What you can to see if there is any support that can be provided to bring him and if it is possible to authorize a statement of support on behalf of the San Francisco resident and his family, who has dedicated themselves to San Francisco. The second would be with regard to the cease and desist order to the massage therapists, im just wondering if there is administrative relief that we can do, even though there is an ordinance that is in the hands of the board of supervisors. The department here has a role in providing some directionality , particularly given the testimony here, and i guess they report back to us in terms of what can be provided. Thank you. Thank you, commissioners. Item nine is reported back from the august 27th, 2019 meeting. Im bringing you my last announcement that you can read off of. Thank you. [indiscernible] could you craft up the document about the [indiscernible] yes, thank you. I will remind you what happened in this. This is just august 27th, i should remember. We didnt did discuss the regulatory c. E. O. Report and the Human Resources report and we also heard an update on the expensive and very successful go live implementation. The enthusiasm that people had around it, i may note it is one of the first times i have seen an d. H. R. Rollout in a hospital where people werent enthused. During the medical staff report, the Committee Approved the following, a new Psychiatric Department chief, and standard procedures for genetic counsellors. R. N. Medicine refill, ob gyn in pediatric village list, and it was in closed session where we then discussed the reports. Thank you. Any questions from commissioners the next item, please. I believe there was something brief to say. Dr. Colfax . I just wanted to also acknowledge the commission because of the leadership role that dr. Alice chen, who knows the chief medical officer of the department. We werent able to share this in writing for various reasons, but she is moving on from the department to be Deputy Director of Health Policy and chief medical officer at state and it is an amazing opportunity for her, at a huge honor for us to have her go work at the state level. I just want to acknowledge dr. Chens leadership and her many contributions to the health department. She has mentored many people in the department, and we will miss her very much, would just to really congratulate her. If i may be so bold, absolutely if the commission would be willing to determine her on her. Thank you. We would do that and say yes to this secretary that we create a document that honours her as she leaves the department. I would foot i will forward you the email where the full title of her new position is explained. The next item is consideration for closed session i would like to move for a closed session. Second. All those in favor signified by saying aye. Aye. Thank you, everyone who is not involved in the closed session. Have a lov move to go back into open session. Second. All in favor . I aye. Motion to disclose or not disclose . Second. All those in favor . Aye. Motion to adjourn in honor of alice chen. Motion to adjourn in honor of alice chens service to the department of Public Health and the city of San Francisco. Second. All those in favor say aye. Aye. Thank you. We are adjourned. San francisco and oakland are challenging each other in a battle for the bay. Two cities. One bay. San francisco versus oakland. Are you ready to get in on the action . Im london breed. And i am oakland mayor libby schaff. Who will have the cleanest city . We will protect our bay by making our neighborhoods shine. Join us on september 21st as a battle for the bay. Which city has more volunteer spirit . Which city can clean more neighborhoods . The city with the most volunteers wins. Signup to be a bay protector and a neighborhood cleaner. Go to battle fo they are joining us today because we know this work is not easy. Im joined here today by the director of Mental Health reform, grant colfax who is our director of the department of Public Health as well as yolanda who has been a client here for some time and she will be speaking to you later today. Thank you for being here and all the folks who are doing the hard work. We know that Mental Health there is a Mental Health crisis here in San Francisco and i know that we often times hear that were being thrown around loosely. But the fact is that as someone who grew up in San Francisco and know that we have had challenges in this city, including issues around homelessness, what i see is something that ive never seen in my lifetime of growing up in the city and that is people who are in serious, serious crisis. Serious need. And the fact is, in San Francisco, the frustration is that we have a lot of resources. We have a lot we have a lot of dedicated revenues to help spousht support people, but we have discovered that the coordination has to be better and more efficient to really help people that we know are struggling. So we have people who have, as we unfortunately know, theyre homeless. They have challenges with addiction. They have a number of other ailments, including Mental Illness, and unfortunately have nowhere to go but the streets. We need to make sure were prepared to meet people where they are. We know that people are cycling in and out of our Emergency Rooms and only to be released, to be back right on the streets where they came from. Our jails and theyre having trouble staying stable in our Shelter Systems and trouble maintaining housing. When i was on the board of supervisors, i had a number of clients that i was specifically dedicated to, to have a better understanding of how the system was working and whether or not it could help to reach them and, sadly, those three clients who im still connected with, are still struggle on our streets. We have to end the cycle. We have to do more and we have to be prepared to make the hardest decisions that weve ever made before. Residents like yolanda are amazing Success Stories and she has been a client here since 2009 and has really turned her life around and im really happy to have her here today. The good news is that, you know, when the city focuses and works together to address these issues, we can actually accomplish great things. Back in march, i announced that we were hiring a director of Mental Health reform because that is exactly what we need to do with this system. Dr. Anton will be speaking a little bit later about what hes been doing suns he has taken over this role back in march to get us on track. Today, we are launching an initiative to help those who are the most in need. At those Cross Sections of homelessness, Mental Illness and Substance Use disorder. And our plan is to better coordinate the care. Now i know youve all heard about the numbers. But the fact is the data with the numbers and the information wasnt necessarily clear. And that is a big part of what we want to talk about today. What is actually we see it. We know it is happening. We heard that there was data, but the fact is there wasnt really data in really clear, coordinated efforts. And so the ability to address this issue comes with understanding what is going on with the people and that includes the data. And analyzing the folks who are in and out of our system, understanding if they were offered services or why they refused services and where theyre located after their refused services. Through this analysis done by the health department, through dr. S nagusaplan and the department of Public Health, we have been able to identify 4,000 people with the characteristics of the population who are really in need through these various diagnosis. And of the 4,000 individuals that weve identified who struggle with these particular challenges, 41 are in crisis, which is demonstrated by their high use of the Emergency Psychiatric Services and 95 suffer from alcohol use disorder and the sad reality is what were seeing is there is a real issue of equity because 35 are african american, despite the fact that we have a population of not even 6 of African Americans here in San Francisco overall. This is just the beginning. The first step of this initiative that we are proposing today is understanding the data, analyzing the data, and also making direct impacts on the particular population and really digging deep into those particular issues with those particular individuals. And now as a result, what we plan to do about it, this is just the beginning of several initiatives that we planned to announce to ream get deep into the weeds of addressing Mental Health in San Francisco. I want to be clear. There is not one thing that we will be able to do to address this issue. There are a number of things that we will put forward over the coming weeks to help the public better understand the issue, to help the public better understand and appreciate the people who are working in this industry, the ones who are helping us deal with these issues every single day. To help People Better understand that there are folks that weve been able to help and to support and that many of the programs that we have in place do work. But there is a need for reform. There is a need to increase capacity and to better examine, you know, new ways to address this issue. The first step in the initiative that were proposing today is to expand individual care coordination for those we have identified. So of the 4,000 and doctor bland will go into a little bit more detail, but to just really center in on those who are most in need and that population and to really target them with individualized coordination. We also will definitely need to get them stabilize and stream the housing and health care process. Because we have to have a safe place for them to be, to recover, to go through whatever process they need to go through to get back on their feet. And we also need to understand that this challenge is not a 9 00 to 5 00 issue. Were going to expand the hours of our Behavioral Health Access Center so people can access these services on nights and weekends. Let me be clear that the three elements of the initiative are just the beginning. And so we know we have more work to do to improve transparency and the efficiency of our system and to enhance our services and improve what we need to do for the most vulnerable of our city. We are committed and we are ready to roll up our sleeves and to do the work. Because this is not a political issue. This is about peoples lives. And this is about understanding this population so we can get to the root causes and to help people. It comes with a number of various layers of things that we have to do. And i know some of you are familiar with whats happening with our conservatorship legislation and how its gone through the board and how that is going to hopefully help individuals who are refusing treatment, but in desperate need of services. That is one approach. This is another approach. Weve already opened a new 100 Mental Health stabilization beds and our goal is to open 100 more by the end of this year and focusing on specific things to target this population in a way thats going going to help turn around what we know we see on our streets every day is something that is so important. Im sure you have this same example. You may see this same person on the corner every day, screaming and yelling. And i have a particular individual who removes his clothing and when i see him, i cant help but think this could be my father. This could be my grandfather. This could be my uncle. This could be my family member. And i want to help him. I want to make sure he gets the support he needs. It is not humane to continue to allow this to occur on our streets and that is why we have to move forward with a number of initiatives to help address this. Now what were proposing will not n many ways, be able to solve the issues that we know everyone is facing. Were not going to be able to force everyone into treatment. We know that locally the laws make it difficult to do something of that nature. But we do need to try. We do need to kaord nate our services and we do need to make sure that we are better prepared to meet people where they are. We cant assume that when they walk into the doors of a place like this that they know what to do. We need people who are going to be able to help them understand people who are going to understand what the challenge is and be able to address the challenge and that doesnt include, here, fill out this paperwork and take care of this and bring your i. D. That is not the way we are approaching this particular issue. Its about getting the kind of results where you can see and feel a difference on our streets every single day. So we have work to do in here to talk a little bit more about what were proposing and what hes discovered since hes taken on this role as of march of this year is dr. Nagusabland. [applause] thank you, mayor breed, for your support as we embark on this multiyear effort to transform Mental Health and Substance Use care for people experiencing homelessness in San Francisco. Thank you, dr. Colfax, for embracing the scale of the change we need in order to make a difference for this population and for the entire city. Thank you also jessica for your partnership in this important work as we endeavor to trace safety and civility for our neighbors. I also want to acknowledge the communitybased providers and philanthropists, clinicians and researchers, advocates and clients who dead indicate themselves to improving and saving lives in San Francisco. We will need everyone working together if were going to make the kind of impact that this population in San Francisco needs. Heres what we found out about our population. We looked very closely at who used San Franciscos health care and social services in the most recent fiscal year. And as the mayor pointed out, out of nearly 18,000 people experiencing homelessness, we found that close to 4,000 of them also have both a history of serious Mental Illness and of Substance Abuse disorder. We found racial inequity in the population. 35 are black or african american. When just 5 of San Franciscos population is. 41 of these individuals are high users of urgent and emergent Psychiatric Services and 95 suffer with an alcohol use problem. Now we have seen other large cities analyzed our high use of Emergency Services usually from a cost perspective. But as far as we know, San Francisco is the first to [inaudible] health diagnoses of people experiencing homelessness to identifying a population and tailing solutions to that populations needs. This is how we solve problems in medicine. When a patient comes to us with a complex set of issues, we are not haphazard in our approach. We test. We collect information from collateral sources. We diagnose and we treat. We use data to precisely target our problems. We inknow vaitz and, most important of all, we persist. We are here to solve problems for the entire population and confront a crisis for our city. These are the people who need help the most. Helping them will make the biggest difference for them, for our health system, and for the entire community. When we talk about Behavioral Health, we mean Mental Health and Substance Use. We know that when someone is suffering from a Mental Illness or addiction, it is a lot like a Chronic Health condition such as diabetes or even hypertension. When people are in treatment, they do better. When they have a setback, we dont give up. And when 4,000 san franciscans find themselves in the intersection of Mental Illness and Substance Use disorder, business as usual does not work for them. We have to find ways to use the system to bend in their direction. Im happy to say that this work has begun. As we rolled out the first in what will be a series of recommendations we can say we are entering a new era of collaboration with the department of homelessness and Supportive Housing. Jointly identifying the people in greatest need and relentless about getting them on a path to civility and wellness. With other city partners, we will be able to keep track of these individuals and wherever they touch our system a Care Coordinator will respond. When we say were increasing access to Behavioral Health care and we can promise, we promise that were going to focus on these 200 most Vulnerable People in this group right now. And Work Together to get them connected to housing, treatment and care. We will be meeting weekly to discuss each of these individuals and tracking their progress. We will outreach to them wherever they are. We will problem solve and remove barriers to accessing care and the lessons that we learn will ultimately help us improve the system of care for more people. Going forward, the recommendations i will continue to deliver to mayor breed will be driven by clinical expertise, by data, by evidence and by the most innovative and best practices we can find or imagine. They will promote equity and transparency in our system of care, that they will advance Harm Reduction and lower barriers. They will build on the legacy of addressing problems that might seem intractable and of making stability, wellness and recovery possible. The clients and staff here at the south of the Health Clinic show us that perseverance every day. With that, id like to introduce Yolanda Morris et. [applause] about 15 years ago, i came to San Francisco because i was being abused and i fled that relationship. I didnt know anyone in San Francisco, i left my clothes and i didnt look back. I was also an au addict and i was an alcoholic and i was homeless. I came here and slept in the alley. Ive been every street out here that you can name and through the years i did want to get help. I didnt know how. And so after more abusive relationships, i finally got a good guy and it was his choice for us to get clean. He said we gotta get clean in order to make it here in San Francisco. Im going to stop doing what i can do so that you can get your act together. And so i decided because ive been in all the shelters out here. I know how the shelters work. I decided to stay next door. I stayed there for a year. And i behaved. From there, i went into an s. R. O. They placed me in a singleroom occupancy is what it is called. A room with a bathroom and i stayed there for five years and prior to me when i first moved into the s. R. O. , my mother was dying of cancer and she didnt tell me because she knew it would take me out. I had a year of clean on me and i didnt look back and thought thats not what my mother would want. Im going to stay clean and im going to fight. Soy went out and found everything that i could find. This is one of first places that i came to because i had a lot of stuff going on mentally and physically. They were able to help me get on medication. They were able to help me get therapy, to get to the root of the problem, what was going on because i had a lot of stuff going on and after doing that, i had a lot of anger issues, depression, suicidal thoughts. I had to do anger management here twice and i finally got it right and i started doing other programs. Glide was out there. Sage was out there. It is not out there anymore. I went to the womens reentry center. I didnt feel comfortable at first because they walk you over there. Ive also been incars rated out here in San Francisco for drug possession and other things of that nature due to my drug use. And so i just slowly said im going to build myself up and started doing things for women against rape and violence. I got an award from the d. A. I like the write. I started writing here. I found out that im a pretty good poet and i do i do poems here every year for the black history month. They embrace me here. Ive been coming here since 2012 getting support and getting help. And i graduated from a lot of programs out there and i started doing peer mentorship through San Francisco state. Ive graduated from ram, ive graduated from nami. I expunged my record. I got my drivers license back. Five years into my s. R. O. There was a program called brilliant corners. They came and gave out vouchers to people who are willing and ready to move out of the tenderloin and i had two weeks left and i fought hard and found me a onebedroom and i got out of the tenderloin. But i still come to the tenderloin because this is an ish yaoufm i know a lot of people here. I always want to do anything that i can to disclose support and help the people in the community. So i continued. Im still with my guy. Were getting married this year. And [applause] thank you. And also i want to say that i was able to get a really good job through help rights 360th called maps and its mentor and peer support. They give you a job and they give you schooling for that. So i was able to do that. And now i teach groups in jail. I teach groups to the men in san bruno on domestic violence. I teach groups to the deputies about crisis intervention training. I go out and volunteer. I do anything and everything that i can to support anyone. We work in all the collaborative court. Now i was an addict nine years ago and this is what im doing now. Through all the help that started here at south end market. You know . They really helped me out an awful lot. They were very patient. I went through several therapists and psychologists. But finally got it right and ill be flying away and graduating from here soon because i am moving on to other things. I have a nice fulltime job now. So, yeah. Thats about it. [laughter] [applause] well, thank you, yolanda, for sharing your story. Its amazing. It is an inspiration to us all. And we wish you the very best as you get your certification in drug and alcohol counseling. Amazing work. Also, by the way, were hiring. [laughter] just putting that out there. Were looking for right people. Im the director of health for the city and county of San Francisco. I would like to thank the mayor and thank you, dr. Bland, and thank you to our host today, Natalie Henry berry and the hardworking staff here. This is one of the places in the citys system of care where people can get their medical care, dental and Behavioral Health care needs met under one roof. Ive seen what the staff here, with persistent compassion have been able to do by partnering with their clients on journey to stability and wellness. They are psychiatrists, pharmacists, Behavioral Health clinicians, nurses and support workers who go out into the community and meet people where they are. Many clients are experiencing homelessness when they enroll in services here and most are diagnosed with both Mental Illness and Substance Abuse disorders. But the work makes a difference. And on my last visit here, i went out with the team. And this is a client, whos now housed, but was ton street for many years. Wheelchairbound, had chronic controlism, refused treatment for many years. But the team continued to engage him, continued to bailed relationship. Helped him when he was ready to get healthy. Helped him when he was ready to get treatment for his alcoholism. And this client, living in the tenderloin, is a valuable member of the community. Is actually continuing to move that forward just like yolanda. Hes now volunteering at the San Francisco aids clinic providing Harm Reduction materials for people who need them. He is moving the work forward and this is the kind of model of peers helping peers in a system that meets people where they are and does whatever it takes to help get them off the street w. This new data and focus on the 200, we can make a difference. I think when people are ready for treatment and volunteer for treatment, that is key. I also think we need to recognize that one of our challenges on the streets that some people will refuse treatment. Some people in the most dire needs of treatment will refuse treatment. So we need to be there when people are ready to go into the services and meet them. When theyre ready. But we also need laws like the conservatorship law to provide people with the support for shorttime conservatorship to help them save their lives. These are lifesaving interventions. And that persistent compassion is what we have seen here and what weve come to expect from our director of Mental Health reform in. A few short months, hes transformed the way many of us think about caring for people experiencing the intersection of homelessness, serious Mental Illness and Substance Abuse disorders. This is a population, as youve heard of 4,000 people who require specialized solutions. Kit take a while. It can take time for them to achieve their goals. But we know that wellness and recovery is possible, as youve heard today. And with our partners at the department of homeless systems and Supportive Housing, thank you, jeff, for being here today and the Human Services agency. We have agreed for the first tomb on ways to identify, treat and house the most vulnerable population in our city. And mayor london breed to spark the champion of Harm Reduction, someone who understands the inequities that lead to core Health Outcomes and that we must continually push harder to overcome. Under her leadership, San Francisco continues to invest in health care and housing that our city needs. Thank you, mayor breed. And thank you all for being here today. Thank you to the team and lets move forward together. [applause] thank you. Again, thank you so much, yolanda, for sharing your story. And stories like yolandas is why we do the work. It is what we care about the most because the fact is, you know, people go through challenges. People go through struggles. And nine years being clean and sober takes a lot of work. It takes a lot of courage and to get up here and tell your story will have such a tremendous impact on so many other peoples lives and hopefully encourage them to get the help and the support that they need. And i think that is important to remember in having the conversation about the struggles and the Success Stories. Because we are not going to give up. And i know that people in San Francisco are frustrated by what they see on our streets. Im frustrated. But im not going to give up. I think it is important that we have ways to help people. That with our additional 53 million in investment and Behavioral Health program that our additional 100 million in investment, the Homeless Supportive Services indicates that were willing to make investments. Now it is time to put those investments to good use. And to understand that every dollar we spend on this issue is a dollar that can change someones life. And so we have to be deliberate in our approach to really focus on this and make sure it is not a political issue. This is a longterm plan of action that will deliver the kind of results that will help people, like yolanda, get really a Second Chance at living a healthy, productive and thriving life. So thank you for all of you for being here today. And again, i want to express my appreciation to the team and the folks who are working with so many of the clients that i know things can be challenging, but the fact that youre here, i know that youve not given up. This work is rewarding, especially when youre able to get the kinds of results that show that supporting people like yolanda do yield and so it really means a lot to have so many incredible, dedicated people doing this work every single day because it is not easy. And ill tell you that, you know, because you all know that i spend a lot of time walking the streets and having the conversations and going out there with some of our teams and having the conversation. Within two hours of walking just four blocks, i was mentally exhausted with the conversations that i had and also trying to get people the help and the support that they needed and just work that the energy and the emotion that goes into trying to help people every single day is something thats admirable and i want us to really appreciate the folks who are part of, you know, our mental teams and our nonprofit organizations and our homeless out reach workers and even Law Enforcement and the work that were out there doing to help change and save peoples lives. This is the first of many steps that we plan to take and, again, this is, i know, a very complex issue. Its not wraped in the usual political package that the press, i know, wants to see it wrapped in. But this is actually what we need to do. Get into the nuts and bolts, make the right decisions and get out there and make the changes that will help impact the people that we are here to serve. So thank you all so much for being here today. And dr. Colfax and dr. S blanlz dr. Bland will be here to answer any further questions that you might have. Thank you. [applause] [ ] homelessness in San Francisco is considered the number 1 issue by most people who live here, and it doesnt just affect Neighbors Without a home, it affects all of us. Is real way to combat that is to Work Together. It will take City Departments and nonprofit providers and volunteers and companies and Community Members all coming together. [ ] the product homeless connect Community Day of Service Began about 15 years ago, and we have had 73 of them. What we do is we host and expostyle event, and we were the very force organization to do this but it worked so well that 250 other cities across the globe host their own. Theres over 120 Service Providers at the event today, and they range anywhere from hygiene kits provided by the basics, 5 to prescription glasses and reading glasses, hearing tests, pet sitting, showers, medical services, flu shots, dental care, groceries, so many phenomenal Service Providers, and what makes it so unique is we ask that they provide that Service Today here it is an actual, tangible Service People can leave with it. I am with the hearing and Speech Center of northern california, and we provide a variety of Services Including audiology, counselling, outreach, education, today we actually just do screening to see if someone has hearing loss. To follow updates when they come into the Speech Center and we do a full diagnostic hearing test, and we start the process of taking an impression of their year, deciding on which hearing aid will work best for them. If they have a smart phone, we make sure we get a smart phone that can connect to it, so they can stream phone calls, or use it for any other services that they need. San francisco has phenomenal social services to support people at risk of becoming homeless, are already experience and homelessness, but it is confusing, and there is a lot of waste. Bringing everyone into the same space not only saves an average of 20 hours a week in navigating the system and waiting in line for different areas, it helps them talk, so if you need to sign up for medical, what you need identification, you dont have to go to sacramento or wait in line at a d. M. V. , you go across the hall to the d. M. V. To get your i. D. Today we will probably see around 30 people, and averaging about 20 of this people coming to cs for followup service. For a participant to qualify for services, all they need to do is come to the event. We have a lot of people who are at risk of homelessness but not yet experiencing it, that todays event can ensure they stay house. Many people coming to the event are here to receive one specific need such as signing up for medical or learning about d. M. V. Services, and then of course, most of the people who are tender people experiencing homelessness today. I am the representative for the volunteer central. We are the group that checks and all the volunteers that comment participate each day. On a typical day of service, we have anywhere between 40500 volunteers that we, back in, they get tshirts, nametags, maps, and all the information they need to have a successful event. Our participant escorts are a core part of our group, and they are the ones who help participants flow from the Different Service areas and help them find the Different Services that they needs. One of the ways we work closely with the department of homelessness and Supportive Housing is by working with Homeless Outreach teams. They come here, and these are the people that help you get into navigation centers, help you get into shortterm shelter, and talk about housing1st policies. We also work very closely with the department of Public Health to provide a lot of our services. We have all types of things that volunteers deal do on a day of service. We have folks that help give out lunches in the cafe, we have folks who help with the check in, getting people when they arrive, making sure that they find the services that they need to, we have folks who help in the check out process, to make sure they get their food bag, bag of groceries, together hygiene kit, and whatever they need to. Volunteers, i think of them as the secret sauce that just makes the whole process works smoothly. Participants are encouraged and welcomed to come with their pets. We do have a pet daycare, so if they want to have their pets stay in the daycare area while they navigate the event, they are welcome to do that, will we also understand some people are more comfortable having their pets with them. They can bring them into the event as well. We also typically offer veterinary services, and it can be a real detriment to coming into an event like this. We also have a bag check. You dont have to worry about your belongings getting lost, especially when that is all that you have with you. We get connected with people who knew they had hearing loss, but they didnt know they could get services to help them with their hearing loss picks and we are getting connected with each other to make sure they are getting supported. Our next event will be in march, we dont yet have a date set. We typically sap set it six weeks out. The way to volunteer is to follow our newsletter, follow us on social media, or just visit our website. We always announce it right away, and you can register very easily online. A lot of people see folks experience a homelessness in the city, and they dont know how they can help, and defence like this gives a whole bunch of people a lot of good opportunities to give back and be supported. [ ] tenderloin is unique neighborhood where geographically place in downtown San Francisco and on every Street Corner have liquor store in the corner it stores pretty much every single block has a liquor store but there are impoverishes Grocery Stores im the cocoordinated of the Healthy Corner store collaboration close to 35 hundred residents 4 thousand are children the medium is about 23,000 a year so a low Income Neighborhood many new immigrants and many people on fixed incomes residents have it travel outside of their neighborhood to assess fruits and vegetables it can be come senator for seniors and hard to travel get on a bus to get an apple or a pear or like tomatoes to fit into their meals my my name is ryan the cocoordinate for the tenderloin healthy store he coalition we work in the neighborhood trying to support Small Businesses and improving access to healthy produce in the tenderloin that is one of the most neighborhoods that didnt have access to a full Service Grocery store and we california together out of the meeting held in 2012 through the Major Development center the survey with the corners stores many stores do have access and some are bad quality and an overwhelming support from Community Members wanting to utilities the service spas we decided to work with the Small Businesses as their role within the community and bringing more Fresh Produce produce cerebrothe neighborhood their compassionate about creating a healthy environment when we get into the work they rise up to leadership. The Different Stores and assessment and trying to get them to understand the value of having Healthy Foods at a reasonable price you can offer people fruits and vegetables and healthy produce they cant afford it not going to be able to allow it so thats why i want to get involved and we just make sure that there are alternatives to people can come into a store and not just see cookies and candies and potting chips and that kind of thing hi, im cindy the director of the a preif you believe program it is so important about Healthy Retail in the low Income Community is how it brings that health and hope to the communities i worked in the tenderloin for 20 years the difference you walk out the door and there is a bright new list of fresh fruits and vegetables some place you know is safe and welcoming it makes. Huge difference to the whole environment of the community what so important about retail environments in those neighborhoods it that sense of dignity and Community Safe way. This is why it is important for the neighborhood we have families that needs healthy have a lot of families that live up here most of them fruits and vegetables so thats good as far been doing good. Now that i had this this is really great for me, i, go and get fresh fruits and vegetables it is healthy being a diabetic youre not supposed to get carbons but getting extra food a all carbons not eating a lot of vegetables was bringing up my whether or not pressure once i got on the program everybody o everything i lost weight and my Blood Pressure came down helped in so many different ways the most important piece to me when we start seeing the Business Owners engagement and their participation in the program but how proud to speak that is the most moving piece of this program yes economic and social benefits and so forth but the personal pride Business Owners talk about in the program is interesting and regarding starting to understand how theyre part of the larger fabric of the community and this is just not the corner store they have influence over their community. It is an owner of this in the department of interior i see the great impact usually that is like people having especially with a small family think liquor store sells alcohol traditional alcohol but when they see this their vision is changed it is a small Grocery Store for them so they more options not just beer and wine but Healthy Options good for the business and good for the community i wish to have more working with kids, they keep you young. They keep you on your tones on your toes. Teaching them, at the same time, us learning from them, everything is fulfilling. Ready . Go. [ ] we really wanted to find a way to support Women Entrepreneurs in particular in San Francisco. It was very important for the mayor, as well as the Safety Support the dreams that people want to realize, and provide them with an opportunity to receive funding to support improvements for their business so they could grow and thrive in their neighborhoods and in their industry. Three, two, one because i am one of the consultants for two nonprofits here for entrepreneurship, i knew about the grand through the renaissance entrepreneur center, and through the Small Business development center. I thought they were going to be perfect candidate because of their strong values in the community. They really give back to the neighborhood. They are from this neighborhood, and they care about the kids in the community here. When molly molly first told us about the grant because she works with Small Businesses. She has been a tremendous help for us here. She brought us to the attention of the grand just because a lot of things here were outdated, and need to be uptodate and redone totally. Hands in front. Recite the creed. My oldest is jt, he is seven, and my youngest is ryan, he is almost six. It instills discipline and the boys, but they show a lot of care. We think it is great. The moves are fantastic. The women both are great teachers. What is the next one . My son goes to fd k. He has been attending for about two years now. They also have a summer program, and last summer was our first year participating in it. They took the kids everywhere around San Francisco. This year, owner talking about placing them in summer camps, all he wanted to do was spend the entire summer with them. He has strong women in his life, so he really appreciates it. I think that carries through and i appreciate the fact that there are more strong women in the world like that. I met dandrea 25 years ago, and we met through our interest in karate. Our professor started on cortland years ago, so we grew up here at this location, we out he outgrew the space and he moved ten years later. He decided to reopen this location after he moved. Initially, i came back to say, hey, because it might have been 15 years since i even put on a uniform. My Business Partner was here basically by herself, and the person she was supposed to run the studio with said great, you are here, i started new Nursing School so you can take over. And she said wait, that is not what i am here for i was by myself before for a month before she came through. She was technically here as a secretary, but we insisted, just put on the uniform, and help her teach. I was struggling a little bit. And she has been here. One thing led to another and now we are coowners. You think a lot more about safety after having children and i wanted to not live in fear so much, and so i just took advantage of the opportunity, and i found it very powerful to hit something, to get some relief, but also having the knowledge one you might be in a situation of how to take care of yourself. The selfdefence class is a new thing that we are doing. We started with a group of women last year as a trial run to see how it felt. Theres a difference between selfdefence and doing a karate class. We didnt want them to do an actual karate class. We wanted to learn the fundamentals of how to defend yourself versus, you know, going through all the forms and techniques that we teaching a karate class and how to break that down. Then i was approached by my old high school. One once a semester, the kids get to pick an extra curricular activity to take outside of the school walls. My old biology teacher is now the principle. She approached us into doing a selfdefence class. The girls have been really proactive and really sweet. They step out of of the comfort zone, but they have been willing to step out and that hasnt been any pushback. It is really great. It is respect. You have to learn it. When we first came in, they knew us as those girls. They didnt know who we were. Finally, we came enough for them to realize, okay, they are in the business now. It took a while for us to gain that respect from our peers, our male peers. Since receiving the grant, it has ignited us even more, and put a fire underneath our butts even more. We were doing our summer camp and we are in a movie theatre, and we just finished watching a film and she stepped out to receive a phone call. She came in and she screamed, hey, we got the grant. And i said what . Martial arts is a passion for us. It is passion driven. There are days where we are dead tired and the kids come and they have the biggest smiles on their faces and it is contagious. We have been operating this program for a little over a year all Women Entrepreneurs. It is an extraordinary benefit for us. We have had the Mayors Office investing in our program so we can continue doing this work. It has been so impactful across a diversity of communities throughout the city. We hope that we are making some type of impact in these kids lives outside of just learning karate. Having selfconfidence, having discipline, learning to know when its okay to stand up for yourself versus you just being a bully in school. These are the values we want the kids to take away from this. Not just, i learned how to kick and i learned how to punch. We want the kids to have more values when they walk outside of these doors. Good evening, welcome to the august 28th, 2019 meeting of the San Francisco board of appeals. President rig swig will be the presiding officer tonight he is joined my daryl honda and eduardo santacana. We expect Vice President shortly and commissioner Rachel Tanner is absent. To my left is jana clerk who will provide the board with legal advice this evening. At the controls is the boards Legal Process clerk and im julie rosenberg, the executive director. We will also be joined by representatives from the City Department that have cases befored board this evening. We have in the front, scott sanchez, acting
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