the bathroom, so i would really like to suggest a porta potty or something in the interim and fix the bathrooms and they will be all gendered and then everyone can go to the bathroom. Finally, i would just like to comment on something i think we all feel about public discourse. Its really easy to sit at your computer and say things, and some people get really mean spirited and think because, you know, they are sitting at their desk that somehow people dont understand the emotion thats getting darted at them through email and social media. Ive seen it, you know, ive been misrepresented. Thats fine. Its all part of the sort of, you know, deal here. But i really think that we should think about our public discourse. I like to think of san franciscans as being the most progressive, compassionate people in the world. We should show that to one another. So to accuse Property Owners by being evil just because of being Property Owners is wrong, and accusing dog owners as evil because they love furry children is wrong. Were all right here. We just have to figure out how to get along. So my recommendation is work harder to work together, talk to the dog walkers about not parking in front of these homes, and i would recommend that we amend the hours to 7 00 a. M. To 9 00 p. M. Thank you, commissioner. Commissioner mcdonnell. Commissioner mc donnell thank you. So i have a couple of concerns. One, in reading the staff memo and report, at least as it lands on me, it seems to presume someone was concerned about the hours, the hours should be changed, and so it goes from someone expresses concern to lets figure out what the new hours need to be, versus what it should have triggered rightfully, in my opinion, would have been a community process. I would disagree slightly with my colleague, commissioner mazzola, because what, as madeleine said, what is consistent across all of our parks and consideration of changing hours is a community process. Whats missing in this moment is a community process. The memo says guidelines a Community Must follow when following, support from a district supervisor, rpd staff, operations managers, and Community Meetings must be held to gather feedback on the proposed change. When you race to the conclusion, the summary of who is in favor and who is opposed, doesnt represent the supervisor, and it certainly doesnt represent the engagement of Community Meetings. Certainly, can understand anyone having concerns about whether or not a Community Meeting would be civil or not. Thats a reasonable concern, but it shouldnt prevent, in my opinion, the holding of said meeting, need to put in ways to mitigate Police Presence or other means to ensure it is a safe and civil place to have discourse. This is the city of saint francis, this is the peoples republic of San Francisco. Thats just how we do it, and we have to figure out how to do it in ways that we all feel comfortable, no matter what our views are, even when they are opposing. So all of that said, im not in favor of in this moment changing the proposal. Sorry, changing the hours from what is recommended, because we didnt do what we said as a department we should do, which is a community process. So my point of view is, we need to go back to the beginning, have a community process, land on what we should do. Thank you, commissioner low . Commissioner low im happy with the process how we got here and i believe my colleague commissioner anderson intended to make a motion and i would second, having the park hours from 7 00 a. M. And close at 9 00 p. M. I would second that. Seeing no other commission comments, we have a recommendation, a motion, to change the hours from the current ones to 7 00 a. M. To 9 00 p. M. , and we have a second. All in favor . Aye. Aye. Opposed . No. Commissioner buell the motion carries. Im sorry, commissioner im looking at commissioner mcdonnell looking at me like are you a no. Commissioner mc donnell im a no. Commissioner buell we have two noes and four yeas. [ roll call ] commissioner anderson. Commissioner harrison. Can i call for a substitute motion . You can make a friendly amendment. Go ahead. You can make a you can offer a friendly amendment. Why cant i do a substitute motion . Commissioner buell we need a parliamentarian here. We have a motion on the floor. Because you have to get me to agree to a substitute motion. I dont agree. Ill consider a friendly amendment. Friendly amendment is keep the hours the same. Just vote it down. Commissioner buell lets continue the roll call. Clerk commissioner mazzola. Commissioner mazzola no. Clerk commissioner buell. Commissioner buell aye. Clerk the motion does pass. Hours are 7 00 a. M. To 9 00 p. M. Commissioner buell thank you. Commissioner mazzola can i ask a question . Clerk yes. Commissioner mazzola this park has a fence around it. Other parks dont have fences around it. Are there hours on those parks, and if so, what happens if someone goes into that park anyways . Commissioner buell go ahead. There are hours on all of our parks, and many of the parks do not have fences. Those are enforced primarily by complaint, either a call to our park rangers or sfpd, and there are also patrols through the park by park rangers and sfpd. Does that answer your question . Commissioner mazzola yeah, okay. Commissioner buell okay. Lets move on then on the calendar. Clerk we are now on item 10. Which is general Public Comment, continued from item 4. And im going to hold up just a minute. Okay. Clerk okay, if we can clear the room, please . Thank you. Thank you. Okay, we are now on item 10, which is general Public Comment continued from item 4. Is there anyone who would if we could take any secondary conversations outside, please. Thank you. Item number ten, general Public Comment, continued from item no. 4. Is there anyone who did not comment on item 4 that would like to make general Public Comment . Seeing none, this item is closed. Were on item 11, commissioners matters. Commissioners, are there any matters you would like to bring forward that you would like to request be brought up at a later time with no discussion at this point . Commissioner buell commissioner low. Commissioner low yes, i would like to bring up before the commission in september, if possible, to designate funds from the Commission Contingency fund for chinatown to build a perimeter fence and replacement of a ship which apparently is an attraction for illegal activities. Commissioner buell so noted. Clerk is there anyone else . Commissioner buell commissioner mcdonnell. Commissioner mc donnell its a question. Whats the timing on an update on bond . We can probably do something in and this relates to commissioner anderson, i can give you a shorter update and gm report next month, or a longer presentation august or september. Were getting ready to start our public process, and were getting ready to update you on that. I would recommend a longer discussion when youre ready. Thank you. But before the ink is dry. Yeah. Commissioners, 100 . We havent begun just saying, when youre ready. No press conferences. Yeah. So noted. Commissioner buell commissioner anderson. Yes, when you do that, if you could be so kind as to sort of maybe highlight a little about this jackson park thing, and if its not going to be in the 2020 bond, give us a clue how it gets some attention. That would be wonderful. Commissioner, there will be a community process, the jackson community, who you heard from a few public speakers today is one of communities all over the city commissioner anderson i know. So we have a very databased process, so we have a Community Working group. Its all still premature. This is just early advocacy. Okay. And then i would like to figure out how you would like to respond to the upper douglass dog park, and my request for some bathroom opportunities. Noted. No modular. Commissioner anderson so when would be a good time when we could hear back about that . Which meeting . Well bathrooms Million Dollar bathrooms dont evolve out of thin air, so let us do a little bit of homework and report back. Commissioner buell report back to commissioner anderson. Commissioner anderson ill hold it until then. Clerk is there any Public Comment on this item . Thats commissioners matters. Is that a yes or a no . Hes not getting up. Clerk Public Comment is closed. Item 12, new business agenda setting. Is there any Public Comment . Commissioner buell i dont see any notes here. Any Public Comment . Clerk being none, item is closed. Item 13, communications. Any Public Comment . Seeing none, this is closed. Item 14 is adjournment. Commissioner buell i would like to adjourn in the name of two individuals. As some of you may know, commissioner bonillas father passed away and i would request adjourning in honor of him and as noted by the general manager, sulu palega. Is there a motion . So moved. Commissioner buell second . Second. Commissioner buell all in favor . Thank you. This lodge is home to some of the best fly casting pools in the world. These shallow concrete pools dont have fish. This is just a place where people come to practice their fly casting technique. Ith was built in the 1930s and ever since, people have been coming here to get back to nature. Every year, the World Championship of fly casting is held in San Francisco and visitors from all over the globe travel to be here. We are here with phil, general manage of San Francisco rec and Parks Department at the anglers lodge. What do you think about this . It is spectacular, travis from oregon, taught me a snake roll and a space cast. There are people from all over the world come to San Francisco and say this is the place to be. Yeah. Its amazing, we have teams from all over the world here today and they are thrilled. I flew from ireland to be here. And been practicing since for the competition. All the best casters in the world come here. My fellow countryman came in first place and james is on the current team and he is the head man. Its unique. Will not see anything like it where you go to compete in the world. Competitions in ireland, scotland, norway, japan, russia each year, the facilities here in the park are second to none. There is no complex in the world that can touch it. Im here with bob, and he has kindly agreed to tell me everything i need to know about casting. Im going to suit up and next, were in the water. What any gentleman should do. Golden gate angling has free lessons the second saturday of every month. We have equipment show up on the 9 30 on the second saturday of every month and well teach them to fly cast. Ok. We are in the water. Let me acquaint you with the fly rod. Nice to meet you. This is the lower grip and the upper grip. This is a reel and a fly line. We are going to use the flex of this rod to fling away. Exactly as you moved your hands. Thats it . Thats it. Im a natural. Push both arms forward and snap the lower hand into your tummy. Push forward. I did gave it a try and had great time but i might need some more practice. I met someone else with real fly casting skills. Her name is donna and she is an International Fly casting champion. I have competed in the casting ponds in Golden Gate Park in San Francisco. I have been to japan and norway for fly casting competition. I spend my weekends here at the club and at the casting pond. Its a great place to learn and have fun. On a season day like this, it was the perfect spot to be. I find fly casting very relaxing and also at the same time very challenging sport. Takes me out into the nature. Almost like drawing art in the air. And then i can make these beautiful loops out there. Even though people from across the globe come here to compete, its still a place where locals in the know relax and enjoy some rely unique scenery. Until next time, get out and play thank you all for being here today and for your patience. Im london breed, mayor of San Francisco, and i am joined by president of the board of supervisors, supervisor norman yee as well as the director of the department the department of Public Health, dr. Grant pulled koufax and other members of the department of Public Health. We are here today because there was a very unfortunate situation that has occurred at laguna honda pick laguna honda hospital is a place that has taken care of so many vulnerable residents, people like my grandmother, were so many years. My grandmother suffered from dementia and she was at laguna honda for many years before she passed away in 2016. I want to say that the chair and the support and the compassion from so many of the employees at laguna honda meant a lot to me personally and meant a lot to my family, but these particular acts that have occurred, by few individuals will be addressed. Dr. Colfax will provide some of the details in terms of what has happened and we are already taking swift action to address those issues and i want to thank him and his department for being steadfast in the work to address these issues, in addition to providing new leadership to make sure that this doesnt occur again. We are better than this. We are committed to restoring the trust of the families and the patients of laguna honda and we thank you thank you all so much for being here, as well as, as i said, many of the folks who are part of laguna honda, we have work to do and we are committed to making sure that situations like this that have occurred dont happen again. At this time, i would like to ask president of the board of supervisors, norman yee to say a few words. Laguna honda is located in his district. Thank you, mayor. Im kind of speech list when i found out about this situation and im super i am super outraged with what has occurred. Like mayor breed, this is personal to me. I have had family members who stay there. I still have friends whose parents are being cared for. So for this to occur under our watch, i dont have the words to express how upset i am. When people send their loved ones there, they trust, they would like to be able to trust that they will have the best care. For the most part, at laguna honda, i would say that they have received that, but for these few Staff Members that have perpetrated these incidents , i am with dr. Colfax, this is a very quick, quick reaction, not only to find out what happened, but what is more important is that we really need to figure out how to prevent Something Like this from ever happening again because again, when one sends their loved ones there, they want to feel comfortable. They care. They do care what happens, and they have to trust us, and we should do the best we can. Because of that, we are going to call for a hearing at the board of supervisors to find out what exactly happened and what are the measures that will guarantee that this will never happen again. I want to thank the mayor for acting quickly and i want to also thank dr. Colfax for what he has done so far. Thank you very much. Thank you president yee and now dr. Grant colfax to provide more details about what has occurred. Good afternoon. Thank you madam mayor and thank you president yee and thank you all for coming today on such short notice. We are here to report something difficult, disturbing, and disappointing to the people of San Francisco. In february of this year, while investigating and unrelated Personnel Matter, the department uncover the possibility of patient mistreatment at laguna honda hospital. We immediately started an internal investigation and found evidence to substantiate our initial submission suspicions we contacted the San Francisco City Attorney to help us conduct a more formal and comprehensive investigation. We reported our evidence to the California Department of Public Health and to the San Francisco police department. And we just we dispatch the quality and safety Team Together all the relevant facts and to make recommendations. We know want to the people of San Francisco to hear directly from us about our findings and what we are going to do about them. We discovered that 23 residents were affected, dating back to 2016. Six Staff Members were involved in they are no longer employed by the department of Public Health. The misconduct we discovered included sexualized conversations with residents, verbal and physical abuse, neglect, privacy violations, medication errors, and the administration of nonprescribed substances to some residents in an attempt to pacify them. This behavior is not something we will tolerate. This behavior is not something i will tolerate. As a caregiver, i am outraged and heartbroken. There are patients that our patients were treated this way. I apologize to them and to their families. In response to our findings, we have immediately taken steps to ensure patient wellness and safety. We have removed the chief executive officer and chief quality officer of laguna honda hospital. We have notified all affected patients and their decisionmakers or their conservators. We have thoroughly examined all affected patients to make sure to ensure their health and wellness. We have informed all relevant regulatory Law Enforcement agencies, we have retrained staff in prevention and preventing patient abuse and we have improved drug security, dispensing, and testing practices. There is no evidence that these abuses continue to pass january of 2019. An extensive investigation and interviews with staff confirm that these abuses were limited to two units of the hospital and to a minority of patients in those units. Today, we are confident that laguna honda continues to be a good place for patients. Especially in the areas the patient care and safety. We want to ensure it continues moving in the right direction, so these circumstances never occur again. Our acting c. E. O. Will lead to the process of recovery from these incidents and we will fully engage our hospital staff and recommending and recommitting to our mission, values and work. We will continue to work in close collaboration with the California Department of health and our cooperate and are corruptly cooperating fully with their investigation. Additionally, the Health Department wonder take a turnaround plan for laguna honda , informed by external experts in longterm care and working in partnership with the community, patients and their families and Health Department leaders. Well submit our plan for moving forward to the mayor, to the board of supervisors and to the Health Commission within 60 days anyone with concerns about patient care or staff conduct is asked to call the Confidential Department of Public Health compliance hotline at 8557296040 855 7296040. Now, the director of the San Francisco Health Network and i will answer a few questions as there are still ongoing investigations, we may be limited in what we can say at this time, but we thought it was important the community hear from us directly and that is why were we are here today. Thank you. [indiscernible] all six employees have been removed from employment. There is an Ongoing Police investigation. [indiscernible] they have been removed from those positions and we have a new c. E. O. It is a Personnel Matter and i cant specify any further than that they are removed it from their positions as of today. [indiscernible] as i mentioned, we first became aware of these issues in february of this year, february of 2019, in one of the things that concerns me is that, as a culture, within the context of which these employees were working, that there was a culture of silence and thats why we need to make this change. We need to move from a culture of silence to a culture of safety. [indiscernible] we have reinforced medication prescription and security and i will let mr. Pickens provide you with more details. Thank you dr. Colfax. Im roland pickens, director of the San Francisco Health Network in answer to your question in terms of medication management, there are medication rooms on each of the patient units at laguna. Those rooms have computerized medication cabinets that hold the drugs. There are also or medication carts that are used to bring medications out of the room and onto the patient units. Obviously the persons the systems in place at that time did not catch what happened in terms of some of the inappropriate medication use. As dr. Colfax said, we have taken steps to remediate that right away and are continuing to analyse the process. There has been an increased monitoring and oversight by pharmacists at laguna honda. They have doubled their checks going from once a week to once a day, and they will continue as we bring in consultants to really help us analyse what has been the gaps that led to this behavior and what do we need to do to fill those gaps. [indiscernible] yes, thank you so much for asking the question. This is all about keeping our patients safe. Twentythree occasions patients range in ages from 30 to 100. [indiscernible] im sorry, say that again . [indiscernible]. Again, these were patients on what north one and north to and those two units specialize in dementia care. [indiscernible] controlled substances are available, so it is a mixture of controlled and noncontrolled substances. [indiscernible] thank you all so much. We really appreciate it. This facility is the largest project in our sewer system improvement program. It has a price tag of 1. 3 borghese. It is rebuilding one 1. 3 billion. The policy and Government Affairs team helps the finance team talk to legislative officials and policymakers creating financial programs for us to get low interest loans. Getting the funding for the project was important to save money for the ratepayers of San Francisco and enable us to build the project on budget. We were able to secure for the sf p. U. C. The loans from the epa and state mostly for the facilities project. We are providing low cost funding for projects that really provide tremendous social and environmental impact. For example the 699 million loan is going to pay for half of the biosolid project. What is challenging of the new sources of financing. They require the group to look at creative option ways to take the funds and build them to the existing process. The southeast plant is in hunters bay. It is across the street from residential homes. One of the objectives was to make it an asset. It will be at another plant further away from houses. It is going to help in terms of odor, air emissions, noise. This project that receives the federal loan funding is going to create 3,000 jobs in the community. In addition the streetscape improvements and architecture there is a lot of thought so that it is an asset to the community. It feels great to win the financial assisting ability award. I believe the group works hard to an chief Financial Stability in everything they do. We are getting world wide recognition for the work we are doing because of the green infracture projects in the communities with a lot of social impact. To me i am very proud of that effort to be a part of that. I nominated the team for the financial sustain ability award. They got some of the largest state and federal loans in the country. It saved the agency 10s of millions of dollars. I am proud of Temperature Team for put proud of the team for putting this together. We got the largest

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