Transcripts For SFGTV Our City Our Home Oversight Committee 20240711

What do you think about working at an airport and i love it is busy all the time. We want it to be an those away was this is a venture if i didnt love it ill be an accountant. We want the experience that is a nonairport experience the negative stigma were trying to erase that. Everything is in a bad food to excite them about the food and they have time to learn about us. People are imitated by traveling and the last thing to do is come to a place fill of chaos. Telling me how the extent of napa a farms came about. It was a vision of the airport director he had a suspicion of a really cool gourmet speciality market locally friendly products this market local flavors this is the best. Can we get a little tour. Absolutely laughter so first on our tour. We have the clock we like to call it. This is coordinating it is made in San Francisco. What about the customer presence. We like to get the permanent farther i love the cappuccino and you have to go to multiple places for the cupcakes the cup a cakes from karis people want to live here theyre longing phone call for one thing in one spot in you know anything about San Francisco the cheese the most popular cheesy think a lot of the people from the west coast say so this the real San Francisco sour dough and theyre curious. You find people respond to the idea of organic and absolutely. This is autumn. Thank you, thank you and theres a lot of personal touch. I see San Francisco. Its very hands on. Whats the most popular items. This is quite surprising our fresh jotting this is the chronicle special a bowl of warm oats and coconut thats mites farther. And speaking of drinks tell me again the cocktail scenes is that one, the things your known for. The cocktails are fantastic. Really. Fresh ingredients we dont have a mixture it to order this is our marcus bloody mayor. Farmers market bloody mary the bloody marys in the airport are great shikz it up. And then were going to garnish it with olives. And some lime and a fresh stalk of selly. Right on. We like the San Francisco playgrounds hitsvery dates back to 1927 when the area where the present playground and center is today was purchased by the city for 27,000. In the 1950s, the sen consider was expanded by then mayor robinson and the old gym was built. Thanks to the passage of the 2008 clean and safe Neighborhood Parks bond, the Sunset Playground has undergone extensive renovation to its four acres of fields, courts, play grounds, community rooms, and historic gymnasium. Here we are. 60 years and 14 million later, and we have got this beautiful, brandnew rec center completely accessible to the entire neighborhood. The new rec center houses multipurpose rooms for all kinds of activities including basketball, line dancing, playing pingpong and arts can crafts. You can use it for whatever you want to do, you can do it here. On friday, november 16, the dedication and Ribbon Cutting took place at the Sunset Playground and recreation center, celebrating its renovation. It was raining, but the rain clearly did not dampen the spirits of the dignitaries, Community Members and children in attendance. [cheering and applauding] were here to raise awareness and money and fork for a good accuse. We have this incredible gift probably the widest range of restaurant and count ii destines in any district in the city right here in the mission intricate why dont we capture that to support the mission youths going to college thats for the food for thought. We didnt have a signature font for our orientation thats a 40yearold organization. Mission graduates have helped me to develop special as an individual theyve helped me figure out and provide the tools for me that i need i feel successful in life their core above emission and goal is in line with our values. The ferraris yes, we made 48 thousand they were on top of that its a nobrainer for us. Were in and fifth year and be able to expand out and tonight is your ungrammatical truck food for thought. Food truck for thought is an opportunity to eat from a variety of different vendor that are supporting the mission graduates by coming and representing at the parks were giving a prude of our to give people the opportunity to get an education. People come back and can you tell me and enjoy our food. All the vendor are xooment a portion of their precedes the money is going back in whats the best thing to do in terms of moving the needle for the folks we thought Higher Education is the tool to move young people. Im also a College Student i go to berkley and 90 percent of our folks are staying in college thats 40 percent hire than the afternoon. Im politically to clemdz and ucla. Just knowing were giving back to the community. Especially the Spanish Speaking population it hits home. People get hungry why not eat and give San Francisco parks, Golden Gate Park transforms into one of the greatest Music Festivals of all time, lets journey, inside, outside land. To this, our 6th year doing the outside lands and our relationship with San Francisco, rec and park. And we work very closely with them in the planning and working very closely with the neighborhood organizations and with the city supervisors and with the city organizations and with the local police department, and i think that the outside lands is one of the unique festivals in the world and we have San Francisco and we have Golden Gate Park and we have the greatest oasis, in the world. And it has the people hiking up hills and down hills and a lot of people between stages. I love that it is all outside, the fresh air is great. They have the providers out here that are 72 local restaurants out here. Celebrating, and that is really hot. 36 local winerries in Northern California and 16 brewers out here. And you have seen a lot of people out here having a good time and we have no idea, how much work and planning has gone into this to make it the most sustainable festival in the United States. And literally, in the force, and yeah, unlike any other concept. And come and follow, and the field makeup the blueprint of the outside land here in Golden Gate Park and in the future events and please visit sffresh parks. Org. [music] i came in with her impression of what i thought it was good what i knew about auditing with the irs spears i actually knew nothing about auditing in my mind it was purely financial. With people that audited the pain no one wants to deal with it now i see a lot of time explaining auditing is not just about taxes. Oftentimes most students believe that auditing is only financial whereas when they come into a Government Environment we do much more than financial audits. We do operational audits that were looking at the operations of the department for economy and efficiency and effectiveness. When i hire an intern some of the things that i am looking for first of all is is this individual agile and flexible because i am our environment is so fastpaced and where are switching from project to project depending on whats going on in the government at any given time. Primarily i didnt with audits on utilities management across city departments. Citywide this ods management audit was also been assisting with Housing Authority Audit Program the homelessness audit the it functions [inaudible] were starting any water on the department of Public Housing environment allows i also assist with the [inaudible] program. Then additionally i really enjoyed having staff who have some Critical Thinking skills. Because i believe the basis of auditing is not do you know how to audit, but to have Critical Thinking skills [inaudible] [inaudible] even though ive only been here for short time our quick indepth analysis and Research Analytical skills theres a lot of taking enlargement of information a compacting it a very concise report because weve a big focus on [inaudible] if youre transmitting this information to the audience you need him to be able to understand it. So i work with the Sparrow Program primarily. Broadway stan abused [inaudible] they prepare me for fulltime employment because i knew i could not to challenge myself in order to be an auditor. At the [inaudible] we are a content feedback and communication and they pointed out areas where i need to grow. One of the things i like about working at [inaudible] is that they actually give you quite a bit of autonomy i feel like kevin sage trusted me. The environment really [inaudible] to everyone feeling super collaborative and wanting to get to know one another. Which i think at the end of the date is a better Work Environment and gives you a better workflow. I believe that a really is a great experience because it provides an opportunity to have a better understanding of how government works. I think what ive learned so far is that every audit is unique everyday. Different learning opportunities. The recordation we make in on its i can honestly go home at the end of the day and zack and treated [inaudible] in a better way. Even of not familiar with what auditing is you should deftly find out. Its been really really awesome he was it turns out theres a whole world of auditing that i cannot open file oriented performance and [inaudible] and thats an exciting. Audit is a lot broader than i ever knew before. Working for the city and county of San Francisco will immerse you in a vibrate and dynamic city on sfroert of the art and social change weve been on the edge after all were at the meeting of land and sea worldclass style it is the burn of blew jeans where the rock holds court over the harbor the citys Information Technology xoflz work on the rulers project for free wifi and developing projects and insuring patient state of at San Francisco General Hospital our it professionals make guilty or innocent available and support the house Senate Regional wearout system your our employees joy excessive salaries but working for the city and county of San Francisco give us employees the unities to contribute their ideas and energy and commitment to shape the citys future but for considering a career with the city and county of san francisc] 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. The hon. London breed good afternoon, everyone. Thank you so much for joining us here today. Were here with dr. Grant colfax of the department of Public Health to provide a very important update around whats happening in San Francisco as it relates to covid19. As of today, the total number of cases in San Francisco are 13,139. The total number of hospitalizations are 36. Sadly, the total number of deaths has reached 151, and we are seeing 5,000, almost 6,000 tests per day. Our Positivity Rate has went from a record low to now 1. 28 , and what does all this mean . We are seeing an uptick. Two weeks ago, we put a pause on our reopening efforts, and we made it clear to the people of San Francisco that we are seeing the number of cases increase, and we should be concerned. We had plans. We had plans not only to continue our reopening efforts, but we had planned to really expand so many services, so many businesses, and a number of other i think thisethings, o weeks ago, we knew we were probably headed in this direction, and sadly, what were seeing today has put us in a situation where we have to take a moment and to recognize that there is a problem. The upticks that we have seen are really a cause for concern, and its put us in a situation where we have had to make yet another hard choice. San francisco has been praised over the past couple months around the number of cases, our Testing Capacity and Positivity Rate and having one of the lowest number of cases in the country, but thats only because many of have been very cooperative and have supported the efforts that we put forward. And unfortunately, you know, weve been in this for a long time now, and people are tired, and so people have gotten complacent, and as a result, because of behavior, were seeing an uptick. And as a result of that uptick, it has forced our city to make some very, very hard decisions, and not just pause the reopening efforts, but to, in fact, roll back some of the gains that we have made. So sadly, beginning the end of the day friday, we will need to eliminate Indoor Dining, we will need to reduce capacity as gyms and movie theaters. We will be putting a pause on opening additional high schools, and so there are a number of things that, unfortunately, we will now need to do as a result of this. And dr. Colfax will talk a little bit more about what that entails why we are in a place of doing something that i wish we didnt have to do, because i understand, especially as the weather gets colder and its the Holiday Season, and people are starting to hire back their employees and purchase food and get prepared, that this is having a tremendous impact on so many businesses and, in particular, the Restaurant Industry in San Francisco. I understand that, you know, were not making any roll backs on any elementary or any middle schools because what we know about high schools is, unfortunately, the transmission rate is similar to adults, so we need to put a pause on opening high schools, but it doesnt mean we shouldnt move forward and get our elementary and middle schools open as soon as possible. In fact, we know that the board of education has plans to vote on a resolution to get our schools back open sooner rather than later. We are committed as a city to work with them to do just that. This concern around this uptick does not mean that we cannot still move in a direction to get our schools open sooner rather than later. We also know that, again, some of our cibusinesses are struggling, and we cant do it alone. Just recently, we put out some information around providing some Additional Support for our restaurants. 2. 5 million in fee and tax waivers, 1 million in grants to restaurants to support outdoor dining, and were redirecting the 3,500,000 interest s. F. Help loans towards low and moderate income residents. We know that help is needed, we cant do it alone. This is why i wholeheartedly support the restaurant act, h. R. 107, which will support investing 20 billion in restaurants in this country. We need to do more, but the fact is the virus is spreading, and we have to make the hard decisions. The good news is that we have a new president and a new Vice President , and we just heard the good news yesterday that we made progress on the vaccine, but those things arent going to help us today with what were seeing. Theyre going to help us for the future, but for now, we have to make sure that were protecting and saving lives here in the city right now. Its a very hard thing to think about just what impact this is going to have on the people of San Francisco. When making these decisions, we dont take them lightly. We look at the science, we look at the data. We think about every single restaurant and every Single School and every single business that has not collected any revenue whatsoever since this pandemic began. We understand cthat challenges exist, and its why weve continued to recavamp our jobs now program to pay for employees, and deferred and even waived city fees, and we will continue to work to do as much as we can, and like i said, were not going to do it alone. Were going to count on the decisions made in washington to provide some Additional Support that could help put us in a better place. But for now, we have to do whats necessary to protect the people of San Francisco. And so when there are people who are out, not wearing their masks and not following the Public Health orders and doing things that, sadly, spread the virus, then it causes us additional delays on our reopening efforts. When i think about, you know, whats been happening as it relates to the virus, we know that in the past, we talk about the disproportional impacts with particularly the latino community. We made a record 28 Million Investment to try and curb that, and the good news is were seeing the numbers change slightly. So we are seeing is more impact by the virus. Were seeing people hanging out at the bars and some of the places, and were seeing masks coming off and people who are getting comfortable and complacent. This virus definitely reacts to behavior that does not follow the suggested Public Health guidelines around mask wearing and social distancing, and so we know that were going to have to change our behavior as we come possible the Holiday Season. We know that people are going to want to get together, families and friends, and its a little bit colder outside, so people are going to want to be theyre going to want to be indoors, and so were going to have to think about how thats going to impact this virus and its ability to move around. The hard choices that we make now will help make things better in the future. It will get our city open, it will get our businesses open, it will get our kids back in school faster, so we have to continue to make the hard choices. I know that the people of this city are tired of me asking so much of you. Time and time again, ive come out here and have asked you things that make it very, very difficult for you in your life, whether its taking care of your children, your elderly parent, or even going to work, but we need everyones cooperation, we need everyones support. We know this has not been easy. We know its not been easy for so many people for so long, and we didnt think wed be in the midst of a pandemic as long as we are. Were seeing places like europe, where theyve had to roll back their reopening efforts. Weve seen upticks all over the country, not just San Francisco. And the reason why and so many of you have been understanding, and youve cooperated. So i want to thank you for doing that, but we are asking for a lot more, i know. And as we approach the Holiday Season, we need everyone to be mindful as to what is at stake. Making a decision to support opening a business and then asking that business to close, it is heartbreaking. It is very, very unfortunate, but it is necessary, and the way that we make sure that this does not continue to happen is if we realize that the possibility of rolling back even more could happen if we dont change our behavior. So sadly, we are at a different place. Im hopeful that we are going to have a president and Vice President that is already working on a Covid Response and a National Response around Wearing Masks and doing whats necessary in order to get this country through this because even if San Francisco is doing well, it Means Nothing if everyone else isnt. Think about this Holiday Season and people traveling and moving around more. That could potentially spread the virus, so were asking people not to do unnecessary traveling at this time because we really want to get this undercontrol under control so next year, were able to do exactly what we want, and thats celebrate with one another. Were asking you to sacrifice so we can get back to life as we know it. This is hard, yes, but its necessary. I want to thank you again for your cooperation and understanding. This is really tough to put a pause and to hold back some of the things. I know how hard this is to do, especially with reopening businesses and things that people were preparing for, and the cost of that preparation. Were going to do everything continue to do everything we can as a city to make sure we support our communities and our businesses and our schools and our families. It is a hard, long road, but were going to get through this. A vaccine is inevitable, but its not here yet. So at this time, to provide clarity around the data and what it means and to provide specifically detail around what will open and what will be paused right now, the director of the department of Public Health, dr. Grant colfax. Good afternoon. Dr. Grant colfax, director of Public Health for the city and county of San Francisco, and thank you, mayor breed. As always, we are fortunate as a city to have your leadership and tenacity. Today, we are unfortunately taking a step back. We are taking a step back to ensure that we can move forward in the future. If we take these steps today, we can mitigate the spread of the virus and, in the long run, we will be safer and stronger. But this is difficult, and this is a sacrifice. We are halting Indoor Dining, pausing on inperson learning at additional high schools, and reducing the capacity of some indoor activities. This is because the spread of the virus is aggressive and threatening. Let me do a deep dive to show you where we are, and where we could be headed if we do not take these aggressive steps. Our cases in San Francisco have been increasing dramatically over the last month. We have seen cases increase, as shown in this slide, by 250 since early october, and, in the past two weeks, from october 21 through november 5, our rate has increased from 3. 7 per 100,000 people to 9 per 100,000 residents. We are averaging nearly 80 new cases a day now, up from just 32 new cases at the end of october, and this is consistent, unfortunately, with what we are seeing across california and across the bay area region. In fact, while california still remains in much better shape in terms of case increases compared to the rest of the nation, california has seen a 29 increase in cases in the past two weeks. So where may we be headed if we do not reverse this trend . Lets go to the next slide. This shows how cases are increasing, and the projection for those cases. So you can see on this slide that were in a position where cases have increased dramatically. Our reproductive rate of the virus, that rate which the virus spread through the community, has increased above 1, meaning cases will continue to increase dramatically in the future. As you can see, we will go up to over 300 cases a day by late december if this increase continues, a sharp, rapid increase in cases. Reproductive rate above 1, remember, that means that the virus is rapidly spreading through our community. Lets go to the next slide. So our current level of increase is greater than the last surge. This suggests much greater transmission and has the potential to be explosive. The orange line here shows what happened this summer, when we had that summer surge of the virus. We peaked in our cases on july 19, but again, as this slide indicates, we are on track to exceed the surge in the summer as our current cases show are shown here in blue. So that blue line indicates since july 25. That summer surge is imposed on the orange line, at the beginning of that summer surge, june 15 to june 30. The point is not only this increase that were having now in this fall surge commensurate with this increase. This means if we do not turn this around, our fall surge will exceed our summer surge. If we stay on our current course of activities, if we do not pause, and we do not reverse, it is entirely plausible that we will face a situation where our Health Care System could become overwhelmed and reverse the Community Progress that weve made all these many months. Therefore next slide our action today will limit indoor activities. We will close Indoor Dining and bars serving food 11 59 fridfridap. M. Friday this friday. We will also close we will also limit can i have the next slide, please . I think theres a next slide here. Yes. We will also pause the opening of more high schools and restaurants and movie theaters. Schoo high schools already open wi high schools that are open at this time will be allowed to stay open, and elementary and middle schools will be allowed to continue open, but high schools that are not open at this time will be paused as we determine our next steps in possible reopening or even a further restriction of activities. I also wanted to discuss the Holiday Season, which is quickly approaching, and we need to remember that the virus is not only still with us, but there is more around than ever before. The virus, unfortunately, has no boundaries, no limit, and unfortunately, it certainly does not have a holiday schedule. Todays announcement goes a long way in making sure that we will have a much healthier Holiday Season. As we move into these holiday months, we are maintaining our focus on our Hospital Capacity and ensuring san franciscans can receive the care that they need during this Holiday Season. And we want to do everything we can to avoid reinstating a shelter in place order that would unfortunately shut our city down for the holidays. And even if we beat back the rapid and aggressive spread of covid19 that is currently racing through our city, we must continue to act with caution and diligence during this Holiday Season. This means following the principles and guidelines that i have been sharing with all of you since the beginning of the covid19 response. And i know that these messages continue to remain demeaning, but we have to continue to beat back the virus. For the holidays, our guidance includes the following. Traveling outside the bay area increases your chance of getting the virus and spreading it upon your return. Nonessential travel, including holiday travel, is not recommended. Additional precautions must be taken when hosting and interacting with people who are traveling to the bay area, especially from other communities with widespread covid19. Wear face masks and stay 6 feet away from people outside your immediate household, and that includes family members who are not in your immediate household. Eating and drinking together is higher risk because people must takeoff their masks to eat and drink. Restaurants are often relaxed around social distancing, while eating and drinking create more respirato respiratory droplets. Please, have that holiday meal in person only with the ones you live with. Join your family over the holidays on zoom, on teams, on the phone. This is not the year to pull together a big holiday table with multiple households, multiple members of your family indoors, potentially spreading the virus to your loved ones. If you do have a holiday dinner or gathering, please, it must be outside. People must say 6 feet apart and wear masks, and please, use caution when actively eating or drinking. Now, i know this is not how we imagine this is not how i imagine this Holiday Season, but unfortunately it is the Holiday Season we need to have this year top truly show the people that we care and to protect the people we love how to keep ourselves, our families, our friends, our communities safe. We need to protect our aging parents or grandparents, and this can only happen with caution and diligence that includes that masking and that social distancing and limiting interactions. But Everyone Needs to do this part, and do it with caution and care. We will get through this together, and i continue to thank all of you in San Francisco for doing your part. Thank you. Operator at this time, we have a few Health Related questions for you when you are ready. The first set of questions are from alex bareireira. Are the numbers today from business openings attributed to these activities . So we are taking a break from reopening based on the science, data, and facts on the most risky. We know that the virus is likely to be transmitted indoors where people take their masks off, so the decision the difficult decision that we made today is based on the data that we know how the virus is spread, and that those activities increase the risk. We also know that the virus is more likely to be transmitted in large groups or gatherings, which is another reason why weve reduced the limit on gatherings today. Operator thank you. The next question comes from gerald chin, San Francisco bay. Does the city expect the state to put the San Francisco back in strict [inaudible]. So what were responding to is the local date on that we have, and as data, that we have, and as you saw, i just showed the recent data, you saw the slides. We are going to continue to watch the state, we expect the state will shift us to another tier, but we need to move fast here. We need to look at our local information, and thats why were responding so quickly right here. You saw that that rate of increase. That increase is very concerning, particularly the fact that it exceeds the rate of increase that we saw at that summer surge, so we need to act to turn the tide now on this fall surge. Operator there are no further questions, and this concludes the press conference. Thank you, mayor breed, and dr. Colfax. Hi. Im chris manners, and youre watching coping with covid19. Today, im going to be talking about checking with your neighbors. Start off by giving your neighbor a call to see how they are or if they need help. If they dont answer, dont get anxious. Try again later. Check to see if their car is parked nearby. Are they lights being turned on and off during normal hours . If you still cant contact them, contact your other neighbors and see if theyve had contact with them recently. You can also leave a note in their mailbox, and when you do get in touch with them, ask if theyd like to share their Emergency Contact information. If youre getting groceries for a neighbor, get a mask and sanitizing wipe. Put the groceries by the front door and then move back and call them from the sidewalk. If you need to ring the doorbell, dont use your hand. Use the wipe or paper towel that you brought. When you call, stay on the sidewalk at least 6 feet away from them. As youre talking to them, ask about any other help they might need. Some might need further assistance with groceries or just need to chat. Maybe they might need you to pick up prescriptions from the pharmacy. And as always, as soon as you get home, wash your hands. Heres a quick recap. Well, thats it for this episode. I hope you found it useful. Go to sfgov for all right, thi come to order. Welcome to the november 13th, regularly scheduled meeting of the joint city, School District, and city college select committee. Im supervisor haney, chair of the committee. Our clerk today is erica major. Madam clerk, do you have any announcements . Yes, due to the covid19 health emergency, the board of supervisors legislative chamber and room are closed. Members will be participating in the meeting reportedly. This is taken pure pursuant to the state and local directives. Members will participate in the committee as in the same extent as physically present. Depending on your provider, cable channel 26 or 78 or 99 or sfgov. Org are streaming the call in number across the screen. Each speaker will be allowed 2 minutes to speak. You can call the number 4156550001, access code 1464148285. Press pound and pound after you enter the meeting i. D. When connected you will hear the meeting discussions and you will be muted in listening mode only. When your item of interest comes up, dial star and 3 to be added to the speaker line. Best practices are to call from a quiet location, speak clearly and slowly and turn down your television or radio. Alternatively you may submit Public Comment in either of the following ways. Email myself at erica. Major sfgov. Org if you submit Public Comment via email, it will be forwarded to the supervisors. Written comments can be sent to cit city hall. Mr. Chair. Youre on mute. Thank you madam clerk. Will you please call the roll . Yes, supervisor haney. Present. Supervisor fewer. Present. Commissioner moliga, moliga not present. Commissioner collins. Im present. Sorry, i apologize. Moliga present. Commissioner collins. Present. Trustee randolph. Present. Trustee williams, williamses not present. Trustee selby. Selby not present. You have corium. Were also joined by supervisor lopez and supervisor ronen. Are there changes to the agenda . There are no changes to the agenda. Thank you madam clerk. Will you please call the first item. Hearing of the impacts of covid19 on San Francisco quiet fied School District and city college of San Francisco. For those wishing to provide Public Comment should call the number streaming on your screen, 4156550001, access code 1464148285. Press star 3 to line up to speak. The system prompt will indicate that you raised your hand. Wait until you have been unmuted when we get to Public Comment. Mr. Chair. Thank you madam clerk. Since today we are hearing what has been a standing item for us, for the last number of meetings, and it is an item that i think weve been able to focus on, especially at the last few meetings specifically on sfusd and how our city departments and our partners can support sfusd so they can be in a place to support our students and families during this very challenging time. We are going to continue with that conversation today and i want to just before i provide a brief opening in terms of what we are going to be discussing today, i do want to acknowledge and thank all of the hard work that has been done by our respective boards, the sfusd board of education, the city College Trustees and all of the staff who i know are working so hard during this time. Its an unprecedented moment for our city, for our schools, for our kids, and i really appreciate the way in which everyone is stepping up and of course our supervisors and city staff as well. I mean as you all know, covid19 has seen a dangerous spike all across the country and even here in San Francisco where we have in many ways led the nation in our response. We are seeing a rapid increase in cases across populations. In response, the city is taking a step back from their progress in reopening and rolling back the schedule of Indoor Dining and pausing the implementation of inperson learning at our high schools. Obviously these trends in the resurgence of the virus is disturbing and they outline the importance of having adequate safety protocols in place and open and swift communication in partnership between our schools and city government. Today were going to hear two important presentations from both the department of Public Health and the San Francisco unified School District. They will present on the Current Situation in regards to the rising number of covid cases and the current prevention and mitigation efforts planned and recommended for schools. During the last joint select committee, the board of supervisors and all of us on this Committee Really wanted to focus on how our city departments and the board of supervisors, the mayor, all of us can come together for our schools and kids at this time. The district said theyre securing on a testing contract and has worked directly with the city and received support by deploying 20dfw employees to conduct Site Assessments at their facilities. Also, the board of education introduced a resolution requesting staff to provide a clear timeline for pre k through 12 reopening and the resolution will be voted on in a special meeting next tuesday. Today the staff will be presenting on their progress on phase two of reopening and preliminary list of asks of the city and well be able to provide a more detailed list of needs in the coming weeks to align with the boards resolution. I also wanted to acknowledge that this is the first meeting we have had since the election. I want to congratulate the folks who were elected and reelected on the respective boards. We are looking forward to working with all of you and also to acknowledge that we are going to have a change in administration in washington and we hope that we get more help. We hope we get more resources, more support, more guidance. As much as we said here over and over again that the School District or city college cant do this on their own without support from the city, we as the city also cannot do this on our own together without more support from the federal and State Governments. So im sure moving forward in the future, in the new year, well have more conversations on the way which the federal and State Government are stepping up more to be key partners for us in these efforts on how to best serve our student in these challenging times. As always, we welcome our staff and our educators to participate in this conversation. I believe we have representatives today both from the united educators of San Francisco and local 21. I am going to invite them after the sfusd presentation to speak as well. So, with that, before we jump into presentations, do any of my colleagues, fellow Committee Members have any opening remarks you want to share . Seeing none, we will jump in first as i mentioned, were only going to hear from d. P. H. And sfusd. We are not going to hear a presentation from city college today and dcyf is here and available for questions and answers but are not going to be presenting. So, d. P. H. , i believe we will turn it to you all. Will you state your name and i believe you have a powerpoint. Good morning supervisors and board members. Im going to ask dr. Bova to speak first and then im happy to present this presentation. Good morning supervisors and members. So in terms of what supervisor haney was referencing, the city of San Francisco is seeing increased cases. This is a trend were seeing throughout the nation. We monitored this data very carefully and we saw this trend pretty clearly over the weekend and wanted to implement and work fast because we know that covid has an exponential growth rate so we wanted mitigation factors in place to prevent further increasing. Part of that included pausing on our high schools. We wanted to make it clear that were committed to keeping education open and we know specifically in Elementary Schools and in younger children, the risk of transmission is fairly low. Elementary and middle school will continue to proceed as planned. If there are other schools in those categories that warrant t continue to reopen, we will definitely support that reopening. For high schools, we know that High Schoolers can transmit like adults, so we want to be careful in terms of reopening to make sure those cases or that were not seeing cases in the high school realm. So were going to follow the high schools that are open very closely to ensure that they are opening in a safe manner. Really, if all of the prevention methods that we recommend are utilized, there should be no issues with high schools being able to stay open. Just getting the rapid resurgence of cases, we wanted to do this in a thoughtful and careful manner. Were 100 behind the educational system, reopening and doing it safely and ill turn it over to ana to talk about how were doing that as a department and city. I think youre on mute. Sorry, thank you. If the clerk would be so inclined to bring up the slide deck because i have challenges sharing on my computer. Sorry. Thank you. So were here to present the what the covid command has prepared for School Reopenings in terms of preventions and mitigations. Next slide please. Next slide please. So, in terms of prevention, we have a schools and child care hub in a covid command and im the team lead for that hub. We have three main goals for our hub, which is to support the reopening for schools on Ongoing Operations and for pre k to 12th grade. Ill get into the details of what all of that looks like in a minute. Were the group that receives all the School Reopening applications, reviewing that and monitoring complaints. We also provide community support. We have many meetings with all of the different stakeholders and the educational community, hearing their concerns and making sure its reflected in the directives and the guidance that we develop. We also respond often to any emails or phone calls that we receive from the community and we hold regular meetings with our educational partners. Then lastly, we are the first point of contact in covid command when there is an exposure or confirmed case. We work with schools, as well as other programs in education or that serve youths on what to do when there is a positive case or an exposure, including collecting close contacts and what the school needs to do in terms of their site. Next slide please. So, as this with all other industry sectors, covid command has developed a demand and guidance for all schools and highlighting the possible ways to reopen, including all the prevention and mitigation measures. Some of our measures are school specifics and some of them are universal to all sectors. So, for schools we require a Daily Symptom screening for all students and staff. We do not require temperature checks on site. We allow the schools to determine that on site just because temperatures are not the only symptom that is present in covid, but yet often etc. Specialingly for younger children they may not present a temperature in the drop off or pick up. We ask schools to set up a screening symptom check that parents and families and caregivers can do at home or very quickly on site. We also require small stable cohorting, and this is essential to containing the virus in the event of an exposure so it doesnt impact an entire grade but just a small cohort and limiting the amount of entrances and movement within the school and staff training and family education, what are the triggers for Distance Learning at a base minimum allowing Distance Learning to those with underlying medical conditions or if a cohort has to go into quarantine and then obviously School Communication plans for the staff and the Parent Caregiver community. Then we have recommendations that are universal that we have seen in other sectors as well, including cleaning, disinfection and ventilation. Of course primary for recommendations being face coverings and any other protective p. P. E. , physical distancing, heavy hygiene practices of washing your hands or Hand Sanitizer and allowing for testing of student and staff, which we explained in our last meeting in the Case Investigation and contact tracing. Next slide please. So in order to prevent covid19 and the mitigation of this, we will have to go from the picture on the left, which is the traditional picture of a high school, of which we all might remember from our days and we will have to go to the picture on the right in order to reduce the spread of covid19. Next slide please. This is an overview of the application process for School Reopening. I will walk through this very quickly so everyone understands that its a pretty robust process that we go through when were evaluating a school for the reopening, so a school will first submit a letter of interest to covid command and to our hub. Then we will kick off the process and send all the application materials to the school. Then they will complete the application and send it back to us. Then we have a colleague that will screen the application and make sure that its complete. Often it is not, so it takes a couple of days for us to work with the school to make sure we have all of the appropriate materials and once the application is complete, we kick off a three pronged review, one is the desk review of the application. We will have people review the application. We have a facilities worksheet that we have our technical experts review, which review the cleaning and disinfection protocols, including the products that are being reviewed, the exact measures on ventilation and also Water Systems and making sure that they are flushed because many of these buildings may be empty for a long period of time and we dont want any Waterborne Diseases at a school site. So once all of those three also we have our inperson Site Assessment that we do on site to make sure that the school is actually implementing the prevention measures that we have put in our directive and guidance. Once all three of those are complete, we create a composite score and decision is made. So if the School Scores under 80 , it is considered not compliant with our directive and our guidance. That means there are serious issues our team has identified and the school needs to mitigate before they are permitted to move forward with reopening. If a School Scores between 80 to 89 percent, they are considered adequately compliant. We found some concerns, but it is not enough to prevent reopening. Its usually related to signage in the schools and we allow the school to reopen, but they need to send a corrective action plan to d. P. H. To show how they addressed these concerns. If the School Scores above 90 , they are considered fully compliant. They are allowed to open and there is no action that is needed other than participating in a regular session and staying in close contact. Next slide please. This is a picture of our public facing dashboard where everyone can see the progress of all of the schools that have submitted a letter of interest to our hub. This is a bit outdated, but we are moving through these list of schools and supporting them in reopening as much as possible. Its important to stress that this is really about supporting the schools as much as possible. We have made this very clear to schools. This is not trying to find out whats wrong. We really do want to support the Education Field in making sure that it is as safe to open as possible. Next slide please. There are two categories of monitoring that our hub also conducts while its one stage prior to approval and one stage is after approval. So first we have prior to approval, if we received a complaint or identified concern in the process and the School Scores under 80 , they need to address a number of their the issues that are identified before we will permit reopening. There have been a hand full of schools that have been in this category. Im proud to say we worked with those schools to convert a lot of those issues and have permitted reopening as a result. Moving on to section number two, systemic issues, we have received numerous complaints. Theres been Health Violations in the application. There have been issues identified in the application. We do an indepth review of these schools and we do repeated Site Assessments until we see that the issues are resolved and the schools are not allowed to reopen until they reach 80 or above. Then moving on to stage three where there is no confidence in the school, but there are significant safety issues that are identified after at least three on site visits and the school is not permitted to reopen and they must wait 14 days. Im proud to say we never reached that stage to date. Next slide please. After reopening, we also continue to monitor the schools. We partnered with the City Attorneys Office and these are prompted by complaints. So if we get a complaint either to d. P. H. Or to the 13 Community Education Response Teams and the City Attorneys Office or through 311, we received that complaint. We will follow up with the school. We review and assist with education and compliance if its needed. However, if we continue to get complaints, the team will go back and this is usually conducted by the cert team to move on to stage two, where there is a notice of violation, where there are documents to comply with all of the violations that were identified and that the 13 has to identify all of that, what are the remedial actions and what time the school needs to address that. If there are continued further complaints, then we instruct the school to stop in person classes and they are temporarily banned and they must submit a written plan for improved compliance and if there are continued complaints after that or not documented compliance with that, we move into stage four, which is approval for inperson instruction and they must wait at least 14 days just to go through the application process again, which usually takes possibly two to three weeks, so that a school will be closed possibly a month before theyre allowed to reopen. I believe that is my last slide. We are open for any questions. Thank you, i see a couple of folks. Supervisor ronen. Yes, thank you, i appreciate the presentation. I am just going to make a couple of comments that arent directed at d. P. H. Or anyone in particular, but just to express an overall frustration with the situation. In france and england right now, the entire society is shut down, except for the School System because they recognize that it is the most important part of society that needs to be open. It kills me that hundreds of private schools with very privileged children in San Francisco continue to get a top quality inperson education while our Public Schools are closed. There are a million reasons for that, that are no ones particular fault, but to me, an indication of a societal break down and an indication that we have our priorities wrong in the United States and in the state of california and in the city and county of San Francisco. This is also why our schools or public School Systems are chronically underfunded and chronically under staffed its just an absolute shame to me that californians didnt realize this in past prop 15 because of the corporate money that went into tricking californians about the law. So, that again, i just had to express that out loud. Its not directed at anyone in particular, but it explains why working so hard on this issue, although im not on this committee and i joined it voluntarily, and just trying to level the Playing Field in any way i can with our public School System. Now having said that, i just have to get it off my chest. I do have a couple of questions for d. P. H. The first one is, i think for dr. Bava. As i have been studying childrens capacity or likelihood of catching covid and then transferring it to each other and adults, what i have found is that after Research Goes from, you know, 0 to 10yearolds and then it goes from 11 to 18yearolds, that there is very Little Information about that 11 to you know, that middle school year. So, when i have been working on and trying to get our Public Schools open, i have been mostly focused on Elementary Schools because thats where i know that it is much safer for the children and adults to reopen. I dont know if thats true with middle school, but the risk of transmission in middle school is low. Can you explain how you got to that that that of the situation . I havent been able to find that. The transmission is low in children, so as you said, as children age, the risk of transmission gets higher. There is not a cut off saying that at this age, youre at this risk and at this age, youre at low risk. Its this gradual path. So we have to make determinatiodeterminatio determinations based on that. So it increases as you go through middle school and when you are in high school, its like transmission that we see in adulthood. So based on that, there are definitely interventions, Public Health interventions that can prevent the transmission through all of those ranges, and thats what were focused on. So based on the literature and what we heard from the school experts, many academics in the field are here in San Francisco. They really do think that with the right Public Health intervention, you can open schools safely. Middle schools and high schools . Elementary schools and middle schools and they believe high schools but it has to be done carefully with a lot of effort and review of how its going. What we seen in high schools where there has been outbreaks, and this happened in georgia, and other parts of the country, the fact that people arent masking. People arent staying socially distant. So its all of the things we recommend as prevention methods. So thats where you get these large outbreaks. Generally throughout the world is when those things are adhered to. Schools can reopen safely. Okay, because i mean, i had a you know, i had the opportunity to meet with dr. Naomi and im thinking about her last name, from ucfs and she gave me her presentation explaining the physiological reasons why children that are under 10 dont tend to pass it to each other or adults. That made a lot of sense, but its really concerning to me that there isnt that same concrete data for middle and high school. So thats why ive been concentrating around middle and high schools. Its not that they dont need to come back to school but im wondering if that was safe. I was wondering if you can give us an update at the next joint select committee, focused on those older kids and what the Research Says because i havent yet been convinced that its safe, whether its because of the developmental stage that comply with social distancing and mask wearing because theyre teenagers or you know, other measures. I would really love if you could drill down on that population because i havent seen as much evidence of the safety there. That would be great, thank you. Then in terms of the ongoing monitoring of the school, is that only complaint driven . Is there no proactive ongoing monitoring . I can handle that question. The issue is, is that because theyre inperson and they have brought back their staff and their students. We dont want to have regular site visits. One of our recommendations is that we limit the amount of visitors, and even parents and caregivers arent allowed to be on school sites. We either meet with them regularly. We set up biweekly meetings with all of the different kinds of schools and its complaint driven and of course as we get notifications of a complaint or notification, were in Constant Contact with a lot of these schools. That is the method that were using. Okay. And then is there does d. P. H. Require certain testing, like regular testing in order to be open at school . We require that staff be tested on a regular basis. This is per the state guidance. What is that . What is the minimum requirement . The minimum requirement is that there needs to be all teachers and staff need to be universally tested before they come back to school. Ideal ideally between 7 to 14 days prior to the start of inperson instruction and then 100 of the staff needs to be tested in the course of two months and it could be at a cadence of 25 of the staff every two weeks or 50 of the staff every month. Thats the school directive. And theres no requirement of testing of the students . There is no requirement for testing of students. Okay. Thank you. Those are my questions. Supervisor fewer. Yes, thank you very much. So thanks for the presentation. S i have a couple of questions. So, with all these schools opening, are we collecting and sharing data . The schools that are open, do we require them to submit data about positive tests of any outbreaks of those types of things . Yes, the school must notify us within an hour of any positive test so we can work with them immediately. I will say that a lot of these schools are being proactive, even if they find out there is a potential exposure of a family member, they contact us immediately on what steps need to be done. Theyre also required to keep testing logs on site to monitor all of the results, whether theyre positive or negative or inconclusive and making sure that the staff is tested on a regular cadence. Got it. And then how many schools are open, citywide . Approved open or physically actually open . How many are physically actively open . When we approve a school to open, they are to contact us with their opening date. I dont have the latest numbers for that, but i can get that to you. We have approximately 90 schools approved to open at this time. 90 schools approved. Okay. Where is sfusd in this process . At this moment in time, we have not received a letter of interest from the School District. That is the first step of the process. Okay. So, i think then that my next question would be to sfusd, at another fyi, when do you plan to submit the application . It seems that from submitting the application to being approved is three to four weeks for one school. I was wondering if sfusd needs to apply as a School District or do they apply individually at school sites . It seems as if the process is on the physical site, so would sfusd need to put an application in for each individual site theyre planning to open or can they apply as a district . A School District can submit a letter of interest on behalf of all of the schools in the School District and then they must submit an application per school site. That highlights all and that is a similar parallel of what the Catholic Schools have done because they are a School District and they have submitted Site Specific applications and gone through Site Specific site visits. So when sfusd develops a plan, they will look is sequentially what schools to open first. If you look at pre k through three or two opening, you put those in the hopper first so they can get cleared so you can go to the next cohort. Would you agree with that . That would be a great way of approaching that. Also supervisor fewer, 93 schools have been approved to open and 80 of them are actually physically open. Can you tell me whether or not these are k8 schools or high schools and can you tell me the number of k5, k8, or high schools . Of the 80, the vast majority are k8 schools. There are only 10 to 11 high schools open for inperson instruction at this point in time. Got it. So, if a school has a positive test, what is the process once there is a positive test at the school . So one of the staff tests positive, what is the protocol then of what would happen and what is the process . Assuming that the staff person is a teacher, the whole cohort will have to close and quarantine for 14 days, including the staff and all of the students in that cohort. The school would need to do a cleaning and disinfection and any other mitigation efforts we identified based on the Site Specifics. If it is a staff person that is in an admin role, we would go casebycase and make recommendations based on that. So if it was a teacher in a specific class roomerooclassroo quarantine the teacher and the class for 14 days. Yes. So that was the disruption there. Okay, and then that is why we require Distance Learning and that would be a trigger to Distance Learning so we could continue education as much as we can. So when they flupg wait back and forth, considering if we get a positive test, then at least we do have something actually that we can turn to Distance Learning. Okay, so i wanted to ask what happens if its a student . Yeah, what happens if its a student that tests positive . Its the same. The whole cohort would have to go into quarantine. So are you requiring also then when because it seems as though youre doing an isolation by cohorts that for example shared spaces in a school building. So, bathrooms, cafetericafeterie types of things. What are you requiring for schools, for the public bathrooms that everybody uses . Do they just do it through one cohort at a time . How do we make sure these areas are sanitized in a proper manner because so many children are using the bathrooms on the first floor. So can you tell me about that protocol . We ask all of the schools to establish a maximum occupancy of shared spaces such as bathrooms and that based on physical distancing requirements and we ask for the School Administrators and the staff to implement a staggered process where the cohorts would be using that space, so that would limit the amount of mixing as much as possible. Are we requiring at all for parents or caregivers to sign any type of letter saying that if they were to test positive or someone in their household were to test positive, they must notify the school immediately or are we not requiring that . In our schools directive, we require all schools to ask the parents and caregivers to sign a risk acknowledgment form and all of the language that is in that directive is publicly available to all schools. This is the same with child care and summer camp and all of our out of school time, including the community hubs. I would need to go back but i dont know the exact language in there. In general, we do ask the schools to make it a requirement that everyone notifies the school as much as possible and the school needs to notify us as soon as possible so we can act as quickly as possible