Wharf. Org. We are visitFishermans Wharf. Org. And our market annual marketing plan strategy, we produce this every year. And through partnerships with our both the Property Owners and the businesses to execute throughout the year. Fiscals. I have already gone over from the oewd. We maintain our budget and exceed our fundraising efforts. And thats 1718 there. Are there any questions . Okay. Thank you so much. Thank you. Are there any members of the public that wish to testify on this item . Seeing none, Public Comment is closed. Mr. Chairman, i would move that we send this to the full board with a positive recommendation. Great. Done. Thank you. [gavel] mr. Clerk, please call item number 5. Resolution receive around approving the annual report for the ocean Avenue Community benefit district for the fiscal year 20172018. Welcome back up, ms. Mar. Thank you. So ocean avenue is an initial assessment budget of 239,578. First established in 2010 and set to expire on june 30th, 2025. Their staff is executive director daniel weaver, the Service Areas are safety and community ambassadors, cleaning program, administration and corporate operations. We reviewed the same benchmarks for ocean avenue c. B. D. , variouses in benchmark 2, theyre required to raise 1 of the nonassessment revenue from i mean, the total budget from nonassessment sources. For all of the four benchmarks, they were able to meet them. Management plan versus annual budget, they met this requirement. They met their assessment revenue versus other income requirements. Their budget versus actuals and they indicated their carryover in their annual reports and designated a spenddown plan. In inclusion, they have conformed well in implementing the service plan in the district. They implemented all recommendations recommendations from fiscal year 20172018. They partnered with o. 34678i. Culture project, a high school to begin ocean avenue arts bazaar and a monthly event series in unity plaza. They worked with Small Business Facade Program to make over two storefronts. They maintain several subcommittees and a board of directors. And id like to invite up mr. Dan weaver. Good morning, supervisors. This is an area map of the c. B. D. Basically were along ocean avenue we also provide services to the City College Campus there at the eastern end of the district. We have two very active committees, street life committee, focusing on activation of the Retail District and the business committee, concerned with Small Business growth or attraction, growth and retention. This is a list of our Partner Organizations and nonprofit sector. And our government Partner Organizations. In fiscal year 1718, o. A. A. Secured nonassessment grant funding, which brought our this augments our assessment revenue to bring our total revenue to 429,511, enables us to conduct projects connected to our goals of marketing, beautification, maintenance, and cleaning. Focusing on our largest budget item, maintenance, cleaning and safety, weve employed clean scapes, which provides street Maintenance Service six days a week. Sidewalk and gutter, trash pickup, Pressure Washing and cleaning and graffiti removal, when needed. An arborist now which maintains our urban forest. O. A. A. Maintains sidewalk gardens, an increasing amount i must say. Its a very popular thing in the neighborhood. Sidewalk gardens on ocean avenue and on perpendicular side streets. O. A. A. s project utilize neighborhood volunteers for planting and garden maintenance. And o. A. A. Maintains the ocean, geneva green space and a number of other spaces, which o. A. A. Established through grants in 2017. Thats the wrong direction. Yes. This is our best example of activating a public space. This is the new unity plaza. And this is youth art exchange, Lake Meridian high school and other neighborhood nonprofits celebrating an event, annual spring event in the plaza for the first time. Challenges we have in our district include everincreasing high rents, designchallenged business spaces lead to longterm vacancies. Property owners and Business Owners underinvest in their storefronts, giving some facades a beatup, shopworn experience. And Perspective Development projects threaten to take away sidewalklevel storefronts. And replace them. Opportunities. Theres a high interest in the neighborhood for public art events and entertainment, as well as Tree Planting and landscaping, as i said. O. A. A. Is working to program free Public Events and install new public artworks on the corridor. New businesses establishing an ocean avenue, to bring the potential for Business Owners to participate and advocating for the ocean Avenue Community. Development projects on ocean have the potential to provide new retail spaces in a variety of sizes. Looking back from 1718, when this report was prepared, or focused on, our project and visions include continuing to develop activities around unity plaza, pursuing Maintenance Agreement for balboa park, bart station area, which is a big challenge for us. And other transit yards to make them attractive places and places that are well maintained and safe. Successfully raise funds for a new sculpttural gateway, this will connect the ocean avenue sidewalk and be a pedestrian and planned to be a pedestrian and bicycle route from the new balboa reservoir to the ocean avenue sidewalk and transit. Develop and promote projects in the o. A. A. s 15year plan for the c. B. D. Corridor, that focuses on transit station area, including the balboa park, bart station and the sfmta streetcar maintenance facilities. Thank you. I just want to point out in this final picture the cross on the elray theatre tower. Its ideally going to become a focus on the western side of our Retail District. Although for many years its been not available for people. And it has become very run down. We are trying to work with the owners and developers and move this project forward as fast as we can. This was happening back in 1718. And its still happening. Thats it. Do you have any questions . Thank you, mr. Weaver in any questions . Any members of the public that wish to testify on this item . Seeing none, Public Comment is closed. [gavel] colleagues can we send this to the full board with positive recommendation, without objection . Great. [gavel] mr. Clerk, please call item number six. A resolution receiving and approving an annual report for the top of broadway Community Benefit district for 20172018. Ms. Mar . Lastly, with we have the annual report report for top of broadway. Top of broadway c. B. D. Is the smallest cracked we have in our portfolio. An initial assessment budget of 106,567. Established in 2013, and is set to expire on june 30th, 2021. The staff is the executive director marco epantry and dominick lepantry. District identity, street operations, beautification and order. And administration, organization, and corporate operations. We reviewed the same benchmarks for top of broadway c. B. D. The only variance was they were required to raise 1 of the total budget from nonassessment forces. This the top of broadway c. B. D. Met all following four benchmarks. Their Management Plan versus annual budgets, assessment revenue and other income, they were able to raise 37. 5 in nonassessment revenue. The budget versus actuals and they had indicated their 1718 kariover in the annual reports and designated a spenddowntime line. Our recommendations and findings. The top of broadway c. B. D. Met all four benchmarks. There was a significant decrease in the amount of contributions given to the c. B. D. The number would have been lower, not for a grant that the c. B. D. Had received and utilized in fiscal year 1718. Continued decrease would be hazardous to the c. B. D. s longterm health and to the implementation of its Management Plan. The c. B. D. Was able to maintain an active board of directors and Committee Members as well. Are there any questions for staff . So id like to invite up mr. Dominick lemandry to present on his statements. Good morning. I believe im the last presentation on c. B. D. S today. So thank you. Ill make this brief. As helen mentioned, my name is dominick lemandry. Im the district manager for c. B. D. Our mission top of broadway c. B. D. Is quite simple. Were here to essentially increase the quality of life and entrepreneurial vitality. So just in general, Background Information on the district. It was formed in 2013. It started services in 2014. 39 parcels, over 100 businesses and operating budget of around 177,000 a year. And we provide sevendayaweek sidewalk betweening between 8 0. A budget breakdown. As you can see, the majority of our income comes from our assessments, but weve been very successful in bringing in nonassessment revenue, sponsorships, donations and weve been able to leverage that to continue services, even though we have quite small assessment amount. And you can see our breakdown of our budget right there. The district identity, operations and admin. So our Strategic Vision and plan for broadway is essentially can be bulleted down to a few point. Create a safe environment for the neighborhood, increase the walkability of the neighborhood and different street scape enhancements, further integrate the community in the surrounding north beach community, jon square, get them rolling in the same direction, all, you know, have the same vision of what broadway can be. And we facilitate this mission and this vision through three separate committees, that we, you know, meet regularly to decide and collaborate. So the First Committee is federal cooperations. You know, just like every other c. B. D. Thats presented today, we sweep sidewalks, we pressure wash, we remove graffiti, remove needles. And we move illegal dumped materials. Heres some highlights of our staff. Were able to provide neartotal coverage last year of sidewalks on broadway, with is great, although were small, we produce a lot of trash on our streets. Having the district look presentable day in and day out, definitely a shining achievement of ours. We are able to remove 9,000 bags of trash, over 1200 instances of graffiti. Illegal dumping incidents did decrease, because i attribute that to increased effectiveness of d. P. W. Of removing that off the street before our porters are able to report it and remove. We pressure washed the district 14 times. District identity. Its Smaller Committee versus federal cooperations. But we had big achievements last year. We put in ten Historical Markers in and around broadway. We put up lighting installation, l. E. D. Lighting installation that wind ised over the steps to help illuminate the corridor. We can change it based on the season. So its very exciting. Were able to collaborate to install cams in and around broadway, that are then serviced by north beach citizens. Its a very collaborative effort and were very proud of that. Some community probables. The installation, weve got good press from hood line. Im talking about the probably that were doing and the north Beach Association did at the bottom of grant avenue. The Historical Marker project, putting ten blocks in and around broadway, the surf rider districtwide installations. We put ten cams around broad bray and the can placement, at the corner of kearny and broadway, based off our advocacy. District challenges. A lot of the similar challenges you see all around the city, homelessness continues to be a paramount concern. I can say that definitely has improved over the last two to three years. Illegal dumping of commercial waste, as well as, you know, just residential belongings continue to pop up on our sidewalks. We do our best to get them off the sidewalks as soon as possible. And we have a couple of longterm vacancies on broadway unfortunately. Those are continued sites of, you know, encampments and what not. The bottom photos are the trees fallen over on broadway. Thats all one tree. This is one of the biggest problems we had on broadway this past fiscal year. Where weve had 40 to 50 of the trees on broadway put in after the broadway street scape improvement project. Theyve paved over or replanted. This tree in particular was reported for three weeks on about the dangerous leaning, until it finally fell over and laid on the sidewalk for 72 hours before it was removed. This is broadway. So this is not a side street. This is a very active thoroughfare. Ness something that we continue to work with b. U. F. And d. P. W. On to make sure it doesnt happen again. Part of our organizations, i mentioned a few of them throughout my mention. We couldnt do without help from helen and chris. They run this program very efficiently and very effectively so kudos to them. D. P. W. , and we work very closely with Central Station and the captain there. We have strong ties with the Broadway Community and the broadway cultural society. We work with the north beach citizens, north beach neighbor, north beach business association, t. H. C. And Jackson Square and, of course, supervisor peskin. Thank you. Do you have any questions . Yeah. Thank you so much. Are there any members of the public that wish to testify on this item . Seeing none, Public Comment is closed. [gavel] and i would send this make a motion to send this to the full board with a positive recommendation. All right. [gavel] mr. Clerk, please call item numberhearing to receive the office of the chief medical examiners annual report on staffing and accreditation updates, as required by admin code section 2a 30. Supervisor peskin. Thank you, chair mar. Colleagues, i called for this hearing back in may, after it came to my attention. Actually a perennial issue now for a long time. This dates back to the beginning of this century, with a civil grand jury report in 19992000, that spoke to deficiencies in the medical Examiners Office. I received complaints from individuals who have waited, what i think is far too long and beyond the industry practices, to get death certificates and final autopsy reports. There has been an ongoing chronic staff shortage, a lot of staff turnovers. As a matter of fact, right now we dont we have an acting medical examiner. Our last medical examiner upped and left the medical Examiners Office. It has lost its accreditation. There have been chronic problems with having their annual reports posted online. There is evidence that annual reports have been changed after the fact. And so i want to delve into every aspect of this, with an eye not to be critical, but see if we can all collaborate together with the city administrator to fix it and make it a shining example of what a medical Examiners Office can and should be. To that end, i would actually like to continue this to our first meeting on october, on october 3rd, to give my office a chance to sit down with staff at the medical Examiners Office. So we can start a constructive dialogue in advance of this hearing. So subject to Public Comment, i would like to make a motion to continue this item to the 3rd day of october. Thank you, supervisor peskin. Lets do Public Comment first. And are from any are there any members of the public that want to testify to this item . Seeing none, Public Comment is closed. Do we have a motion to continue this to 3rd october, 2019. October 3rd. G. A. O. Committee meeting. Seconded motion made by supervisor peskin, seconded by supervisor brown. Can we take that without objection . Great. [gavel] and any further business . There is no further business. We are adjourned. Thank you. [gavel] working for the city and county of San Francisco will immerse you in a vibrant and dynamic city thats on the forefront of economic growth, the arts, and social change. Our city has always been on the edge of progress and innovation. After all, were at the meeting of land and sea. Our city is famous for its iconic scenery, historic designs, and world class style. Its the birthplace of blue jeans, and where the rock holds court over the largest natural harbor on the west coast. The citys Information Technology professionals work on revolutionary projects, like providing free wifi to residents and visitors, developing new programs to keep sfo humming, and ensuring Patient Safety at San Francisco general. Our it professionals make government accessible through awardwinning mobile apps, and support vital Infrastructure Projects like the hetch hetchy Regional Water system. Our employees enjoy competitive salaries, as well as generous benefits programs. But most importantly, working for the city and county of San Francisco gives employees an opportunity to contribute their ideas, energy, and commitment to shape the citys future. Thank you for considering a career with the city and county of San Francisco. My son and i was living in my car. We was in and out of shelters in San Francisco for almost about 3. 5 years. I would take my son to school. We would use a public rest room just for him to brush his teeth and do a quick little wipeoff so it seemed he could take a shower every day. It was a very stressful time that i wish for no one. My name is mario, and i have lived in San Francisco for almost 42 years. Born here in hayes valley. I applied for the San Francisco Affordable Housing lottery three times. My son and i were having to have a great happened to have a great lottery number because of the neighborhood preference. I moved into my home in 2014. The neighborhood preference goal was what really allowed me to stay in San Francisco. My favorite thing is the view. On a clear day, im able to see city hall, and on a really clear day, i can see salesforce tower. We just have a wonderful neighborhood that we enjoy living in. Being back in the neighborhood that i grew up in, its a wonderful, wonderful experience. Now, we can hopefully reach our goals, not only single mothers, but single fathers, as well, who are living that. Live your dream, live your life,. Neighborhood in San Francisco are also diverse and fascist as the people that inhabitable them were in north beach about supervisor peskin will give us a tour and introduce is to what think of i i his favorite district 5 e 3 is in the northwest surrounded by the San Francisco bay the district is the boosting chinatown oar embarcadero financial district Fishermans Wharf exhibit no. North beach Telegraph Hill and part of union square. All of San Francisco districts are remarkable im honored and delighted to represent really whereas with an the most intact district got chinatown, north beach Fishermans Wharf russian hill and knob hill and the northwest waterfront some of the most wealthier and inning e impoverished people in San Francisco obgyn siding it is ethically exists a bunch of tightknit neighborhoods people know he each other by name a wonderful placed physically and socially to be all of the neighborhoods north beach and chinatown the i try to be out in the community as much as and i think, being a the cafe eating at the neighborhood lunch place people come up and talk to you, you never have time alone but really it is fun hi, im one the owners and is ceo of cafe trespassing in north beach many people refer to cafe trees as a the living room of north beach most of the clients are local and living up the hill come and meet with each other just the way the United States been since 1956 opposed by the grandfather a big people person people had people coming since the day we opened. It is of is first place on the west that that exposito 6 years ago but anyone was doing that starbucks exists and it created a really welcoming pot. It is truly a legacy business but more importantly it really at the take care of their community my father from it was formally italy a fisherman and that town very rich in culture and music was a big part of it guitars and sank and combart in the evening that tradition they brought this to the cafe so many characters around here everything has incredible stories by famous folks last week the cafe that paul carr tennessee take care from the Jefferson Starship hung out the cafe are the famous poet Lawrence William getty and jack herb man go hung out. They work worked at a play with the god fathers and photos he had his typewriter i wish i were here back there it theres a lot of moving parts the meeting spot rich in culture and artists and musicians epic people would talk with you and youd getetetetetetetetetett [roll call] thank you. The second item on the agenda is the approval of the minutes of august 20th, 2019. Commissioners, the minutes are in your hands. After that review, i would like to call a motion to adopt. I think there is one spelling clipped correction. Okay. Page four, paragraph three, there was [indiscernible] thank you for that. I apologize. Any other comments from the commission . Seeing none, motion to adopt the minutes. So moved. Is there a correction . Second. All those in favor signify by saying aye. Aye. Great. There is no Public Comment for that item. Item three is the directors report. Good afternoon, commissioners im the director of health. You have the directors of the commission in front of you. I just wanted to highlight a few things including some things that i feel that you have done well but were not written here there are number of articles focused on ensuring that whatever beds are available in the system, maybe are available for people who are living on the streets, and just to reiterate, it is part of that work at zuckerberg General Hospital. There have been a number of unoccupied board and care beds for a number of years and those are being converted into hummingbird type model beds. 207 beds Going Forward. I want to emphasize that no clients are losing housing as a result. No one is losing a job, and these beds will revert back to longterm care beds in 2021 as we look to potentially be able to establish those longterm care beds. As an interim measure, well be using that Available Space for the urgent need to get people off the streets through converting 207 beds to hummingbird beds in the next iteration. The other page, i wanted to give you an update on some concern around the current requirements around permitting massage parlours and just to remind the commission that we filed the board of supervisors requirements that we are charged with permitting massage parlours for a number of reasons, including concerns that the board of supervisors had at the time around sex trafficking. We are following the boards intent and giving the legislation that they have passed. It is understanding that it is my understanding that some Board Members are taking another look at this legislation and made any modifications. We will of course, follow the boards orders as required by law Going Forward on that. The other key issues to highlight, i have been updating you in regards to the title two federal changes in the requirements around title x funding, which will now prohibit recipient of title x funds from stopping women from comprehensive production per reproductive services. Related also do some of the federal actions that are taking place, i am proud that the Health Department stood with the City Attorney and is seeking for luminary injunctions to stop the current public charge rule. This revised public charge rule would actually have an assessment of whether people who are benefiting from legal public benefits, that that would negatively affect their ability to get this status. Something we can have a shining effect on their individuals and the families. We are watching that very carefully. I am also really proud that one of our Staff Members was recently featured on our front page of mindful magazine. She has been a real leader in helping us move forward our trauma informed system of care. They have been a pivotal part of that work and remains a local and National Leader in helping us develop a more Trauma Informed Care system. Internally within the department for our communities. I also wanted to highlight that we are working with the Safe Community in the bayview neighborhood, including specifically the africanamerican faithbased coalition, which was started by supervisor walton to provide support and dignity to clients, and our Community Health and equity Promotion Branch is continuing to support Food Security to through that coalition and with Community Members in that regard. Finally, with regard to the neighborhood Emergency Response team, we worked with a group to assure the medical corps, in collaboration with the California Department of health and the San Francisco fire department, were trained with regards to pointofcare dispensing sites and including looking at mass distention of antibiotics in the community with the response to Public Health emergencies, and that this training is foundational to successfully deliver medical countermeasures in the event of a mass population emergency that would require us to be more responsive to protect Community Health. That is my directors report. If you would all i will stand by for additional questions or verifications. Are there any questions from the commission . Yes, thank you for the report this is in regards to the psych unit that we have or the psych units. And i see the difference between them so that this seems to be described that the patients are currently placed on [indiscernible] they are for younger patients who require board and care, and the other is for older patients. What has happened is in our arf unit, some of the patients are qualifying for certain funds pick those. Those patients would be moved up , but on the second floor, we would also maintain some a. R. F. Beds. The second floor would open up some beds on the second floor of the unit for the hummingbird beds. 207 more of those beds would be converted into hummingbird sized beds. Those beds could return. We are putting in our licensure for those beds into suspense, but they could be converted back in mid2021. Does that answer your question . So the a. R. F. Patients are being put into the others . Some would be converted. Their designation is being converted, but there are also some younger patients who have been moving up to that floor that would maintain as an a. R. F. Meanwhile, we will reduce the number of beds that we are keeping open. Those beds have never been occupied, so we are not moving patients from those beds into the community or into other places. This is simply and i may have more detail. Inc. You. Good afternoon, commissioners im the director of the health network. There will be 14 patients remaining on the a. R. F. So they will still continue to operate 14 beds that are currently occupied. Okay. And is there some reason that certain beds were not occupied in the past . Yes. We had vacancies and the facility continues to be on a corrective plan of action. I see. They were being held in vacancy because of the corrective action plan that needed to be carried out before we could actually activate the beds. Is that right . That is part of the equation. Making sure that the safety mechanisms are in place so we can safely operate those beds. I see. Okay. They were vacant not necessarily because there wasnt a demand, but we werent able, until we fulfilled our corrective action plan to take or add additional patients. Right. Until we felt comfortable we had corrected those deficiencies in the corrective action plan. We werent able to add additional patients. At the moment, one of the reasons that we would be reducing a. R. F. Beds temporarily , not, of course, taking away from the current residence, because everybody is trying to apply, because we are still working on this corrective action plan. We are currently working. That is correct. The beauty of this plan is that because we have those vacancies on the a. R. F. , we will take some of the staff and move them up because they also have vacancies and being able to actually occupy and put the patients into those beds because we will have access staff that will go up. So that would allow us to fill the needs . Exactly. Okay. Thank you. So when the corrective actions are completed in 2021, is that when you need the flexibility . Right. We want to have that flexibility the beauty of putting those licenses and suspense as we dont put them up. As situations and circumstances change, we can more easily go back to those beds as needed. And how will that decision be made . Is that an administrative decision within the department . We will be making it in conjunction with all of our City Partners with h. S. H. And others who are dealing with the Current Mental Health crisis. Well be looking from a holistic point of view in terms of what makes more sense for the system and the city as a whole. Thank you. Thank you. I think exactly what was stated, and i do think we need to look in 2021 at what our other alternatives to having people out on the street, including more hummingbird based models in the community. I will also add this is a bigger issue in terms of board and care , not only specific to the site at the hospital, but as you know, mayor breed has invested a substantial amount of dollars to help keep the remaining board and care beds sustainable because there will be ongoing issues Going Forward in terms of the model of care. It is something we are taking a hard look at. Strategically, it is more then those 207 beds. Every bed is important, but looking at the longterm strategy as a department, as a city, and as a community to help ensure wherever possible there is longterm care available for people. Yes, i was wondering if you might have any followup on the vague issue. It looks like people are continuing to have difficulty. I am wondering if our county has seen anything or does it seem that the word out there is i have been in close contact with our officer about this and the doctor can give a quick update on where things stand. Across the country theres been more than 200 cases that are being investigated right now San Francisco has zero suspect cases of the Vaping Associated pulmonary injury. Thank you. Anything else from the commission . Call the next item, please. Item four is general Public Comment. If i may, to those of you are making comment, in case you havent been to our meeting before, you will each have two minutes. You will be called by name. I have a little egg timer here. When the buzzer goes off, it means your time is up. Please finish your statement and let the next person come up. Everyone here is here for a reason. Most of you are very passionate about what youre talking about but no, we have to make room for everyone. Before i call names, let me inform the public that the commission will not be responding to your comments. You will make your comments, if the commission does have questions, then we will refer them directly to you. I apologize in advance if i mispronounce anyones name. Let me call three speakers right now. [calling names] hello, commissioners. I am a primary care provider a San Francisco general and the department of Public Health interpersonal violence prevention coordinator. Im here to ask you for your support of the department and the commission on behalf of brandon lee. Brandon lee is a u. S. Citizen who was a graduate of San Francisco state. He his the son of a 40 year employee, louise lee, who works at seven cisco general at San Francisco general. Brandon was working with indigenous kenyan communities in the philippines on Environmental Justice issues, deeply understanding the relationship between the health of the planet and the health of people. He survived an assassination attempt. He was shot multiple times on august 6th. He is in stable condition, paralyzed from the chest down in the philippines. He is his doctors think he will be ready to be transported back to the u. S. Within the next couple of weeks, and we are here to ask for your support. One, that the department of Public Health will help coordinate his transfer from the philippines to San Francisco General Hospital because he will definitely need to care care there. Two, that the department will try and help us locate funds to pay for the medical evacuation of brandon. Three, that his mother would be supported in whatever way she needs in order to deal with this family crisis, and four, that you would issue a statement of support for the family in condemnation of violence against someone who was trying to work on behalf of Environmental Justice and Indigenous Community rights. Thank you. Good afternoon, commissioners i am brandons anti and this is his other anti. Im brandons on tea and this his other auntie. I dont know if this is the right form to speak about this, but im desperate. My family needs help. My sister has worked for the department of Public Health of her 40 of her 60 years. She started as a student assistant in laguna honda hospital, and in 1979, she became a medical record clerk. Two years later she was promoted to technician and later she was promoted to medical record technician supervisor. She gave her life to laguna honda. She was quite dedicated and spent long hours at the hospital during her 305 years at the hospital, she voluntarily served as acting director of Health Information services multiple times. The last time in 2010 to 2013. In 1987, she received a special award from dianne feinstein, the mayor of San Francisco for dependability. At zuckerberg San Francisco General Hospital, she designed special projects and provided support when the new hospital was reopened again, when moche when d. B. H. Went alive. Went alive. [indiscernible] this is only a small list of her accomplishments. She ensures that operating engines as well oiled behind the scenes. If you wonder how brandon is a way he is and how he speaks for those who cannot speak up for themselves, look no further as his mother. She demands a lot but she is fair across the board, and would not allow her people to be mistreated. My sister has been in contact with the u. S. Embassy. You are only supposed to have one person come up back the commissioner, i asked you how we should proceed. You may have one more minute. Thank you. I am here out of desperation. Unlike my courageous nephew, i never speak out. My only concern was that i am not as young as i once was. Now my world is turned upside down. I am ordering Adult Diapers on the internet, ordering body cleansers for bedridden people, addled wipes for incontinence, oral swabs to clean the mouth, glycerin swab sticks, and im speaking out because my sister and i need help. God willing brandon will return. When he returns, he will need several operations to remove the bullet in his mouth, spine, back and the bullet in his elbow and he will need longterm care and rehabilitation. Im here to ask the department for health. For help. We need help transporting him from the philippines. We need help getting him medical care. Is there anything you can do for a very dedicated 30 year employee of this department of Public Health and her son, a local boy who found his calling as a human rights activist in the philippines, and now he needs to return home to recover. Thank you for your time. Thank you for your time. Thank you. The next three speakers are. [calling names] good afternoon, commissioners my name is racquel and im a friend of brandon lee and im here in support of his family, as well. I just returned from the philippines with supervisor matt haney and some others from San Francisco to visit brandon lee at the hospital. We are happy to report that brandon lee is miraculously improving despite surviving a cardiac arrest and still having an unknown number of bullets lodged in him. When i last saw him, he was breathing on his own and he has regained feeling and movement of his upper body, but brandon is a strong fighter, but more recently, he got pneumonia and so he is back on his respirator, but from all accounts, he is getting stronger every day and the doctors are hopeful that within a couple of weeks he would be well enough to be medically evacuated. So we are here to update the commission and we would love to get your support for his family. Right now his mother and brother are providing 24 7 bedside and security for brandon. Between that and they are researching how to do medical evacuations, how to, you know, find somebody who can bring back here to look for government loans to pay for it. We asked the commission if there is anything they can do to extend support to the family, even just assigning a social worker that would help them through the process of figuring out how to ensure that one brandon does arrive, he is properly cared for in the best medical facility. Thank you. Thank you. Hello. My name is kim, i am a massage therapist in San Francisco. I formally was located at the active space building in the mission and several of my colleagues refuse the cease and desist, i cant talk in front of a bunch of people. They were forced by the department of Public Health to leave the building because it was built incorrectly. Thanks to hillary ronan, the building was given a grandfather zoning, but a lot of us massage therapists still cannot afford the establishment permit that is required of us as sole proprietors. I gave of myspace on may 1st and have not been able to find a legitimate place to work in San Francisco as a massage therapist i have been offered seven locations with acupuncturists and chiropractors where i am allowed to work without this permit, off the record, and im not comfortable with that. I have been trying to sell my truck and my furniture. I cannot afford this very expensive permitting process. I understand that it is in place to prevent sex trafficking, which i am not, but anyways supportive of, but i am not participating in it, either. I work with and of life folks, pregnant women, people in pain, i serve a community. I have been doing this for 15 years. At the end of last year, i stopped taking new clients because i was at capacity with my business and im very proud of the work that i do. I would like to keep doing it and i would like to keep doing it on the record, legally, but i cannot afford a multiple thousand dollar cost living in the city as a working workingclass, Small Business will proprietor sole proprietor. I heard the inspection process thank you. Hello. I am Jonathan Jordan and i am also a massage therapist and a personable personal trainer and Nutrition Court coach. I have four jobs. I do a lot of things to make ends meet. I am a Small Business owner, and l. L. C. , i am a rule follower and a goodygoody. I am not here to dispute the good intentions of the law and the commissions duties to execute the law. What i do want to point out, as someone so i am not an active space, i am in a building that is zoned for massage and i was just not aware of all the permitting requirements. It is very convoluted and complicated. What i want to draw attention to is someone like me, you know, i am a taxpayer. I do every bit of my income. I am a great massage therapist. I have an exemplary record. I also am against human sex trafficking, you know, illegitimate sex work, all of those things. I just im trying to do the right thing. There are 200 plus of us that got a cease and desist letter. The second i got the letter i did everything on the steps in the letter, and i just want to draw attention to the errors and misinformation within the governments office. I am a smart guy, you know, i am a Business Owner, i am in charge of peoples bodies. The instructions were unclear, they are wrought with errors. The application in and of itself has unnecessary things in it. It tells me i need a license. If you call them they do not do licensing. Theres no such thing. The boards need to be clear and the steps need to be clear. I was told i need to call this phone number to find out if my building was owned, im assuming that if you were sending me a letter, like the government could determine whether or not my building is zoned, but the head in the hands are not speaking to each other and they putting the onus on the Business Owner to navigate this process which is just a mess. Thank you. Thank you. [calling names]. Good afternoon, commissioners i am also a massage practitioner in San Francisco. Im here today because i am greatly concerned with the Health Permits and zoning page requirement required in the city massage and bodywork are part of healthcare and wellness in San Francisco, and the department should recognize us as such. We Small Businesses and sole practitioners do not make a lot of money in the field. We try to keep our fees affordable for the working class , and common folk of the town. To aid them in their health and mental wellbeing. As a Small Business in the city, it is already hard to make ends meet, and now this huge overhead from the city just to prove we are legitimate. Having a background check for certification Means Nothing to the city of San Francisco. Why was i not notified of this required Health Permit when i signed up for my business permit with the city . Now i am blindsided with fees and notice of cease to desist. Why should we live jim it legitimate businesses in the industry suffer so much because of a few sex partners . Surely there is a better and more productive way to crack down on Human Trafficking and sex parlours then to have such high fees and regulations on an industry that offers healthcare to its community. Massage should be changed. It is eradicating massage business here and we will have to it will have ripple effects to the wellbeing of the citizens. Massage should be change for the health and wellbeing of San Francisco. Thank you. Thank you. Good afternoon, commissioners my name is david clark. Im a Small Business here in the city. I am a certified massage therapist in the state of california. I am one of 100,000 people who have received the ceaseanddesist letter about the Health Permit. Like my colleagues, i was really taken back by this letter, i was very blindsided by the information