And commissioner chow the ramaytush unceded ancestral homeland of the ramaytush rahmytoosh ohlone olonee who are the original inhabitants of the San Francisco peninsula. Irresponsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. Elders, and relatives of the Ramaytush Ohlone community and by affirming their sovereign rights as first peoples. Okay. 2. Proposed action approval of the minutes of the Health Commission meeting of september 5, 2023. Commissioners you had the minutes upon reviewing them, no amendments make a motion. Make a motion. Second. And if i may offer a motion im hoping you can include a provision from commissioner chow on the uptodate i incremental said he gave the update that was commissioner green that gave that. That amendment a first and the segmented. All right. Any other amendments if none any Public Comment. I have a script to read. For the process didnt allow questions for answered or the public to engage with the commissioners any members of the public when discussing an item please note each individual has one opportunity to speak to an agenda item. Where i know sent to the Health Commission meeting will also be broadcast on sfgovtv. Everyone attending the meeting in person is encouraged to wear a mask throughout the meeting. Spell your name for the Public Comments and please note the federal, state, and local law prohibit harassment and will not be tolerated first Public Comment from invented inperson. And then take remote Public Comment from those for accomodation for disabilities. Finally well hear promote Public Comment from all individual a time limit of 20 minutes for the Public Comment and each individuals anyone in the room like to make Public Comment on the minutes . All right. So lets see we have one hand, please unmute that caller limited to 3 minutes per speaker. Michael please unmute the caller. Can you hear me . Yes youve enrollment 3 minutes. Okay. Great. My code is aa and the minutes of this commissioners september the application was submitted and to why the board of supervisors and legislative analysts had his report on september 6th about the e emergency repairs in which the b o a and the certification application for september 17th. Those minutes with dr. Terry palmerer and at mukilteo are concerned when the laguna honda hospital and Rehabilitation Center with resume the missions admonitions and it sounds distinctly that laguna honda hospital and Rehabilitation Center may have granted authority for the services are now detailing the redissension of admonition despite laguna honda hospital and Rehabilitation Center has retained staffing with only new residents as of august 22nd. Fewer residents in from april 2022 will be the same number of employees. Laguna honda hospital and Rehabilitation Center obviously needs fewer activity and fewer Food Service Workers to handle two hundred and 22 patients admonitions should resume any not after. Hire more theorists. Thank you. Thats the only caller for this item. No other comments commissioners questions or comments. All right. All in favor, say aye. Aye. As amended. Aye. Opposed . The minutes are approved and next is the directors report. Well, i have another script to respect to agenda items, your opportunity to address the commission will be afforded when the item is reached in the meeting. Commission from taking action or discussing any item not appearing on the posted agenda, including those items raised at Public Comment. And the same information around the brown act and any discriminatory harassing statements are not permitted and lets see the hands. Anyone in the room like to make general Public Comment i see machine in the room and no hands for general Public Comment we can move on. Next is is the directors report grant colfax md, dph, director of health. Good afternoon, commissioners and with the directors report. I want to start offer on one not written item this is september 19th, tuesday, september 19, 2023, which the commission will rarely laguna honda hospital and Rehabilitation Center voluntary transferred patients getting care we extensions and im delighted and laguna honda hospital and Rehabilitation Center later in the meeting i want to acknowledge that because of of the work because of everybody pulling together with the partnership across the city the work of the workers in the hospital the work will be certified for for medicaid a day of celebration. And really wanted to acknowledge that and well get more details on the medicare application. And in addition, i want to call your attention the new covid vacant will be available for the fall and winter. And this is a for last technically were calling this a vacant that is for a different variant prior to that and encouraging everyone 6 months and older to get the vacant and people should soon be able to or actually depending on where you are accessing that well be distributing at dph in august and go to different pharmacies for the additional vacancies and very importantly were seeing an increase in covid case nationwide and across the city so many of us are tired of thinking about covid but here to stay we have the vacancies vaccines and work we really want to make sure that with regards to the number of situations in San Francisco our 7 day positive activities is 7. 7 percent. And there are 58 people across the city hospitalized with covid and again, that number is not necessarily rising for the conditions but important to say www the increases the city has a Positivity Rate were not seen a burden on our Healthcare System but courage people that toast positive to talk to theyre healthcare procedure about educating in particular which is a medication to prevent serious complications due to covid. In addition highlighting a couple of other items in the directors report. Two workforce opportunity for the professional development of this professional development for staff that is the Bloomberg Philip sponsor at the john hopkins Public Health and diverse executive an initiative with the editorial and the constitute school of medicine is pleased to present this and our staff to look at those opportunities and potentially apply. Really pleased to the next item to call out one of our its been a long time coming. Leaders. By the california homeland that was awarded to dr. Tenner for anyone with their essential skills and join me in this great achievement and link in the report and ill stop there and answer any questions. Or any questions . Thank you. Before commissioners questions or comments any Public Comment. Hi any Public Comment in the room . Seeing none, folks were on item 4 if i want to make comments please press star three now. I see no hands commissioners for this item. Commissioners questions or comments . Commissioner green. Yes. And want to lend my voice and congratulate the doctor for everything shes done a thats a humble individual and been recognized really wonderful and for the quality of people about the dpa we appreciate the she of the recognized this way. All right. Thank you commissioner green any other questions or comments . Director. I have one other piece yesterday, we got the new overdose numbers up for the month of august. We those are data from the office and unfortunately, had a high number we know from prior data due to fentanyl is part of our drug supply needs to be an issue and people know that treatment is available and dpw is doing everything we can to make sure that is vaccine is available and yesterday, we launched a pubically available dashed which tracks the covid deaths and provides context around the number of people seeking treatment. And just want to acknowledge three well provide more details in the next directors report. But yesterday, we also know how important databases can be to doing everything we can with the data point to strive toward a better um, and that is a dashboard around those serious issues and in the directors report and ask commissioners to avail themselves of this information and under the leadership of the doctor working extremely hard to get this dashed out and want to acknowledge that work and dashed will continue to be romantic to the situation during this terrible epidemic. I took the opportunity to visit the dashboard and hoping that the trend and commissioner any other questions or comments . Yes. Commissioner chow. I just wanted to reenthuses was so many discussion with the covid recommendation and that simple and clear as it says here six months everyone is encouraged to stop by a cohort im sorry that is done by a cohort the elder everyone should be getting a 6 month of less unintelligible . Were encouraging everyone to get that. Thank you. Not that complicated. Right. Not limited or not. A nuance recommendation; right . Thank you. Thank you, commissioner chow and director i was able to schedule an appointment for a vaccination so ill let you all know how it goes. Our next item on the agenda is resolution is resolution is resolution accept and expend a gift of 57,264 from the San FranciscoPublic Health foundation gregory wong, administrative analyst . Thank you very much. Commissioners. We would like to ask approval for accept and expend a gift of 57,264. From the San FranciscoPublic Health foundation and an organizational activity to assist the on and off with the physical and administrative budget and the city and county of San Francisco. If you have any questions please ask. Thank you very much. Thank you gregory wong, administrative analyst do we have motion to approve. Second. Any Public Comment . Is there Public Comment in the room . And i see no hands at this time folks were on item 5 if you want to im sorry three no hands commissioners. All right. Commissioners any questions or comments stern. All in favor, say aye. Aye. Opposed . All right. The resolution passes thank you, gregory wong, administrative analyst and the next recertification update roland pickens, director and ceo, Sf Health Network executive sponsor lhh recertification incident command welcome. Good afternoon, commissioners thank you for allowing me to present own on behalf of roland pickens, director and ceo, Sf Health Network executive sponsor. Next slide, please. So the recertification statistics first, ill point out good afternoon and so nice to meet you. Thank you. Im here to present the recertification program. The agency you know more than 95 percent are certified by medicaid this certification is a direct result of improving in surveys we met the highest standards for the safety for life and fire safety and the operational program. Laguna honda hospital and Rehabilitation Center is made tremendous progress to achieve the recertification and to secure our future but our journey is not over them were working with the recertification in the medicaid with the the centers for medicare and Medicaid Services known and cms next slide, please. Laguna honda hospital and Rehabilitation Center submit a change of information proclamation for medicare on august 5th m and cm directed another proclaims and laguna honda hospital and Rehabilitation Center actually has submitted that application so we need the so to submit an application because the work and zoning text amendment and commitment needs improvement we are succinct by cms can happen any time and also to determine strait we met the highest standards 6 Public Health for fire and operations. So a few notes for the recertification timeline. First to achieve the recertification cms we submitted an application and submitted this change of Information Application at the direction of cms leadership. A change of Information Operations utilities existing laguna honda hospital and Rehabilitation Center information. However, cms later informed laguna honda hospital and Rehabilitation Center to submit a change application was incorrect and the cms hired us for a new application. So laguna honda hospital and Rehabilitation Center now has submitted that application as i mentioned earlier with the application as of september 15th. And as i mentioned we wait the recertification secondly, for recertification the medicaid on august 16th the california Public Health notified laguna honda hospital and Rehabilitation Center to recertify the medicaid property and congressmens amended that date to september 5th. And important to note cms is not questioning not questioning are the recertification on 5 the change for the recertification date six the Fire Life Safety and specifically cms determined the Fire Life Safety was originally due and asked for further documentation we provided and they determined we were in sub anal compliance for the life and fire safety on september 5th. So which was the date certified by the California Department of health and healthcare services. So has laguna honda hospital and Rehabilitation Center has been reserved isnt medicaid Procedure Program and dr. Colfax was saying not moving forward today but, however, laguna honda hospital and Rehabilitation Center will continue to transfer residents to lower levels of care. Or to their homes they no longer are required to have a certain level of care. So for the entire laguna honda hospital and Rehabilitation Center hole community. Vdz we are dedicated for the height and safety we remain confident that laguna honda hospital and Rehabilitation Center is the best place for residents to get care and continue to demonstrate we are a different laguna honda hospital and Rehabilitation Center hospital ill say that and has made improvements and the progress of two its been a long time coming. Questions when laguna honda hospital and Rehabilitation Center will begin to add admit those patients and new residents and while we are eager to do so well only submit when we demonstrate the improvement we have made are sustained and staying for a long term this will help us at laguna honda hospital and Rehabilitation Center. When we do begin new admonition for the laguna honda hospital and Rehabilitation Center patients transferred will be open and for now theyll be First Priority for now patients. Providing they still require this level of care. And also like to take a moment to address the 120 beds waiver timelines as cms said that laguna honda hospital and Rehabilitation Center should be in full compliance so a minimum medicare and medicaid. And if we have the certification before the of waiver and laguna honda hospital and Rehabilitation Center has maintained that 120 beds and we will reactivate the room in the waiver is granted and board of supervisors approved the work and it is necessary for the recertification and Capital Improvement and Maintenance Work and are the result of adopting to update regulatory requirements and the modernization at the facilities around the country. Those are prior to the recertification. And the benefit of the board resolution allows the work for the city guidelines and in has provided manner and at provided completion of those projects help demonstrate the commitment for the immediate compliance and laguna honda hospital and Rehabilitation Center will continue to spread that for a successful survey. Next slide, please. For our action plan update. Go through this forking for the medicaid and cms 90 days monitors in july submitted the proposed action plan and in response to the june service as well as other nonmonitoring survey finding. The proposed action plan includes three hundred monitoring for survey three and also the one hundred and fifty milestones for nonmonitoring survey finding and this submitted 200 and 57 milestones for this and one hundred and 9 milestones for nonmonitoring survey finding. So id like to take a moment to and in collaboration and partnerships with the Quality Improvement experts or two i d laguna honda hospital and Rehabilitation Center and the two id continue the improvement work. So in conclusion, throughout the row certification process remained dedicated to the residents for the health and safety and wellness are the Top Priorities and for laguna honda hospital and Rehabilitation Center is the best place for the patient to get care our goal to demonstrate about cms and the California Department of Public Health cd ph we need the higher responsibility so fire and Operations Coordination corporation for the full certification and as i mentioned your journey is not over we must continue to demonstrate everyday that we are the new laguna honda hospital and Rehabilitation Center hospital and by meeting the high standards required of us every single day 33 day in and out so laguna honda hospital and Rehabilitation Center is not facing a situation. Thank you. Thank you for that excellent presentation and for the update any Public Comment . Anyone in the room like to make Public Comment on this item. Okay. Step down so everyone has three minutes when the timer goes oh, your time is up laguna honda hospital and Rehabilitation Center. Yes. Okay. Please begin. Hi, im ann San Francisco gray panthers and laguna honda hospital and Rehabilitation Center is a core issue as Nursing Health service and work in a nursing home it is important. And nursing care that is the only thing will do and people get out of nursing care, you know, and see that final that, you know. We need to um, soft form for San Francisco we have appreciate you keeping this and your report and also prioritizing franciscans for that and making sure the care and housing care in an appropriate setting but it is a nursing home for San Francisco and continue to advocate for those in a healthy way. Thank you. Thank you. All right. Enemy anyone else so, please we can get that comment. Yeah. You, you Mark Fitzpatrick can you hear me . Please begin limited to 3 minutes per speaker. Hearing the report that laguna honda hospital and Rehabilitation Center submitted a raw application for recertification. It seems inken acceptable if laguna honda hospital and Rehabilitation Center will have a change of information and quote application instead of a probably much more detailed application microphone distorted and more servicing that jc c told them last week that laguna honda hospital and Rehabilitation Center is a two id and mutual to pause milestones august 23rd, this during the app Medicare Survey window. And the Medicare Survey upon completion of the cms medicare certifications survey the milestone will result unquote those milestone applications should be ongoing. After all the analysis report and each subsequent status for each month laguna honda hospital and Rehabilitation Center failed to adhere to the 3450i8z have been underway since january of this year. Particularly noncompliant control plans or corrections underway ever since laguna honda hospital and Rehabilitation Center was resisted in april of 2022. Those milestones should not be paused but ongoing own while you wait for the survey microphone distorted will begin. Thank you. This is the only Public Comment on the remote do. Thank you secretary. Before we go to commissioners questions or comments i wanted to clarify first of all, i want to start by acknowledging your hard work and hard work of roland pickens, director and ceo, Sf Health Network executive sponsor and i see Deputy Director in the audience and were engaged not even a year and a half ago so many hard work with all the staff in laguna honda hospital and Rehabilitation Center to make sure we address the concerns and met on the recertifications made great progress in the row certification and now submission of an application to cms for medicare recertification. I want to clarify i think i got this but laguna honda hospital and Rehabilitation Center staff put together the application he they were instructed by cms to submit. And after it was submitted to cms acknowledged though have instructed laguna honda hospital and Rehabilitation Center to submit the incorrect form and as a matter of fact they set back out one of their own experts over to the laguna honda hospital and Rehabilitation Center to transfer that information from the incorrect application cms instructed laguna honda hospital and Rehabilitation Center to the correct application; is that right . I believe commissioner chow. May i. Sure. Can you hear me . Yes. Hi commissioner yes, so they directed United States to do a change of Information Application they then came back and said that was wrong and that we needed to do a few application we offered to have someone help us transfer to a new application that ended up couldnt do. We yeah, this changed we ended up doing a brand new application last friday and resubmitted that. Can you introduce yourself. Sure im Troy Williams the cocommander for laguna honda hospital and Rehabilitation Center cms recertification journey and for the network. Thank you troy at the at the l g and to acknowledge there was additional work required by laguna honda hospital and Rehabilitation Center in order to anytime the correct information after being instructed to submit the wrong application must have been frustrating and appreciate the extra work you all did and to echo september 19th earlier in the year march or april we thought we have to be resuming involuntary discharges but here we go. Thank you. Commissioner guillermo. Thank you president bernal and thank you for your presentation. And welcome to your First Official presentation lots of work that youve being able to pickup for this hit the ground running so appreciate all of that and appreciate and want to acknowledge as well the september 19th date i dont want to understate how important um, it is for us to not have to worry about trafrgz and hoping never have to do that. Again. I have a question i believe i asked this at the jcc meeting with with regards to the service team we are seeing from medicare two questions one do you have a sense of is from oar experience sort of a standard time we mitigate expect it to occur and two, tux. Regarding the timeframe i have to to um, reserve but i know that maybe troy or others can talk about the timeline i dont know if there is a fixed timeline open to um, any time you but troy correct me if i am wrong a few weeks or longer. Yeah. So we dont know. And just the second question multiple voices . Cms lhh . Go ahead. I was going to say that is something we dont know for sure, you know. Throughout the process combining the team cms team. So well we dont know for sure and they have not shared three with us. Just because the surveys are announce at any time. So we wouldnt know. Thank you for those answers and hoping that it wouldnt be too much lower than we have milestones that we want to make sure continue to be um, achieved. And know speaking to all the work that has been through the kinds of mode of operation we know as we put in place the news of laguna honda hospital and Rehabilitation Center hoping not having to have any slippage in moving forward in the hospital and again not necessarily the fault of anything that took place at laguna honda hospital and Rehabilitation Center but waiting for the survey, you know. Not in our control. But maybe, you know. Several messing up there are for that survey to help it is really important. Thank you. Any other questions or comments commissioners . Commissioner chow. Yes. Thank you for your presentation and for the listening of the chronology a lot data put forth or floating around and as september 19th is a key date for us and today in the sense we will have to have resumed involuntary transfers. I think perhaps because youre saying were doing continuous Quality Improvement and really being prepared for a cms survey maybe we wish to understand better i know you presented before about the milestone that pausing the milestone is not really pausing the Continuous Improvement but if i recall from the past, we had things we are producing milestone progress during the preparations for or in the course of a survey occurring. And we therefore were not able to have some of the um, i guess sheets youre using to show our progress. But if the milestones are continued to be critical for us to continue to improve at the excellence then how do you envision we do this i dont think you mean were not working on the issues maybe clarify this statement means that, you know. Were discontinuing the milestones at that point. Thats a great question. Pausing the milestones didnt mean we stopped the Quality Assurance that means many of the projects we are working on through our program that includes the topics for the milestones. So it allows us to focus on the continuous Quality Improvement in the program so we can maintain retain maintain and survey ready and continuing continuous the Quality Assurance didnt mean we stopped. In assessing the milestones for many of them in the program and dont know in troy have anything to add hope that answers your question. And not effecting our quality work. Okay. Yes. It to understand a difference between following a milestone incorporate a lot of the survey, areas that we are still working own and continuing to work own for the cms survey; right . So the milestones are internal here to see if we completed certain tasks have put in place a process not just on pilots and whatever you want to call it for that milestone; right . But the milestone is equal to the standards. Correct. So i think that is very helpful for all to understand we are continuing to do the work to respond to the areas of survey and that are key and important. And that its the agency gas station on the milestone some technically as you continue to do this by not formally working on the milestones at this time. Right. Yeah. That is will be helpful. J. T. C putting in systems daily and monitoring monthly monitoring the new system in the care process and monitoring many of the topics that multiple voices. milestones. Right. Putting it into a sunnyvale operation plan to check it and continual improvement and subsequent. Okay. No and i think that is helpful to be sure we are looking for the survey. Right have the continuous survey to sustain as consistently trying to emphasis sustain the progress we have made i present that very much. Thank you. Yeah. I wanted to talk about your point and understand to reemphasize over as laguna honda hospital and Rehabilitation Center understand the clear importance of continuing to improve quality that is a clear thing from the department and Department Leadership and all really understand that is incredible important we continue this work and i have to share a recent visit to laguna honda hospital and Rehabilitation Center and oubtsdz the disciplinary motorist office and it was important to see a multiple different teams from different parts and working together and setting up a structure and identifying the medics improved setting up that in that work. I want to emphasize this work continues to drive the change that the motorist emphasized about the laguna honda hospital and Rehabilitation Center team into the future and finally wanted to pubically acknowledge and thank you. The Health Commission it is in this challenging time and we will continue to have the guidance and leadership thank you for making sure that laguna honda hospital and Rehabilitation Center is here for San Francisco residents. Sniff of the future i like that. And if not other questions or comments move on to the next item and thank you, mr. Williams and all and i wanted to say what youre saying about thanking the staff for the hard work. I know it is everybody with c n a and others pulling together to decade themselves with the changes that needed to be made it continues the psyche. Thank you for acknowledging us. Thank you im in wholehearted agreement. We have next reports for the following related items commissioner giraudo the chair of the laguna honda hospital and Rehabilitation Center committee. Commissioner giraudo. The laguna honda hospital and Rehabilitation CenterMember Committee reviewed the standard report. The executive team report. And h. R. Report and early version of todays meeting for the full commission and had extensive discussion at that time we reviewed as we have several months we do on, on annual base the policies that reviews and comments recommended for the fuel commission as in the past asked for clarification and some rewording on some of the revisions to the policies that were presented and got lhh and responses reciting those and appreciate the work that you did my understanding is that there have been in addition questions or comments for concerns so we are fully prepared to recommend to the full commission approval. For the policies that were presented today. Thank you commissioner giraudo do we have any Public Comment on the joint committee report. We do anyone in the room like to make Public Comment on this item . I see two hands let take caller two first please. Um, hi that is dr. Palmer can you hear me . Yeah my main um, question about um, about the agendas items the joint joint Conference Committee and one before are has theyve been in discussion and needs to occur citywide not just with with the Health Commission how we can give oversight for laguna honda hospital and Rehabilitation Center that is happening again and need microphone distorted how to run a nursing home and not just a county hospital. And who do not use laguna honda hospital and Rehabilitation Center for the purposes unrelated to providing to provide urgent care for disabled san franciscans that is a traffic at the and kind of like 9 and will be intense political pressure to use the laguna honda hospital and Rehabilitation Center beds for other nursing home care. And because of um, the expense of delivering the nursing home care and the lack of other services in the city and um, while we should care plenty of services the city needs to care but needs nursing home beds. This mission must not be interfered when i ask for a larger discussion about oversight to prevent this terrible episode from reoccurring again, thank you. Great. Thank you and lets go to the last call. Yeah. It is can you hear me . Mark. Limited to 3 minutes per speaker. Missing from commissioner giraudo update report any mention for the trend the september 12th um, jcc executive team report i see signatures collected during that. Org on petition are peskin and others. Signatures demonstrated Broad Community port to submit the waiver application now including part of 10 collected from san franciscans at the greater area and 5 hundred and 74 or 35 percent across all i went back to check according to the technical 483. 9 it is clear that waiver application for nursing facilities and tents for dead medical beds are a distinct part of nursing beds the correct place to submit that um, waiver application is to argon and and once again getting Incorrect Information on the p f f and wait for the medicare kirgs and roland pickens, director and ceo, Sf Health Network executive sponsor said on may 9th at the board of supervisors he said laguna honda hospital and Rehabilitation Center meets the requirements so i think the jcc should direct my simon to look at the requests and with the language in 42 cf r says that in the case of nursing faculties that the waiver application came back submitted to the agency in a language very clear comes from the agencies that would be dr. A con. Thank you very much. Thats it on the Public Comment. Commissioners any questions or comments before we move on to the scent calendar next back to the chair of the joint Conference Committee. A motion to approve recommendation policy presented. For the laguna honda hospital and Rehabilitation Center jcc. Second. A motion and second. Do we have Public Comment. Yes. Anyone in the room like to make a Public Comment. I see one hand on remote. Hi. I forgot its okay i dont have a comment. Okay. Thank you, dr. Palmer. No further comments. All right. Any questions or comments from commissioners, commissioner green. Yes. Commissioner guillermo thank you for you all the roundabout and with the comments some were detailed i do not tell you how pleased what you did in the kribltd attendance to detail with the 25 recorders field you highlighted this really is a testament to the diligence that your pacing so this really is a testament to how and see the progress youve made. Thank you very much. Any other questions or comments . All right. Echo commissioner green comment about the sheer amount of work they put into the policy changes and have necessary not only for recertification but provide excellent care that our resident at laguna honda hospital and Rehabilitation Center receive so thank you for that and no vote questions or comments . We have motion and second on the all in favor, say aye. Aye. Opposed . All right. Approved. Thank you. The consent calendar is approved and next. 9. For discussion dph Human Resources update luenna kim, dph Human Resources director ms. Kim welcome. Thank you very much. Ms. Kim can you move yes, thank you the black bar is the microphone. Okay. Thank you. Is it okay i have to stay on time but of its. Okay. Thats fine. Good afternoon, commissioners. President bernal and commissioner green thank you for me to provide an update and luenna kim, dph Human Resources director i have with me remotely dr. Our employee with the culture team and instrumental in putting those slides together to thank you for that. Over the next 10 or 15 minutes im going to be going on with the final agenda item. Next slide, please. Thank you very much. Next slide, please. So the work weve been able to accomplish and continue to do cant happen without the dedication of the dpw staff and thankful for the work today in and out and at the last preservation we expanded the h. R. Team compromised you see this this slide and each of the areas are cruelty theyre responsible for inventing h. R. And those are in aligned with the h. R. Functions. And to reinvent the Decision Making. And propel new transformation for the work. Though are Career Opportunity for staff and creating pathways for the staff. So one of the analytics and team i think as we can understand and recognize h. R. Has been collecting storing and analyzing data and amazing opportunity to share with the improved equity through the use of data and streamline the h. R. Data to sport the results. Though will accomplish and measure outcomes for the services by dpw and we have pleased to have a clinical strategist and candidates and meet the staffing demand we must. So to that end a recruiter who comes from the private sector has many experienced and joined us last week. Next slide, please. Broadly seeing staffing in two areas and improving the retention. And made progress so we have a way to go in those areas. And this slide shows some of our accomplishment we appreciate the questions in advance. And some of those. And take the higher staff. So looking at there are two areas the way the city has this available one for the examination and the other is adopted and im going to go to the adoption information first and from a list was adopted and both positions were filled in 75 days and dpw we were for all the positions including the ones up above one hundred days. And about thirty days for this filling of this position and Health Clinician and 67 days to fill a d n a and just h. R. Analysts 69 days to fill that position. This fiscal year the city averages about 8 three days and dpw is 90 days to fulfill a nurse at 77 days for the average for the Health Commission at one hundred days and c n a so you have a little bit to think about and the eligible list is one hundred and 77 days and dpw one hundred and 66 days for the city average and tried to get information wrong side about the constitution how long it takes to get a list but that information is not available well be able to focus better. So im not going through all the information but two areas. And we all know hiring in the city is complicated and we need to work on demystifying is and we met with the 10 three 1 charter and leadership and three, 4 hour sessions to Work Together from different perspectives on better ways to improve and to provide suggestions to improve the experienced. So ill talk about some of the suggestions. And another idea to double the training cohotter a great idea and dr. Kim we hired several numbers of people in the Training Program we need to be a way to create a piping. Next slide, please. Traffic is filling positions by the row tainting the staff and filling all the positions but we are creating and having folks go out we need to deputy our staff. So we have worked on the focus on retention id like to talk about three areas and a task force as employees experience issues that need help and may not know where to go to get help we created this help center within the office of help services for whatever questions they may have or an issue in the workplace and dpw and h. R. Will help. Well have a to and from Leadership Program and research that includes the direct permission level that is they feel theyre part of an organization weve been providing information for supervisors to support staff. And this is um, first ever Development Program were proud to have this and lastly, Career Advancement grateful for the 1021 to the current pipeline and they provide a good portion of this so they have provided 100 intuition for our nurses to move up and at the end 1021 will cover all of that to get there. Next slide, please. And a question regarding mandatory online log in. We have a bunch of them ill go through them quickly in the workplace and on video that is mandatory and have to strengthen our commitment and training for supervisors introductions for bias for the supervisors and this is a lower program for staff and supervisors and the last prevention for equity in hiring. And then mandatory is practicing culture information about Sexual Orientation and identify and policies for privacy and other employee statement unintelligible those are some of the mandatory trainings we have more staff on track. Okay. Heres some pictures. Next slide, please. Forgetting to say. Next slide, please. Thank you very much. And some of the sessions we had in the last year and three conferences hiring and colleagues at h. R. And experience conference an, an manual conference and now for a smart recruiter with d hr and annual h. R. Equity conference we work on equity in all the positions. Next slide, please. Um. Okay. So heres a typo it is still 25 hundred positions that is the correct spot. So some of the goals we have i know that some of those are listed. We need the as i mentioned hired a very experienced recruiter from the private segment and across the departments and have ongoing event and really want to advance our culture and a our history we have a Robust Program with and expanding to the registered nurses. We heard that some of the pipeline issues and so theyre not able to actually train physicians so we will increase our social have a social media campaign. And in the Referral Program it is in government in which we can really figuring out why people dont accept our jobs and recently trying to find a way to bring others back and people that decline jobs and having ambassadors and things like that. We are really focusing own hiring are permanent civil service. The departments that have hired permanent a couple of things i know that helps bring in staff. But we really train them we are looking at prioritizing the hiring and what i talked about the work with them for dph has special benefits. And while on one end that helped bring in nurses. But it is challenging for people to manage 19 positions. So either experienced or not experienced and really urging to look at the applications to those in nursing leadership are familiar with the work and reach out and meet with all the candidates we want to under that and continue have the recruitment for jobs we wanted to also have a selection so people apply we want to reach out to them right away. And they can start the process which is what weve done in the city a lot of time this is constantly having a vacancy and select and well go from there we have done a lot of work on the only broad medical evaluation process. And done a lot of deeper dive and staff coming in to help us streamline the process and were used to having this in the Department Everyone for more 65 months has to get a physical evaluation. And require medical evaluation for my employment. This is necessary for that. We have worked on getting out we dont need medical evaluation to and were looking to evaluate and my angelas my colleagues in the city we have worked on prioritizing the appointment and making sure that our part unintelligible we are a good partner. And i talked about the team data team director. Next slide, please. So those are some of the challenges that are before us. I dont think any of those are a spriep by to have difficult times to healthcare i talked about nurses and it is challenging to hire positions and tough to hire a Health Commission so well focus on those other positions and continue to work with our clinical strategist and nearly 16 percent vacancies own our end throughout the staff we are at 11. 5 and make sure we fill up that number over one hundred thousand in 20 20 and doing things differently i think i believe and we know you do as well have an Important Mission and will bring people to us bring people back we need to demonstrate and do more active and lots of work in the mission and more outreach so people thinks that we are a great place to work and our mission to work on strategically that. And we recognize the next budget year may be difficult and challenging we are working to fill as many position as possible and fill many positions a month. It is three hundred and month and thats a lot i dont know what the three hundred will get there but striving for that goal. And bargaining this is bargaining that is coming up we have our teams getting our data together to be um, contributors to the negotiateers. Thank you. For giving me an opportunity to provide an uptodate and the dedicated team as well as all the support we rove from dhr and my colleagues through the the city and also recognition the interpretation support we receive from dr. Colfax and others so we need to be better everyday for our staff and patient. Thank you very much for listening. This presentation for your questions and because they really help us and improve our work. Thank you very much. Thank you, ms. Kim before commissioners questions or comments. Any Public Comment. Id like to thank you for up and running this presentation remotely anyone in the room online no hands and like to make comments on star 3. And no hands. Commissioner guillermo. Thank you very much for your presentation appreciate the update. And it seems there is a tremendous progress id like to see the effort you and our team bring to San Francisco. And the brightist and most dedicated least for the department. Hopefully for all the departments in San Francisco but certainly for our department. And appreciate all of that work and hoping it comes to meet our goals fire station as you expect. I had a question about the particularly the license and sifrtsd positions that you seem to be focusing on. Is that more difficult to bring in experienced licensed clinicians certified professionals or newly i guess licensed and certified professionals and does that matter that much . In this scheme of trying to fill all those vacancies . For the nursing we need the get a lot of applicants what are new to the role. Um, for example, in perspective we have two new krurments recently had about within two or three months 200 experienced and seven hundred who are new to nursing. So we do have a greater bunch of individuals i think we have a number of challenges one is the way that um i dont think this is new to dpw. New to the organizations with clinicians so part of this challenge you might have enough seniority we want to change to a Different Organization you have to change over night that is a challenge and others wants to change specialists bring experience and need to be trained for the new position. For behavorial Health Commission i think that we do have folks new i think part of it we have such a evacuee list this is challenge is difficult for the staff to bring in someone new and have to train them and it it becomes i have a lot of work i have a i need someone but no time to train so part of that is really get a Training Program in place we can bring in more people who are new. Because i think that is we need to create our own pipeline so we really need to work on being the first employer bringing them boarding some of the things were finding and. What about the competition from the private sector . For the nurses there is a shortage and it the salaries by the charter is about the working conditions and a lot of things i think and um, i think that is about really getting the commission driven nurses to come to the department of Public Health and theyre not enough clinicians we look at competing with other county and other nonprofits. So we are doing a drilled down for the clinicians and have positions maybe the services are not needed so look for for those licensed and looking at creating our own pipeline i know in the state of washington i read that though have much such a shortage of clinicians they address the demand and fixing the pipeline we to have no conversation to see if we can have in order to expand the population. Appreciate all the efforts youve been putting in and also, because San Francisco is just a difficult place for folks to come and live earn a living that is overarching not just for the licensed and certificate positions but for all positions so thank you, thank you for all you do. Commissioner green. Thank you for the real crucial for and training for urgent care i have a question i guess one leads to what commissioner guillermo do we have a sense for our hiring nurses and Health Clinicians Kaiser Permanente i think we have tried to and i was surprised we lost a lot of nurses to Kaiser Permanente and Kaiser Permanente is more generous with the education. Im all for it i never thought of that but enlightening i think im wondering how were trying to do due diligence. When our recruiters started i found out what Organization Health organization Kaiser Permanente maybe is different from others and their numbers and how long it has taken. So um, shell be able to find that information. And did create and group 6 bayview county Public Hospitals that gets together and shares idea but what their conditions are and experiences and how theyre hiring and learning from them. I think a number of the Public Hospitals in the bayview and the time to hire and fill the vacancies as opposed to getting that information and giving an update im happy to do that i say were not competing with the other cities departments like Kaiser Permanente and uc sf but and my thing for this year i want all the nurses to have dpw though, pickup shifts in other places but primarily working with us, we have a lot of have a lot of things to offer. Thank you. I guess the other question the other commissioner mentioned what kind of latitude in terms of a social working can do something otherwise that dpw can do and utilize everyone has a peer what are the barriers through the system who might be able to do that where are we on that . I think my initiative response Everyone Needs to work in their classification and find out the general duties. Um, many operate at that level. I think we need to evaluate for the clinicians for example, what kind of job and the regulations it requires licensed if not should we look at many other and it is in the interest of time so we have one you have to work them your classification i think we want to pivot. Change that and with the classification will involve h. R. That could involve a Service Commission and im in discussion on the level of conversations but potentially a level of a specialist and a lot of work in the 1980s and 70s some we need to modernize with that kind of work that didnt work today. And provide the social workers classification and what classes and have been and not do that but we continue to work on stuff. Now the question is on for the covid questions. Just. Please next slide, please. This is for the subsequent billing certain licenses to for example, q h c has to be w and or any licensed psychologist not on m f p but again looking at the sustainability what if that helps a little bit at least i know what we are dealing with in that stage um, but i have a couple of questions too. Are you connecting General Health internally pipeline that in the pipeline youre recruiting more positions they will have been been d c h trained . So something that is connected with um, that pipeline . Within the Behavorial Health . It is really tense and simple for those in graduate schools, etc. Ive been really pleased with the efficiency in b h f pipeline for people to get on board but i see were doing in our philip in data pipeline at that time here for you but i think in Behavorial Health one i know youre trying with the timeline but i know the timelines here phillip coffin, md mia dph for Behavorial Health for the licenses clinicians or almost licensed moving on along 0 that is one of the reasons i know some of our fellows have gone to other places want to stay in Community Health but had to pay their rent so three months of that process just a little bit too much. Thats why im suggesting some more integration with that pipeline. As well. Do whatever you can do within the Behavorial Health 100 percent right everybody in the bay i mean everywhere nationwide very, very difficult but thats right think that um, it might be helpful to have the timeline and what youre requirements are as well as the pipeline. Thank you and i completely agree with you had a conversation with the individuals and the people want to work for dph because of the time it takes to fill the position and chg have builds to pay go Something Else so we are looking at having a Student Internship Program and they will stay if we dont hire them at the student level well lose them and theyll not come back for a while. Yeah. I i mean in the last presentation that we had on the dph pipeline so it was their continued outreach for school so partner with them they help out with the practical level and the staff level. Thank you ill speak with them. And chair, i oriented kim the name of person that made the presentation that youre talking about. Great. Thank you very much. All right. Kim thank you for your presentation and certainly appreciate all of the progress you showed in the presentation and the priorities of the commission to streamline not only protecting the health of san franciscans but alleviate the members on the staff and cover the work in the positions so very Good Progress and thank you for the update and look forward to the next update. Yes, sir. I also want to thank the team youve seen things that provide during the pandemic multiple challenges and innovation and hiring a team that um, is focused on problem solving and really not allowing to drop the city but easier to get the workforce and hire the very best workforce for Public Health so, thank you. Thank you, director colfax and kim. Our next item is. 10. Community and Public HealthCommittee Update susan. We had very, very interesting and wonderful presentation at the committee. The first was the hiv update and it was most interesting to a few facts of the data which is what i like is 82 percent of funding is there bryan white general fund the group manages 79 programs and uc sf dph and the hiv epidemic Going Forward their target work is four areas of people experiencing homelessness and people have a recent history of incarceration for people with high substance and gave us excellent attorney information and focus within the hiv. The data in 20 20 the black target they achieved for depression that was within two years is quite city manager and in 2022, persons experiencing unstable housing which is the other goal. Dollars a target of 87 percent depression and unstable housing is 74 percent of the day just Excellent Program and it was a lot of back and forth education and conversation that led this of the great. The second presentation was the current resources and epidemiology with their focus on reach. Though are currently having three studies for the area and the stimulant more or the other study it was interesting in the beginning data that the stimulant mortality age group was age 50 to 60 and the data showed older and more, more abilities within the sros and to make a difference the other program the alcoholic program which is to take a drug when needed prior to taking that and also looking at Substance Abuse trends we saw the dashboard sent us to fentanyl is the highest with the Substance Use but not the alcohol is very high not because were focusing on um, all sort of opioids as well. And it was noted that right now 90 percent fentanyl involved. So there is lots of Great Research that is going on with that with the staff. And noted in the presentation or the slide i mentioned to mark and so i have lots of questions and their presentation is the application of the slide excellent and again, we had a lot of um, conversation and education for back and forth so that was really, you know. Successful and to active at the Committee Meeting because also the exchange to further form of their great work. Thats the end of my report. Thank you commissioner guillermo. Do we have any Public Comment on this item. Anyone would like to comment. I dont see any hands. Im sorry . This is the community and Health Committee what commissioner guillermo just thats okay i see one hand and again, this is own the Public HealthCommittee Update. Yes. Caller are you there . Hi this is dr. Palmer. There is an interesting discussion at one of the last Health Commission what the community of putting committee could be doing and should be doing and especially in terms of advocating for people who are affected by the toxins i would like to hear more about that and know how um, up and running how the community is going on to helped and protected by this committee. Thank you. All right. Thank you. Looks like a person in the room would like to make a Public Comment. So has to be about the committee of youre talking about an issue. Yes. Thank you very much. The opportunity okay. Im wording what is the Health Commission can do to help the jobs such Practical Solutions as dr. Offered on the mining at the last meeting. You know. The microphone distorted for the task force needs represent like the water board, etc. And helpful but they have such limited jurisdiction and um, stricter and the pollution in the air and groundwater so all this stuff really hard to ive been attending those meetings and in between and in between space you can hear stories of people family and friends and worried about their lifespan and also and their fearful for the children. For the community. Im wondering with the San FranciscoHealth Commission might have a broader influence in this subject and we would appreciate your continued look at it from that community and one other question. I think i said. Thank you. Thank you very much. Thats the last comment. All right. Commissioners any questions or comments . Seeing none, move on to our item the next item the next item which event the matter shall be removed from the Consent Agenda and considered as a separate agenda item. Approval is requested. With the spook in the air i like to call on director colfax with the air quality. Thank you as we noted the air is not clear out there and as we have had during other bad air events. In close collaboration with the Department Monitoring the situation. Our Public Health ranch is sending out emails as we speak and alert for when necessary the air quality reaches the level of poor qualify for a specific population i want to make sure that everyone is aware were monitoring that and really people will get notified. Thank you, dr. Colfax and commissioner giraudo. Yes. My other business is San FranciscoGeneral Hospital foundation is having their manual retreat on thursday at the attending as represent sent and dr. Hillary will be participating on a panel i think two other physicians from San Francisco general and uc sf and breakdown into two groups but the group well, i think that is interesting and good for them to have doctors in attendance for the challenge thats this thursday. Thank you, councilors. Thank you for your service on the board as well and all right. Any other other business. This is a followup to dr. Colfax. And i was wondering about the air quality and this is reading one hundred and 56 is a nice red im not sure when youre criteria are and come down here with the traffic report never mentioned this horrible haze and what is kind of the critical point that we have all to be aware of. This is probably some of the highest ive seen since the fires. Commissioner chow from youre Public Health responses the air is a standard was at 1 hundred and 44 warrant the sensitive population to have an alert to that effect. Our Public HealthEmergency Response team is standing but as necessary if that level will have an activation. And including the wildfires. Apparently the fires are not orange in california. Commissioner guillermo. Its what i was going to share that information. Okay. Any other new business so the next item is. 12. Closed session. Do we have a motion to go into closed session. So moved. To go into closed session. Any Public Comment. Anyone in the room like to comment on this item and first of all, remotely . Press star three. No hands commissioners all in favor, say aye. Aye. Opposed . All right. Were no closed session. Everyone in the room pleas all in favor, say aye. Aye. Opposed . All right. For the disclosing what was discussed in closed session. And last item adjourn. All in favor, say aye. Aye. Opposed . All right. Were adjourned thank you, everyone. Thank you. [meeting adjourned] there is a lot of unique characteristics about visitation valley. It is a unique part of the city. We are off in a corner of the city against the San Francisco county line 101 on one side. Vis station valley is still one of the last blue color neighborhoods in San Francisco. A lot of working class families out here. It is unusual. Not a lot of apartment buildings. A lot of Single Family homes. Great business corridor. So much traffic coming through here and stopping off to grab coffee or sandwich or pick up food before going home. A lot of customers are from the neighborhood. They are painters or mechanics. They are like blue color workers, a lot of them. The community is lovely. Multiracial and hopefully we can look out for each other. There is a variety of businesses on the block. You think of buffalo kitchen, chinese food, pork buns, sandwich. Library, bank of america with a parking lot. The market where you can grab anything. Amazing food choices, nail salons. Basically everything you need is here. A lot of these businesses up and down leland are family owned. People running them are family. When you come here and you have an uncle and nephew and go across the street and have the guy and his dad. Lisa and her daughter in the dog parlor and pam. It is very cool. Is Small Businesses make the neighborhood unique. New businesses coming. In mission blue, gourmet chocolate manufacturing. The corridor has changed and is continuing to change. We hope to see more businesses coming in the near future. This is what is needed. First, stay home. Unless it is absoluteliness scary. Social distancing is the most important step right now to limit spread of virus. Cancel all nonessential gather everythings. When the pandemic litly land avenue suffered like other corridors. A few nail salons couldnt operate. They shut down. Restaurants that had to adapt to more of a take out model. They havent totally brought back indoor seating. It is heartbreaking to see the businesses that have closed down and shut because of the pandemic. When the pandemic first hit it got really slow. We had to change our hours. We never had to close, which is a blessing. Thank god. We stayed open the whole time. We were kind of nervous and anxious to see what was going to come next hoping we will not have to close down. During covid we would go outside and look on both sides of the street. It looked like old western town. Nobody on the street. No cars. It was a hard eight or nine months. When they opened up half the people couldnt afford a haircut. During that time we kept saying the coffee shop was the living room of the valley. People would come to make sure they were okay. We checked on each other and patronized each other. I would get a cup of coffee, shirt, they would get a haircut. This is a generous and kind community. People would be like i am getting the toffee for the guy behind me and some days it went on and on. It was amazing to watch. We saw a perfect picture of community. We are all in this together. Since we began to reopen one year later, we will emerge stronger. We will emerge better as a city because we are still here and we stand in solidarity with one another. When we opened up august 1st. I will not say it was all good. We are still struggling due to covid. It affected a lot of people. We are still in the pandemic right now. Things are opening up a little bit. It is great to have space to come together. I did a three painting series of visitation valley and the businesses on leland. It felt good to drop off the paintings and hung them. My business is picking up. The city is opening up. We have mask requirements. I check temperatures. I ask for vaccination card and or recent test. The older folks they want to feel safe here. I feel like there is a sense of unity happening. What got us through the pandemic was our customers. Their dogs needed groomed, we have to cut their nails so they dont over grow. This is only going to push us forward. I sense a spirit of community and just belief in one another. We are trying to see if we can help all Small Businesses around here. There is a Cannabis Club lounge next to the dog parlor to bring foot traffic. My business is not going to work if the business across the street is not getting help. In hit us hard. I see a Bright Future to get the storefronts full. Once people come here i think they really like it. If you are from San Francisco visit visitation valley to see how this side of the city is the same but different. Call this meeting to order. Madam secretary, call the roll. President ajami. Here Vice President maxwell. Here. Commissioner paulson excused. Commissioner revera. We have quorum. Members make up to 2 minutes of remote comment dialing upon 4156550001. Meeting id access code 2599 928 6349. Press star 3. Speakers will hear a choim had there are 3 seconds and another when 2 minutes expired. Limit your comments to the item discussed unless general Public Comment. If you dont stay on the topic the president can ask to you limit your comment to the item. Public comment med in civil and respectful manner. Address remarks to the commission as a whole. Thanks to sfgovtv staff and it staff for assist analysis. For those present, silence your electronics. Before calling the first item. The San FranciscoPublic Utility Commission acknowledges owns and are stewards of the lands within the testify the Ramaytush Ohlone tribe and other descendants of the historic recognized Mission San Jose [inaudible]. Bands alameda county. Puc also recognizes that every citizen residing went greater bay area benefits from the use and occupation of the Ramaytush Ohlone lands. Since before and after the San FranciscoUtility Commission founding in 1932. It is important the tribal landos which we reside and also we acbuilding and honestor fact that the recommend ram people have established a Work Partnership with the puc and productive and flourishing members in the greater San Francisco bay area communities today. Madam secretary. First item item 3 report of general manager. Thank you. Item 3a is manage we like to do recognition of retirements. Commissioners i like to start the meeting to recognize the service the retirees with over 25 years of service to the puc commission. Today we congratulate 21 individuals the highest form criminal and provide in Public Service and recognize the following. From the Information Technology team bribe are lay. 38 years of servicement 36 yeeshs. In the Customer Service bureau. Maureen republican dolph. There are years. Water, ted sanders, 37 years of service. Paul del aggressiveo 30 years. John thuman 39 years. Danielle watson then years. John kelly 3 years. Carroll deaggressivea there are years of service. James blue, 36 years of service and carlos, 32 years of service. 32 years of service. Steven delayo 33 years. Laura target, 26 years of service. Brian sack, 26 years. Her with us today al, 35 years of service. And the water enterprise jose lamoney. Wes low and today may low amad 26 years of service. Kevin roach 28 years and vincent wong 27 years. Join me in congratulate our retirees with applause. I think when we recognize commissioners is that is experience. Well is good and they are happy for so long but there is the other side we replace the people why we are focussed on hiring to make sure we builted next crop of leaders. Before i ask the folks attending today. Up for a Photo Commissioners if you like to say anything. Floor is yours. Commissioner stacy congratulations and thank you so much for many years of service and enjoy your retirement. I wanted to say absolutely impressed the amount years, wow, and i guess i share the current gm. Pretty tough to replace the years of importance and knowledge and and thank you so much. I hope you have great retirement and reason joy time off with families. Thank you. Commissioner maxwell. We already miss you think burglar it we miss you already. And if you have anything you can add if you want to just write a note unanimously on when we can do i would appreciate t. And im sure we would. Thank you for everything that you have done and everything that you will will do and thank your families, too they have done a lot make sure that you can come. Thank you very much. Thank your families. I add like this is a great amount of Public Service. We are all grateful for your service and the time you spend making this utility a better place for the people you mentors. Work you did for the city and the county. It is you know obviously a great thing to see that people work in the snougz for a language time. And provide so much value this. Is manage that is not common i mention today every time we see people leave with this many years of service in this day it is rare. If you have ideas and like to you know come become and share some of your knowledge with us in case later when we miss having coming to work every morning. Or time off and family time. And and if you have good talent you think we should focus on or if you have suggestions. Always look for example talent to bring in our little umbrella and trin them for future. And with that, thank you. Madam president i like to invite al and may up for a photo. My apologies. All right. Thank you for being here. Come on up. We are 3. The motor merrier. Any of our retiree attendsise. If you like to say a few words. The floor is yours if you like. If you would like to say a few words. Retirees or coworkers about them. Feel free. Thank you. [applause] why donts you come to the front, please. Please, do. Because we want to make surety camera can catch you and people can see you at home and hear you. I want to thank for the opportunity to learn, grow and to contribute. I have enjoyed working for the city more then and there 36 years. And i feel proud when i go to work. We know our mission and we contribute. We dot work of the city. The all the city in San Francisco. Thank you. I love it. Learn, grow, contribute. Thank you. Thats amazing. What about the please, do come and say a now words. Yes. Thank you. For having me. It hen a longhaul. Wonderful journey. Serving the city and county of San Francisco. Working for valall these year and is worked for the Water Department and al did us old timer puc is not the term we use. Im luck to be a Second GenerationWater Department. Each follow my fathers footsteps similar to police and fire i saw had he did and decided that was the direction i wanted go in and the great pleasure. Work on our water system in the city and distribution division. Customer service and the last part of my career the Water Quality division. Down in [inaudible] i was able to see just about everything had they say from infall to out fall and it was a great run. When i missed the most is working like with sxal my fellow employees. I miss the comradery of the daily getting stuff done. And will but i also miss not being on call anymore. In a good trade off. It was a noise run and i pret much enjoyed every minute. It went by too fast. Thank you. Mruz [applause] i like the generational thing. Do you have kids who want to join us, let them know we are here to recruit them. Members of public had wish to make 2 minutes of remote comment on 3a. Press star 3 to speak. You will hear a chime when there are 30 seconds remain and another when the time expired. Dom we have callers with hands raise snd there are no callers in the queue. Public comment on 3a is closed. Thank you. 3 b introduction christian our new chief equity and he inclusion officer. Commissioners. As you are aware, at this commissions direction years ago, the work of diversity, equity and he inclusion was made to be a major prior and focus of the puc and this is something that started before my tenure. But has been a key part when i attempted to accomplish and kick start course of the last 2 years. In terms of our work on Building Partnerships and doing mentorship programs. By stake survey its see how employees felt. Everybody at the puc recognize diversity and inclusion is i per whf we dom a key component was hiring our first inclusion officer. Im happy to introduce to you chris who started with the puc on july 10th. Come we are truly, truly luck tow have chris. A national low recognized xfrment from a practical perspect and i have academic. On issues of racial and social justice. He is a thinker. Passionate about challenges in youth special adult legal systems. Child welfare. Public health system, accomplished author. And academic on the subjects and we are lucky to be able to have lured him back to california. He did work in santa clara before. But we were lucky to louer him become from the east coast where he completed docket rat and a masters in buildings add registration from customer graduate school. Master of Public Health. Am a bachelors in psychology from the city and college of new york. He has been a wonderful addition and hit the ground run and out in the will field in almost every day. Right now fork you going on building his female and sharing the results with employees throughout the organization so what they hear how important it were is now serious we take the work that we committed to do. Im theme have him part of the teach. He did not want to get introduce in the julimented wait until he could hit the grouped and perspect you have when he noticed and he is building his team. Good afternoon a pleasure to be introduceed you all. I cant tell you how excitid am. Keeping short i want to let you know had this role for mow is not just i privilege this is a representation of my life. I dedicated my life and career addressing disparities across many fields. The opportunity with the puca lus me and the team to advance this work. So long with dennis the general manager and the amazing executive team at the puc, we hope to do exciting things. And them is i reminder this this work will not happen over notice. Well encounter a lot of challenges. If we can be patient and operate with a sense of urgency i believe this the w we can accomplish will be wonderful and hopeful leave move to the other side. What happened in our country in 2020 was the tip of the ice Racial Disparities a problem for many centuries. We have an opportunity to do something different. And so, what we have accomplish side not the folk us and prioritize problems but engage in solutions. Dom more than we talk and hopeful low we dot right things and may not feel like the right thing fist we talk to the people to listen when they have to say and intgreat comments and thoughts and ideas. We can do this clantive and im looking excite to leading work. Thank you for the introduction. Do you. S g. Ahead. Thank you very much. Indeed we are fortunate to have you. You mentioned that at some point woad hear about the analysis that he has done after well. That we put out a lot for people to comment and so we hear something about that. At some pointful yes. Certainly, commissioner. Chris is out there talking now. I will dover him at the appropriate point. I like to see like in a report form. Absolutely you know how if it is other quarter low or whatever you can think might be promote. We have an on going connection with us all the time. Absolutely. We make sure the work is transparent. We want to make sure the work is moving forward. Part behalf i have been doing the past week system going to several sites to share the result was Racial Equity survey release in the program rather than via e mill we wanted to interfits with the people. W is religional if we dont build relationships we are not doing the work and authentically and we are going out to every fight and location we priorityize that over 6 weeks. We had a sthegz morning. We are starting early and end late this. Is an opportunity witness we consolidate findings we will share with everybody. I think i understand what your questions now. I was not, yes. In terms of the on going work this we are doing and under chris leadership we figure out i way to make sure that is reported to you regularly. We will look at a contract later wrfrment we come up with a regular reporting rejust a moment and goals the marks they are trying to hit. Sloulth. Yes we are looking at make sure they prioritize and they are shared in a timely manner and digestible you know what is happening on the ground. I think may be and first, welcome, thats wonderful. Y worn thing i say i dont want us to get buried with report writing mroisz and not focus on when we want to accomplish. I say, may be we can have some presentations like handled day. I dont know you know kids go to school handled day pleasurement or when you take a job. You have my word well report regularly. I hear your eagerness. And i want to beo we dont put chris in a situation he is writing constantly. See how we are doing and we want toive guenough time to familiarize yourself with the scomplas when is in place and see what come next. And we hear back. I think we realliment to make sure this does not and you know this im sure dennis communicated. Go beyond checking box. Enable everybody with Cultural Diversity beyond just what box people belong to. More from what is become grundz they come in and when opportunity they have and can they also have a chance to grow. In an institution that is welcoming and i continuing is important to keep them in mind of make sure everyone feels they comprehend i want top reuse that terminology. Learn, grow and criminality. We are learning and growing as a teach. The team is young. They are moving forward. And enengage in the community and the Community Upon advance and want development i have zero interests in being burr ed in reports i did in the come to write reports i came to get things done. I believe well get things done and reports are a part of that. Not writing beautiful wordos paper and get the w done perfect. Thank you. Skwa members who wish to make remote comment on item 3b. Press star 3 to raise your hand to speak. You will hear a chime when there 30 seconds remaining. Did we have members present to comment on item 3b . Dom we have hands raised. There are no callers. Public comment on 3b is closed 3c is fiscal 25 and 25 26 budget update. Nancy will present. Thank you good afternoon. Im nancy, chief Financial Officer general manager for business service. I like to provide a quick introduction to the planning process. This is an official welcome. The agenda will begin an over view of the puc capitol budget and continue with priorities we focus upon for the budget cycle. I will provide a review of our commission policy. Govern our budget process. And lastly finish with the budget schedule the next few months. Puc operating budget is 1. 8 billion dollars. Fund all by water, power and sewer. That will is mentioned before. These are 2 major cost driver in our budget. The first and learningest cost driver is Capitol Program of shows up as debt service and ref now capitol. Second is power purchase for hetch hetchy power and clone clone. The next after those is personnelful 2, 745 funded full time of which 2, 300 sold at any given time you see in the pie chart, water is the learningest comprising 43 of our budget followed by power and wastewater. 33 and 24 . Finance other human resource, external affairs them and costs allocated over head allocation model. Joo capitol isoir biggest costment our 10 year plan by the Commission Left february is 8. 8 billion dollars. About 1. 4 billion in the currently year. Largest driver of the plan is the sewer system improve am mr. Foreman wastewater make up majority of green bar in this chart we expect growth in the plan in this budget kyle cycle we enough trade off with future rate increases. When developing a budget important to consider priorities. For this cycle we set priors to help us make decisions and where to pend and consider trade offs how to balance the budget. Jot priority prosecutors listed on the slide. First is affordability. About ensure the best value and responsible planning keep rates affordable. Staff drafting a new affordable policy brought to you shortly and set guidelines for budgeting and planning. Currently, staff across puc are work to improve our planning process to ensure we budget and deliver projects we plan for. Why second prior is responsible manage p. M. Here what we do ensure we go plan for sustainable and financial future and ensure we are resources to impeleven racial action plan and consider the impact of our investments. We want to be transparent and maintain ethices and add here torrobust internal control in our Decision Making and operations. We want to ensure responsible management of the system entrusted our care repairing and maintaining resources to keep it run nothing compliance with regulations now and the future. The last priority is investing where it matters. We are specific low poke to capitol plan. They generate job s and help with economic recovery, ensure investments consider equity impact. Clsd remrigs aging infrastructure the massive investments we are make negligent southeast treatment planful meet new demands to handle demands. Like at the airport ownership supporting new housing or new developments at the port. And we continue to be good stewards of the environment and will make sure our infrastructure is resilient to Climate Change. Become to the budget process. Our goal is now and february to develop a balanced 2 year fixed operating budget. A 10 year plan and 10 year financial plan. They are here for you. Our affordability policy is coming soon. The official and debt policy. Technology, if manage and want Racial Justice resolution. Lastly our budget schedule. A time line of behalf to expect. We are here at the beginning and between now and the i dont remember well go through staff level deliberations for i recommendation on i balanced budget examine plan, hold meet pregnants at the end of january to review the proposals and allow for questions and discussion. Upon on february 13 of 24. The commission will vote to adopt two of the year operating budget of capitol. 10 year plans, financial plans and after, that budget committed to the Mayors Office tell continue to the board and all finalized july of 2024. Nime months from now. And once we will come become to plain the challenge this is have taken place and the mayor and board face. We are excited get this prisz started. Thank you and im happy to answer questions. Any questions. I have a question for you. Can we have the slide with priorities for this budget. Up for a second . I appreciated the categories i think than i are important. And one observation and may be suggestion i have. Is i would pull out the environmental stewardship, resilience and Climate Change and access. I think the access is divided with affordable and responsible management and put them on top. That is which we go through everyone of the buckets. We need to make climate xhafrj, look at everything through the 11s of Climate Change it is helping not something you are expecting to happen later. We need to protect the environment. It is our mission and important. And make sure everybody has access to clone special affordable water. Those 3 other pill arts of how we want them budget to be. Thought tlouchl i think Everything Else sort of needs to be designed by having those 3 items as a core. One thirng, i bruthis up multiple times. I opinion at some point mr. Herrera, you and i left year before we passed rate change. We had a combfrgz rethink burglar what we dot rate serving press and it is decoupling the rates. I want to bring is this back. I then and there it is not something that will if we keep hiring the same Rate Consultants we are and every other water agency in the country is hiring. Give us the same rate design will that zeech and everybody else has. So. I would like uses to go back and my suggestion is, lets mire energy rate consultant and bring them. To design our water rates see how it looks. I know i mean you opinioning decoupling the rates are key to be financial sustainable and able to maintain our aging infrastructure. Make sure pay more. Everybody dependsos this system. It does in the matter and then on top of this we think b so do we need to have life lineful we have all the different programs for affordable. They can be in place. But can be done throughout lens. So, i would like this to be part of our goal for the year to look into this. And may be have it a discussion and report. You know, commissioner, we just on the rate side we accomplished. Did do some decouple with storm water charges. And you have this is a 3 year period we have for the rates on the water side something we will. Jot sewer side or storm water side. We partially did that. I know we do some form of it but in the doing full decoupling. True. Where that is not going to help us in the long run. Idea the next 3 years we have time start now. Bring somebody in to get a different answer that we always get. If you bring somebody from gm not design the tesla for you. We will and we are happy top have that discussion. Thank you. Commissioner stacy. Thank you for the clear report. You know i spent time looking at your slide 5 as well temperature is almost hard to break those priors down into 3 and separate columns. They all seem so interrelated. And we have so many sort of issues and priorities to balance and really think about how they inneract. I think about efficient capitol planning essential to affordability. But responsible management and thats where invest whering it matters fits in. I agree with the president ajami we want to be Good Environmental stewards. Planning is essential. There are many priorities staff have to balance. So many things to think about. I appreciate how inter~ related all are and than i are not so much separate columns many things priority s and policies consider we put together budget and planning and deciding which projects go in what order. And i really appreciate the balance that you strug weland everybody in the agency struggles with and the commission does, too. To really complicated way of all together. Thank you. Briefly. I really will agree with our president on the lens this we see through. I dont think it just make its easier, i think, to prioritize. When you have that lens. So. I agree with her. And i also agree with the commissioner stays. I think having the 11 system extremely important going forth. Thank you. No more comments, Public Comment. Thank you member when is wish to make 2 minutes of remote ment on 3 c press star 3 to speak. Do we have callers in the queue . There are 2 callers this wish to be recognized. Thank you 3c. This is item 3 c the budget update. Joy want to comment on the [inaudible] 8. 8 trade off . For [inaudible]. [inaudible]. I see they have 8. 8 billion trid offs and they can use this money. For [inaudible] than i can repair the 1800 oak dhael can remain as a legacy. Keep coming to the meet and i was told no one anyhow what they will do. Ir see the money. Use this for our community. Thank you. Thank you, caller. You have 2 minutes. [inaudible] this is peter, policy director for the Tuolumne River trust. Decoupling is important. There was concern this may be in mihave occurrence. I think with wo f we talked about it we could get to the same place. Im not worry body that. There is talk about environmental stewardship. I think that we need to need a way to measure that obvious is the salmon population and a couple years ago commissioner herrington requested updates on environmental metrics. I think we are due for one the salmon spawning season will be beginning soon and full force in 56 weeks. That would be a good option. So we know how we measure our success. I hope you had a chance to read our comments they are focused a lot on the budget. I had 48. 8 billion in capitol costs for the next 10 years. That does not include development of alternative Water Supplies. If you did the whole 92mgd that would cost 300 Million Dollars per year. We emphasize that. And invest and i hope that conversation happens sooner. Alternative water supply plan will not be prioritized and you have the budgets start nothing january. Same mistake made we need to invest more. We focused on the design drought and how im sorry calmer your time expired. Opinion comment is closed. Thank you. Item 3 d the hetch hetchy program out Reach Program quarter low report from katie miller. Good afternoon am president ajam and he commissioners im katie mill are director of water Capitol Programs. Today i will share a summary of the hetch hetchy program for Fourth Quarter of this fiscal april third to june 30 of 2023. This quarter is photo is of our Hetch Hetchy Reservoir the 100 celebration of the dam in may taken by our photographer robin who is here with us earlier today. Jot pie other chas show the program stchlts 8 project in preconstruction and 7 in construction. And multiple phases and some with multiple construction condition transacts. One was were finished the tesla well valve replace am. 255 million to date for 3 commolest over all. During the quarter reached major mile stones. One completed engineering. 3 design. 195 design and one construction final completion. Then million was spent which is low but a bit of dun time in our Construction Projects. This thanl shoes project expend sures grouped by funding source, water, puror joint water and power no new cost vaernss in the quarter. And now i will share a couple of Construction Projects highlights. And im happy to introduce our management hetch hetchy kruck manager lucas hoffman. He is leading this significant effort in the high country to get the projects done and degree an excellent job. For the dam outlet work phase one project, this has 2 subprojects you in in construction and one this will be advertised next quarter. Design build for the new bulk head system, worrieded. The work begone in september. Drawings of specifications for the drainage improve am subprotect were repairs exclude expected to issue bid in october. A j. W. Order contact award to improve equipment access to the tunnel access building below the dam facilitate the work for flow release valve project and this contract was awarded during the quarter. Have a lot going on at the am dam. And the Trans Mission pliant 78 upgrade project. During the quarter contractor continued construction to improve and expand foundations at tower legs. Over head Trans Mission line crossings structures completed attal road. Railroad and over head u till i felt. All long materials ordered. And deliveries are rising and stored on site. I have bonus slides the w this is helping. Than i will were 10 by robin. Tower 559 raised 9 feet to the new height with the substructure built everbuilt under in place. During the past 2 months 3 out of 37 tower raises occurred successful low with only 4 to go. This. Is in preparation for a full power outage long this line. That will begin this sunday october first and go for 2 months to if december 15 when the new wires will be strung and so part contract work is on schedule and budget and on track for you upcoming shut down. Im happy to take questions. Thank you. Commissioner mixture wel. I have a couple questions. On the moccasin rehab. I was not sure, this is progress and status and the alternatives and one is alternative is a shaft and tunnel with pipeline connections. I was not sure what that meant. Are you take the big pipes out and under ground . Thank you. An important question. You recall i have been reporting over the inspections done than i found critics deep as a quarter inch in the pipelines they are you in we have very high concerns about the longevity. They lasted and in failures in the pedestrian and look at full replacement instead of rehab it is off the table except a short torment project to shore when you want we have in longterm optionless they completed alternative happening sxangz it was a shaft that would beum close to priest reservoir. And then a horizontal tunnel come out at the powerhouse. A majorly different project. Require significant ceqa and long environmental permitting process. So it is xivens. Over 200 Million Dollars. The pipes the the as they are now no long are there they would go down . This it is they come over water would not flow through them but they are historical significance they may stay. Would be there for looks . If that is how we proceed it new and so when you think of 2 huh must have been really. It is aloft. The way we do things that seems like it is doable. If we look at going for 100 years or a lot of things that better take into consideration with that 200 million i would assume . Might be a better way to go and longer yes, our staff agrees they analyze third degree and that is their preferred option. Operation maintenance and longevity of a shaft and i tunnel. We are early. Looking how to reduce the risk of failure while we plan this project in form it takes. We are trying to see if there is a lower cost pipeline alternative. Nought tunnel and shaft other alternative. Question sns i noticed with the moccasin powerhouse with issues and challenges, a, subprotects and additional cost 4 Million Dollars due to and site conscience and additional Construction Management costs. The other subproject c says there are Million Dollars do you to scope and other things and additional Construction Management and support costs. Im and then another 21 says this is on the substation. It says issues and cost is higher than the approved budget Construction Management costs. Im wondering what is going on with Construction Management. Yea im happy to share with you so our Lessons Learned was in these high vollage electrical projects which are complex it pays to have expert and Electrical Construction and inspectors and engineers on site during the projects to support the decisionmaking happening during electrical shut downs. Mile stones during construction we will have upped our construction budgets for the electric projects. That sounds comfortabling glad to know that so we dont have as you mentioned manage else happened this. Is good. And i Lessons Learned we did not nit in our original mates something we know and adding to budgets Going Forward. When you say that, additional management cost may be a short explanation. Of this we are bring nothing experts because of soandso and we have an idea instead of timure start read anding here we go again. I think it should be mention third degree is a good thing. I have a follow up. On the powerhouse. I think i was asked this left time, too. The you know break we had in the pipes was there a way to capture this before. I fwrnd we put any am toolings in place to catch the things before we start you know another process. Right. Like. We need to have Early Warning system in place to prevent or actually tree this problems. Before than i become a big are problem. Are we considering this. You in this than i are think burglar should haves and funnels and now i ken see it. Thank you. You are poke to the pen stocks. It was a mall portion of the peoples we look if we need to investigate more. We are looking into am Fast Response strategies in case it does brick and rehab that we may be able to do nouchl in terms of Early Warning inld indicators im not sure something exists for this. We can watch pressure or manage well discuss. We have this for concrete pipes. Listen for wire bricks, this is a solid steel iron pipeful it is hard to detect it early. Tools that belanguage to the time of the to move forward. Rather than keep the same tools we had before if we do this is i rather i know we are talking about alegality of money i rather vment invest more and manage this can work more efficient low and effectively in the language run of rather than just dot bear bones to make sure we have limited budgets. One other thing i want to share with you. Work on the bypass tunnel of we realized the tunnel that existed the most efficient way it move waterism read something yesterday that focused on ways of doing thing and how we are all realizing today this happened some of those were the most efficient ways of saving water and moving water. We didnt have energy or tools. Saying this sometimes it sounds good to change significant low and im an advocate for change if possibling. Sometime its is important to step become yshg . And was there i logical reason that make them it make this choice. Per low buzz this system worked for a long time and i wonder what was the logic, you know. When they did not have as much, many tool and resources to do the things. I know we are dealing with different project and think about why and how and the new way you doo things going to help us or hurt us. You want top say something. Why go ahead why is no redundancy here if manage bricks no involve to dloez. Correct. A shaft and tunnel more reliable than the pipe lines. Upon but duly noted we are look at every alternative closely before we make that victim t. Is i pleasure and honor to w on the hetch hetchy system. Which is i linear system that flows by gravity it is a beautiful thing. It is just engine earring can outstanding. There will is in the much to change in most cases. They have already thank you about the best possible way of doing things. Thank you. Public comment. Public comment is closed thank you item 3e is the wastewater Quarter Report including Southeast AreaMajor Projects update. Good afternoon. Im bessey tammy the now director for Wastewater Program an honor to present this report to you today. Of may have the slides. Today i will present the june quarter low report this is a photo of the biosolid project i will follow a similar foradmit that robinson used. The construction updates today. On the left is the area storm water improve am project. You see here this workers installing a flicks diam fer firefighting valve in the trench this is progressing limp we are at about 95 come least on the firefighting water component of the work. The contractor is installing let rolls and other street space. There were occurrence about the paving restoration from the residence denial and supervisors office. I believe the team has dress third degree with the condition electronic orand communicated that. The second picture in the middle north shore wet weather improve am project. You see rebar and furthermore w. The contractor sorry installing the reborrow and form w to extend a pregnant for the new of the new driveway pumps go on top in this your. In the quarter low report you see the pumps installed. We fund this interesting. You see the guts of it. On the right is our right side pump station improve am project this. Is a nice aerial view of the raceway. Under the freeway for this project. You see on the bottom the completion dates for the 3 Construction Projects. In this slide we are presenting a pie chart of the program status. Currentlying over all, there are no changes in the program. We are min tang the 4. 402 billion dollars. The progression in the project comspleegz due to shifting of 3 of the projects from close out to complete. Blue, i want to point out you minotice the left side of the charter milook different from when is in your package. When you see here is a correction and it reflects the updates in the march xrchlt sure top send out the updated one with the meeting summary today. Why moving on to the next this , is a roll up version of table 3. The major thing to note here in e lawyer no cost variance with the left quarter low report and this one. Ghaen e you will see there are no cost variance with the last and this quarter low report. We want to provide you updates on the various projects in the program. You see we have awarded 2 Construction Contracts the behalf scombrt mile stone designs for 95 and other the 35 designful you see here and 5 projects achiefed the report status. The left phase in the planning fizz than i will be shotting into construction upcoming. Sthins september we are end of the summer. Would to show you photos here of the student train these come throughout program. The engineering tainees touring the pleasants. And on the. Bottom i High School Students weres again touring southeast plants at head works. Neighbor product updates. If sillity project the commissioners you toured. You know we have a pregnanted more. Major thing for this project. Over 90 of the packages bid out. In this past week report we penalty 64 Million Dollars. Thats an update. And latchly, a new head works facility project. You see here. This is a project that has progressed nice low in the left quarter. We spent 45 Million Dollars in the last quarter. Construction is progressing well for both of the projects. With this im happy to take quills you have. Go ahead commissioner maxwell. Thank you for this report. When were the issues the community had in the supervisor . Yes. Upon one of the blocks we had some cordination that we had to do with the contractor and subcondition tractor to restore paving time low. So far that has been resolved. Our construction mchlth sdpeem project theme to reach out and whnld were the challenges were between the condition tractedor and the sub. They committed to prosecute seed with the w help nothing a week when was community complained the pavement . Not restore. Yes. The community expected us to do. Okay. Thank you. Welcome. Thank you. Yop i just to note, the commissioner, i was tucking with supervisor. I got involved and doling with supervisor melgar and our staffs responsive in trying make it in the community who respected pedestrian dispute between the suband contractor. Communicate third degree and received commitments from me. Thank you. Public comment on this. Thank you. Do we have callers in the queue . There are no callers. Thank you. Public comment is closed. Thank you, this concludes my report. Thank you. Can we have the next item. 4 the bay wear Conversation Agency update. Welcome good upon afternoon. Nicole ceo. Thanks for town top provide you with i verbal update on 3 items i think you men interested in. First, bosk works with the agencies to negotiate an allocation plan. A new plan to call the tier 2 draught allocation plan. Plan that determines how the 26 wholesale customers shareit cbsaustin. Com visible supplies during a drought. The current plan was last adopt in the 2009. And xoir in the 2018 that coincided with the decision happen about san hose and he san clira at that time since the boarded acting your leave to extend that plan every year. So we would have a flan place and also providing the opportunity for the agencies to negotiate a new tier 2 plan. They initiated the negotiations in 2022. Notable progress made to date. Include agreement on policy principles this are guiding the update the al kagdz methodology. Identifying the range of factors considered for inclusion in the new tier 2 formula negotiated and how they should being considered. And also a straw person concept. Brings to a spreadsheet too much the thoofl really allows users the individual Member Agency vs a negotiator to adjust the values for different factors. Support the opgdzs and negotiations. One factor for the new tier 2 is the conciliation. Am we will negotiate the first 1 it was a language time since anybody experienced a dramatic everyone in the room has personal experience. We are coming with good conversations. Complete negotiation this is fiscal year then the new plan adopted by body for each Member Agency. Second, basicing initialled w to. Develop the scope for the new longterm reliable water are supply strategy in scoping effort will take sick months and includes monthly engagement. Board policy and the board sdpchlt intend to Begin Development 2025 next fill cat year. My third item w. Fall of 23. Water efficient landscape education series. Our landscape classes designed to introduce home ordinance, property managers. Lands scape and others water efficient and Sustainable Land kieping. Over 20 classes are viable toft public for free. Some are by zoom. And some in personal. Topics from rain par and rain golths workshops. Suck lent gardening. All of this some on our website where people sign up we have i library of virtual classes we have been involving a greatest risource for the public interested in conat the present times. Third degree. I will answer questions you may have thank you. Questions . I want it note im glad about thank you for your report. But the last item, i notice in the our water supply reports this our deliverets to the wholesale customers have been going up. We are at the 2020 levels. Im watching the. Hoping help 20 felony it has good evening off i bit. Im glass you sigh still offering the program promise i wander if you have seen a change am in interests or papgdz in these or do you finish there are stats and and often afternoon am you know we are dog i website update. Looking whom see what. A person in east bay, they do aggress riff out reachful their numbers sky rocketed. The class and virtously class 50 on 100 people of and stipulate everstump the idea is trans forming the land scape in the service area i see it. This is a trying to push that further. Nothing like the end of the draught to make them attractive. Thank you. Yell Public Comment. Thank you. Any comments on consent. Can we have Public Comment. Why members of public when would like to comment on the consent calendar press star 3 to speak. There are in callers. Public comment is closed. If there are no comments can i have a motion and second to approve this item. Move to approve. Second. Thank you. Roll call. President , jamy. Aye. Vice president maxwell aye riverasm aye stacy. Aye 4 ayes. The items pass. Can we have the next item. Item 6a warted contract pro0240ab Racial Equity consulting to Technical Service inc. For pr0240a and per in and service upon joint venture pro0240 b not to exceed 9, 500, 000 for support services for implementation of the agency Racial Equity action plan. Racial justice and other Racial Equity priorities. Good afternoon of i dont in with a presentation just to talk about the contracts and significance of the contract city organization. Committing then Million Dollars in terms of capacity to construct the work and inclusion at the puc commission. Is commendsable. 7 pill arts we are tasked advance. Recruiting, re10ing. Mobile and professional development. Develop, separation, diverse leadership and boarding commissions. Within that an organization with 2700 full time positions and capacity of staff. This work will be complicated and intricate. The flex at to bring this internal consultants help us do this works and so with the transparent process around the 2 contacts it is building the infrastructure for myself. Team and the organization to carry out the work and the mission set forth in the action plan. Therefore, this is just remarkable upon opportunity demonstrate this works and commitment to the community that it is more than just terminology. This this work will be beyond and to the future with its other initiatives that are invest in the. This is per of this recognition. And before i open if you mean to questions i want to say this is contract is the first mirj contract that will be in the area. But just to sort of lean on. It is recognition of the importance of the work rest assured that this work will be done under the supervision of christian and myself in terms of not going to be out sourced to a consultant who will run and dot work. We will work intmittly on making sure they are supervisored tasks that live up to the objectives that you as a commission hold important. And that owe to the community. The priors key we set as an agency and commission this is something we talked about and should you, prove the contracts ensuring the contractors live up to when it is we both expect. Thank you. Commissioner maxwell. Could you my red energies went up. I saw a coma huge organization. Red energies would you give me an example of something you have them to do. Yu neil this organization. My question was i like to see who they hire example their Upper Echelon and if they look the way we want our organization to look. Thank you. Acomrepresents in terms of capacity to bring in the nential can help the organization move forward. When we been the thing this is matter to the organization and how myself and herrera and the team when we are looking for is making sure this is not manage we do blindly. In terms of the external capacity bringing in the experts. When we are looking at now is monitoring every aspect monopolying everything helping this is a Large Organization and there are many moving piece. Within this Team Building now we need to ensure we violate capacity to monitor to evaluate, electronic and analyze and assess and eliminate outer. If we are taking on this internal capacity ourselves it is going to exhaust us with all of the elements of the work we have 7 pillars. Commissioner stacy. I also have to admit to a surprise. What i think i read in the report both not guilty back ground section and when you said is this there is a fair amount of Data Collection to be dhan you irrelevantment to know what is going on throughout the organization. And then listen to what gm herrera said and what you just said in response. It irrelevant looks like there is going to be a lot of collaboration and interaction with the joint venture. And with and you your staff. Upon they cant accomplish anything without your intense involvement. I appreciate thank you red on the need for information leading to a detailed action plan with the complicated goal this is you wish to accomplish. I appreciate that it will be really important. For you and for your staff and the whole organization to work closely with this joint venture. Thank you for the. Thank you. Commissioner. Good afternoon doctor, welcome, board. Look forward to hearing the progress. And thank you gm for what explanation. I also had apprehension when i sought contract and iment to upon under score and make sure that puc is driving the bus. It is grit to have a comspecial have the facts. But the Decision Maker is you. And the general manager and i want to irrelevant under score this. And make sure this we are in the get egg one size fits all. I think you mentioned the General Motors version. We want puc version. We have a unique area im proud of our place and an opportunity to make great change and make sure that the decision make suggest from us and not from a consultant when may be disconnect in the areas. You have our shared commitment. Why thank you. Commissioner max quell i want to thank the general manager and chris for makeing huge step. This is big and i realliment to thank you for understanding how important this is to us. Thank you about this and you are both urn the glass i have all the xufdz no one and makes me feel proud of our organization we are going this route. Thank you. Thank you. So thank you, everyone. A couple of things. 9 and a half million. To 2020, 5 years. I do recognize we need help. A lot of work to be defendants exhibit. Everything takes time we dont have the manpower. I appreciate the commitment you will manage this task i want to ask for more than that. One is as member who joined the organization i would love to hear from you when you look at our Racial Equity objection plan are things that are neateds to be cost or added . There is always good to have freshy set of ice, lot of w gone in it. You are coming in. Hopefully connected to when needs to happen or when is the most rent idea this is are out there. So some of this might need to show and up in things have need to be tweaked or changed. Second. Five years from now, i would notment to im not sure if im here but who is here, what i want is we gave this money to acomor the venture and we built a team and a tools and everything that we need to run it ourselves. The reality is we constudent low give out contracts. To consultants or organizations to dot work for us and yes, we managed them all. Reality is sometimes we dont have access to property this they develop or the data they gather or want or the capacity that they want. Right. We give them the money they build and run it. That thes reality. I want to make sure as the money is going through you are now. You are here. We want to build this internal low. And asking to you think about this very strategically and how you turn this to something this is institutionalized here rather than us constantly needing others to come in and do it for us. Take it as you know a blank check to been not we are giving money. But think about it that way. Is there are, let of components. Per whf we are done is we stream lined 7 to 4. We have become more focus exclude the 92 okay items there are things that are not actionable at the moment. Everything cannot be a priority we concentrate where the w is Going Forward and slow down. Those conversations are helping and building the capacity to drive the work and i believe with my back grounds as epidemiologist and scientist. We can drive this work internal low. We are the drivers. Everything we build because that is what will be in the future. I dont want to put nus a position we dont retain rights to anything we build this is for us and built by us with assistance and guidance from consultants not driving this work great. Thank you. I want you to think about that i think about the numbers fiwas going to hire an army of people could work on this. How many would i hire. Get value out of it. Over head and everything but think about it whshgs is the mind set you need to have and annual cost of working with others. We need to work worryings regardless. As time guess on. Again. Make sure it is built. I appreciate going from 7 to 4. I think the documents and plans i see them living documents. They are not you know you think about it. I think the plan and i will spend the next 10 years implementing it. When you are done everything has changed. The idea is how can you revisit and rebuild. No more comments can we have Public Comment on this. Do we have members present to provide comment . Do we have callers in the queue . There is one caller. Thank you. Call are i unmuted your loip you have 2 minutes. My name is glen, i like to comment on item 6 and the what like to comment on is that where is the organization located . Who is the [inaudible]. Is anyone the residents of bayview involved . There is one caller. Thank you. There are no other callers. Public mental on item 6 is closed. Jot comment i will repeat it is valuable. The askings about the plan. The Racial Equity plan and find it. I think it will be good to have this information. Im sure it accessible. Right. We can make it accessible. Thank you. Next item. Item 7. Hear to consider action to adopt amendments to the San Francisco puc social Impact Program rule and regulations. Madam secretary. You did not take a vote. That is true [laughter]. Thank you. I move. Second. Excellent. And can we have the vote. On approval might want to wait for your first vote. Item 6 president ajami. Aye. Vice president maxwell. Aye commissioner rivera. Aye. Commissioner stacy. Aye. Item passes, congratulations. We look forward to see what come out of this. Number 7. Public hear to consider possible action adopt amendment to the puc social Impact Partnership rowel bunkham regulations rule 1. 0 and 4. 5 im the manager for the social Impact Partnership program the puc authorizes social Impact Program on october 24, 2022 resolution 220183. On april 11 of 2023, this Commission Adopted rules for the social Impact Partnership program. Effective april 22 of 23. The Controllers Office and City AttorneyOffice Issued a citywide suspension order prohibiting entities from, ploying to and receiving future city contracts. On the same day the mayor directed departments to cancel those contracts. The proposed amendments to the rule and regulations comply with the mayors directive and drafted with the City Attorney. Urn the rowel 1 amendment, entity subject to order of department or suspension would be ineligible to be a beneficiary. And the beneficiary must be an entity inspect of the contractor. Then rule 4 opinion 5 says the contractor must confirm this each beneficiary meets this. This item is just technical maams to compliant with the city directive. Thank you, for your time and consideration. Can we have Public Comment. Thank you. Members calling remote press star 3 to speak. Do we have anyone present to provide comment . Good afternoon the Northern California laborerors i want to make sure we talked about about the Program Areas in the document. Great document. A language time coming. You know in 20 seventeen 15 we heard from contractors the goal posts moving not clear. We started to bird dog this program. We are enengage in the workforce develop export met with resistance. You have managed through your new leadership all of you knew to really get a document that has the transpicious that we have been talking about for a long time. And the other stuff will run the course. While it is running we want to make sure you are aware of the fact we are appropriateed enengage the workforce piece. The way it would work with rec and park whetherville real or whoever offering ourselves to meet the needs. Congratulations. We consider to be great. Thank you. Thank you. Moved. Second. Item 7. Aye Vice President maxwell. Aye riverasm aye commissioner stacy aye. Thank you. Next item. Item 8 hearing adopt San Francisco utility rowels of ordchanges to rule 16 order of business. Colleague this is is the item that we requested to move the Public Comment to the front of the schedule. Or agenda, you know. If there are comments or questions. Help to hear them. Otherwise we can go to Public Comment. Hearing none have Public Comment. Why members of public who wish to make remote comment on item 8 fresz press star 3 to speak. Are there member present to provide comment. Do we have callers with hands raised. There are 2 callers. You have 2 minutes. This is dave warner. Thank you so much peter drubbingmeyer worked out a system he would tell me when you got to public ment it nicer. Thank you. Thats it. Caller have you 2 minutes. Hello. Peter, Tuolumne River trust. I want to thank president ajami and hope the rest of you support temperature my opinion moving yes or no meant to the end was a way to punish the public this was not the intention of commission nor i think the idea came from the commission. This did result from the 7 and final workshop 2 years of workshops last august with a workshop on the design drought. Presented our case and Vulnerability Assessment and felt staff did not have a response to justify the design drought. And the commission moved on. We pent 2 years get the facts out there. It was in the made and, let of people from the public started calling in for several months there was a lot of Public Comment. And it became apparent that the move was to stop this public participation. Thank you for dressing this. Thank you. If there are no callers wish to be recognized Public Comment is closed. This was meant for efficiency and this never meant to quiet the public. Not at all. Our intention. But i appreciate everybodys comments we are here and happy to hear everybodyy comments. And perspectives this is an open door. Real we like to see people in person if they like to join us. But otherwise, we wanted try manage and00ue know now we decided may be going bag to the old model works better. With that. I would like to see if i can have a motion and second on the item. To pass it. Move to approve item 8. Second. Thank you. A roll call. President ajami aye Vice President maxwell commissioner rivera. Aye commissioner stacy. Aye thank you, from next meeting we will have the Public Comments on the front of the agenda. Thank you. Can we have the next item. Item 9 communications. Clothes this is an informational only gram there is nothing we move on thank you. Can we have next item. 11, initiated by commissioners. Any items that you would like to initiate . Can we have the next item. Item 12 is Public Comment on matters to be addressed during closed session. Um. Yes. Go ahead. Item 14 conference with Legal Council regarding existing litigation. Proposed settlement of litigation a motor accident with city of San Francisco to pay madison 40 thousand dollars in exchange for final release subject to final approval by the board of supervisors. 15, conference with council proposed Settlement Claim for damage ruing from a High Pressure main fail with the city of San Francisco to pay 99 Insurance Company within00 thousand dollars in exchange for release subject to approval by the board of priersz. 16, Public Employee performance evaluation general manager. Members who wish to make 2 minutes of rePublic Comment closed session 4716 press star 3 to speak. Are there members of public present to provide comment on item it is 1416. Before we take Public Comment on that item i think we missed Something Else. We missed general Public Comment. You ruled on the order. Ruled on the order new rules. I leave it to you to decide call the item after this or how do you want to do it. Why dont we dot Public Comment on this item and general Public Comment and the motion on the closed session. This is know example of staff not stifling Public Comment. Taking item 12 out of order. Do we have Public Comment on closed session . Caller with hands raised . Mr. There are no callers. Okay. Madam secretary can we have yes or no Public Comment. Item 10. We are on item 10 sfgovtv thank you. Item 10 general Public Comment. Members of public when wish to make 2 minutes of remote comment in the missions jurisdiction but not on todays agenda press star 3 to speak. Of is there anyone present to provide general Public Comment . Did we have callers with hands raised. There are 3 callers. Im dave warn are thank you for your service and general manager herrera i like to highlight a letter you received from me this morning notes san diegos water rates over invest in the alternative Water Supplies. They saw demand go down by 40 caused rates to increase 600 to 2200 dollars 80 are foot. We had a similar experience with the investment but it was necessary to maintain existing supplies, our demand dropped 20 and seen rates increase from sick00 to over 2200 per 80 are foot. The trouble is you in we are contemplaying investment in alternative Water Supplies temperature is in the clear the decline combined cause an exceptional jump in rates. We have the highest water rates of any major agency. Onplace water rates 35 dollars per ccf. Translates to 15 thousand dollars fer 80 are foot. I want to understand huthan i reach a high number and not hard to see the water rates doubling if we over invest. Keep the san diego situation in mind would be hard if we saw a doubling of water rates. When the modest adjustment reduce need for alternative Water Supplies. Have hidden men a Good Opportunity here. Dog an analysis equal to alternative. Thank you. Caller, have you 2 minutes. Thank you. Peter, Tuolumne River trust. Comment on slide 9 from the water conditions update. You might make a look to look at slide 9. Water available to the city. The red line at the bottom the cut off in water rights with irrigation district and it is puc. 2400 cubic feet run off belongs to the irrigation district. And then there is the top half 2 months between mid april and mid john cut off to 4,000 this year 3 week shift with the blue line moving left would not have impact there was so much water above 4 then and there. When we have the workshop on the vulner ability assessment we asked staff how earlier run off projected impact the water available to the city and they said, well. Would not irrelevant. And we looked purth and in wet years the puc loses water to the irrigation district and dry years puc picks up water and wet years does in the merit whos water isfullying the dry year matters we thought if it were to occur the puc pick up a years worth of water. Presented our information to staff they ignore today. Asked the commission to ask the question. We never got a dmorn ask that. Tried be helpful early on with the ltba would in the hum make decisions we recommended 3 questions design draught and the rapid turn period and earlier run off and using real demand. And thank you, caller your time expired. There are no callers in the queue general Public Comment is closed will we are back on item number 12. Closed session. Clothes can i have a motion on whether or not to acert Attorney Client privilege with the closed session matters on the agenda here . Move to acert attorney cline privilege a roll call president , jamy aye yoochl maxwell. Aye rivera. Why aye stacy. Aye. Thank you. Please stand by. We will go in closed session. We issue back the commission recommend the board of supervisors, prove the settlement. Items 47 and 15 and the commission has selected commissioner maxwell as the representative labor negotiator. Who will engage with manager herrera in this conversation. And colleagues can i have i motion not to disclose the discussions during closed session . Second. Can we have a roll call . President ajami aye Vice President maxwell aye commissioner rivera. Aye commissioner stacy. Aye. Thank you i think that was our last item. We are adjourned. Thank you. Driver, bye. Hi. Im will b. Mixture weltake a walk with me. I just love taking strolls in San Francisco. They are so many cool and exciting things to see. Like what is that there . What is that for . Hi. Buddy. How are you. What is that for. Im firefighter with the San FranciscoFire Department havings a great day, thank you for asking. This is a dry sand pipe. Dry sand pipes are multilevel building in San Francisco and the world. They are a piping system to facilitate the fire engineaire ability to pump water in a buildings that is on fire. A fire truck shows up and does what . The fire engine will pull up to the upon front of the building do, spotting the building. You get an engine in the area that is safe. Firefighters then take the hose lyoning line it a hydrant and that give us an endsless supply of water. Wow, cool. I dont see water, where does it come from and where does it go . The firefighters take a hose from the fire engine to the dry sand pipe and plug it in this inlet. They are able to adjust the pressure of water going in the inlet. To facilitate the pressure needed for any one of the floors on this building. Firefighters take the hose bunked and he will take that homes upon bundle to the floor the fire is on. Plug it into similar to this an outlet and they have water to put the fire out. It is a cool system that we see in a lot of buildings. I personal low use federal on multiple fires in San Francisco to safely put a fire out. I thought that was a great question that is cool of you to ask. Have a great day and nice meeting you. Thank you for letting us know what that is for. Thanks, everybody for watching bye [music] good afternoon, everyone. Thank you. You are right. This is a quiet group. Im going to need these voices to be raised in all of these issues that we have in San Francisco. We need you to be a lot louder and a lot more enthusiastic than that. Good afternoon. Good afternoon. Yes, there we are. This is a really really big deal. And you know that because when i did my Youth Commission swearing in, we got sworn in. Mayor, you know how to do a swearing in. And i would like to thank mr