Transcripts For SFGTV Government Access Programming 20240713

That plan the city of San Francisco its own cultural competency training. The population in San Francisco is different from much of california. A cultural training would not be adequate to help provide the Compassionate Care necessary for the population of San Francisco. Second part of comment is related to what came up earlier. I work at a Retail Pharmacy nothing breaks my heart more when they come in to pick up the medication and they dont have the insurance papers. It takes days. They are homeless and they have to leave the pharmacy after 14 hours and dont get medication. They might be without de beat esmedcase and we cant find them to get the updated information. If we find the insurance we cant provide them what they needed. It is almost like the efforts of the Healthcare Providers are almost gone to waste because they dont get the therapy that they need. Than thank you. I am jennifer. I have multiple comments. Regarding cultural competency, i heard statements about linguistic competency. In recent bargaining dph changed the way that they compensate staff when they offer services to clients in the native language. Staff are discouraged from speaking in the native tongues because they are not compensated for it. Staff are told do not speak the Foreign Language unless you are certified that is appalling. Regarding icm. I have to say thank you for talking with staff. When the criteria for step down was developed, it was not developed with any input from staff. If we change the way we do things to expect it to work we should not rely on consultants or those of the administrators we need to talk to those doing the work and touching our clients on a daytoday basis. There was a moment where we mentioned stabilize, adults who do not stabilize. This brings me to the arts. The clients who are users of services in a high way need more care for a long time. This is a severe illness. When beds at the arf are closed we are not able to stabilize people to maintain the stagization. Stabilization. We negotiated with the mayor and came to an agreement about if arf. There are 23 beds vacant and 54 beds lost right now. People are evicted from the man or, from the aurora home and from 54 are evicted, homes are closing with 23 vacant beds and are not allowed to move people. I do know why that is. These people need a home. Thank you. The thing that strikes me as essential pieces to puzzle with 4,000 people is the intensive Case Management. Basically doctor sung said they did not increase capacity for intensive Case Management. Thing whiteled down the waiting list and some could go to other places but they had to increase the caseloads. Doctor bland tells me 4,000 people, 90 dont have intensive Case Management. There is a critical absence of staff. I heard a lot of acronyms and aspirational starts but i didnt hear about when these 4,000 people are going to get taken care of. It sounds like at the rate we are going they are not going to get taken care of unless you get more staff and you really do it. It is very discouraging. Thank you. I have deanna law. I am deanna long i work for the San Francisco Community Clinic Nonprofit Community Health Centers throughout San Francisco. We specialize in providing culturally competent care in different neighborhoods. I just want to call out two things. That doctor bland and could fax mentioned that i was happy to hear. One is emphasis on the Behavioral Health work force. You there are those with an emergency medical bill. Ab1611 would protect these patients against the emergency surprise bill. Thank you. That is all the speakers i have. Is there anyone else who would like to speak on these two items . If not it is in the hands of the commission. If you have a question or comment please identify the presenter to address that comment or question to. I think i dont actually have a question at this point because i think that the initial presentation on the challenges facing our Behavioral Health services was extremely comprehensive. I thank the doctor for taking on the role of the acting director to move forward with as much progress as you have been able to do. I think that the key thing she has laid out and doctor bland identified was not so much the identification of the problems because those now have been very well elicited and certainly the doctor has helped summarize the issues that we are facing especially as you look at the homeless. I think the doctor has broadened that to say and the rest of our population needs a certain amount of support and health. We have heard the issue of cultural competent, the need clearly of language capability, the challenge of being able to actually meet the client. I dont think to say we are not going to say that. Any door wherever would come in and now we are also looking at how we can outreach and try to meet them where they are. I understand that we may go outside the doors to be able to bring them in at whatever location you are with your diagram, for example, but we need the outreach. This has been a very good discussion about how we are facing behavior health. I think the doctor for the next four or five years is saying that we may be looking at a change of even the entire process of both mental and physical health if the States Program about medicaid is actually carried out. Going through a number of hoops yet, but she is warning us again and that fits fairly well with the rest of our presentations this afternoon in terms of all of the possible changes and even the Planning Commission issues of what to do about facilities. I think that only shows the dynamic process that healthcare is undergoing. What i i see is one of the Biggest Challenges to try to answer these needs is really what is it that we are going to be able to have as a work force and it goes back to i think our Health Network was talking about. The real challenge right now is we are going to have all of these ideas, some of which are going to need immediate implementation to help the homeless, to help those who actually also have other Mental Health programs that are not homeless but need the same help because some of them are also on the streets. They are not getting the care they need. How many are not going to be able to be from the Homeless Population in the intensive care they need. Where do we get that . We heard from the Community Consortium they have trouble and we have heard that, i think that is really one of the Biggest Challenges. I understand with the new director of Human Resources we need to identify people or we cant put them in a system and we have to accelerate how we work with identified personnel, potential personnel because they will go elsewhere. The identification of personnel and keeping them going is almost as critical as looking at opening the new hospital or as we were looking at the personnel for management of the epic program. I see that as a lesson that i have gotten today that is a real challenge and how our director is going to be able to work with the different well what opportunities they are going to have. I could ask the director what he view views as a way to move on this and what we might look for in terms of implementing what are very nicely developed and certainly well thought out ideas. I am sorry are you specifically asking about the work force . Yes, we cant identify personnel to carry out the programs that we are working on, we are not really going to move the needle. This is something that is for Michael Brown in the back now, our new hr director i talked with nim within his first hour of starting laying out a plan to focus and recruit on these positions. Going back to your comments, we have a proof of concept with regard to hospital skill. It takes considerable resources to do that, right. If you look at what mayor breed has talked about as increased investments in the work and we need to talk across the different stakeholders including unions and Civil Service to provide incentives for people to come and stay in the work. We have been looking at things to have more opportunity for people to stay, other incentive programs as well. We also need to create a culture of excitement with h. I. V. Having reengaged in the h. I. V. Clinic there. There are people that worked there for years. I think they could get compensated better in other places. They are Mission Driven and inspired. I think many of our Behavioral Health team are committed to that. We need to expand that perspective in our culture that people can be shown to make a difference in that way. It is a combination of focus, data, priorities and making sure that this is a priority and people are supported in moving that forward. I would repeat that. Also, shifting the culture with regard to where we call a difference when we do epic. Many in the room were major contributors. It was a heavy lift, but we did that lift when we addressed the h. I. V. Epidemic, we found a way to do that. Key is those were not issues just one part of the department, right . That was not the only job of a director within the units or section. That was a Department Priority and resources were brought forward to do that to make a difference. This problem didnt happen overnight and we are not going to solve it overnight. As you saw with the Behavioral Health network we are making structural changes to have a road map to go forward starting now and into the near future. One final comment with jeff. In regard to the work force. It is very important that work force be able to not just have the knowledge and the credentials. This is where i think unless we do that we dont reach equity. We cant answer the disparities. Whether it be because of a cultural issue in terms of working with africanamerican communities or with some of our other Foreign Language speaking communities that we are able to also work with that. I know that is the real challenge. It is very important for us to be able to answer the disparity especially for a fairly sizable part of our population. Thank you. I would make a comment that for the first time in many years i have been a part of the system i see a cultural shift in the Government Entities in relationship to the community that we have been serving all of this time. What we need to do is continue that cultural shift in the government and cb o community so that when we deliver what has been presented today that those communities, those cb os and the Department People are invested in and committed to doing the work because without that shift, we will be having this conversation next year and i do not want to have it next year. I want to also suggest that because it was so explicit in doctors presentations we understand where we are going now we have though create resources and will to get there. I thanks you both for the reports that were educational for me as well. Other comments. I would echo that. You have done a very comprehensive job of identifying the population. Of course, the challenges of the work force and the aspects about the population that is so critical. I wonder if you collaborate a little bit how you envision the Behavioral Health services working to the goals. Do you have any targets . I know there are some about how long it takes to house people, what percentage would be housed in certain period of time. That is not part of Mental Health. Are there any new targets you have developed that you think you can reach in the near term . I also notice i think there are 800 people right now working within the Mental Health system. Have you thought about how you u can redeploy these people to the top of their licenses, incorporate remote providers, which is a huge opportunity for us, where you are going with that. Where within the system you expect to find did leadership and creativity to move along in these paths you have outlined . Thanthank you for the questi. I am going to invite doctor sung the invite the second half of the question. I was assigned for two years to complete in survey to make these recommendations. It is important to acknowledge with in the two year timeframe there are many recommendations that our team is working to help the Health Development develop a framework for implementation we wont be present to see them did deployed. With respect to the work force, it is important to come back to the Community Members comment. One of the key investments the mayor agreed to make is to supplement the number of intensive case managers. We have a target and goal. Right now we have one case manager for every 17 clients. When people have complex needs like the 4,000 based on our success in the department, fullservice partnerships is one case manager to every 10 clients that requires more people, more case managers and also resources to recruit and retain. In thinking about the outcomes i have been pleased with the support and collaboration with the Deputy Director of support services looking at developing clear outcomes for the intensive Case Management services across the board. As pointed out earlier the system has been very closely focused on compliance and regulatory measures which are process measures. We are now taking the shift to ask the difficult questions about what where the actual outcomes associated with the interventions. We think about care coordination and particularly for intensive Case Management, what is happening with Housing Status . How much do they spend time in jail . Are they engaged in meaningful activity . Are they engaged in physical and Mental Healthcare consistently . The baseline measures. We are pleased to have the partnership to assess the Case Management services at that level. I would like doctor sung to respond to the second half of the question. Thank you for the question. I think the question was redeploying staff . Yes, because we have to meet the needs of the changes moving forward. How do we deploy them . What will it lookalikes . We need to fill the current positions. That is one of the challenges. We prioritize this and i appreciate the partnership as well. Thinking about what is it going to take to hire staff and keep staff . What they see is you know what happens when you change staff, there is a loss of connection with clients. They have to learn. They get burned out if you have a one to 17 caseloads and they leave again. It is a cycle. The shifting will have to happen at the same time. Does that make sense . Thank you. Thanthank you, doctor sung fr your Service Today and as we go forward. Would you like to economic in . I would like to know the commission has lost quorum. This is an informational session. Would you like to check in about if rest of the agenda . Yes, we have two other items the Fourth Quarter report and the office of compliance and private seize annual update. I would request that we move those to a meeting in the future. I am making that request to my colleagues up here. If there is no objection we will do that and i will have mark schedule it for us. I agree. We have agreement. We will move those items to a future meeting. You can consider adjournment at this point. You are unable to vote because you are not a full body so the meeting is adjourned. Good night. [music] San Francisco city clinic provides a broad range of sexual Health Services from Stephanie Tran medical director at San Francisco city clinic. We are here to provide easy access to conference of lowcost culturally sensitive sexual Health Services and to everyone who walks through our door. So we providestd checkups, diagnosis and treatment. We also provide hiv screening we provide hiv treatment for People Living with hiv and are uninsured and then we hope them Health Benefits and rage into conference of primary care. We also provide both prend post exposure prophylactics for hiv prevention we also provide a range of womens reproductive Health Services including contraception, emergency contraception. Sometimes known as plan b. Pap smears and [inaudible]. We are was entirely [inaudible]people will come as soon as were open even a little before opening. Weight buries a lip it could be the first person here at your in and out within a few minutes. There are some days we do have a pretty considerable weight. In general, people can just walk right in and register with her front desk seen that day. My name is yvonne piper on the Nurse Practitioner here at sf city clinic. He was the first time i came to city clinic was a little intimidated. The first time i got treated for [inaudible]. I walked up to the redline and was greeted with a warm welcome im chad redden and anna client of city clinic even has had an std clinic since all the way back to 1911. At that time, the clinic was founded to provide std diagnosis treatment for sex workers. Theres been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. There were some Public Health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in San Francisco. When youre at the clinic youre going to wait with whoever else is able to register at the front desk first. After you register your seat in the waiting room and wait to be seen. After you are called you come to the back and meet with a Healthcare Provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. Plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. Recommended both by the cdc, center for Disease Control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. I actually was in the project here when i first started here it was in trials. Im currently on prep. I do prep through city clinic. You know i get my tests read here regularly and i highly recommend prep a lot of patients inclined to think that theres no way they could afford to pay for prep. We really encourage people to come in and talk to one of our prep navigators. We find that we can help almost everyone find a way to access prep so its affordable for them. If you times we do have opponents would be on thursday morning. We have two different clinics going on at that time. When is womens Health Services. People can make an appointment either by calling them a dropping in or emailing us for that. We also have an hiv care clinic that happens on that morning as well also by appointment only. He was city clinic has been like home to me. I been coming here since 2011. My name iskim troy, client of city clinic. When i first learned i was hiv positive i do not know what it was. I felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. So i [inaudible] hiv care with their health about a quarter of our patients are women. The rest, 75 are men and about half of the men who come here are gay men or other men who have sex with men. A small percent about 1 of our clients, identify as transgender. We ask at the front for 25 fee for services but we dont turn anyone away for funds. We also work with outside its going out so any amount people can pay we will be happy to accept. I get casted for a pap smear and i also informed the contraceptive method. Accessibility to the clinic was very easy. You can just walk in and talk to a registration staff. I feel im taken care of and im been supportive. All the information were collecting here is kept confidential. So this means we cant release your information without your explicit permission get a lot of folks are concerned especially come to a Sexual Health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. Trance men and women face really significant levels of discrimination and stigma in their daily lives. And in healthcare. Hiv and std rates in San Francisco are particularly and strikingly high were trans women. So we really try to make city clinic a place that strandsfriendly trance competent and transwelcoming everyone from the front desk to behind our amazement there are completely knowledgeable. They are friendly good for me being a sex worker, ive gone through a lot of difficult different different medical practice and sometimes they werent competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. I have been coming here for seven years. When i come here i know they my services are going to be met. To be confidential but i dont have to worry about anyone looking at me or making me feel less a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. We have some testing with you on site. So all of our samples we collect here. Including blood draws. We sent to the lab from here so people will need to go elsewhere to get their specimens collect. Then we have a few test we do run on site. So those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. People get those results the same day of their visit. I think its important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. Onsite we have condoms as well as depoprovera which is also known as [inaudible] shot. We can prescribe other forms of contraception. Pills, a patch and rain. We provide pap smears to women who are uninsured in San Francisco residents or, to women who are enrolled in a statefunded program called family pack. Pap smears are the recommendationrecommended Screening Test for monitoring for early signs of cervical cancer. We do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. Whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. In terms of how many people were able to see in a day, we say roughly 100 people. If people are very brief and straightforward visits, we can sternly see 100, maybe a little more. We might be understaffed that they would have a little complicated visits we might not see as many folks. So if we reach our target number of 100 patients early in the day we may close our doors early for droppings. To my best advice to be senior is get here early. We do have a website but its sf city clinic. Working theres a wealth of information on the website but our hours and our location. As well as a kind of kind of information about stds, hiv,theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for 15, 40 75500. The phones answered during hours for clients to questions. It did take a village. I was really lucky when i was 14 years old to get an internship. The difference that it made for me is i had a job, but there were other people who didnt have a job, who, unfortunately, needed money. And they were shown to commit illegal acts to get money. That is what i want to prevent. [ ] today we are here to officially kick off the first class of opportunities for all. [applause]. Opportunities for all is a program that mayor breed launched in october of 2018. It really was a vision of mayor breed to get to all of the young people in San Francisco, but with an intention to focus on young people that have typically not being able to access opportunities such as internships or workbased learning opportunities. Money should never be a barrier to your ability to succeed in life and that is what this program is about. Theres always these conversations about young people not being prepared and not having experience for work and if they dont get an opportunity to work, then they cannot gain the experience that they need. This is really about investing in the future talent pool and getting them the experience that they need. It is good for everyone because down the road we will need future mechanics, future pilots, future bankers, future whatever they may be in any industry. This is the pipe on we need to work with. We need to start developing talent, getting people excited about careers, opening up those pathways and frankly giving opportunities out there that would normally not be presented. [ ] the way that it is organized is there are different points of entry and different ways of engagement for the young person and potential employers. Young people can work in cohorts or in groups and thats really for people that have maybe never had job experience or who are still trying to figure out what they want to do and they can explore. And in the same way, it is open for employers to say, you know what, i dont think we are ready to host an intern yearround are all summer, but that they can open up their doors and do site visits or tours or panels or conversations. And then it runs all the way up to the opportunity for young people to have longterm employment, and work on a project and be part of the employee base. Something new, to get new experience and meet people and then you are getting paid for it you are getting paid for doing that. It is really cool. I starting next week, i will be a freshman. [cheers and applause] two of the things i appreciate about this program was the amazing mentorship in the job experience that i had. I am grateful for this opportunity. Thank you. Something i learned at airbnb is how to network and how important it is to network because it is not only what you know, but also who you know to get far in life. During this program, i learned basic coding languages, had a had to identify the main components and how to network on a corporate level. It is also helping me accumulate my skills all be going towards my College Tuition where i will pursue a major in computer science. For myself, being that i am an actual residential realtor, it was great. If anybody wants to buy a house, let me know. Whenever. [applause] it is good. I got you. It was really cool to see the commercial side and think about the process of developing property and Different Things that i can explore. Opportunities for all was a great opportunity for all. We were aiming to have 1,000 young people register and we had over 2,000 people register and we were able to place about between 50 and did. We are still getting the final numbers of that. Over several weeks, we were able to have students participate in Investment Banking they were able to work with our team, or technology team, our engineering 20 we also gave them lessons around the industry, around financial literacy. There are 32,000 young people ages 16 and 24 living in San Francisco. And imagine if we can create an opera skin it just opportunity for all program for every young person that lives in public housing, affordable housing, low income communities. It is all up to you to make that happen. We have had really great response from employers and they have been talking about it with other employers, so we have had a lot of interest for next year to have people sign on. We are starting to figure out how to stay connected to those young people and to get prepared to make sure we can get all 2400 or so that registered. We want to give them placement and what it looks like if they get more. Lets be honest, there is always a shortage of good talent in any industry, and so this is a real great career path. For potential sponsors who might be interested in supporting opportunities for all , there is an opportunity to make a difference in our city. This is a really thriving, booming economy, but not for everyone. This is a way to make sure that everyone gets to benefit from the great place that San Francisco is and that we are building pathways for folks to be able to stay here and that they feel like they will belong. Just do it. Sign up for it. [ ] he is a real leader that listens and knows how to bring people together. Brought this department together like never before. I am so excited to be swearing in the next chief of the San Francisco Fire Department, ladies and gentlemen, lets welcome, Jeanine Nicholson. applause . I grew up total tomboy, athlete. I loved a good crisis, a good challenge. I grew up across the street from the fire station. My dad used to take me there to vote. I never saw any female firefighters because there werent any in the 1970s. I didnt know i could be a fire fighter. When i moved to San Francisco in 1990, some things opened up. I saw women doing things they hadnt been doing when i was growing up. One thing was firefighting. A woman recruited me at the gaypride parade in 1991. It was a perfect fit. I liked using my brain, body, working as a team, figuring things out, troubleshooting and coming up with different ways to solve a problem. In terms of coming in after another female chief, i dont think anybody says that about men. You are coming in after another man, chief, what is that like. I understand why it is asked. It is unusual to have a woman in this position. I think San Francisco is a trailblazer in that way in terms of showing the world what can happen and what other people who may not look like what you think the fire chief should look like how they can be successful. Be asked me about being the first lbgq i have an understands because there are little queer kids that see me. I worked my way up. I came in january of 1994. I built relationships over the years, and i spent 24 years in the field, as we call it. Working out of firehouses. The Fire Department is a family. We live together, eat together, sleep in the same dorm together, go to crazy calls together, dangerous calls and we have to look out for one another. When i was burned in a fire years ago and i felt responsible, i felt awful. I didnt want to talk to any of my civilian friends. They couldnt understand what i was going through. The firefighters knew, they understood. They had been there. It is a different relationship. We have to rely on one another. In terms of me being the chief of the department, i am really trying to maintain an open relationship with all of our members in the field so myself and my deputy chiefs, one of the priorities i had was for each of us to go around to different fire stations to make sure we hit all within the first three or four months to start a conversation. That hasnt been there for a while. Part of the reason that i am getting along well with the field now is because i was there. I worked there. People know me and because i know what we need. I know what they need to be successful. I have known Jeanine Nicholson since we worked together at station 15. I have always held her in the highest regard. Since she is the chief she has infused the department with optimism. She is easy to approach and is concerned with the firefighters and paramedics. I appreciate that she is concerned with the issues relevant to the Fire Department today. There is a retired captain who started the Cancer Prevention foundation 10 years ago because he had cancer and he noticed fellow firefighters were getting cancer. He started looking into it. In 2012 i was diagnosed with breast canner, and some of my fellow firefighters noticed there are a lot of women in the San Francisco Fire Department, premenopausal in their 40s getting breast cancer. It was a higher rate than the general population. We were working with workers comp to make it flow more easily for our members so they didnt have to worry about the paper work when they go through chemo. The turnout gear was covered with suit. It was a badge to have that all over your coat and face and helmet. The dirtier you were the harder you worked. That is a cancer causeser. It casser. It is not cancer causer. There islassic everywhere. We had to reduce our exposure. We washed our gear more often, we didnt take gear where we were eating or sleeping. We started decontaminating ourselves at the fire scene after the fire was out. Going back to the fire station and then taking a shower. I have taught, worked on the decontamination policy to be sure that gets through. It is not if or when. It is who is the next person. It is like a cancer sniper out there. Who is going to get it next. One of the things i love about the Fire Department. It is always a team effort. You are my family. I love the city and department and i love being of service. I vow to work hard to work hard to carry out the vision of the San Francisco Fire Department and to move us forward in a positive way. If i were to give a little advice to women and queer kids, find people to support you. Keep putting one foot in front of the other and keep trying. You never know what door is going to open next. You really dont. [cheers and [ ]eers and at San Francisco animal care and control, we care for all animals, any species. We get about 10,000 a year. They can be injured, lost, victims of abuse or violence, and we take them all in and we care for them. I felt really passionate about getting the spca a new building. I had personally seen first hand when my family was searching for our first rescue dog what conditions a lot of the animals and the staff from a. C. C. Where working in. We were really excited to be moving into this new shelter. Our current Physical Plant is in terrible shape. I like to describe it as the building is working against us rather than for us. This shelter was put together in six months, 30 years ago, in a building that is now 80 years old. Our staff and our volunteers are amazing and wonderful, and they are warm, but the space makes it difficult for people to connect with the pets because we have families coming into adopt, we have families surrendering their animals, people looking for their lost dogs, and they are all crammed together in a very small, emotionally fraught space our heating and ventilation system is very poor. Right now, our shelter is not capable of good ventilation to prevent the spread of disease. We have no security features. Our veterinary suite is cramped into one room. We can only perform one procedure at a time. One of the main Lessons Learned from Hurricane Katrina is people were reluctant to evacuate. If they were fearing that their pets were going to be left behind and not cared for. In the event of an earthquake , we need to be off the grid for 72 hours. It is unlikely that we would be able to fulfil our mission to take in domestic pets that need to be temporary looked at while parents are out of their home. In a new building, we will be able to meet those earthquake standards. [ ] we are standing at the site of the future animal care and control facility. That is the beautiful brick building you see in the background behind me. This building is part of the Showplace Square Historic District which is a collection of brick warehouses and factories that was built in the late 19th century. This was built in 1893 as the original coalfired power plant for the first street car in San Francisco and has been owned and operated by munimobile ever since. We chose this building for the project for a number of reasons. One is we are not far from the existing animal care and control facility, San Francisco spca is nearby, and it is a nice nexus to have in the center of the city. [ ] what we are doing is we are going seismic upgrading the building. It is un and unreinforced masonry building. We are going to be installing floor prate floor plates across the space to put in all of the animal housing. We will be able to get our give our animals adequate space. We will also be separating our small animals into different rooms. Right now we have reptiles and bunnies and birds, everyone all crammed in together. The tricky part of it is to find open space in this existing urban environment. We did that by inserting an open air courtyard, and also using the roof deck for another dog in small animal run. [ ] three, two, one [cheering] [cheers and applause] when the new a. C. C. Opens and two years, it will be incredible and we will finally have the worldclass facility that our shop and dine in the 49 promotes local businesses and challenges residents to do their business in the 49 square files of San Francisco. We help San Francisco remain unique, successful and right vi. So where will you shop and dine in the 49 . Im one of three owners here in San Francisco and we provide mostly live Music Entertainment and we have food, the type of food that we have a mexican food and its not a big menu, but we did it with love. Like ribeye tacos and quesadillas and fries. For latinos, it brings Families Together and if we can bring that family to your business, youre gold. Tonight we have russelling for e community. We have a tenperson limb elimination match. We have a fullsize ring with barside food and drink. We ended up getting wrestling here with puoillo del mar. Were hope og get families to join us. Weve done a drag queen bingo and were trying to be a diverse kind of club, trying Different Things. This is a great part of town and theres a bunch of shops, a variety of stores and ethnic restaurants. Theres a popular little shop that all of the kids like to hanhang out at. We have a great breakfast spot call brick fast at tiffanies. Some of the older businesses are refurbished and newer businesses are coming in and its exciting. We even have our own brewery for fdr, ferment, drink repeat. Its in the San Francisco Garden District and four beautiful muellermixer ura alsomurals. Its important to shop local because its kind of like a circle of life, if you will. We hire local people. Local people spend their money at our businesses and those local mean that wor people willr money as well. I hope people shop locally. [gavel] good morning, everyone. The meeting will come to order. Welcome to the november 4th, 2019, meeting of the rules committee. Im supervisor hillary ronen, chair of the committee. We will be joined shortly by supervisor shamann walton, who is the vice chair and to my left is supervisor norman what is wrong with me, gordon mar. Excuse me, gordon. Our clerk is victor young. Id like to thank matthew and michael at sfgov for staffing this meeting. Mr. Include, do you have any announcements