Office workers, even had to go somewhere else and work for that year, and then be transferred over later. They were a hiccup or two on the front end of the project starting on times on time, and that threw a wrench in moving people from hospital to hospital, but let me also say this is a very important sector in our city. The Healthcare Industry when it is not there, you notice. And sometimes certain things can be taken for granted. We typically see commercial buildings, residential, retail, and hospitals are a completely different type of building. They are so much more complex, they are so much more technical. We are not just installing simple every day features, theres different finishes, theres all kinds of machinery, technology, things need to be programmed, so it is just a feat that these projects to get finished and completed, and with the high numbers i am seeing on here, i am really impressed. I want to congratulate mr. Nam on his position and i feel really confident that he will be doing the right thing and getting all the right parties involved to sit down and get as many residents working on these jobs as we can. Thank you. Commissioner johnson . I just want to thank my fellow commissioners and thanks staff for this report. I just want to also echo that i think that the d. A. Agreements are so often both about what was discussed at the time of their forming, and also the goal and spirit of the agreement and really it should be focused on the evolving needs of the city and building a new and equitable and accessible relationship with all San Francisco residents. I am glad to see the report that came out this year did provide more detail. Especially i want to thank mr. Nam around helping us to understand what has been happening with the workforce and not only hiring an internship, but retention. That is where the rubber hits the road. It is great to see those numbers i would agree with commissioner greene that i think the rest of the report, particularly around community engagement, was extremely opaque and left some to be desired. I think there are some issues that were troubling last year that are still troubling this year. One is the issue of outreach to tenderloin patients. First choice, sure, people get to choose where they are go, but if theyre not choosing your hospital, you have a problem. Community outreach and Community Building is really about creating an ecosystem so that you are not just relying on one provider, but a myriad of organizations working together towards the goal of enrolment and retention of patients. Coming from a philanthropic background, that is how you do Community Back he outreach. You create and bolster an ecosystem. I am not seeing that ecosystem thriving. While i am hearing the efforts that have been done, and hope that next year there will be better outcomes, i think that theres more to do to shore up the organizations that you are working with, and working more closely with extremely competent organizations that are in the tenderloin that actually do know and have the skill of working with these populations and really keeping in touch with them, and making sure that they continue to engage. Along those lines, if you are not hiring social workers to support doctors and changing your culture to meet the needs of the community so that goes from everything from what your website looks like, to how people are welcomed, to very detailed plans around language and access to working with Community Members. We are also really concerned about, and still concerned about the issues related to the acute care beds. Our city desperately needs those beds and i would actually like to hear the end of my comments, what has happened with the patients over the last year . And what the plan is for that unit, and staffing. Im deeply concerned to hear again, this year, issues around lack of staffing, appropriate staffing. I absolutely agree with president woods that i think this is about equity and access and this is about making sure that your care is relevant, not just for the people who can pay for it, but for all san franciscans, and that will actually ultimately make your services viable in the long term being able to provide services for folks of all economic backgrounds, cultural backgrounds, and languages. That is the biggest challenge facing the healthcare sector as i see it, and i hope that you continue to be up for the challenge of really addressing those issues. Commissioner johnson, was that a question of the cpmc staff . Yes. Thank you. Good morning, commissioners. I am the Vice President of external affairs for sector. Commissioner johnson, we had a hearing last thursday, actually in the Public Safety committee of the board of supervisors to discuss this issue. Along with a presentation from staff around the work they are doing to address the citys larger problem, some of the information we shared last week around the issues of staffing and so forth, as you know, due to law and our concerns about privacy, theres only so much information that can be shared, but it is worth sharing that, first of all, the physician who spoke so ardently two years ago when there was pressure for us to transfer that unit from st. Lukes to davies has submitted a letter. We can share a copy with you giving his objective viewpoint of the care being provided in the unit. Staffing ratios are something that are mandated by the state and we are in constant compliance with those. They are posted weekly, they are submitted monthly, we also are regulated by the California Department of Public Health who have recently come through and done an audit of the unit and found there to be no concerns with the care being delivered there. Can you give a little bit more detail about what is going to happen with acute care beds and what has happened with the patients . I cant speak to whats happened with any particular patient. I think staff probably could, if kelly was here, could give a broader understanding of the type of patient who requires subacute care and what that means for their condition and level of fragility as a patient. Our intention, is agreed to with the supervisors and others last year, was that we would continue caring for that population that was with us at st. Lukes over at the davies campus and that is what we are continuing to do. Thank you. Commissioner fung . This is my first meeting on not only cpmc and the development agreement, but with some of the issues that have been brought forth. We have seen, and it is primarily technical analysis, i understand, some of the issues that are relatively new to me. It appears that i will need to study this pretty extensively if i am able to proceed in a thoughtful manner on future meetings. Just from looking at what was primarily on the planning side, it would be not as challenging as from the healthcare side. At this point, i will be studying it further. Thank you, commissioners. I agree with all of my fellow commissioner comments. Thank you so much. I did want to press a couple of issues and ask him questions. I agree with the font. [laughter] and i dont wear glasses for close reading, but it is a little bit challenging. I see that the patient demographic that was provided are for all campuses, and in thinking back to previous hearings, you know, especially as we heard about the issue of Language Access to the diabetic unit, i am wondering if we could have a more detailed, by Campus Demographic data, especially as, you know, folks when we rebuild st. Lukes were very worried about access within the eastern side of the city to cpmcs services, so i just wanted to see how that was in terms of the demographics as we know. We know the demographics are a big concern in the city and it tends to be different then in the cpmc main campus. So that is one, and then the other thing i wanted to ask was about hiring and resource hiring totals because i see that we are in compliance and doing well. I am wondering what this looks like in terms of race. So you provided data in terms of neighborhood and zip code, so we know that africanamericans have a much higher rates of unemployment in San Francisco, and this is an opportunity for folks, especially young people, to get skills to get in the door for this one project, but then those skills can be applied to other projects, and during an era where we have an extreme shortage of construction workers in San Francisco. We cannot meet the demand. So can you talk to a little bit about what the demographics look like . Thank you, commissioner. I am with city build. I knew that question would come up. Specifically for city build, our program has a 35 africanamerican demographic that graduates from the program. Is over 1400 since we started 14 years ago. Overall for construction, i did not procure the Demographic Data , but i provide a supplemental to provide that information for the commissioners, and then this specifically, that is what i was asking for from our office for the nd use post construction work for the operation. That is the other data i will be getting for the referrals and the placements that we have made for the operation of the various hospitals. Thank you. I would appreciate that data when we do this again. I think it is important. Thank you. Thank you. In my last question, that is for cpmc staff as it relates to the partnership with saint anthonys. I think that part of what commissioner johnson very distinctly said, always, is my worry, also, about creating an ecosystem by which people are attracted, but also once they walk in the door, there are culturally appropriate and welcoming services so that folks can be hooked on as patients. Im wondering what the plan is going forward. I understand that numbs was the partner who could fulfil the d. A. Requirement, but im wondering in terms of outreach to the Tenderloin Community specifically where they are not based, what the plans are for making that connection to the community and providing access and culturally appropriate access to folks. Thank you, commissioner. Emily webb again, director of Community Benefit for the bay area. We do work outside of just providing Healthcare Services in the tenderloin. For example, our Child DevelopmentChild Development centre on van ness, which provides Multidisciplinary Care to children with developmental and Behavioural Health delays is providing services at saint anthonys. We are also at schools in the neighborhood. We fund and work with dozens of communitybased organizations in the neighborhood, so through our Community Benefit investment, we do go outside of the walls of the hospital to try to make sure that we are meeting the needs of the community in the neighborhood. In terms of the services on campus, the data, which im happy to send you in a larger format, shows you that we try to recruit a workforce that is reflective of our patient population. That is really the number one thing from a healthcare perspective that helps with cultural, linguistic access to services. In addition, in the packet you will see we did an assessment of all of the cultural and linguistic access standards, and in the packet theres a detailed document that outlines what the consultant found, recommendations, and how we are working to address them. Theres a lot of Different Things that go into that, but it is in the Compliance Report that we submitted in may of this year thank you. Any other comments or questions . Okay. We are not taking action on this item, but thank you all for coming and we will see you again next year. I went through a lot of struggles in my life, and i am blessed to be part of this. I am familiar with what people are going through to relate and empathy and compassion to their struggle so they can see i came out of the struggle, it gives them hope to come up and do something positive. I am a community ambassador. We work a lot with homeless, visitors, a lot of people in the area. What i like doing is posting up at hotspots to let people see visibility. They ask you questions, ask you directions, they might have a question about what services are available. Checking in, you guys. Wellness check. We walk by to see any individual, you know may be sitting on the sidewalk, we make sure they are okay, alive. You never know. Somebody might walk by and they are laying there for hours. You never know if they are alive. We let them know we are in the area and we are here to promote safety, and if they have somebody that is, you know, hanging around that they dont want to call the police on, they dont have to call the police. They can call us. We can direct them to the services they might need. We do the three one one to keep the city neighborhoods clean. There are people dumping, waste on the ground and needles on the ground. It is unsafe for children and adults to commute through the streets. When we see them we take a picture dispatch to 311. They give us a tracking number and they come later on to pick it up. We take pride. When we come back later in the day and we see the loose trash or debris is picked up it makes you feel good about what you are doing. It makes you feel did about escorting kids and having them feel safe walking to the play area and back. The stuff we do as ambassadors makes us feel proud to help keep the city clean, helping the residents. You can see the community ambassadors. I used to be on the streets. I didnt think i could become a community ambassador. It was too far out there for me to grab, you know. Doing this job makes me feel good. Because i came from where a lot of them are, homeless and on the street, i feel like i can give them hope because i was once there. I am not afraid to tell them i used to be here. I used to be like this, you know. I have compassion for people that are on the streets like the homeless and people that are caught up with their addiction because now, i feel like i can give them hope. It reminds you every day of where i used to be and where i am at now. Ever wonder about programs the city it working think to make San Francisco the best place to work and will we bring shine to the programs and the people making them happen join us inside that edition of whats next sf sprech of Market Street between 6th is having a Cinderella Movement with the office of Economic Workforce Development is its fairy godmother Telegraph Hill engaged in the program and providing the reason to pass through the corridor and better reason to stay office of Economic Workforce Development work to support the economic vital of all of San Francisco we have 3 distinctions workforce and neighborhood investment i work in the tenderloin that has been the focus resulting in tax chgsz and 9 arts group totally around 2 hundred thousand square feet of office space as fits great as its moved forward it is some of the place businesses engaged for the people that have living there for a long time and people that are coming into to work in the the item you have before you companies and the Affordable Housing in general people want a safe and Clean Community they see did changed coming is excited for every. Oewd proits provides permits progress resulting in the growth of mid businesses hocking beggar has doubled in size. When we were just Getting Started we were a new Business People never saturday a Small Business owner and been in the bike industry a long needed help in finding at space and sxug the that is a oewd and others agencies were a huge helped walked us through the process we couldnt have done it without you this is sloped to be your grand boulevard if so typically a way to get one way to the other it is supposed to be a beautiful boulevard and fellowship it is started to look like that. We have one goal that was the night to the neighborhood while the bigger project of developments as underway and also to bring bring a sense of Community Back to the neighborhood. We wanted to use the says that a a gathering space for people to have experience whether watching movies or a yoga or coming to lecture. That sb caliber shift on the street is awarding walking down the street and seeing people sitting outside address this building has been vacate and seeing this change is inspiringing. Weve created a space where people walk in and have fun and it is great that as changed the neighborhood. Oewd is oak on aortas a driver for San Francisco. Weve got to 23ri7b9 market and sun setting piano and it was on the street weve seen companies we say used to have to accompanying come out and recruit now theyre coming to us. Today, we learned about the office of Economic Workforce Development and its effort to Foster Community and make the buyer Market Street corridor something that be proud of thanks to much for watching and tune in next time for. My name is naomi kelly the singlestory for the 775 i started with the city and county in 1996 working for the newly elected mayor willie brown, jr. Not only the chief of staff a woman but many policy advisors that were advising him everyday their supportive and nourished and sponsored United States and excited about the future. My name is is jack listen and the executive director of a Phil Randolph institution our goal to have two pathways to sustaining a family here in San Francisco and your union jobs are stroen to do that i have this huge way to work with the Community Members and i think i found my calling i started in 1996 working for willie brown, jr. I worked in hes Mayors Office of housing in the western edition and left 3 years went to law school of San FranciscoState University and mayor brown asked me to be the director of the Taxicab Commission and through the process i very much card by the contracting process and asked me townhouse the city purchaser and worked with me and i became the deputy administrator and. Having trouble struggling to make ends meet folks will not understand what importance of voting is so we decided to develop our Workforce Development services after a couple of years offering pathways to sustainable jobs. clapping. weve gotten to a place to have the folks come back and have the discussion even if participation and makes sense we do Public Services but we also really build Strong Communities when i started this job my sons were 2 and 5 now 9 and 6 i think so the need to be able to take a call from the principal of school i think that brings a whole new appreciation to being understanding of the work life balance. clapping. i have a very good team around me were leader in the country when it comes to paid and retail and furiously the affordablecare act passed by 3079 we were did leaders for the healthcare and were in support of of the women and support. In my industry i feel that is male dominated a huge struggle to get my foot in the door and i feel as though that definitely needs to change this year needs to be more opportunities for i dont know women to do what tell me dream i feel that is important for us to create a in fact, network of support to young people young women can further their dreams and most interested in making sure they have the full and whatever they need to make that achieveable. Education is important i releases it at my time of san mateo high ii come back to the university of San Francisco law school and the fact i passed the bar will open up many more doors because i feel a curve ball or an where you can in the way cant get down why is this in my way we have to figure out a solution how to move forward we cant let adversity throw in the shop and dine in the 49 promotes local businesses and challenges residents to do their shopping and dining within the 49 square miles of San Francisco. By supporting local Services Within our neighborhoods, we help San Francisco remain unique, successful, and vibrant. So where will you shop and dine in the 49 . My name is ray behr. I am the owner of chief plus. Its a destination Specialty Foods store, and its also a Corner Grocery store, as well. We call it cheese plus because theres a lot of additions in addition to cheese here. From fresh flowers, to wine, past a, chocolate, our dining area and espresso bar. You can have a casual meeting if you want to. Its a Real Community gathering place. What makes little polk unique, i think, first of all, its a great pedestrian street. Theres people out and about all day, meeting this neighbor and coming out and supporting the businesses. The businesses here are almost all exclusively independent owned Small Businesses. It harkens back to supporting local. Polk street doesnt look like anywhere u. S. A. It has its own businesses and personality. We have Clothing Stores to gallerys, to personal service stores, where you can get your hsus repaired, luggage repaired. Theres a music studio across the street. Its raily a diverse and unique offering on this really great street. I think san franciscans should shop local as much as they can because they can discover things that they may not be familiar with. Again, the marketplace is changing, and, you know, you look at a screen, and you click a mouse, and you order something, and it shows up, but to have a tangible experience, to be able to come in to taste things, to see things, to smell things, all those things, its very important that you do so. G Commission Regular hearing for i will remind members of the publt tolerate any disruption of any r mobile devices that may sound o. And when speaking before the coi would like to tailoftake rol. [roll call]. We expect commissit today. First on your agenda is s proposed for consideration. Norr continuance. Item 2, third stree authorization is proposed for co